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HomeMy WebLinkAboutTR-7204Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 August18,2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert E. Herrmann EN-Consultants, Inc. 1319 North Sea Road Southampton, NY 11968 RE: THE ESTATE OF DONNA LEVIN 21695 SOUNDVIEW AVENUE, SOUTHOLD SCTM# 135-1-7 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 18, 2010: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit #7204 and Coastal Erosion Permit #7204C to authorize the placement of approximately 122 linear feet of 200-300 lb. toe stone and 6' wide gravel splash pad landward of new bulkhead; to establish small berm landward of top of bank; and to stabilize backfill before planting with jute matting (anchored by toe stone), and as depicted on the revised site plan prepared by EN-Consultants, Inc., last dated July 27, 2010, and stamped approved on August 18, 2010. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, President, Board of Trustees JMD:eac E N- CONSULTANTS INC 1319 NORTH SEA RD. SOUTHAMPTON, NY 11968 631-283-636D LONG ISLAND SOUND PROP. 6' WIDE GRAVEL SPLASH PAD I' - * '~000' D WITH BEACH GRASS (12' ? 1" = 40' soUND VIEW IED BY OF TRUSTEES ~NU11~WN OF SOUTHOLD hATE I~?LAC~M~NT OF BLLKt'IgAO ANP t~STOF. ATIQN QP I%UPP PAng POR lt-lg 1~SfAl'g OF: PONNA LgVIN ON LONG I%ANO 50UNP, FOIJIHOLO, 5UPFOL-K CO,, NY ~-tlb~1'1 OF :2 I0/26/09, 12/4/09, 7/27/r0 '9 5BdTION 1NP, LI ?P, OPOSBt P.B~bACBMBN? OF RB'I'AtNIN6 W~bb ~0 (var,) WA.q~ Obif POk~ON OP ~LIPF fO I~. PItI.B~ W11H IQ" bAYbOdF PROP VINYl. RB~'AiNINd WA.I. IN PLACB OR BX. flMI~R WAtt Set. ASH &IW * S' - O" 5iNdL~ R(2W Of I - 2 TON &W - O' - O' PIb~5 i/4" x 9" x 20' VIN~ OR FibRil. A55 5t'BA~lhldi E N- CONSULTANTS INC 1319 NORTH SEA RD, SOUTHAMPTON, NY 11968 631-283-6360 PROPO~O I~?L/~P-MBNT OF BULl(Iff. AP ANP k~5T01~110N OP ~UPP P~ POR q-lB BSfAl'f. OF PONNA blf. VlN ON LON~ I%.ANP 501JNP, 50t,i'fHObP, 51JPPOI-K CO,, NY 5HB~T 20P 2 I0/28/0¢, 12/4/0¢, 7/27/I0 Jill M. Dohe¢[y. President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer P.O. Box 1179 Southold~NY 11971 Telephone(631)765-1892 Fax (631)765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ~/ {[/ 1~ En-Consultants, Inc. on behalf of THE ESTATE OF DONNA LEVlN requests an Amendment to Wetland Permit #7204 and Coastal Erosion Permit #7204C to authorize the placement of approx. 122 If. of 200-300 lb. toe stone and 6' wide gravel splash pad landward of new bulkhead; to establish small berm landward of top of bank; and to stabilize backfill before planting with jute matting (anchored by toe stone). Located: 21695 Soundview Ave., Southold. SCTM#135-1-7 area to be impacted: ater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland haf Town Code proposed work falls under: pt.275__Chapt..~ o;h~.~.~ Type of Application: L/Wetland C/Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: ,,.,ring __,-- ,~.Doherty__ . edemeyer . gen__ B.Ghosio, D. Dzenkowski other Form filled out in the fieldj~J Mailed/Faxed to: Date: James F. King, Jill M. Dougherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 FAx(631) 765-1366 DATE July 27, 2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT OWNER The Estate of Donna Levin PHONE 631-477-0666 ADDRESS c/o Rachel Levin Murphy, 11220 Soundview Ave., Southold, NY 11971 AGENT EN-CONSULTANTS, INC. PHONE 631-283-6360 ADDRESS 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 PROPERTY LOCATION 21695 Soundview Ave., Southold, NY 11971 TAX MAP NO. 1000-135-1-7 I/We EN-CONSULTANTS, INC. request an Amendment to Permit # 7204 To authorize placement of approximately 122 linear feet of 200-300 lb. toe stone and 6' wide gravel splash pad landward of the new bulkhead; to establish small berm landward of top of bank; and to stabilize backfill before planting with jute matting (anchored by toe stone), all as depicted on the project plan prepared by En-Consultants Inc., last dated July 27, 2010. Signed By: ~2~23'- * ROBERT E. HERRMANN, COASTAL MGMT. SPECIALIST 07/27/2010 15:07 FAX 6312836136 EN-CONSULTANTS,INC. ~001 1319 No~th Sea Road, ,S,:,uthampton N,Y. 11968 Phone (631) 263-6360 F ax (631) 283-6136 Lauren Star dish Tm Southold Tcwn Trustees From: Robert Hen'mann Fm~ 76~6841 Pages: 4 (including co~er she~) Phema 765-1892 Bate.' July 27, 2010 Letter of Re ;luest for an Amendment Ret. The Estate, Df Donna Levin CC-' SCTM~10O )-135-1-7 w/project pi; ~ns [] Urgent [] F~: r Review [] Please Oo~nment [] Please Reply [] Please Reoyole James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ¼ constructed w/'/ Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PE~iT NO. 7204 ISSUED TO: ESTATE OF DONNA LEVIN DATE: NOVEMBER 18~ 2009 PROPERTY ADDRESS: 21695 SOUNDVIEW AVENUE~ SOUTHOLD SCTM# 135-1-7 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trastees adopted at the meeting held on November 18, 2009, and in consideration of application fee in the sum of $250.00 paid by Estate of Donna Levin End ~ubj~ct to the Terms and Conditions as ~tated in the Resolution, the Southold Town Board of Tmsteeg~thorizes and permits the following: Wetland Permit to construc[ approximately 133 linear feet of vinyl bulkhead (and 5' easterly return) in place of existing timber bulkhead and restore washed out portion of bluff face (due to storm-collapsed section of existing wall) with approximately 450 cubic yards clean sand to be planted with Cape American beach grass (12" on center), with the condition of the installation of a row of +/- 1 to 2 ton stone toe armor against the seaward side of the bulkhead, and as depicted on the site plan. prepared by Eh-Consultants, Inc., last dated December 4, 2009, and stamped approved on December Ilk 2009. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affLxed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee Estate of Donna Levin, residing at 21695 Soundview Avenue, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released fi.om any and all damages, or claims for damages, of suits arising directly or indi~ctly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrfint, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and nOn-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no un.reasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low Water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion oftbe work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failUre to obtain same. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Permit #: 7204C Date: November 18, 2009 SCTM#: 135-1-7 Name of Applicant/Agent: Robert E. Herrmann of Eh-Consultants, Inc. Name of Permittee: Estate of Donna Levin Address of Permittee: 21695 Soundview Avenue, Southold, New York Property Located: 21695 Soundview Avenue, Southold, New York DESCRIPTION OF ACTIVITY: Coastal Erosion Permit to construct approximately 133 linear feet of vinyl bulkhead (and 5' easterly return) in place of existing timber bulkhead and restore washed, out portion of bluff face (due to storm-collapsed section of existing wall) with approximately 450 cubic yards clean sand to be planted with Cape American beach grass (12" on center), with the condition of the installation of a row of +/- 1 to 2 ton stone toe armor against the seaward side of the bulkhead. The Coastal Erosion Management Permit allows for the operations as indicated on the site plan prepared by En-Consultants, Inc., last dated December 4, 2009, and stamped approved on December 11, 2009. Permit to construct and complete project will expire two years from the date the permit is signed. INSPECTION: Final Inspection SPECIAL CONDITIONS: (apply if marked) N/A Bluff restoration through a re-vegetation plan is a necessary special condition of this permit. N/A A relocation agreement is attached hereto and is a necessary special condition of this permit. N/A A maintenance agreement is attached with application and is a necessary special condition of this permit. JaYmes F. KinC>~' g~ent Board of Trustees James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 November 18, 2009 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Road Southampton, NY 11968 RE: ESTATE OF DONNA LEVIN 21695 SOUNDVlEW AVENUE, SOUTHOLD SCTM# 135-1-7 Dear Mr. Herrrnann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 18, 2009 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of ESTATE OF DONNA LEVIN applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southoid Town Code, the Wetland Ordinance of the Town of Southold, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, application dated October 27, 2009, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 18, 2009, at which time all interested persons were given an opportunity to be heard, and, 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of ESTATE OF DONNA LEVIN to construct approximately 133 linear feet of vinyl bulkhead (and 5' eastedy retum) in place of existing timber bulkhead and restore washed out portion of bluff face (due to storm-collapsed section of existing wall) with approximately 450 cubic yards clean sand to be planted with Cape American beach grass (12" on center), with the condition of the installation of a row of +/- 1 to 2 ton stone toe armor against the seaward side of the bulkhead, and as depicted on the site plan prepared by En- Consultants, Inc., last dated December 4, 2009, and stamped approved on December 11,2009. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, President, Board of Trustees JFK/eac James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ~)o'{-O{O~r' c~ ~(~ has been reviewed by this Board at the regular meeting of/1 ~,~v~m~e_~' I ~., o,~O(D (~ and your application has been approved pending the completion of the following items checked off below. V'/~Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) __ ~ Constructed ($50.00) ~V'<~ Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees am now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or m-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE:$,~/,/~" BY: James F. King, President Board of Trustees James Eckert, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631 ) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Thurs., November 12, 2009, the following recommendation was made: Moved by Doug Hardy, seconded by Peter Young, it was RESOLVED to SUPPORT the Wetland Permit & Coastal Erosion Permit applications of the ESTATE OF DONNA LEVlN to construct approx. 133 If. of vinyl bulkhead (and 5' easterly return) in place of existing timber bulkhead and restore washed out portion of bluff face (due to storm-collapsed section of existing wall) with approx. 450 cy. clean sand to be planted with Cape American beach grass (12" on center). Located: 21695 Soundview Ave., Southold. SCTM#135-1-7 Inspected by: Peter Young, Doug Hardy The CAC Supports the application with the Condition public access is provided along the shoreline, such as a walkway with stairs, and there should be no confiscation of State public property. The CAC recommends an evaluation of the entire shoreline in that area. Vote of Council: Ayes: All Motion Carried James F. King, President Jill M. Doher~y. Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. P.O Box 1179 Southold, NY 11971 Telephone(631)765-1892 Fax (631)765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: t ~ ''~'' 0fi ESTATE OF DONNA LEVlN requests a Wetland Permit and Coastal Erosion Permit to construct approx. 133 If. of vinyl bulkhead (and 5' easterly return) in place of existing timber bulkhead and restore washed out portion of bluff face (due to storm-collapsed section of existing wall) with approx. 450 cy. clean sand to be planted with Cape American beach grass (12" on center). Located: 21695 Soundview Ave., Southold. SCTM#135-1-7 Oaltwf area to be impacted: ~Sound ater Wetland Freshwater Wetland Bay Distance of proposed work to edge of wetland P~t.~C of Town Code/proposed work falls under: hapt.275 t,/Chapt. 111 other Type of Application: '-"/WetlandV//Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: (..~.King ~t~3~.Doherty __ . ickerson __ D. Dzenkowski other Form filled out in the field by D. Bergen ¢~B.Ghosio, Mailed/Faxed to: Date: ESTATE OF DONNA LEVIN~ 2 ! 695 SOUNDVIEW AVENUE~ SOUTHOLD Figure 1. Looking east along top of ex~ section of ttmber bulkhead be removed and replaced wtth _65 vinyl bulkhead Figure 2. Looking east at location al+_68' section ~[ vinyl bulkhead to be constructed in place t~'storm-collapsed section of existing timber bulkhead. ESTATE OF DONNA LEVIN, 21695 SOUNDVIEW AVENUE~ SOUTHOLD Figure 3. Looking west at stnrm-collapsed section of bulkhead and leaning section of eoa bulkhead to be replaced with vinyl bulkhead ~Tgure 4. Looking north over collapsed portion of wall at bluff Jhce to be restored with clean sandJill anti planted with native vegetation. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD EMERGENCY WETLANDS PERMIT Permit No.: 7199E Date of Receipt of Application: October 19, 2009 Applicant: Estate of Donna Levin SCTM#: 135-1-7 Project Location: 21695 Soundview Ave., Southold Date of Issuance: October 21, 2009 Date of Expiration: N/A Reviewed by: Board of Trustees Project Description: To temporarily place precast concrete blocks at toe of bluff due to storm induced collapse of existing timber bulkhead. Measure is proposed as a temporary stop-gap until all regulatory approvals can be obtained to construct vinyl bulkhead in place of damaged structure. Findings: The project meets all the requirements for issuance of an Emergency Wetlands Permit as determined by the Board of Trustees. The issuance of the Emergency Wetlands Permit allows for the operations as indicated in the application received on October 19, 2009. Special Conditions: A full Wetland Permit and Coastal Erosion Permit must be obtained in order to conduct any further activity on the bulkhead. This is not a determination from any other agency. Jam F~. King, Presi~tt Board of Trustees EN-CONSULTANTS, INC. ENVIRONMENTAL CONSULTING 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com James King, Chairman Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 Re: Levin~ 21695 Soundview Avenue~ Southold Dear Mr. King: As the Board requested discussed during the 18 November 2009 public hearing on the captioned application, please find attached (3) copies of a project plan prepared by En-Consultants, Inc., last dated December 4, 2009, which depicts the placement of a single mw of stone toe armor in front of the new retaining wail. Robert E. Hexrnmnn Coastal Management Specialist OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. 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: Jim King, President of Trustees Town of Southold Board From: Mark Terry, Principal Planner LWRP Coordinator Date: November 13, 2009 Re: Proposed Wetland Permit for ESTATE OF DONNA LEVlN SCTM#1000-135.-1-7 En-Consultants, Inc. on behalf of ESTATE OF DONNA LEVlN requests a Wetland Permit and Coastal Erosion Permit to construct approx. 133 If. of vinyl bulkhead (and 5' easterly return) in place of existing timber bulkhead and restore washed out portion of bluff face (due to storm- collapsed section of existing wall) with approx. 450 cy. clean sand to be planted with Cape American beach grass (12" on center). Located: 21695 Soundview Ave., Southold. SCTM#135-1-7 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP Program. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney lames F. King, President Jill M. Dougherty, Vice-Presidl~ Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fex (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~oastal Erosion Permit Application ,-~Wetland Permit Application Major Minor Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ,,C--AC Referral Sent: tOlOg/oq. ,-l~re of Inspection: II/ Receipt of CAC Report: Lead Agency Determination: Technical Review: ,..P,ablic Hearing Held: till 210 ? Resolution: Name of Applicant Estate of Donna Levin Address Phone Number: 631477-0666 Suffolk County Tax Map Number: 1 000 - 135-1-7 Property Location: 21695 SoundviewAvenue, Southold (provide LILCO Pole #, distance to cross streets, and location) AGENT: 15N4:X)NSULTANTS, INC. (If applicable) Address: 1319 NORTH SF~A ROAD, ~N, NY 11968 Phone: 631-283-6360 ~0 r Board of Trustees Appli GENERAL DATA Land Area (in square feet):.28,179 SQ. FT. Area Zoning: R-40 ion Previous use of property: RESIDENTIAL Intended use of property: NO CHANGE Covenants and Restrictions: X No Yes If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date __No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Proiect Description (use attachments if necessary): Construct approximately 133 linear feet of vinyl bulkhead (and 5' easterly return) in place of existing timber bulkhead and restore washed out portion of bluff face (due to storm-collapsed section of existing wall) with approximately 450 cubic yards clean sand to be planted with Cape American beach grass (12" on center), all as depicted on the project plan prepared by En-Consultants, Inc., dated October 26, 2009. Board of Trustees AppliOon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Ma/retain existing bulkhead at toe of bluff and restore portion of bluff washed out due to storm-collapsed portion of wall. Area of wetlands on lot: 0 .square feet Percent coverage of lot: N/A % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? NO X Yes If yes, how much material will be excavated?N/A cubic yards How much material will be filled7 +/-450 cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: Approximately 450 cubic yards clean sand will be tracked in from an upland source, dumped behind reconstructed bulkhead, and stabilized with beach grass planted 12" on center. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The project entails both the ordinary/routine and emergency replacement of a deteriorating and storm-damaged bulkhead, the partial collapse of which has caused the rapid loss of bluff material between the structure & dwelling. The project will replace a treated wall with an untreated bulkhead and will restore and revegetate the damaged bluff face. Therefore, the project will have no significant adveme impact on the adjacent tidal waters of Long Island Sound. Board of Trustees AppliOon COASTAL EROSION APPLICATION DATA Purposes of proposed activity. Maintain existing bulkhead at toe of bluffand restore portion of bluff washed out due to storm-collapsed portion of wall. Are wetlands present within lO0 feet of the proposed activity? No X Yes Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? N/A (cubic yards) How much material will be filled? +/-450 (cubic yards) Manner in which material will be removed or deposited: Approximately 450 cubic yards clean sand will be trucked in from an upland source, dumped behind reconstructed bulkhead, and stabilized with beach grass planted 12" on center. Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) The anticipated impact of the project is the continued retention of the bluff fronting Long Island Sound. Currently, due to the bowing and leaning of the existing wall, a portion of the structure is in danger of inevitable damage or failure, and another portion has already collapsed, causing the loss of significant material from the bluff (the natural protective feature of the site) between the wall and the dwelling. Therefore, the environmental impacts of taking no action to maintain and replace the structure would be adverse, whereas maintaining the structure and its function will maintain existing conditions and have no adverse impacts on the adjacent shoreline or adjoining properties, which are similarly structurally stabilized. 14-16~4 (2/87)--Text 2 lF;ROJECT I.D. NUMBER 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) I APPLIGANT/SPONSOR:ESTATE OF DONNA LEViN BY I 2. PROJECT NAME I EN-CONSULTANTS, INC. 3 PROJECT LOCATION: Municipality SOUTHOLD County SUFFOLK 4 PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc, or provide map) 21695 SOUNDVIEW AVENUE, TOWN OF SOUTHOLD, SCTM #1000-135-1-7, MAPS PROVIDED. 5. IS PROPOSED ACT [] F~w ~]N Expansion [] Modification/alteration 6 DESCRIBE PROJECT BRIEFLY: FORM SEQR Construct approximately 133 linear feet of vinyl bulkhead (and 5' easterly return) in place of existing timber bulkhead and restore washed out portion of bluff face (due to storm-collapsed section of existing wall) with approximately 450 cubic yards clean sand to be planted with Cape American beach grass (12" on center), all as depicted on the project plan prepared by Eh-Consultants, Inc., dated October 26, 2009. Initially 0.647 acres Ultimately 0.647 acres [~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, COE, DOS []Yes [] NO If yes, list agency name and permit/approval r-]Yes []N 0 ~ CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name ROBEI~Ei HERRMANN, COASTAL MANAGEMENT SPECIALIST D A T E OCTOBER 27, 2009 Signature:~ ~ the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, .Ir. Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ESTATE OF DONNA LEVIN COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being dul~, swbm, ~te~ose and sa~: ' ' % . That on the {~ day of_~ ,200~ I personally posted the propeay ~own as by placing the Bo~d of Trustees offici~ post~ wh~it c~ easily be seen, ~d that I have checked to be s~e the poster has remained in place for ei~t days prior to the date of the public hearing. Dine of hearing noted thereon to be held Wed.~ November 18~ 2009 on or about 6:00 PM. Dated: ~ ~ (si~mum) Sworn to before me this t~T&day of/]~/ 200 9 N o~ry'-P u'b~ic TO ADJACENT PRO BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Estate0fD0nnaLevin SCTM#1000-- 135-1-7 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to Permit from the Board of Trustees to: req~esta Construct approximately 133 linear feet of vinyl bulkhead (and 5' easterly return) in place of existing timber bulkhead and restore washed out portion of bluff' face (due to storm-collapsed section of existing wall) with approximately 450 cubic yards clean sand to be planted with Cape American beach grass (12" on center), all as depicted on the project plan prepared by En-Consultants, Inc., dated October 26, 2009.. 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 21695 SOUNDVIEW AVENUE, TOWN OF SOUTHOLD 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public cogent on:N0v. 18~,2009~6:00P.M. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Estate of Donna Levin OWNERS NAME: C/O Rachel Levin Murphy MAILING ADDRESS: 11220 Soundview Avenue Southold, NY 11971 PHONE ~: 631-477-0666 Enc. : Copy of sketch or plan showing proposal for your convenience. 5 k dour~ I'ia~t,'om Map 2~ ~- 9000' LONG ISLAND SOUND STORY FR~E HOUSE 1"= 4-0' souND ~-~1~ ~l~ ~ wdl RETURN VIEW AVENUE 631-283-6360 ?I~OPO~O ~PL-ACBM~NT Of PL!tKH~AO ANP k~$1'OP. AllON OF PI. IJFP FAC~ FOR ~ US~'AI~ OP PONNA L, gVIN ON tONe t~,ANp ~OUNO, 5OLl1~lOtP, 5LIFfOL. K C0,, NY ~BBT I Of 2 I0/26/09 ~C11QN THRU PRQPQ~P RBPI. ACBMBN~ OP RP. TAINJktd WAtL ~_40' (var,) WASH~ 01.C PQET]Q~ QP BLL~P fO ~ PILL~ WITH APPRQ×. EEO CY Cl.[AH 5ANI2 Aiq~ PLASTel2 WI'Pa ~ACH ~P, AS5 ( 12' O.C.) ' I JO" LAYLQd5 lOn PROF. VINYl. I~IRNiN6 W~b IN PLAC~ OF ~×. flM[~R W~b I/4" × 9" × 20' VIN~ C~ PIP~LA~5 qd~A~ING AHW - ~' - O" ALW* O' - 0" * 20' PtUS PROFO~I~ ~PLACl!iMUNT OP PlJbKH~AI~ ANI~ 1~-5TOP--AflON OP ELLIPP PAC~ POR TH~ ~S1'Allf. OP ~ONNA L~VIN ON LON~ i ISLAN~ ~:xglJN~, SOU11'IQLI~, 51JPPOLK C0.. NY F:~T 20P 2 I0/261 09 tACH ALEXANDER, DEMETRIOS, FLORENCE & GEORGE VASILIKIS JODY LEVIN, RACHEL LEVIN MURPHY, &ELLEN LEVIN WIEDERLIGHT LEVIN FAMILY LIMITED PARTNERSHIP ANDREA AURICHIO OF MAILING OF NOTICi CERTIFIED MAIL Address: 10 BABCOCK PLACE LYNBROOK, NY 11563 545 COLUMBIA ROAD SOUTHOLD, NY 11971 320 MOUNT BEULAH AVENUE SOUTHOLD, NY 11971 51475 COUNTY ROAD 48 SOUTHOLD, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERTE. HERRMANN doing business atEN-CONSULTANTS, INC. 1319 NORTH SEA ROAD SOUTHAMPTON, NY 11968 being duly sworn· deposes and says that on the 27~ day of OCTOBER ,20 09 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application· directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at SOUTHAMPTON said Notices were mailed to each of ~x~k~) mail. Sworn to before me this 27th da y o f OCTOBER ,20 09 · that said per~. by (certified) COASTAL MANAGEMENTSPECIALIST Alexander, Demetrios, Florence & George Vasilikis 10 Babcock Place Lynbrook, NY 11563 : Po~t~ark se,~ ro Andrea Aurichio -'] ~m -~;;4~'c~ 51475 County Road 48 ~.~,.o, PO~o~~, Southold, NY 11971 Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Jody Levin, Rachel Levin Murphy, & Ellen Levin Wiederlight 545 Columbia Road Southold, NY 11971 OFF ClAL USE ewn Family Limited Partnership 320 Mount Beulah Avenue Southold, NY 1197l ~oard of Trustees Application AUTHORIZATION (where the applicant is not the owner) il;rint'ownSr~fp~'6perty) ~ (] (mailing address) do hereby authorize O-'~-~6~0 i (Agent) to apply for permit(s) from the Board of. Town Trustees on my behalf. :%- _ y ('Owner's s~tutej' of Trustees Application County of Suffolk State of New York SWORN TO BEFORE ME THIS / DEPOSES AND AFFIRMS TH,4T I-rE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ' -Signati~e x ~ DAY OF ~ ,200~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics vrohibits conflicts of interest on the oart of town officers and emolovees. The vuroose of this form is to provide information which can alert the town of r>ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. ' ~Las~ nar~e,'fir~t name, middle initial, unltss 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.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning 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 '% If you answered "YES", complete the balance of this form and date and sign where indicated. Name ofperson employed by the Town ofSouthold ~ _~t~'~ -~(J'~ Title or position of that person ~F~_~ Describe the relationship between yourself (the applicant/agenffrepresentafive) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% oftbe 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 applicm~t; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Towh of Southold A. CONSISTENCY ASSESSMENT FORM INSTRUCTIONS 1, A/1 applicants f0r perm its* including T0w n 0f S0uth01d agencies, shall c0m plete this C C A F f0r pr0p0sedacti0nsthataresubjectt0theT0wn0fS0uth01d Waterfr0ntC0nsistency Review Law. This assessmentisin~eaded to supplement0therinf0rmati0n used by aT0wn 0fS0uth01d agency in m a k in g a d ere r m in a ti0 n 0 f c 0 n s iste n c y *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion [-lazard 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- sum)ortin*, facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. SCTM# 135 A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. DESCRIPTION OF SITE AND PROPOSED ACTION .7 PROJECT NAME EstateofDonnaLevin The Application has been submitted to (check appropriate response): TownBoard [--"] Planning Board ~] 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 approximately 133 linear feet of vinyl bulkhead (and 5' easterly return) in place of existing timber bulkhead and restore washed out portion of bluff face (due to storm-collapsed section of existing wall) with approximately 450 cubic yards clean sand to be planted with Cape American beach gross (12" on center), all as depicted on the project pIan prepared by Eh-Consultants, Inc., dated October 26, 2009. Location of action: 21695"~ndview Avenue, Southold Site acreage: 0.647 acre Present land use: RESIDENTIAL, ONE-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: Estate of Donna Levin (b) Mailing address: c/o Rachel Levin Murphy 11220 Soundview Avenue, Southold, NY 11971 (c) Telephone number: Area Code 631-477-0666 (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 Section III - Policies Pages 6 through 7 for evaluation criteria [~Yes [~ No [5~ NotApplicalble Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~] Yes ~ No ~ Not Applicable The project is consistent with Policy 4 because currently, due to the bowing and leaning of the existing wail, a portion of the structure is in danger of inevitable damage or failure, and another portion has already collapsed, causing the loss of significant material from the bluff(the natural protective feature of the site) between the wall and the dwelling. Therefore, the environmental impacts of taking no action to maintain and replace the structure would be adverse, whereas maintaining the structure and its function will maintain existing conditions and have no adverse impacts on the adjacent shoreline or adjoining properties, which are similarly structurally stabilized. 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 project is consistent with Policy 5 to the extent that an existing, pressure treated timber retaining wall is being replaced with a retaining wall to be constructed with untreated vinyl sheathing. 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 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[~ 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 [~ 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 'Polfcy 10. Protect Southold's~ter-dependen.t .uses and promote sOg of new water-depen .dent suitable locations. See LWRPn3gction IH - Pohcles; Pages 47 through 56 for evaluation criteria. ~ Yes [~ No [~ Not Applicable uses in Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria, [~ Yes [---] No [~ 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 ~] No [~ Not Applicable PREPARED BY T~R~ ROBER NN TITLEcoASTAL MGMT SPECIALIST DATE 10/27/09 Amended on 8/1/05 EN-CONSULTANTS, INC. 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTING October 27, 2009 Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold, New York 11971 Atm.: Lauren Standish Re: Estate of Donna Levin 21695 Soundview Avenue, Southold SCTM #1000-135-1-7 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: Three (3) Wetland & Coastal Erosion Permit Applications including a) Short Environmental Assessment Form; b) Authorization & Disclosure Forms; and c) project plans; d) surveys One (1) set of site photographs. Application fee of $250.00 wetlands, lf~C! c4 Application fee of $250.00 coastal Erosion Three (3) LWRP Consistency Assessment Forms including a) project plans. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. S~o~i'Herrmann Coastal Management Specialist Enc. James F. King, President Jill M. Dougherty, Vice-Presid Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765 - 1892 Fex (631) 765-1366 Office Use Only Coastal Erosion Permit Application ~ (t[~l~ rlt~ t01~-ft~ Wetland Permit Application Major Minor Waiver/Amendment/Changes ~/Received Application:. /oll ~ ./Received Fee:$ ~ /0'1ol-'~][.0 Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent). CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: t~'Public Hearing Held:~ Resolution: Name of Applicant Estate of Donna Levin Address c/o R~chel Levin ~ 11220 Sotaxtview Avenue. Sotrthold. NY 11971 Phone Number: 631-477-0666 Suffolk County Tax Map Number: 1000 - 135-1-7 Property Location: 21695 S(XIN~VIEXVA~ SOUTHOLD (provide L1LCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANIS, INC. (If applicable) Address: 1319 NORr[H SEA ROAD, S(YJ1MAIVI~[O~NY 11968 Phone: 631-283-6360 Board of Trustees GENERAL DATA Land Area (in square feet): +/-44,000 SQ. FT. Area Zoning: R-40 Previous use of property: RESIDENTIAL Intended use of property: NO CHANGE Covenants and Restrictions: X No Yes If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Proiect Description (use attachments if necessary): Temporarily place precast concrete blocks at toe of bluff exposed due to storm induced collapse of existing timber bulkhead. Measure is proposed as a temporary stop-gap until all regulatory approvals can be obtained to construct vinyl bulkhead in place of damaged structure. Board of Trustees Applicion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Measure is proposed as a temporary stop-gap until all regulatory approvals can be obtained to construct vinyl bulkhead in place of damaged structure. Area of wetlands on lot: N/A square feet Percent coverage of lot: N/A % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated?N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The blocks should serve to mitigate erosion of the bluff until the bulkhead can be rebuilt. ~oard of Trustees Applicatio~ AUTHORIZATION (where the applicant is not the owner) I,'~0~1 ~(~l~Ii~ {~{~I~ residingat ~llo~;['~ il~rint'own~r bf p~6perty) ~ U (maiJing address) do hereby authorize ~---~"¥-~/~'-~-~~ ~g~(--- (Agent) to apply for permit(s) from the Sout~j~ Board of Town Trustees on my behalf. / 03wn~r"s s[~gXtute j' Ooard of Trustees Applicati~ County of Suffolk State of New York DEP S TH~/T Il'E/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS / l /' -Signa~ur~ w ~ DAY OF ~t/X~ ,200~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics t~rohibits conflicts of interest on the part of town officers and emt>lovees, The r)uroose of this form is to orovide information which can aler~ the town of possible conflicB 0finterest and allow it to take whatever action is necessary to avoid same. ('Last nar~e; first name, middle initial, unhlss 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.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other", name the activity.) ef'lq~,r'l/~t5 ~q(.'4 ~)~xJqL"'~L~4~.~ ,~"~'--'- 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 '~ If you answered ~'YES", complete the balance of this form and date and sign where indicated. NameofpersonemployedbytheTownof.S. oktthold ~h-~c'{ -~O'~ Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __A) the owner 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 Form TS 1 Submitted thi~ ~day of ~.,~'~ 200~_ Signature k~t~ t.4..~(~.~ ~ ../~ .3- Print Name "~O.~; Town of Southold A. INSTRUCTIONS 1, LWRP CONSISTENCY ASSESSMENT FORM A II applicants for perm its* including T0w n of S0uth0ld agencies, shall c0m plete this C C A F for proposed actions that are subject to the T0wn of S0uth0id W aterfr0nt C0nsistency Review Law. This assessmentisintendedt0 supplement0therinf0rmati0n used byaT0wn0fS0uth01dagency in m a k in g a d ete r m in a ti 0 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. 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- suDoortinl~ facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. SCTM# 135 A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. DESCRIPTION OF SITE AND PROPOSED ACTION -7 PROJECT NAME EstateofDonnaLevin The Application has been submitted to (check appropriate response): TownBoard I'~ PlanningBoardl--] Buildingl)ept.[---] Board of Trustees [5~ 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 approximately 133 linear feet of vinyl bulkhead (and 5' easterly return) in place of existing timber bulkhead and restore washed out portion of bluff face (due to storm-collapsed section of existing wall) with approximately 450 cubic yards clean sand to be planted with Cape American beach grass (12" on center), all as depicted on the project plan prepared by En-Consultants, Inc., dated October 26, 2009. Location of action: 21695 Soundview Avenue, Southold Site acreage:. 0.647 acre Present land use: RESIDENTIAL, ONE-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: Estate of Donna Levin (b) Mailing address: c/o Rachel Levin Murphy 11220 Soundview Avenue, Southold, NY 11971 (c) Telephone number: Area Code 631-477-0666 (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. NYes ~ 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 Z1 Yes W1 No Not App,icable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria 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 The project is consistent with Policy 4 because currently, due to the bowing and leaning of the existing wall, a portion of the structure is in danger of inevitable damage or failure, and another portion has already collapsed, causing the loss of significant material from the bluff(the natural protective feature of the site) between the wall and the dwelling. Therefore, the environmental impacts of taking no action to maintain and replace the structure would be adverse, whereas maintaining the structure and its function will maintain existing conditions and have no adverse impacts on the adjacent shoreline or adjoining properties, which are similarly structurally stabilized. 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 X Yes [~ No [-3 Not Applicab,e The project is consistent with Policy 5 to the extent that an existing, pressure treated timber retaining wall is being replaced with a retaining wall to be constructed with untreated vinyl sheathing. 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. 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 [~ NoR 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 ~ 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'sOer-dependent uses and promote s~ suitable locations. See LWRP Section IH - Policies; Pages 47 througl [--] Yes [-'] No [~ Not Applicable of new water-dependent for evaluation criteria. uses in Attach additional sheets if necessary Policy 11. Promote sastainable use of living marine resources io Loog Island Sound, the Pecouic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section Ill - Policies; Pages 62 through 65 for evaluation criteria. [~] Yes ~] No [~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~] Yes [--] No [~ Not Applicable PREPARED BYROBER~NN TITLEcoASTALMGMTSPEC1ALIST DATE 10/27/09 Amended on 8/1/05 EN-CONSULTANTS, INC. 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTING October 19, 2009 REOUEST FOR AN ADMINISTRATIVE WETLANDS PERMIT Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish Re: Estate of Donna Levin 21695 Soundview Avenue, Southold SCTM #1000-135-1-7 Dear Ms. Standish: In regard to the above referenced property, enclosed are the folloWing for the Board of Trustees review: Three (3) Wetland Permit Applications including a) Short Environmental Assessment Form; b) Authorization & Disclosure Forms; Application fee of $50.00 wetlands. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. /khs Enc. 5~ok C,~ H~t, rom Map 28 I" * * ~1~ (/~C~% VIA 5UCJ~Cf PROP~TY) LONG ISLAND SOUND PROPOSED + 1- 2 TOll STONE TOE ARMOR OUT SI[CRON OF EX. 1" = 40' soUND VIEW AVENUE FROFOr::CP R~FLACUM~NT 05 PLILKHEAf¢ ANP ~Sl'ORATION OP BLIJPP PACE FOR TI-IU ~5fA1'¢ OP 1?ONNA L~VfN ON LONG 15LANP 50LINP. GOLITI-1OLP, 51JPPOLK CO., NY ~fl OF 2 IQ~ 26/09, 12/4/OC/ ~CTION lt-IRLJ PROPO~[? ~PbACBMBNf OF kUTAINING WAtt IQ' LAYLO~S. K PROF VIN% ~fAJNIi~ W,~L iN PLFC[ Of IX T]I',~F~ W~L l/4II[ 9II ~ 20' VIN% OR Pin'LAS5 ~BATHING ,~W ~ O' - 0" ,20' FILl5 EI$COi'iSULY,iT$, 13i 9 NOiC:-I S~A ROAD $OUi'~',AMFi'O~,i, NY 11968 631-283-6368 S 88'35'55' E 69.35' x229 x p051 x22 I 662' S 720" S tT, 14-8.84' pOST SURVEY OF PROPERTY SITUATE SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-1,.55-01-07 SCALE 1"=20' OCTOBER 17, 2009 NOTES. AREA 28,179 sq. ff. (TO TIE LINE) 0.647 SC. 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 EXISTING ELEVATIONS ARE SHOWN THUS:~ F FL - FIRST FLOOR DATUM THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED* PREPARED IN / &NIMUM STANDARDS FOR BY FOR SUCH TITLE N,YS. tic. No. 50457 Nathan Taft Corw~n III Land Surveyor PHONE (651)727-2090 Fex (651)727-1727 29-26