HomeMy WebLinkAbout1000-35.-4-28.27 OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southold, NY 11971
MAILING ADDRESS:
P.O. Box 1179
Southold, NY 11971
Telephone: 631 765-1938
Fax: 631 765-3136
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM
To: Gerard Goehdnger, Chair
Town of $outhold Zoning Board of Appe~r~
From: Mark Terry, Principal Planner \~)
LWRP Coordinator u
Date: August 17, 2009
Re:
ZBA file Ref. No.6309. JOHN and BARBARA SEVERINI
Location: 565 Gull Pond Lane, Greenport
SCTM 1000-35-4-28.27
The proposed action is for a request for variances under Sections 280-116 and 280-124, based on the
Building Inspector's January 26, 2009 Notice of Disapproval concerning a proposed addition to the
existing dwelling, which new construction will be: (1) tess than the code required minimum of 15 feet on
a single side yard, and (2) less than 75 feet from the bulkhead adiacent to Fordham Canal.
On October 15, 2009 the Southold Board of Trustees issued a permit for the proposed action with the
following conditions listed below (in part) to further the LWRP policies:
1. Permit conditions require that the applicant install:
a. A pervious driveway and walkway from relocated stairs to deck.
b. A drywell to capture roof runoff, and
c. A 5' non-turf buffer landward of the bulkhead.
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 denoted following Policy Standards and therefore is CONSISTENT with the
LWRP provided that the above best management practices are implemented.
Pursuant to Chapter 268, the Southold Town Zoning Board of Appeals shall consider this
recommendation in preparing its written determination regarding the consistency of the proposed action.
Cc: Jennifer Andaloro, Assistant Town Attorney
Office Location:
Town Annex/First Floor, Capital One Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
Mailing Address:
53095 Main Road
EO. Box 1179
Southold, NY 11971-0959
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809 Fax (631) 765-9064
May 12, 2009
Mark Terry, Senior Environmental Planner
LWRP Coordinator
Planning Board Office
Town of Southold
Town Hall Annex
Southold, NY 11971
Re: ZBA File Ref. No. #6309 (SEVERINI)
Dear Mr. Terry:
We have received an application for additions, to an
Building Inspector's Notice of Disapproval under
survey map, project description form, are attached for
structure. A copy of the
280 (Zoning Code), and
reference.
Your written evaluation with for
Code procedures of LWRP Section ;8-5D is requ
letter.
as required under the
of this
Thank you.
Very truly yours,
Gerard P. Goehringer
Chairman
Encls. :
Office Location:
Town Annex/First Floor, Capital One Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
Mailing Address:
53095 Main Road
P.O. Box 1179
Southold, NY 11971-0959
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809 Fax (631) 765-9064
May 8, 2009
Mark Terry, Senior Environmental Planner
LWRP Coordinator
Planning Board Office
Town of Southold
Town Hall Annex
Southold, NY 11971
Re: ZBA File Ref. No. 6309 (SEVER1NI)
Dear Mark:
We have received an application for additions, as detailed on the enclosed map. A copy
of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and
survey map, project description form, are attached for your reference.
May we ask for your written evaluation with recommendations for this proposal, as
required under the Code procedures of LWRP Section 268-5D.
Thank you.
Encls.
Very truly yours,
Gerard P. Goehringer
Chairman
~1/27/2009 09:~9 76~6G~1
TO:
John Scverini
565 Gull Pond La.
Grcenport, NY l 1944
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE: January 26, 2009
Please take notice that your application dated January 16, 2009
For permit for an addition to an existing dwelling at
Location of property: 565 Gull Pond Lane, Grecnport
County Tax Map No. 1000 - Sect/on 35 Block 4 Lot 28.2__._~7
Is returned herewith and disapproved on thc £vllowing wounds:
The construction, on this non-conforming +20,000 sq. ft. lot in the R40 District, is not
permitted pursuant to Article XXIII, Section 280-124 which states:
"This section is intended to provide minimum standards for granting of a building permit for
the principal buildings of lots which are recognized by the town under 280-9, are
nonconforming and have not merged pursuant to 280-10.
The required minimum side yard setback is 15'.
The survey indicates a minimum side yard setback of 12.4'.
Also, the construction is not permitted pursuant to Article XXII, Section 280-116 which states:
"All buildings or structures located on Jots upon which a bulkhead, ... exists & which are
adjacent to tidal water bodies other than sounds shall be set back not less than 75' from the
bulkhead."
The proposed addition is setback 70' from the bulkhead.
Date Assigned/Assignment
Office
Notes:.
Filed By:.
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
Parcel Location: House No. 565 Street GULL POND LANE Hamlet GREENPORT
SCTM 1000 Section 35 Block 4 Lot(s).28.27 Lot Size26,549S.F. Zone DistrictR-40
1 (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR
DATED: JANUARY 26, 2009 BASED ON MAP DATED JUNE 4, 2008
Applicant(s)/Owner(s): JOHN SEVERIN1
Mailing Address: 8 WOODHILL PATH, ST. JAMES, NY 11780
Telephone: 631-862-6601 Fax:
NOTE: In addition to the above please completed below if applicant is signed by applicant's attorney, agent, architect, builder, contract
vendee, etc and name of person who agent represents:
Name of Representative: EN-CONSULTANTS, INC for (X) Owner, or ( ) Other:
Agent's Address: 1319 NORTH SEA ROAD SOUTHAMPTON, NY 11968
Telephone: 631-283-6360 Fax: 631-283-6136 Email: R~Emm^NN~ENCONSUL*^NTS COM
Please check box to specify who you wish correspondence to be mailed to, from the above names:
[] Applicant/Owner(s), or [] Authorized Representative, or [] Other Name/Address Below:
WHEREBY THE BUILDING INSPECTOR REVIEWED MAP DATED 6-4-08
AN APPLICATION DATED: 1-16-09 FOR:
[] Building Permit
[] Certificate of Occupancy [] Pre-Certificate of Occupancy
[] Change of Use
[] Permit for As-Built Construction
Other:
and DENIED
Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Subsection and paragraph
of Zoning Ordinance by numbers. Do not quote the code.
Article XXIll Section 280- 124 Subsection B
Article XXII Section 280- 116 Subsection B
Type of Appeal. An Appeal is made for: [] A Variance to the Zoning Code or Zoning Map.
[] A Variance due to lack of access required by New York Town Law-Section 280-A.
[] Interpretation of the Town Code, Article XXIll Section 280-124(B)&
[] Reversal or Other XXll 116-B
A prior appeal ~ has [] has not been made at an,/time with respect to this property. UNDER Appeal
No. 5303 Year2003 . (Please be sure to research bejbre completing this question or call our office for
assistance).
REASONS FOR APPEAL (additional sheets ma]/be used with preparer's signature):
AREA VARIANCE REASONS.
(1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a
detriment to nearby properties if granted, because:
SEE ATTACHED
(2) The benefit sought by the applicant CANNOT be achieved by some method feasible for the
applicant to pursue, other than an area variance, because:
SEE ATTACHED
(3) The amount of relief requested is not substantial because:
SEEATTACHED
(4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions
in the neighborhood or district because:
SEE ATTACHED
(5) Has the alleged difficulty been self-created? ( )Yes, or ( )No.
SEE ATTACHED
This is the MINIMUM that is necessary and adequate, and at the same time preserve and protect the
character of the neighborhood and the health, safety, and welfare of the conununity.
Check this box ( ) IF A USE VARIANCE IS BEING REQUESTED, AND PLEASE COMPLETE THE ATTACHED USE VARIANCE
SHEET: (Please be sure to consult your attorney.) ~
Signatu're o~Appellattt or A~'~thorized Agettt
o~ r-o( (Agent must submit written Authorization from Owner)
Sworn to before me this ~
damco_ t.n ._ _ t 2009~ ROBERT E. HERRMANN
COASTAL MANAGEMENT SPECIALIST
Nof~ryXPublic I, ~/
We hereby appeal the Building Department's interpretation of Article XXIII Section 280-124(B), specifically
the application of a minimum side yard setback requirement of 15 feet based on the classification of the subject
lot as having an area "between 20,000 and 39,999 square feet," i.e., 26,549 square feet. Specifically, it is our
position that because the parcel consists of 7,947 square feet of underwater land, the Building Department
should have used an area of 18,602 square feet for the purpose of determining lot area and the corresponding
minimum side yard setback requirement set forth by 280-124(B). Were this area used, the lot would be
classified as having an area "less than 20,000 square feet," for which a minimum side-yard setback of 10 feet is
required, a setback exceeded by the proposed 12.4-foot setback from the proposed addition to the side property
boundary. Thus, we argue that but for the Building Department's interpretation, relief from Article XXlll
Section 280-124(B) would not be necessary. Our argument is premised upon the following.
Because Article I Section 280-4 ("Definitions") offers no definition of "[lot] area" and Article XXII1 section
280-124 is silent as to whether underwater lands are to be excluded from lot area for the purpose of applying
yard requirements, the Building Department is left with the discretion to render this determination. When
applying its discretion, we argue that the Building Department's determination must be rendered consistently
with any prior decision made by the Board of Appeals with respect to the subject property. In this case, it was
the Board's prior determination in 2003 as part of Decision No. 5303 that the subject parcel has a lot area of
18,602 square feet, which by clear inference excluded the 7,947 square feet of underwater land. The fact that
the Board's determination of lot area did not expressly affect the relief that was being granted at that time is
immaterial. It is reasonable to conclude 1) that the proposed lot coverage and yard setbacks incorporated in that
application would have been required to meet those set forth by §280-124(B) for a lot having the area stated in
the Board's decision, i.e., 18,602 square feet; and 2) that the project's conformance or lack thereof with those
requirements would have been considered by the Board at that time. It appears that the Building Department
failed to consider or considered and arbitrarily dismissed the precedent set by this prior decision.
We argue further that even in the absence of the prior decision, the Building Department should have sought
guidance from and rendered a determination consistent with the other sections of Code that speak to the
inclusion or exclusion of underwater lands for the purposes of determining lot area. Specifically, Article XXll
Section 280-113 excludes underwater land from lot area for the purpose of computing density for development;
and Article I Section 280-4 ("Definitions") excludes underwater land from lot area in the definition of
"buildable lands," i.e., the lot area upon which allowable lot coverage calculations are based. That is, if
underwater land is per Code excluded from lot area for the purpose of determining the portion of lots qualifying
as "buildable land," how then can underwater land be reasonably judged by the Building Department to be
included in lot area for the purpose of applying the yard requirements that define "buildable area?" (see
attached portion of Town Code).
By doing so, the Building Department is determining the lot area to be 18,602 square feet for the purpose of
calculating allowable lot coverage while simultaneously determining the lot to be 26,549 square feet for the
purpose of applying yard requirements. As a result, lot coverage is restricted to 3,720 square feet rather than
the less restrictive 5,309 square feet that would be allowed for a 26,549 square-foot lot while a 15-foot side-
yard setback is required instead of the less restrictivel0 feet feet that would be required for a lot smaller than
20,000 square feet.
Regardless of whether this inherently inconsistent and inequitable result of the Building Department's
interpretation is arbitrary or by design, we argue that the Board of Appeals should reject it and provide the
Department with future direction to consistently exclude underwater lands when determining lot area for the
purpose of applying yard requirements pursuant to Article XXIII Section 280-124(B). Otherwise, underwater
lands could be inconsistently included or excluded from lot area calculations, apparently depending on
whichever produces the greatest possible restriction on buildable area. In light of the Town Board's recent
efforts to redefine and further restrict the definition of"buildable lands," this would not seem to be a tenable
paradigm to maintain.
AREA VARIANCE REASONS FOR APPEAL
1. An undesirable change will not be produced in the character of the neighborhood or a detriment to nearby
properties because:
Notwithstanding the Board's decision on our appeal of the Building Department's interpretation
regarding Article XXIII Section 280-124(B), the 2.6 feet of relief necessary to construct the
proposed garage addition would not produce an undesirable change in the character of the
neighborhood nor a detriment to the affected property to the north due to the de minimis scope of
the necessary relief; the commonness of attached garage structures to the neighborhood; and the
location of the adjacent northerly dwelling, which is similarly located 12.2 feet from the shared side
property boundary.
a)
The 5 feet of relief sought from Article XXI1 Section 280-116B would not produce an undesirable
change in the character of the neighborhood or a detriment to nearby properties because the
surrounding neighborhood consists of a heavily developed shorefront with similarly developed
properties containing structures located less than 75 feet from fronting bulkheads, including the
adjacent properties. The addition also would not change the character of the existing development
on the subject property with respect to the dwelling's relationship to the bulkheaded canal, as the
addition was specifically designed on the landward side of the existing dwelling and minimized in
scope to the maximum extent practicable to maximize the wetlands setback, which in this case is
equal to the required setback from the bulkhead. (The addition was situated on the landward side
of the dwelling so as to be exempt from the required 75-foot bulkhead setback pursuant to §280-
II6B(1), but it was apparently the Building Department's interpretation that the addition is not
located on the landward side of the existing dwelling). The Board previously approved 37 feet or
roughly 49% of setback relief for the dwelling, which at its closest point is presently located
approximately 43 feet from the bulkhead.
2. The benefit sought by the applicant cannot be achieved by some method feasible for the applicant to pursue,
other than an area variance, because:
a)
Notwithstanding the Board's decision on our appeal of the Building Department's interpretation
regarding Article XXIII Section 280-124(B), the location, design, and scope of the garage addition
has already been designed to attain the greatest practicable side-yard setback. However, with the
imposition of a 15 rather than 10-foot side-yard setback requirement, the addition cannot entirely
avoid the need for relief due to the location of the existing dwelling relative to the westerly
property boundary.
b)
The location, design, and scope of the garage addition have been designed to minimize to the
maximum practicable extent relief from the 75-foot bulkhead setback, but the addition cannot
entirely avoid the need for minimum relief from this setback given the existing location of the
dwelling relative to the bulkhead.
3. The amount of relief requested is not substantial because:
a)
Notwithstanding the Board's decision on our appeal of the Building Department's interpretation
regarding Article XXIII Section 280-124(B), the 2.6 feet or 17% relief from same is both
mathematically insubstantial and insubstantial in fact due to the fact that the affected neighboring
property is developed with a dwelling located closer but approximately the same distance (12.2
feet) from the same property boundary.
b) The 5 feet or 6.5% relief sought from Article XXIII Section 200-124 Article XXII Section 280-
l I6B to locate the addition 70 feet from the bulkhead is mathematically insubstantial and
insubstantial in fact because the addition will be located to the landward side of the westerly side of
the existing dwelling, which is already located approximately 18 feet closer to the bulkhead at that
location.
4. The variance will not have an adverse effect or impact on the physical or environmental conditions in the
neighborhood or district because the proposed addition will be constructed on the landward side of an
existing dwelling as far from wetlands as is practicable given the existing location of the dwelling and size
and configuration of the property. The wetlands adjacent to the site consist of unvegetated littoral zone
tidal wetlands located on the seaward side of a bulkhead fronting a deep-water, manmade, dredged canal.
The canal is characterized by a heavily developed shoreline where the majority of developments are located
preexisting nonconforming distances from the canal's surface waters and wetlands. Nonetheless, the
project incorporates specific mitigation measures to minimize any theoretical impacts of the project,
including the use of pervious gravel material for the driveway; installation of a drainage system of leaders,
gutters, and a drywell to capture and recharge roof runoff; and establishment of a 5-foot wide,
approximately 320 square-foot nonturf buffer in place of existing maintained lawn on the landward side of
the bulkhead on the westerly side of the property. The project has been approved by the Town Trustees
pursuant to Wetlands Permit No. 6989, issued October 15, 2008 and by the New York State Department of
Environmental Conservation pursuant to Tidal Wetlands Letter Permit No. 1-4738-031ll/00001, issued
September 3, 2008.
The need for variance relief is self-created to the extent that the expansion is proposed in a location that
cannot practicably conform to the two sections of code from which the Building Department has
determined relief is required. However, as described in detail above, it is our contention that relief is only
required from one section of code, i.e., Article XXIII Section 200-124 Article X XII Section 280-116B.
Signature o'f,~p"~ellant or Authorized Agent
(Agent must submit written Authorization from Owner)
~aWvO~ to (~fo~re me this o2-~ tk~
y ~ ,200q .
No~ l:hlb lic '
QUESTIONNAIRE
FOR FILING WITH YOUR Z.B.A. APPLICATION
Is the subject premises listed on the real estate market for sale?
DYes []No
Are there any proposals to change or alter land contours?
[] No [] Yes, please explain on attached sheet.
1) Are there any areas that contain sand or wetland grasses? YES
2) Are these areas shown on the map submitted with this application?YES
3) Is the property bulkheaded between the wetlands area and the upland building area?
YES
4) If your property contains wetlands or pond areas, have you contacted the office of the
Town Trustees for its determination of jurisdiction?YES Please confirm status of your
inquiry or application with the Trustees: WETLANDS PERMIT NO. 6989, ISSUED 10-15-08.
and if issued, please attach copies of permit with conditions and approved map.
D. Is there a depression or sloping elevation near the area of proposed construction at or below five
feet above mean sea level? NO
Are there any patios, concrete barriers, bulkheads or fences that exist and are not shown
on the survey map that you are submitting? NO (Please show area of these
structures on a diagram if any exist. Or state "none" on the above line, if applicable.)
Do you have any construction taking place at this time concerning your premises? NO
If yes, please submit a copy of your building permit and map as approved by the Building
Department and describe:
G. Do you or any co-owner also own other land close to this parcel?NO
the proximity of your lands on your map with this application.
If yes, please label
H. Please list present use or operations conducted at this parcel RESIDENTIAL, SINGLE-FAMILY DWELLING
and proposed use
(exam~q~.)existing: single-family; .proposed: same with garage or pool, or other description.)
Authorized S3gnature and Date z/os; vo7
ROBERT E. HERRMANN
COASTAL MANAGEMENT SPECIALIST
APPLICANT'S PROJECT DESCRIPTION
(For ZBA Reference)
Applicant: JOHN SEVERINI
1. For Demolition of Existing Building Areas
Please describe areas being removed: N/A
Date Prepared: APRIL 14, 2009
11. New Construction Areas (New Dwelling or New Additions/Extensions):
Dimensions of first floor extension: 23'~0" x 24'-0"
Dimensions of new second floor: 23'-0" x 24'-0"
Dimensions of floor above second level: N/A
Height (from finished ground to top of ridge): 24'-0"
Is basement or lowest floor area being constructed? If yes, please provide height (above ground)
measured from natural existing grade to first floor: GARAGE EXTENSION FLOOR TO BE CONSTRUCTED AT
GRADE
11 l. Proposed Alterations or Interior Structural Changes without enlargement/extension
(attach extra sheet if necessary) - Please describe building areas:
Number of Floors and General Characteristics BEFORE Alterations: I 1/2-STORY, ONE-FAMILY DWELLING
Number of Floors and Changes WITH Alterations: 1 1/2-STORY, ONE-FAMILY DWELLING WITH ATTACHED
TWO-CAR GARAGE.
IV. Calculations of building areas and lot coverage (from surveyor):
Existing square footage of buildings on your property: 2,730 S.F.
Proposed increase of building coverage: 603 S.F.
Square footage of your lot: 18,602 S.F.
Percentage of coverage of your lot by building area: 17.92%
V. Purpose of New Construction Requested: PROPOSED CONSTRUCTION OF NEW ATTACHED
TWO-CAR GARAGE WITH EXTENSION OF MASTER BEDROOM SPACE ABOVE.
VI. Please describe the land contours (flat, slope %, etc.) as exist and how it relates to the
difficulty in meeting the code requirement(s): THE LAND IS GENERALLY FLAT FROM THE
ROAD TO THE WATERSIDE OF THE HOUSE WHERE THE LAND BEGINS TO SLOPE
MODERATELY TOWARD THE BULKHEADED SHORELINE OF FORDHAM CANAL. THE LAND
CONTOURS ARE UNRELATED TO THE PROJECT'S NEED FOR VARIANCE RELIEF.
Please submit seven (7) photos, labeled to show all yard areas of proposed construction after
staking corners for new construction), or photos of existing building area to be altered (area
of requested changes). PHOTOS INCLUDED.
7/2002; 2/2005; 1/2007
APPLICANT/AGENT/REPRESENTATIVE
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 form is to provide information which can alert the town ofpossthle conflicts of interest and allow it to take whatever action is
necessary to avoid same.
YOURNAME: Herrmann, Robert E.
(Last name, first name, middle initial, unless you are applying 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.)
Change of Zone
Approval of plat
Exemption from plat or official map
Other
(If "Other", name thc activity.)
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, mamage, or business interest. "Business interest" means a business,
including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation
in which the town officer or employee owns more than 5% of the shares.
YES NO /
If you answered "YE", complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southr~ld
Title or position of that person
Describe the relationship between yourself(the applicant~agantJrepresantarive) and the town officer or employee. Either check
the appropriate line A) through D) and/or describe in the space provided.
The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply):
A) the owner of ~eater 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 appIicant.
DESCRIPTION OF RELATIONSHIP
Submitted this y of 200 '~
Signature
Print Name ' - '"~,a%~.t..r E. M~4~',J t,d
APPLICANT
TRANSACTIONAL DISCLOSURE FORM
(FOR SUBMISSION BY OWNER and OWNER'S AGENT)
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers
and employees. The purpose of this form is to provide information, which can alert the Town of
possible conflicts of interest and allow it to take whatever action is necessary to avoid same.
(Last name, first name, middle initial, unless you are applying in the name
of someone else or other entity, such as a company. If so, indicate the
other person or company name.)
NATURE OF APPLICATION: (Check all that apply.)
Tax Grievance
Variance it.~'
Special Exception
If"Other",
name the activity:
Change of Zone
Approval of Plat
Exemption from Plat
or Official Map
Other
Do you personally, (or through your company, spouse, sibling, parent, or child) have a relationship
with any officer or employee of the Town of Southold? "Relationship" includes by blood,
marriage, or business interest. "Business interest" means a business, including a partnership, in
which the Town officer or employee has even a partial ownership of (or employment by) a
corporation in which the Town officer or employee owns more than 5% of the shares.
YES NO ~
Complete the balance of this form and date and sign below where indicate&
Name of person employed by the Town of Southold:
Title or position of that person:
Describe that relationship between yourself (the applicant) and the Town officer or employee.
Either check the appropriate line A through D (below) and/or describe the relationship in the space
provided.
The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that
apply):
A) the owner of greater than 5% of the shares of the corporate stock
of the 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 ~hts ~ day of
Signature: ~ ~-~,
Print Nam01 ,N ~ ~ ~,,
EN-CONSULTANTS, INC.
1319 North Sea Road
Southampton, New York 11968
631-283-6360
Fax: 631~283-6136
www. enconsultants.com
ENVIRONMENTAL CONSULTANTS
TO WHOM IT MAY CONCERN:
This letter will authorize En-Consultants, Inc. to represent me and act on my behalf with
regard to environmental matters and/or permits.
ignamre
Print
Signature
Print
Dated: Z/7/
PROJECTI.D. NUMBER
617.20
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT
For UNLISTED ACTIONS Only
PART I -- PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
SEQR
FORM
1 APPLICANT/SPONSOR; JOHN SEVERINI BY I 2 PROJECT NAME
EN-CONSULTANTS, INC.
I
3 PROJECT LOCATION:
Municipality GREENPORT County SUFFOLK
4 PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc, or provide map)
565 GULL POND LANE, GREENPORT, TOWN OF SOUTHOLD; SCTM #1000-35-4-28.27
[~ISr~OPOSED ACTIVIN Expansion [] Modification/alteration
6 DESCRIBE PROJECT BRIEFLY:
iONSTRUCT AN ATTACHED, TWO-STORY GARAGE ADDITION (EQUIPPED WITH LEADERS AND GUTTERS) TO AN
EXISTING TWO-STORY SINGLE-FAMILY DWELLING; INSTALL A PERVIOUS GRAVEL DRIVEWAY; AND INSTALL A
DRYWELL TO CAPTURE AND RECHARGE ROOF RUNOFF, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOHN
C. EHLERS LAND SURVEYOR, LAST DATED JUNE 4, 2008.
Initially 0.356 acres Ultimately 0.356 acres
E~]Yes [] NO If NO, describe briefly
[] Residential [] Industrial [] Commercial [] Agriculture [] Park Forest~Open space [] Other
STATE OR LOCAL)?
[] Y e s [] N o If yes, list agency(s) and permit/approvals
DEC, SOUTHOLD TRUSTEES
NYS DEC # 1-4738-03111/00001
SOUTHOLD TRUSTEES # 6989
[]Yes []No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
If the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
PART II- ENVIRONMENTAL ASSESSMENT (To be completed by Agency)
A DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 61747 If yes coordinate the review process and use the FULL EAF
[~Yes [--]No
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNL STED ACT ONS IN 6 NYCRR PART 617,67 If no, a negative declaration
may superseded b another involved
rl~ Yes ~]VNo agency
C COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING, (Answers may be handwritten, if legible)
C1 Existing air quality. Surface or groundwater quality or quantity noise levels, existing traffic patterns solid waste production or disposal
potential for erosion drainage or flooding problems! Explain briefly:
C2 Aesthetic, agricultural archaeological, historic, or other natural or cultural resources: or community or neighborhood character? Explain briefly:
C3 Vegetation of fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
C4 A community's existing plans or goals as officially adopted, or a change in use or nens ty o use of land or other natural resources~ Explain briefl
C5 Growth, subsequent development, o e a ed act v t es key to be induced by the proposed action? Explain briefly
C6. Long term snort term, cumulative or other effects not identified in CI-C57 Explain briefly
C7 Other impacts (including Changes n use of e the quantity or type of energy)? Explain briefly.
D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTER ST CS THAT CAUSED THE ESTABLISHMENT OF A CEA?
E IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] NO If Yes, explain briefly
PART III- DETERMINATION OF SIGNIFICANCE (To be Completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant,
Each effect should be assessed in connection with Its (a) setting ti.e, urban or rural), (b) probability of occurring; (c) duration; (d)
irreversibility; (c) 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 boon identified and adequately addressed. If-
question D of Part 11 was checked yes, the determination and 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 impa, cts which MAY
occur. Then Proceed directly to the FULL EAF and/or prepare a positive declaration.
[] Check this box it you have determined, based on the information and analysis above and any supporting
documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts
AND provide on attachments as necessary, the reasons supporting this determination:
~'rmt or l ype Name Ol I.{esponslDle (Jthcer in Lead Ager~cy
Signature of Responsible Officer in Lead Agency
I die ot HesponslDle DttJcer
Signature of Preparer (If different from responsible officer)
Date
2
§ 280-4 ZONING § 280-4
attachment meets the requirements of livable floor area. [Added 5-314994 by L.L. No.
10-1994]
BLriLDABLE AREA- The area of a lot remaining after the minimum yard and open
space requirements of this chapter have been met.
BUILDABLE LAND -- The area of a lot or parcel, not including the square footage of
tidal and freshwater wetlands, land seaward of the coastal erosion hazard area line,
beaches, bluffs, primary dunes, secondary dunes, or underwater lands. The terms
"wetlands," "beaches," "bluffs," and "underwater lands" shall have the meanings set forth
in Chapter 275, Wetlands and Shoreline, of the Town Code. The terms "coastal erosion
hazard area line," "primary dunes" and "secondary dunes" shall have the meanings set
forth in Chapter 111, Coastal Erosion Hazard Areas, of the Town Code.
BUILDING -- A structure wholly or partially enclosed within exterior walls, or within
exterior and party walls, and a roof, affording shelter to persons, animals or property.
[Amended 11-12-1997 by L.L. No. 26-1997; 12-8-1998 by L.L. No. 27-1998]
BUILDING AREA-- The aggregate of the maximum horizontal cross section of the
buildings on a lot, measured between the exterior faces of walls.
(1) The term "building area" shall include the following:
(a) Balconies.
(b) Terraces, patios, decks and other structures above the finished grade.
(c) Swimrmng pools, tennis courts and other similar structures.
(2)
The term "building area" shall exclude the following:
(a) Cornices, eaves, gutters, chimneys and fireplaces, projecting not more than
28 inches from exterior walls.
(b) Steps and open porches, projecting not more than five feet from exterior
walls and having an area of not mom than 30 square feet.
(c) First-story bay windows projecting not more than three feet from exterior
walls and exterior cellar doors projecting not more than six feet from exterior
walls.
BUILDING LINE- A line formed by the intersection or a horizontal plane at average
grade level and a vertical plane that coincides with the exterior surface of building on
any side. In case of a cantilevered section building, the vertical plane will coincide with
the most projected surface.
BULKHEAD -- A structure or barrier the intended use for which is to separate and act
as a barrier between earthen material and water. [Added 7-13-1993 by L.L. No.
14-1993]
280:9 os-15 .zoo7
§ 280-111
F.
G.
H.
SOUTHOLD CODE
§ 280-113
(8) Reduction and processing of wood pulp and fiber, including paper mill operations.
Operations involving stockyards, slaughterhouses and slag piles.
Storage of explosives.
Quarries.
Storage of petroleum products. Notwithstanding any other provisions of this chapter,
storage facilities with a total combined capacity of more than 20,000 gallons, including
all tanks, pipelines, buildings, structures and accessory equipment designed, used or
intended to be used for the storage of gasoline, fuel oil, kerosene, asphalt or other
petroleum products, shall not be located within 1,000 feet of tidal waters or tidal
wetlands.
I. Encumbrances to public roads. [Added 8-8-2006 by L.L. No. 12-2006]
(1)
No person shall intentionally discharge or cause to be discharged any water of any
kind onto a public highway, roadway, right-of-way or sidewalk causing a public
nuisance, hazardous condition, or resulting in flooding or pooling in or around the
public area, including neighboring properties.
(2)
No person shall place or cause to be placed obstructions of any kind, except the
lawful parking of registered vehicles, upon a public highway, roadway,
right-of-way or sidewalk that unreasonably interferes with the public's use of the
public highway, roadway, right-of-way or sidewalk.
§ 280-112. Provisions for community water, sewer and utility facilities.
Where public sewer and/or public water and/or public or private utility systems are required,
no building or premises to be setwiced by such systems shall be used or occupied nor shall a
certificate of occupancy be issued with respect to the use and occupancy of such buildings
and/or premises unless and until all such required systems and facilities have been constructed
and are in proper operating condition and have been approved by all agencies having
jurisdiction thereof.
§ 280-113. Land under water; filled land.
Streams, ponds, tidal marshes and portions of Long Island Sound and its various bays and
estuaries, lying within the boundaries of the Town of Southold, whether or not so indicated on
the Zoning Map as being in a particular use district, shall be considered as being in the
most-restricted use district abutting thereon, and such zoning classification shall continue in
force regardless of any filling or draining of such lands. Nothing herein contained shall be
construed to permit the filling or dredging of such land. For the purpose of computing density
for the development of any lot or lots, no land under water, unless filled pursuant to law, shall
be included in computing the minimum lot area for each dwelling unit permitted under the
appropfiate zoning district in which the property lies.
280:116 09- 01.2oo6
§ 280-123
ZONING
§ 280-124
(b)
Nothing in this article shall be deemed to prevent the remodeling,
reconstruction or enlargement of a nonconforming or conforming
nonresidential building with a nonconforming use or construction of an
addition to existing building(s) or additional building on the premises, so
long as said increase in size of the building(s) created by enlargement of the
existing buildings or structures or by the construction of a new and separate
building or structure does not result in an increase in the overall building
footprint(s) of more than 30%, except that said increase shall not exceed the
applicable maximum lot coverage, and all other setback and area
requirements shall apply, provided that the following site remediation
measures, in full or in part, as shall be determined by the Planning Board
within its sole discretion, am included as an essential element of the aforesaid
expansion:
[1] Substantial enhancement of the overall site landscaping and/or natural
vegetation.
[2]
Employment of best visual practices by upgrades to existing building
facades and/or design of new buildings and/or the additions to existing
buildings which accurately or more accurately depict the historic and/or
existing rural character of the immediate and nearby neighborhood(s).
A nonconforming building containing a nonconforming use which has been damaged by
fire or other causes to the extent of more than 50% of its fair value shall not be repaired
or rebuilt unless the use of such building is changed to a conforming use.
§ 280-124. Nonconforming lots. [Amended 11-28-1995 by L.L. No. 23-1995]
A, This section is intended to provide minimum standards for granting of a building permit
for the principal buildings of lots which are recognized by the Town under § 280-9, are
nonconforming and have not merged pursuant to § 280-10.
B. Such lot shall be required to meet the following: [Amended 3-4-1997 by L.L. No.
5-1997]
Yard
Area Lot Front Side Both Sides Rear
(square feet) Coverage (feet) (feet) (feet) (feet)
200,000 to 399,999 5% 60 30 60 100
120,000 to 199,999 10% 60 30 60 85
80,000 to I 19,999 20% 60 20 45 75
60,000 to 79,999 20% 55 20 45 75
40,000 to 59,999 20% ' 50 20 40 60
20,000 to 39,999 20% 40 15 35 50
Less than 20,000 20% 35 l0 25 35
280:121 o5.01. 2006
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined ,20.__
Approved ,20
Disapproved a/c
Expiration _,20
JAN 1:6 2009
UILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before apply~g?
Board of Health
4 se~ of Building PI~
BLDG. OEP[ Planning Board approval
10WN OF SOUIHOLO " ' ' Survey.
PERMIT NO. ~' ........ ~ Check
/ /,.g~( ~,r/J- I / N.Y.S.D.E.fi:
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ,20
a. This application MUST b'e completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets &plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot:and of buildings on premises, relationship to adj6ining premises or public streets or
areas, and waterways.
c. The work covered by this application may not b~ commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the pr~mises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Ex, cry building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or. ha~ nbt been completed Within 18 months fi.om such date. If no zoning amendments or other regulations affecting the
.property have beefi enacted in the interim, the Building InsPector may authorize, in '~iting, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the constmctioi~ of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with alt applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for nedessary inspections,
~ (Signature of applicant or name, if a corporation)
~(,9 ~oc,~_ ~'c~ c,ato~', ~l~-~::~t t~,~ ltet44
(MailLng address of applicant)
State wkether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises .3Ohh'O vT ~,.,~lv.,g,,~.~ ~'~--'~l~1.~1
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders LicenseNo.
Plumbers License No.
Electricians LicenseNo.
OtherTrade% LicenseNo.
1. Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section
Subdivision
(Name)
Hamlet
Block ,dr Lot ~o9-7
Viled~~~ 'LO-~
State existing use and occupancy of premises anl:l jnt~nde~i ~u~se ~an.d ~,c. cupar~ff~ proposed coustmction:
a. Existing use and occupancy
' b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition
Repair Removal Demolition Other Work
Estimated Cost ~.,~O,o~C>
If dwelling, number of dwelling units
If garage, number of cars
Alteration
Fee
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
d-cg' Depth_a'7- '
7. Dimensions of existing structures, if any: Front rio ~ Rear
Height 'ZE,' ,1: Number Of Stories { t/~.
Dimensions of same structure with alteration~ or additions: Front
Depth '2.-/L~' Height. ~' -+ Number of Stories
8. Dimensions of entire new construction: Front ~,/~, Rear Depth
Height Number of Stories
Size of lot: Front 14~> Rear [ 4~. tOI Depth
Rear
10. Date of Purchase ~J {3~ 9~l~r2t:~l Name of Former Owner
11. Zone or use district in which premises are situated [~- 4O
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO
13. Will lot be re-graded? YES__NO v/ Will excess fill be removed ~om premises? YES__
14. NamesofOwnerofpremises ~--o~1~.[~[ Address C-~2-~:~'~oP--l'tt'~phoneNo.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
NO ~/
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES ,/ NO__
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at I 0 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES__
· IF YES, PROVIDE A COPY.
NO ,/
STATE OF NEW YORK)
SS:
corn, try or 3u. )
v/ ',~O Iq K). ~_ ~e Mcr I ~ ) being duly swom, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the OV~ [~
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the ma~er set forth in the application filed therewith.
Swonl to before mc thia v~ I
lb h
dayof XJOliUt~iq 20~
Notar~ PuBlic
~' ~natur: °f Applicant
.5,Ut~VE"r' OF PROPERTY
~ITUA'TE.' EAS, T HARION
TOI,"IN..
5UI=t=OLK C, OUN'I"Y,
.~,I~VE'CED, O~-14-~2OO'/
P. EVIS, ED~ Oq-lE'-2OO"/, 11-2~1<2OO-/
O1-~:~-2OO~, O4-1"'/-2OO~,,
05-02-200~,, 05-1~-200~,, 0~-04--:2008
SUFFOLK C. XZ)NT¥ TAX LOT
~P.~PHIC. E:,C. ALE I" : :~0'
N
E
LOT C.O'vI~I;~.A®E ANP N'f'SI~EO M O0'V'EI;~.A6E
EXISTII'~5, I,'~:)Og DEC. K5 (ATTAGHE~)
EXISTINE, ~ [::~C. K5 (DETACHED)
EXISTIN~ MASON~T' ~IALI(5 Iq(;' ~
EXISTIN~ 5t'-IED IO~ 5F
t:~.OPO~'~ED ~ARAE:,E ADDITION &IS 5F
PP. OPOSED TOTAL BUILDIN~ AREA 5,5;25
t-'L-R.~ENT LOT C. OVE:RAE:,E I~.O~
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287
REF.-\\Compaqservcr~pros~02t02-286 PROP. GARAGE 04-16-2008.pro
SOUTH ELEVATZON scele: 1/4" = 1'-0"
SOUTH WEST ELEVATZON scale: 1/4" = 1'-0"
PAGE #
1
EAST ELEVAT]:ON scale: 1/4" = 1'-0"
I
NORTH WEST ELEVA~ON scale: 1/4" = 1' 0" P"OPOSE"~ENLAm~R~F
-I"'1
2
PAGE #
FIRST FLOOR PLAN scale: 1/4": 1'-0"
3
PAGE #
Z
5ECONb FLOOR PLaN scale: 3/4" = ~'-0"
CROSS SECTZON scale: 1/4" = 1'-0"
FOUNDATZON PLAN scale: :t/4" = 1'-0"
5
PAGE #
,A PPEAI.~S 13CARD MEMIJEt~$
Gcrard 1( G,3chrm~cr
Gcorge Fleming
Ruth D. Oiiva
Vincent Or]and0
)3095 Mahl Reid
P.O, Box 1179
Soulhold, New York L197]-C)95g
ZBA Fax (631) 765-9064
Tclcpl~one (63!) 765-/809
h~:p://sourholdtcwn noTth fork.r~:t
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF SEPTEMBER 25, 2003
Appl. No. 5303 - John Severini
Property Location: 565 Gull Pond Lane, Greenport; Parcel 1000-35-4-2&27.
SEQRA DETERMINATION: The Zonin9 Board of Appeals has vis,ted the property under
consideration in this application and determines that this review falls under the Type II
category of the State's List of Actions, without an adverse effect on the environment if
the project is implemented as planned.
PROPERTY FACTS/DESCRIPTION: The applicant's 18,602 sq. ft. parcel has 140 fi.
frontage alert§ the east side of Gull Pond Lane in Greenport The property is improved
with a two-story frame house with garage.
BASIS OF APPLICATION: Building Department's January 10, 2003 Notice of
Disapproval, citing Section 100-239.4B in its denial of a building permit to construct
additions to the existing dwelling at less than 10 feet for a single side yard, less than 25
feet total for both side yards, and less than 35 feet from the front lot line.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on May 15, 2003
July 24, 2003 and September 11, 2003, at which time written and oral evidence were
presented. Based upon all testimony, documentation, personal inspection of the
property, and other evidence, the Zoning Board finds the following facts to be true and
relevant:
AREA VARIANCE RELIEF REQUESTFI~: Applicant wishes to construct: (1) a proposed
one-story roofed-over, open porch with partial 2nd StOry outdoor deck with setback
variables of 38-40 feet from the existing bulkhead at its closest point, and (2) a
proposed one-story addition, a portion of which will replace an existing deck on the side
of the dwelling, as shown on the revised 4-22-03 survey map prepared by John C.
Ehlers, ES. Aisc shown on the revised 4-22-03 Ehlers map is a proposed partial 2~¢
floor addition to expand an existing bedroom landward of lhe existing dwelling.
REASONS FOR BOARD ACTION: On the basis of testimony presented, materials
submitted and personal inspections, the Board makes the following findings:
1. Grant of the area variances will not produce an undesirable change in the character
of the neighborhood or a detriment to nearby properties. Most of the new addition is
landward of the existing dwelling areas, and only the Row roofed-over open perch
g'd ),099-g99 [,g9 ItJlJ~^~O IIIIt~p PI A'
Page 2- Sep:em~er 25, 2Gg3
Appl. No. 5303 - J. anc B. Seved:'u
35-4-28.27 at Greenport
ex[ends closer to the bulkhead. The roof linc is proposcd by applicar~t as an extension
over the enclosed porch. Applicant submitted information during the public hearings
indicating there will be no additional livin§ space and no increase in bedrooms, and that
there will be only minimal grouted disturbance. Aisc submitted was a written September
5, 2003 from Crowley Marine Construction indicating that they visited the property and
found the bulkhead face pilings, timber wafes, backing system and sheathing to be ~n
good shape, without adverse effect to the existing structures.
2. The bencfit sought by the applicant cannot be achieved by some method, feasible for
the applicant to pursue, other than an area variance. The nonconforming setbacks to
the bulkhead have existed on this 18,602 sq. it. lot for many years. The area for any
building is limited.
3. The relief granted herein is substantial because the code requires a setback of 75 feet
to the bulkhead, and the applicant is requesting 38 feet at its closcst point. The
reduction is 50% of the code required 75 feet.
4. The difficulty was self-created when the new construction was planned and designed
in a location that did not conform to the current Town Code requirements.
5. There is no evidence that the grant of the relief requested will have an adverse cffect
or impact on physical or environmental conditions in the neighborhood or district. This is
a waterfront community consisting of small lots, most of which are improved with single-
family dwellings. Information has been submitted to confirm that the bulkhead is
structurally sound and most of the proposed construction is landward from the house.
6. Grant of the relief requested is the minimum action necessary and adequate to enable
the applicant to enjoy the benefit of an open porch and additions, while preserving and
protecting the character of the neighborhood and the health, safety and welfare of the
community,
RESOLUTION OF THE BOARD: In considering alt of the above factors and applying the
balancing test under New York Town Law 267-B, motion was offered by Member
Homing, seconded by Member Goehringer, and duly carded, to
GRANT the variance as requested, as shown on the revised plan prepared by
John C. Ehlers, L.S. dated 4-22-2003, and plans prepared by Gerard E. Meyer,
Architect last dated January 10, 2003, with a ZBA date stamp of June 25, 2003,
SUBJECT TO THE FOLLOWING CONDITION:
Installation of roof qutters and down spouts for proper drainaqe into a dh/well.
Page 3 - September 25, 2003
Aapl. ,'4o. 5303 - J and B Severini
35-4-2& 27 at Greer~port
This action does not authorize or condone any current or future use, setback or other
feature of the subject property that may violate the Zoning Code, other than such uses,
setbacks and other features as are expressly addressed in this action.
Vote of the Board: Ayes: Members Tortora (Chairwoman}, Goehdnger, Homing, and
Oiiva. (Absent was Member Orlando.) This Resolution was dul~, adopted (4-0).
Lydia A. ,'F_,ddor~a~ ~;~-ai~vom~n £/~pproved for Filin§
10/~.~
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
DEC PERMIT NUMBER
1-4738-03111/00001
FACILITY/PROGRAM NUMBER(S)
PERMIT
Under the Environmental
Conservation Law
EFFECTIVE DATE
September 3, 2008
EXPIRATION DATE(S)
November 9, 2013
TYPE OF PERMIT [] New 63 Renewal · Modification [] Permit to Construct E] Permit to Operate
[]Adicle 15, Title 5: Protection of Waters
[] Adicle 15, Title 15: Water Supply
[3 Article 15, Tit~e 15: Water Transport
[] Article 15, Title 15: Long island Wells
[] Article 15, Title 27: Wild, Scenic and
Recreational Rivers
[] Article 17, Titles 7, 8: SPDES
[] Article 19: Air Pollution Control
[] Article 23, Title 27: Mined Land
Reclamation
· Article 24: Freshwater Wetlands
· Article 25: Tidal Wetlands
[] Article 27, Title 9; 6NYCRR 373:
Hazardous Waste Management
[] Article 34: Coastal Erosion
Management
[3 Article 36: Floodplain Management
[] Articles 1, 3, 17, 19, 27, 37; 6NYCRR
380: Radiation Control
[] 6NYCRR 608: Water Quality Certification [3 Article 27, Title 7; 6NYCRR 360:
Solid Waste Management
PERMIT ISSUED TO
John Severini
TELEPHONE NUMBER
(631) 862-6601
ADDRESS OF PERMITTEE
8 Woodhiil Path, Saint James, N.Y. 11780
CONTACT PERSON FOR PERMITTED WORK
Eh-Consultants, Inc. 1319 North Sea Road, Southampton, N.Y. 11968
ITELEPHONE NUMBER
(631) 283-6360
NAME AND ADDRESS OF PROJECT/FACILITY
Severini Property, 565 Gull Pond Lane, Greenport
COUNTY I TOWN WATERCOURSE
Suffolk I Southold
DESCRIPTION OF AUTHORIZED ACTIVITY:
NYTM COORDINATES
E: N:
Construct an addition to existing single family dwelling, garage and driveway. All work shall be done in
accordance with NYSDEC plan stamped approved on 9/3/08 and prepared by John C. Ehlers on 6/14/07,
last revised 6/4/08.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the
ECL, all applicable regulations, the General Conditions specified and any Special Conditions included as part of this
)ermit.
DEPUTY PERMIT ADMINISTRATOR: I ADDRESS
I
Region 1 Headquarters
SUNY ~ Stony Brook, 50 Circle Road, Ston)/Brook, NY 11790 - 3409
DATE
September 3, 2008 Page 1 of 5
Susan V. Ackerman (CAF)
AUTHORIZED iIGNAT ~,~E
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
SPECIAL CONDITIONS
Tidal Wetlands Special Conditions:
1. Any debris or excess material from construction of this project shall be completely removed from the adjacent
area and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands or protected
buffer areas.
2. Disturbance to natural vegetation or topography greater than 25 feet seaward of the approved structure is
prohibited,
3. Necessary erosion control measures e.g., staked haybales, silt fencing, etc. are to be placed on the downslope
edge of any disturbed areas. This sediment barrier is to be put in place before any disturbance of the ground occurs
and is to be maintained in good and functional condition until thick vegetative cover is established.
4. Roof runoff shall be directed into dry wells a minimum of 100 linear feet landward of the tidal wetland boundary for
immediate on-site recharge.
5. Driveways and parking areas shall be constructed of NYSDEC approved pervious materials.
6. Roads, driveways and parking areas shall be graded to direct runoff away from tidal wetlands and protected
buffer areas.
7. At least 48 hours prior to commencement of the project, the permittee and contractor shaft sign and return the top
portion of the enclosed notification form certifying that they are fully aware of and understand all terms and
conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be
signed and returned, along with photographs of the completed work.
Freshwater Wetlands Special Conditions:
8. Any work, disturbance, and storage of construction materials shall be confined to within the "Limits of Clearing
and Ground Disturbance" as shown on the approved plan.
9.Prior to commencement of any oonstruction activities, a continuous row of straw bales shall be staked end to end as
shown on approved plans. The bales shall be maintained, repaired and replaced as often as necessary to ensure
proper function, until all disturbed areas are permanently vegetated. The average useful life of a bale is approximately
3-4 months. Sediments trapped by the bales shall be removed to an approved upland location before the bales
themselves are removed.
10. Straw bales shall be recessed two to four inches into the ground.
11. Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and
completely disposed of on an approved upland site more than 100 feet from any regulated freshwater wetland. These
materials shall be suitably stabilized so as not to re-enter any water body, wetland, or wetland adjacent area.
12. All fill shall consist of clean soil, sand and/or gravel that is free of the following substances: asphalt, slag, flyash,
broken concrete, demolition debris, garbage, household refuse, tires, woody materials including tree or landscape
debris, and metal objects. The introduction of materials toxic to aquatic life is expressly prohibited.
13. The driveway must be resurfaced with a permeable material.
14. All equipment and machinery shall be stored and safely contained greater than 100 feet landward of the regulated
wetland or water body at the end of each work day. This will serve to avoid the inadvertent leakage of deleterious
substances into the regulated area. Fuel or other chemical storage tanks shall be contained and located at all times
in an area greater than 100 feet landward of the regulated wetland or water body. if the above requirement cannot be
met by the permittee, then the storage area must be designed to completely contain any and all potential leakage. Such
a containment system must be approved by NYSDEC staff prior to equipment, machinery or tank storage within 100
feet of the regulated wetland or water body.
DEC PERMIT NUMBER I
1-4738-03111/00001 J PAGE 2 of 5
NEW YORk STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
SPECIAL CONDITIONS
15. All areas of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass, and
mulched with straw im mediately upon completion of the project, within two (2) days of final grading, or by the expiration
of the permit, whichever is first. Mulch shall be maintained until a suitable vegetative cover is established. If seeding
is im practicable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed as soon
as weather conditions favor germination and growth.
16. Suitable vegetative cover is defined as a minimum of 85% areal vegetative cover with contiguous unvegetated areas
no larger than 1 square foot in size.
17. The permittee shall incorporate the following language as a notice covenant to the deed:
"Regulated freshwater wetlands associated with GP-13 are located on/near the properties of John Severini and his, her,
their heirs, assigns or successors. This property is subject to the provisions of Environmental Conservation Law (ECL)
Article 24, and the conduct of regulated activities may occur only pursuant to ECL Article 24 if prior approval is given
by the New York State Department of Environmental Conservation (NYSDEC) or its successor (s). Regulated activities
include, but are not limited to clearing of vegetation; application of chemicals; excavation; grading and filling; and
erection of any structure (s)."
This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit. A
copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall
be sent within one calendar year of the issuance of this permit to: NYSDEC, Regional Manager BEP, Suny @ Stony
Brook, 50 Circle Road, Stony Brook, N.Y. 11790-3409
DEC PERMIT NUMBER I PAGE 3 OF 5
1-4738-03111/00001
I
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART
6O8
( TIDAL WETLANDS)
If future operations by the State of New York require an alteration in the position of the structure or work herein
authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable
obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people
of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the
Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the
State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of
the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to
such extent and in such time and manner as the Department of Environmental Conservation may require, remove
all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood
capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal
or alteration.
The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized
which may be caused by or result from future operations undertaken by the State for the conservation or
improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such
damage.
Alt necessary precautions shall be taken to preclude contamination of anywetland or waterway by suspended solids,
sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally
deleterious materials associated with the project.
Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large
refuse piles, ridges across or along the bed of a waterway or floodplain, deposits within any regulatory floodway,
or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway.
There shall be no unreasonable interference with navigation by the work herein authorized.
If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the
applicant shall, without expense to the State, and to such extent and in such time and manner as the Department
of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore
the site to its former condition. No claim shall be made against the State of New York on account of any such
removal or alteration.
If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the
subject project wilt not contravene effluent limitations or other limitations or standards under Sections 301,302,303,
306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met.
At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top
portion of the enclosed notification form certifying that they are fully aware of and understand all terms and
conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be
signed and returned, along with photographs of the completed work and, if required, a survey.
All activities authorized by this permit must be in strict conformance with the approved plans submitted by the
applicant or his agent as part of the permit application.
Such approved plans were prepared by John C. Ehlers on 6/14/07, last revised 614/0&'and stamped NYSDEC
approved on 9/3/08.
DEC PERMIT NUMBER
1-4738-03111/00001 PAGE 4 of 5
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification
The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of
Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions,
and damages, to the extent attributable to the permittee's acts or omissions in connection with, or operation and maintenance of, the
facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit.
This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or
intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil
Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws.
Item B: Permittee's Contractors to Comply with Permit
The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to
comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities,
and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for
the permittee.
Item C: Permittee Responsible for Obtaining Other Required Permits
The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required
to carry out the activities that are authorized by this permit.
Item D: No Right to Trespass or Interfere with Riparian Rights
This permit does not co nvey to the permittee any right to trespa ss upon the lands or interfere with the riparian rig hts of others in order
to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or
vested in a person not a party to the permit.
GENERAL CONDITIONS
General Condition 1: Facility Inspection by the Department
The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized
representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying
with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3).
The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when
requested by the Department.
A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the
Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department
representative is a violation of this permit.
General Condition 2: Relationship of this Permit to Other Department Orders and Determinations
Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or
determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or
determination.
General Condition 3: Applications for Permit Renewals or Modifications
The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such
application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted
by the Department must be in writing.
The permittee must submit a renewal application at least:
a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste
Management Facilities (HWMF), major Air Pollution Controt (APC) and S¢id Waste Management Facilities (SWMF); and
b) 30 days before expiration of all other permit types.
Submission of applications for permit renewal or modification are to be submitted to:
NYSDEC Regional Permit Administrator, Region 1 ,SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790 - 3409
General Condition 4: Permit Modifications, Suspensions and Revocations by the Department
The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds
for modification, suspension or revocation include:
a) materially false or inaccurate statements in the permit application or supporting papers;
b) failure by the permittee to comply with any terms or conditions of the permit;
c) exceeding the scope of the project as described in the permit application;
d) newly discovered material information or a material change in environmental conditions, relevant technology or applicabie
law or regulations since the issuance of the existing permit;
e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental
Conservation Law or regulations of the Department related to the permitted activity.
DEC PERMIT NUMBER
1-4738-03111/00001
PAGE 5 of 5
New York State
Department of Environmental Conservation
NOTICE
The Department of Environmental Conservation (DEC) has
issued permit(s) pursuant to the Environmental Conservation
Law for work being conducted at this site. For further
information regarding the nature and extent of the approved
work and any Department conditions applied to the approval,
contact the Regional Permit Administrator listed below. Please
refer to the permit number shown when contacting the DEC.
Permit Number
Expiration Date
Regional Permit Administrator
ROGER EVANS
NOTE: This notice is NOT a permit
,E:,URVE'r' OF F~W. OPEF~T'r'
SITUATE: EAST HARION
TOHN=
~OLK ~, N'I'
~ ,
LOT COMERAoE ANP
JOHN C. E~ERS L~D SURVEYOR
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
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
October 15, 2008
Mr. Robert E. Herrmann
En-Consultants, Inc.
1319 North Sea Road
Southampton, NY 11968
RE:
JOHN SEVERINI
565 GULL POND LANE, GREENPORT
SCTM# 35-4-28.27
Dear Mr. Herrmann:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, October 15, 2008 regarding the above matter:
WHEREAS, En-Consultants, Inc., on behalf of JOHN SEVERINI 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 24,
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: a line of staked hay bales and silt
fencing is installed prior to construction, the installation of a 5' non-turf buffer landward
of the bulkhead, 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,
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 JOHN SEVERINI to
construct an attached, two-story garage addition (equipped with leaders and gutters) to
an existing two-story single-family dwelling; install a pervious gravel driveway; and
install a drywell to capture and recharge roof runoff; relocate the existing deck stairs and
add a pervious walkway from stairs to deck', construct retaining wall for terracing
landward of bulkhead, with the conditions of a line of staked hay bales and silt fencing
installed prior to construction, the installation of a 5' non-turf buffer landward of the
bulkhead and as depicted on the survey prepared by John C. Ehlers Land Surveyor,
last dated June 4, 2008 and received on September 24, 2008 and on the site plan
prepared by Creative Environmental Design, dated October 20, 2008, and received on
October 21,2008.
Permit to construct and complete project will expire two years from the date the permit
is signed. Fees must be paid, if applicable, and permit issued within six months of the
date of this notification.
Inspections are required at a fee of $50.00 per inspection. (See attached schedule.)
Fees: $100.00
Very truly yours,
~11 M. Doherty ~/
(~ice President, Board of Trustees
JMD/eac
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD, NEW YORK
PERMIT NO. 6989 DATE: OCTOBER 15, 2008
ISSUED TO: JOHN SEVERIN1
PROPERTY ADDRESS: 565 GULL POND LANE, GREENPORT
SCTM# 35-4-28.27
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 15,200.8, and in consideration of application fee in the sum of $250.00 paid by John Severini 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 an attached, two-story garage addition (equipped
with leaders and gutters) to an existing two-story single-family dwelling; install a
pervious gravel driveway; and install a drywell to capture and recharge roof runoff;
relocate the existing deck stairs and add a pervious walkway from stairs to deck;
construct retaining wall for terracing landward of bulkhead, with the conditions of a
line of staked hay bales and silt fencing installed prior to construction, the installation
of a 5' non-turf buffer landward of the bulkhead and as depicted on the survey
prepared by John C. Ehlers Land Surveyor, last dated June 4, 2008 and received on
September 24, 2008 and on the site plan prepared by Creative Environmental Design,
dated October 20, 2008, and received on October 21, 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.
James King :ent
SOUTHOLD TRUSTEES
Issued ToaT~:~~g.claL~ Da~e ~_L~~8'
Address~
THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION
TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD
SOUTHOLD, N.Y. 11971
TEL,: 765-1892
E:,URV'E"K OF F:'lP-.Oi--'i-I<T"K
51TUATE.. EAST HARION
TOI,',IN ~ ~
5Ut=t=OLK C.,OUNT~, I~
??ROVED BY
i;'~RD OF TRUSTEES
OWN OF $OUTHOLD
i/
N
LOT COV~RAOE AND NT'5[)E6 AA
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RI~ERHEAD, N.Y. 11901 369-8288 Fax 369-8287
REF.-\\Compaqserverkpros~02~02-286 PROP. GARAGE 06~)5-2008.pro
.I
5CT~D Iooo-35-4-ZB.27 ~.~
COUNTY CLERK'S OFFICE
STATE OF NEW YORK
COUNTY OF SUFFOLK
CC #: C09-3400
I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court
of Record thereof do hereby certify that I have compared the annexed with the original
DECLARATION
recorded in my office on01/26/2009 under Liber D00012678 and Page 822 and,
that the same is a true copy thereof, and of thewholeofsuch original.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County
and Court this 01/26/2009
SUFFOLK COUNTY CLERK
JUDITH A. PASCALE
SEAL
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DECLARATION
Number of Pages: 4
Receipt Number : 09-0007688
Recorded:
At:
LIBER:
PAGE:
District: Section: Block:
1000 035.00 04.00
EXAMINED AND CHARGED AS FOLLOWS
Received the Following Fees For Above Instrument
Exempt
Page/Filing $20.00 NO Handling
COE $5.00 NO NYS SRCHG
TP-584 $0.00 NO Notation
Cert. Copies $5.00 NO RPT
Fees Paid
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
01/26/2009
04:18:00 PM
D00012578
822
Lot:
028.027
Exempt
$20.00 NO
$15.00 NO
$0.00 NO
$30.00 NO
$95.00
Judith A. Pascale
County Clerk, Suffolk County
Number of pages L~.
This document will be public
record, Please remove all
Social Security Numbers
prior to recording.
Deed /Mortgage instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
Page/Filing Fee
Handling
TP-584
Notation
EA-52 17 [County)
EA-S2~7 (State)
R.P.T.S,A.
Comm. of Ed.
Affidavit
,/'" Certified Copy ,/')
NYS Surcharge
Other
5. O0
15. O0
FEES
SubTotal
Real Pre ,//p'~-~\
Tax Sen (~ LPA A)
Agen, ~?6-,JAN -09/
Verifica
Sub Total
Grand Total
1000 03500 0400 028027 327
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./As$it
or
Spec./Add.
TOT. MTG, TAX
Dual Town __ Dual County __
Held for Appointment
Transfer Tax
Mansion Tax
The property covered by this mortgage is
or will be improved by a one or two
family dwelling only.
YES or NO
If NO, see appropriate tax clause on
page # __ of this instrument.
Community Preservation Fund
Consideration Amount $
CPF Tax Due $
Improved.
8
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
En-Consultants, Inc.
1319 North Sea Road
Southampton, NY 11968
Vacant Land
TD
TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk
310 Center Drive, Riverhead, NY
www,suffolkcountyny,gov/clerk
11901 Co. Name
Title #
Title Company Information
Suffolk County Recording & Endorsement Page
This page forms part of the attached
by:
Barbara & John Severini
Declaration of Covenant~
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
made
TO in the TOWN of Southold
Town of Koutho]d In the VILLAGE
Board of Trustees orHAMLETof Greenport
BOXES 6 THRU 8 MqST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
DECLARATION OF COVENANTS
THIS DECLARATION made this 16~h day of January, 2009, by Barbara and
John Severini, residing at 8 Woodhill Path, St. James, NY 11780,
hereinafter referred to as "DECLARANTS":
W I TNE S S E T H :
WHEREAS, the DECLARANTS are the owners of certain real property
located on Gull Pond Lane, Greenport, Town of Southold, County of Suffolk,
State of New York, described in the Suffolk County Tax Map as District
1000, Section 35, Block 04, Lot 28.27, which is more particularly bounded
and described as set forth in Schedule "A" annexed hereto, hereinafter
referred to as the Property;
WHEREAS, the Property is situated on lands within the jurisdiction of
the Board of Trustees of the Town of Southold (hereinafter the "Trustees")
pursuant to Chapter 275 of the Town Code of the Town of Southold or its
successor, and various activities conducted upon the property may thus be
subject to the regulation and approval of the Trustees prior to being
conducted;
WHEREAS, the DECLARANTS therefore made application to the Trustees for
a permit pursuant to the Wetlands Law of the Town of Southold to undertake
certain regulated activities; and
WHEREAS, as a condition of the granting of a Wetlands Permit to
undertake such regulated activities, the Trustees required that a five-foot
wide "nonturf buffer" be established adjacent to and landward of the
bulkhead on the Property,
NOW, THEREFORE, the DECLAPJ~NTS do hereby covenant and agree as
follows:
1)
Upon the substantial completion of the aforementioned permitted
activities there shall be established and subsequently maintained
adjacent to and landward of the bulkhead on the Property a five-
foot wide "nonturf buffer" as defined by Chapter 275 of the Town
Code; and
This requirement may only be modified by the DECLARANTS, their
heirs, assigns, purchasers, or successors in interest upon
resolution of the Trustees.
IN WITNESS WHEREOF, the owners have duly
executed this instrument this
Barbara Severini
John Severini
COUNTY OF ~'~ [~4 ~£ I~'~
on the I%~Oday of \')~1~(~I ~0Q , in the year ~00, before me
the undersigned, a Notary Public in ~and for said State, personally appeared
Barbara and John Severini, personally known to me or proved to me on the
basis of satisfactory evidence to be the persons whose names are subscribed
to the within instrument and acknowledged to me that they executed the same
in their capacity, and that by their signatures on the instru/nent, the
executed
individuals acted,
No~c
individual or the persons on behalf of which the
the instrument.
Schedule A
ALL that certain plot, piece or parcel of land, with the buildings and improvements
thereon erected, situate, lying and being in the Town of Southold, County of Suffolk and
State of New York, being a part ora described pm'cel on "Map of Fordham Acres,
Section 2," filed in the Office of the Clerk of Suffolk County on April 6, 1965 as Map
No. 4605, said part of described parcel being more particularly bounded and described as
follows:
BEGINNING at a point on the northeasterly side of Gull Pond Lane, distant 497.82 feet
southeasterly, as measured along the same, from the comer formed by the intersection of
the southeasterly side of Middle (North) Road with the northeasterly side of Gull Pond
Lane;
RLrNNING THENCE North 66 degrees 01 minute 20 seconds East 165 feet more or less
to the southwesterly side ora dredged canal;
TH~ENCE dong the southwesterly side of said dredged canal, along a tie line only, South
63 degrees 04 minutes 30 seconds East 143.10 feet;
THENCE South 66 degrees 01 minutes 20 seconds West 170 feet to the northeasterly
side of Gull Pond Lane;
'['HENCE along the northeasterly side of Gull Pond Lane North 61 degrees 29 minutes 10
seconds West 140 feet to the point of BEGINNING.
COUNTY CLERK'S OFFICE
STATE OF NEW YORK
COUNTY OF SUFFOLK
CC #: C08-23832
I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court
of Record thereof do hereby certify that I have compared the annexed with the originat
DECLARATION
recorded in my office on 1011712008 under Liber D00012568 and Page 980 and,
that the same is a true copy thereof, and of the whole of such original.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County
and Court this 10/1712008
SUFFOLK COUNTY CLERK
JUDITH A. PASCALE
SEAL
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DECLARATION
Number of Pages: 4
Receipt Number : 08-0100754
District:
1000
Recorded:
At:
10/17/2008
09:54:01 AM
Page/Filing $20.00
COE $5.00
TP-584 $0.00
Cert. Copies $5.20
Received the Following Fees For Above Instrument
Exempt
Exempt
NO Handling $20.00 NO
NO NYS SRCHG $15.00 NO
NO Notation $0.00 NO
NO RPT $30.00 NO
Fees Paid $95.20
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Judith A. Pascale
County Clerk, Suffolk County
LIBER: D00012568
PAGE: 980
Section: Block: Lot:
035.00 04.00 028. 027
EXAMINED AND CHARGED AS FOLLOWS
Number of pages
This document will be public
record. Please remove all
Social Security Numbersr,~\
prior to recording.
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
3
Page / Filing Fee
Handling ~. O0
FEES
TP-584
Notation
EA-S2 ~ 7 (County)
Sub Total
EA-5217 (State)
R,P.T S,A, ~ ~
Comm. of Ed, 5. O0
Affidavit
N?gSurcharge 15. 00
Other
4¥
Real Pro
Tax Serv MMA
Agenc
Verifical
SubTotal ~---~C~O
Grand Total 96-: d)'~O
1000 03500 0400 028027
327
6
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
En-Consultants, Inc.
1319 North Sea Road
Southampton, NY 11968
Recording / Filing Stamps
Mortgage Amt.
1. Basic Tax
2. Additional Tax
! Sub Total
Spec./Assit.
or
Spec,/Add,
TOT. MTG. TAX
Dual Town __ Dual County
Held for Appointment
Transfer Tax
Mansion Tax
The property covered by this mortgage
or will be improved by a one or two
family dwelling only.
YES or NO
If NO, see appropnate tax clause on
", page #__ of this instrum~r~
$ Community Preservation Fund
Consideration Amount $
CPF Tax Due $
! Improved
Vacant Land
made
TD
TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk
310 Center Drive, Riverhead, NY ~1901 Co. Name
www.suffolkcountyny.gov/clerk Title #
Suffolk County Recording & Endorsement Page
Declaration
This page forms part of the attached
by:
John & Barbara Severini
Title Company Information
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of Southo ld
New York State Department In the VILLAGE
of Environmental Conservation orHAMLETof Greenport
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR PILING.
(over)
DECLARATION
THIS DECLARATION made this~'"~/~-~'~ day of October, 2008, by
John and Barbara Severini, residing at 8 Woodhill Path, St. James, New
York 11780, hereinafter referred to as 'Declarants':
WITNESSETH:
WHEREAS, the Declarants are the owners of certain real property
located in Greenport, Town of Southold, County of Suffolk, State of New
York, Suffolk County Tax Map District 1000, Section 35, Block 4, Lot 28.27,
which is more particularly described in Exhibit A annexed hereto and
hereinafter referred to as the "Property"; and
WHEREAS, the Property is situated in or adjacent to regulated tidal
wetlands which have been inventoried and mapped by the New York State
Department of Environmental Conservation (hereinafter "Department"),
pursuant to Environmental Conservation Law (hereinafter "ECL") Article
25 (also known as the "Tidal Wetlands Act") and Part 661 of Title 6 of the
New York Code of Rules and Regulations (hereinafter "6 NYCRR"); and
WHEREAS, various activities conducted both in and adjacent to
tidal wetlands are regulated by the Department pursuant to ECL Article
25 and Part 661 of 6 NYCRR and require written authorization from the
Department prior to being conducted;
NOW, THEREFORE, in recognition of the Department's jurisdiction
as set forth above, it is the responsibility of a party having any right, title,
or interest in the Property, to obtain from the Department or any
successor organization, a current description of all activities which are
regulated pursuant to ECL Article 25 and Part 661 of 6 NYCRR, and to
obtain written authorization from the Department prior to such regulated
activities being conducted on the Property. Regulated activities include,
but are not limited to clearing of vegetation; application of chemicals;
excavation; grading and filling; dredging; erection of structures;
construction or reconstruction of shoreline erosion structures; and
construction and reconstruction of docks and bulkheads.
By:
John Severini
Babara Severini
STATE OF NEW YORK )
COUNTY OF ~)~J?/:~z/~ )
SS. i
On the ~ ~ day of (f)cT~d¥~d , in the year 2008, before me the
undersigned, a Notary Public in and for said state, personally appeared
John and Barbara Severini, personally known to me or proved to me on the
basis of satisfactory evidence to be the persons whose names are subscribed
to the within instrument and acknowledged to me that they executed the
same in their capacity, and that by their signatures on the instrument, the
person(s) or entity upon behalf of which the persons acted, executed the
instrument.
LI01A VARGAS
Notery Public, State of New York
Qualified in Suffolk County
Reg, No, 01VA6145106
My Oomml~t~len Expires 5-01 2~I0
NOTARY PUBLIC
Schedule A
ALL that certain plot, piece or parcel of land, with the buildings and improvemems
thereon erected, situate, lying and being in the Town of Southold, County of Suffolk and
State of New York, being a part of a described parcel on "Map of Fordham Acres,
Section 2," filed in the Office of the Clerk of Suffolk County on April 6, 1965 as Map
No. 4605, said part of described parcel being more particularly bounded and described as
follows:
BEGINNING at a point on the northeasterly side of Gull Pond Lane, distant 497.82 feet
southeasterly, as measured along the same, from the comer formed by the intersection of
the southeasterly side of Middle (North) Road with the northeasterly side of Gull Pond
Lane;
RUNNING THENCE North 66 degrees 01 minute 20 seconds East 165 feet more or less
to the southwesterly side of a dredged canal;
THENCE along the southwesterly side of said dredged canal, along a tie line only, South
63 degrees 04 minutes 30 seconds East 143.10 feet;
THENCE South 66 degrees 0 t minutes 20 seconds West 170 feet to the northeasterly
side of Gull Pond Lane;
THENCE along the northeasterly side of Gull Pond Lane North 61 degrees 29 minutes 10
seconds West 140 feet to the point of BEGINNING.
JOHN SEVERINI~ 565 GULL POND LANE~ GREENPORT
Figure 1. Looking northeast at staked location of proposed garage addition.
Figure 2. Looking east from westerly side of property at staked location of proposed garage addition.
JOHN SEVER1NI~ 565 GULL POND LANE~ GREENPORT
Figure 3. Lool~lng north from Gull Pond Lane at staked location of proposed garage addition.
Town of Southold
INSTRUCTIONS
1. A I1 applicants f0r perm its* including T0w n 0f S0uth0Id agencies, shall c0m plete this C C A F £0r
proposed acti0nsthataresubiectt0theT0wn0fS0uth0ld Waterfr0ntC0nsistency Review Caw. This
assessmentisintendedl0 supplement0therinf0rmati0n used byar0wn 0fSnuth0ldagency in
m a k in g a d ete r m in a ti0 n 0 f c 0 n s is t e n c y. *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).
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-
suvoortin~, facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions, it shall not be undertaken.
SCTM#
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 To'an Clerk's office.
DESCRIPTION OF SITE AND PROPOSED ACTION
35 4 - 28.027
PROJECT NAME JOHN SEVERINI
The Application has been submitted to (check appropriate response):
TownBoard [--] PlanningBoard[~ Building Dept. l~ Board of Trustees ~]
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:
CONSTRUCT AN ATTACHED, TWO-STORY GARAGE ADDITION (EQUIPPED WITH LEADERS AND GUTTERS) TO AN
EXISTING TWO-STORY SINGLE*FAMILY DWELLING; INSTALL A PERVIOUS GRAVEL DRIVEWAY; AND INSTALL A
DRYWELL TO CAPTURE AND RECHARGE ROOF RUNOFF, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOHN
C. EHLERS LAND SURVEYOR, LAST DATED JUNE 4, 2008.
Location of action: 565 GULL POND LANE, GREENPORT
Site acreage: o61 ACRES
Present land use: IMPROVED RESIDENTIAL, SINGLE-FAMILY DWELLING
Present zoning classification: R-40
If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: JOHN SEVER1NI
(b) Mailing address: 8 WOODHILL PATH
ST. JAMES, NY 11780
(c) Telephone number: Area Code 631-862-6601
(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 [~ 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 Scctlon III - Policies Pages 6 through 7 for evaluation criteria
THE PROPOSED ADDITION WILL BE CONSTRUCTED ON THE LANDWARD SIDE OF THE EXISTING DWELLING AS FAR
FROM THE BULKHEADED CANAL SHORELINE AS IS PRACTICABLE AT THIS SITE. THE CANAL IS CHARACTERIZED
BY HEAVILY DEVELOPED SHORELINES WHERE THE MAJORITY OF SUCH DEVELOPMENT IS LOCATED PREEXISTING
NONCONFORMING DISTANCES FROM THE CANAL'S SURf'ACE WATERS AND WETLANDS. THEREFORE, THE
PROPOSED ADDITION WILL DO NOTHING TO ALTER THE CHARACTER OF THE SITE OR SURROUNDING VISTAS AND
WILL NOT IMPACT THE VISUAL QUALITY OR SCEN1C RESOURCES OF THE AREA.
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 ~ NotApplicalble
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
THE PROPOSED ADDITION, WHICH HAS BEEN LOCATED AS FAR FROM THE SURFACE WATERS OF FORDHAM
CANAL AS 1S PRACTICABLE AT THIS SITE, WILL BE EQUIPPED WITH LEADERS & GUTTERS, AND A DRYWELL WILL
BE INSTALLED TO CAPTURE AND RECHARGE ROOF RUNOFF. THE PROPOSED DRIVEWAY WILL ALSO BE
COMPRISED OF PERVIOUS GRAVEL MATERIAL TO MIN1M1ZE POTENTIAL RUNOFF.
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
THE PROPOSED ADDITION WILL BE CONSTRUCTED ON THE LANDWARD SIDE OF AN EXISTING DWELLING AS FAR FROM
WETLANDS AS IS PRACTICABLE GIVEN THE EX1STING LOCATION OF THE DWELL1NG AND SIZE AND CONFIGURATION OF THE
PROPERTY. THE WETLANDS ADJACENT TO THE SITE CONSIST OF UNVEGETATED LITTORAL ZONE TIDAL WETLANDS LOCATED
ON THE SEAWARD SIDE OF A BULKHEAD FRONTING A DEEP-WATER. MANMADE, DREDGED CANAL. THE CANAL IS
CHARACTERIZED BY A HEAVILY DEVELOPED SHORELINE WHERE. THE MAJORITY OF DEVELOPMENTS ARE LOCATED
PREEXISTING NONCONFORMING DISTANCES FROM THE CANAL'S SURFACE WATERS AND WETLANDS. NONETHELESS, THE
PROJECT INCORPORATES SPECIFIC MITIGATION MEASURES TO MINIMIZE ANY THEORETICAL IMPACTS OF THE PROJECT,
INCLUDING THE USE OF PERVIOUS GRAVEL MATERIAL FOR THE DRIVEWAY; INSTALLATION OF A DRAINAGE SYSTEM OF
LEADERS, GUTTERS, AND A DRYWELL TO CAPTURE AND RECHARGE ROOF RUNOFF; AND ESTABLISHMENT OF A 5-FOOT WIDE.
APPROXIMATELY 320 SQUARE-FOOT NONTURF BUFFER IN PLACE OF EXISTING MAINTAINED LAWN ON THE LANDWARD SIDE
OF THE BULKHEAD ON THE WESTERLY SIDE OF THE PROPERTY. THE PROJECT HAS BEEN APPROVED BY THE TOWN TRUSTEES
PURSUANT TO WETLANDS PERMIT NO. 6989, ISSUED OCTOBER 15, 2008 AND BY THE NEW YORK STATE DEPARTMENT OF
ENVIRONMENTAL CONSERVATION PURSUANT TO TIDAL WETLANDS LETTER PERMIT NO. 1-4738-03111/00001, ISSUED
SEPTEMBER 3, 2008 THUS, AS DESIGNED, THE PROSECT WILL BE CONSISTENT WITH POLICY 6.
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies
Pages 32 through 34 for evaluation criteria.
[--] Yes [--] No [5~ 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.
[~ Yes ~ No [5~ 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.
Yes ~ No ~ Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIES
PoLicy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent
suitable locations. See LWRP Section IH - Policies; Pages 47 through 56 for evaluation criteria.
[--] Yes ~] No E~ Not Applicable
uses in
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.
[---1 Yes ['-'] No [5~] Not Applicable
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 [5~ Not Applicable
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 1'--] No [5~] Not Applicable
PREPARED BY ~~
ROBERT Eo. HERRMANN
Amended on 8/1/05
TITLEcoASTAL M(iM'I' SPECIALIST DATE 4/21/09
.r_~ 'TOWN OF SOI/rHOLD P~TY RECORD CARD
- STREET VILLAGE DIST SUB. LOT
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DR. B I*
AGRICULTURAL DATA STATEMENT
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
WtIEN TO USE THIS FORM: The form must be completed by the applicant for any special use permig site
plan approval, use variance, or subdivision approval on property within an agricultural district OR within
500 feet of a farm operation located in agricultural distrl~ Ail applications requiring an agricultural data
statement must be referred to the Suffolk CounO~ Department of Planning in accordance with sectiotts 259~
m and 239-n of the General Municipal Law.
1) Name of Applicant: ~N- ~'at~L'r~'~,
2) Address ofApplicant: I3~ k]o~.~
3) Name of Land Owner (if o~.,er than applicant)~
5) Description of Proposed Project: ~-ff'~rrJ.~
6) Location of Property (road and tax map number):
7) ls the parcel within an agricultural district? ~No [-]Yes If yes, Agricultural District Number
8) Is this parcel actively farmed? [~No [-]Yes
9) Name and address 'o~ any owner(s) of land within the agricultural district containing active farm
operation(s) located 500 feet of the boundary of the proposed project. (Information may be available through
the Town Assessors Office, Town Hall location (765-1937) or from any public computer at the Town Hall
locations by viewing the parcel numbers on the Town of Southold Real Property Tax System.
Name and Address
(Please Use back side of page if more than six property owners are identified.)
l~9..e lot numbe6 may be obtained, in advance, when. requested from the Office 0fthe Planning Board at 765-
938or th~fZ~ng Board of Appeals at 765-1809.
Sig~na'l~e of ApPlicant -- Date -
Note:
1. The local board will solicit comments from the owner~ of land identified above in order to consider the effect of the propOsed action
On their farm operation. Solicitation will be made by supplying a copy of this statement.
2. Comn~nts returned to the local board will be taken into consideration as part of the overall review of this application.
3. The clerk to the local board is responsible for sending copies of the completed Agricultural Data Statement to the property owners
identified above. The cost for mailing shall be paid by the applicant at the time the application is submitted for review. Failure to pay at
such time means the application is not corr~plete and cannot be acted upOn by the board.
1-14-09
SECTION
0~5