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Home My WebLink AboutTR-7244 James F. King, President Bob Ghosie, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino 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 CERTIFICATE OF COMPLIANCE # 0740C Date April 12, 2012 THIS CERTIFIES that the demolition of the existing one-story dwelling; construction of new 1 ½ story dwelling on existing foundation with second-story lo,storage; addition to landward side of foundation; removal and replacement of sanitary system within front yard with surrounding retaining wall; pervious driveway; on-grade patio; and 5' wide non-disturbance buffer. At 4295 Bayshore Rd., Greenport Suffolk County Tax Map #53-6-24 Conforms to the application for Trustees Permit heretofore filed in this office Dated 1/26/10_pursuant to which Trustees Wetland Permit #7244dated 2/24/10 was issued and Amended on 3/21/12 and conforms to all of the requirements and Conditions of the applicable provisions of law. The project for which this certificate is being issued is for The demolition of the existing one-story dwelling; construction of new 1 ½ story dwelling on existing foundation with second-story loft/storage; addition to landward side of foundation; removal and replacement of sanitary system within front yard with surrounding retaining wall; pervious driveway; on-grade patio; and 5' wide non-disturbance buffer. The certificate is issued to ROBERT SWING owner of the Aforesaid property. Authorized Signature HP L&$erJet P2015 Series PCL 5 RECORDING0017~ RECEIPT Suffolk Count~ Clerk JUDITH A. PASCA?.~ County Clerk Receipt ~m~er : Payor Name : 12-0036864 MACCO & STERN, LLP DESCRIPTION TRANS AMOUNT Ty~e of Instrument: DECLARATION Page/Filing $25.00 Handling $20.00 COE $5.00 NYS SRCHG $15.00 TP-584 $0.00 Notation $0.00 Cert. Copies $6.25 ~PT $30.00 Fees Paid $101.25 LIBER D00012689 PAGE 281 DATE: 03/30/2012 TIME: 01:57:31 PM RECEIPT TOTAL $101.25 CHECK/%MT PAID $101.25 TOTAL AMOUNT PAID $101.25 CHECK REFUND $0. O0 COMMenTS CK NO 35895 COUNTY CLERK'S OFFICE STATE OE NEW YORK COUNTY OF SUFFOLK CC #: C12-13220 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 odginal DECLARATION recorded in my office on 03/30120'12 under Liber D00012689 and Page 281 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 03/3012012 SUi?~'OLK COUNTY C?.~..~K JUDITH A. PASCALE SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE ~ of Instrument: DECLARATION Number of Pages: 5 Receipt N~--~er : 12-0036864 Distriot: 1000 Recorded: At: 03/30/2012 01:57:31 PM LIBER: D00012689 PAGE: 281 Section: Block: Lot: 053.00 06.00 024.000 ~-w~/~INED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt $25.00 NO Handling $20.00 NO $5.00 NO NYS SRCHG $15.00 NO $0.00 NO Notation $0.00 NO $6.25 NO RPT $30.00 NO Fees Paid $101.25 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Page/Filing COE TP-584 Cert. Copies JUDITH A. PASCA?.R County Clerk, Suffolk County DECLARATION OF COVENANTS THIS DECLARATION made this 28m day of March, 2012, by Robert M. Swing and Stephanie Swing, residing at 96 Gun Club Road, Northport, New York 11768, hereinafter referred to as "DECLARANT(S)": WITNESSETPI: WltEREAS, DECLARANTS are the owner of certain real property located on 4295 Bay Shore Road, Greenport, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 053.00, Block 06.00, Lot 024.000 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WI:IERE~, the property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold 0aereina~er 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 V~-i'g, REAS, as a condition of the granting ora Wetlands Permit to undertake such regulated activities, the Trustee required that the landowner demolish the existing one-story (966 sq. ff.) with the existing foundation to remain; add three (3) courses of concrete block to the existing foundation to comply to FEMA flood regulations; construct a new 1 ½ story dwelling on the existing foundation/footprint including a second story loft/storage containing 580 sq.ft.+/-; construct an addition to the landward side of the existing foundation/footprint containing 627 sq.ft.+/-; remove the existing sanitary system and replace with an updated sanitary system within the fxont yard, install a retaining wall surrounding the sanitary system measuring 118'+/-X1.3'+/-high, install a French drain along the southern side yard property boundary and establish a 5' wide non- tuff buffer along the landward side of the bulkhead, with the condition of a previous driveway, which is not to encroach into the Town Right-of-Way, and a line of staked hay bales and silt fencing is installed prior to construction activities and maintained throughout construction, and as depicted on the survey prepared by John T. Metzger received on January 26, 2010 and stamped approved on February 24, 2010, and plans prepared by Frank Notaro, Architect received on Januasy 26, 2010 and stamped approved on February 24, 2010. NOW, THEREFORE, the DECLARANTS do hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities the, re shall be established and subsequently maintained a 5' wide non-turf buffer along the landward side of the bulkhead, as defined by Chapter 275 of the Town Code, with the condition of a previous driveway, which is not to encroach into the Tom-Right-of-Way; and 2) These covenants shall nm with the land and shall be binding on the DECLARANTS, his heirs, assigns, purchasers, or successors in interest and may only be modified after a public heating and upofi resolution of the Trustee. IN WITNESS WI-IEREOF, the owners have duly executed this instrument this day of March, 2012. ~ Robert M. Swing STATE OF NEW YORK) COUNTY OF SUFFOLK)ss:- On the ~_ ~'r~day of March, in the year 2012, before me the undersigned, a Notary Public in and for said State, personally appeared Robert M. Swing and Stephanie Swing, personally known to me to the the individuals 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 insmament, the individual or the persons on behalf of which the individuals acted, executed the insmmaent. / Notary Pu~ Notary Pub~ ~ ol N~ ¥~1~ N~ Oll~ Qualilied in t~_~ t~l~Li~'~., Commission Expires Feb, 02/12/2004 15:23 FAX $315743345 A~SO~[Ff~ ABSTRACT ~002 Number AA8365-S Schedule A Description Revised: 0211112004 Page 1 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, at Arshamomoque, County of Suffolk and State of New York, known and designated as Lot No. 78 on a certain map entitted, "Amended Map "A" Peconic Bay Estates, situate at Arshamomoque, Town of Southold, NY, surveyed by Otto W. Van Tuyl, C.E." and filed in the Office of the Clerk of the County of Suffolk on May 19, 1933 as Map No. 1124 which lot is more pariicularly bounded and described as follows: BEGINNING at the corner formed by the intersection of the~ Northerly side of Island View Lane and the Easterly side of Bayshore Road; RUNNING THENCE along the Eastedy side of Bay Shore Road North 16 degrees 59 minutes 20 seconds West 40.64 feet to a found monument; THENCE North 83 degrees 11 minutes 08 seconds East 178.00 feet into the Long Island South: THENCE under the waters of the Long Island Sound South 11 degrees 14 minutes 25 seconds East 75.00 feet (computed) to the Northerly side of Island View Lane; THENCE along the Noffherly side of Island Vew Lane Nort~ 85 degrees 40 minutes 30 seconds West 180.00 feet to the point or placelof BEGINNING. Number of pages This document will be public record, Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument Handling 20. O0 Deed / Mortgage Tax Stamp FEES TP-584 Notation EA-52 17 (County), EA-5217 (State) R-P.T.S.A. ~ Comm. of Ed. 5. 00 Affidavit NYS Surcharge 15. 00 Sub To~ ,b. / Grand Total {(~3 i. ~ ',. 4 [ Dist. Tax Servi¢ Agency %rifieatic ! ! 1000 05300 0600 024000 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY 11901 www.suffolkcou ntyny, gov/clerk . RECORDED 20',2 Mar 30 0i:57:3~ PM JUDITH ~. PflSCq~_E ,'::L ERK OF SUFFOLK C 0Ui'4T./ L b000!2689 P 281 RecordMg / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax : Sub Total Spec dAssit. or Spec./Kdd. TOT. MTG. TAX Dual Town __ Dual County Held for Appointment Transfer Tax Mansion Tax The property covered by this mortgage is or will bc improved by a one or two family dwelling only. YES or NO If NO, see apl~..._priate tax clause on page # __ of this instxument. 5 Community Preservation Fund Consideration Amount $ CPF Tax Due $ Improved, Vacant Land 7 [ &fie Company Information Co. Name I Tifle # James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ½ constructed Project complete, compliance inspection. INSPECTED BY: ~'~ CERTIFICATE OF COMPLIANCE: James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 March 21,2012 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Frank Notaro Architecnologies P.O. Box 93 Mattituck, NY 11952 RE: ROBERT SWING 4295 BAYSHORE RD., GREENPORT SCTM#53-6-24 Dear Mr. Notaro: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., March 21, 2012: WHEREAS, Frank Notaro on behalf of ROBERT SWING applied to the Southold Town Trustees for an Amendment to Wetland Permit #6978 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated February 23, 2012, 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 Local Waterfront Revitalization Program policy standards, specifically with Policies 6 - Protect and restore the quality and function of the Town of Southold ecosystem and Policy 6.3 - Protect and restore tidal and freshwater wetlands, and, WHEREAS, the Board of Trustees has furthered Policies 6 and 6.3 of the Local Waterfront Revitalization Program to the greatest extent practical through the imposition of the following Best Management Practice requirements: installation of gutters, leaders and drywells in accordance with Chapter 236-Stormwater Management of the Town Code and removal of the portion of patio from within the 5' wide non-disturbance buffer, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, 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 requirements 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, BE IT FURTHER, RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit #6978 to include the existing on grade patio and to remove the portion within the 5' wide non-disturbance buffer, and as depicted on the survey prepared by John T. Metzger last revised February 21, 2012. This is not a determination from any other agency. Fees: None Sincerely, Jame .~Kin~, Presido~ Board of Trustees JFK:lms Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., March 14, 2012 the following recommendation was made: Moved by Jack McGreevy, seconded by William McDermott, it was RESOLVED to SUPPORT the application of ROBERT SWING to Amend Wetland Permit #6978 to include the existing on grade patio and to remove the portion within the 5' wide non-disturbance buffer. Located: 4295 Bayshore Rd., Greenport. SCTM#53-6-24 Inspected by: Jack McGreevy, William McDermott, Doug Hardy The CAC Supports the application, however questions the whether the French drain is properly located and constructed. Vote of Council: Ayes: All Motion Carried 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 To: From: Date: Re: MEMORANDUM Jim King, President Town of Southold Board of Trustees Mark Terry, Principal Planner LWRP Coordinator March 20, 2012 Proposed Wetland Permit for ROBERT SWING SCTM#1000-53-6-24 Frank Notaro on behalf of ROBERT SWING requests an Amendment to Wetland Permit #6978 to include the existing on grade patio and to remove the portion within the 5' wide non-disturbance buffer. Located: 4295 Bayshore Rd., Greenport. SCTM#53-6-24 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 INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP: Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other /ands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions The structures were constructed without a permit pursuant to Chapter 275 Wetlands and Shorelines of the Southold Town Code. It is recommended that the structures be removed. Additionally, if the action is approved and to further Policy 4.2 Protect and restore natural protective features and Policy 6; it is recommended that non-disturbance buffer is increased from 5' to 10' in width as a landscaped buffer. 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 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 M~n 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 APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT ITECNOLOGIES February 23,2012 Board of Trustees Town of Southold 53095 Main Road P.O. Box 1179 Southold, N.Y. 11971 Re~ Mr. Robert Swing 4295 Bay Shore Road Southold, N.Y 11971 S.C.T.M # 1000-053-06-024 To Whom It May Concern: After your inspection of the premises above, it was brought to my attention that your office had a number of concerns. I would like to address each one: The paver patio on grade that my Client's landscaper installed on the waterside of his house intruded into the non-disturbance buffer by approx. 2'. This area will be removed and the client is requesting a variance for the rest of the patio. The stone are typical pavers and do not have a non-porous base. The 6" pipe noted in you inspection is not a drainage pipe. It is a flood vent required by FEMA and the Building Department. The only water flowing through it will be if the tide rises to a condition where it floods the crawl space. All other site drainage is contained on the site. The rain gutter leaders run into 2 catch basins that were inspected by the Building Department prior to covering up. The French drain is not necessary since any remaining rain water is minimal and will be absorbed by the grass. Also the French drain would be placed lower than potential spring tides. We have witnessed this when excavation tbr the water line was done on the road side of the house. If you have any additional questions regarding this letter please give us a call at (631 ) 298-1129. Please send all correspondences to: Frank Notaro P.O. Box 93 · 1952 Jmnes F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Halt, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ROBERT SWING 2012 COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING , residing at/dba ~.~. being duly sworn, depose and say: Thatonthe 7.- dayof ~ ,201l, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed. March 21~ 2012. Dated: Sworn to before me this day of/C'~r~h 20 ! ~ (sign~ ~~ Ngtary Public BARBARA H. TANO¥ Notary Public, State Of NewYo~ No, 01TA6086001 Qualified In Suffolk Count~ ~ Commission Expires 01113/20 /~, PROOF OF MAILING OF NOTICE ATTACH CERTIF/ED MAIL RECEIPTS Address: , being duly sworn, deposes and says that on th~ daY of ~ ,20 t~ deponent mail~ a t~e copy of the Notice set foah in the Bo~d of Tmste~ Application, directed to each of the above n~aed perso~ at the ad&esses set opposite there respective names; t~t the ad~esses set opposite the n~es ofs~d perso~ ~e the ad&ess of said perso~ ~ sho~ on ~e c~ent ~se;sment roll of the To~ of Sou~old; ~at said Notices were mailed at the U~t~ S~tes Post O~cc at ~~ ~ ,~, , ~at said Notices were mailed to each of said persons by (ce~ifi~) (register~ai~ Sworn to before me ~is Day of / - Notary Public BARBARA H, TANDY Nota~ Public, State Of New York No, 01TA6086001 Qualified In Suffo k County,~-- Commission Expires 01/13/20 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfxont Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coagtal area {which includes all of Southold Town). 3~ 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- suooortim~ facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# I ~t::::' - ~'~' - tff~ ' PROJECT NAME The Application has been submitted to (check appropriate response): Town Board [--] Planning Board [--] Building Dept. [] Board of Trustees Category of Town of S outhold 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: Location of action: Site acreage: Present land use:__~ Present zoning classification: 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: ~~e~--~'~ _- ~ (b) Mailing address: ,'~, ,~,,~. °1~ I ~,~-[-l~--t. fl~_~/ (c) Telephone number: Area Code ( ) ~' ~' l ' ~_~- ] t ~ '~. (d) Application number, if any: Will the action be dj~ctly undertaken, require funding, or approval by a state or federal agency? Yes ~-~ No[7-1/ri ~ 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,~/f development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ~// [] Yes [-~ No [ t,,'] Not Applicable Attach additional sheets if necessary Policy 2. Protect and pres~e historic and archaeological resources of the Town of Southold. See LWRP Section III -~ Pages 3 through 6 for evaluation criteria ~ Yes [] No ~ ~'1 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 - Poli/e/'es Pages 6 through 7 for evaluation criteria ~ Yes [] No ll/] Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of/life, structures, and natural resources from flooding and erosion. See LWRP Se~on Ill ~olicie~i~ through 16 f°r evaluati°n criteria Yes No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III - PoliCies Pages 16 th~21 for evaluation eriteria [] Yes [] No I-~ Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Coastal Fish an _~ildlife Habitats and wetlands. Significantthrough 32 for evaluati~iteria. See LWRP Section III - Policies; Pages 22 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 34for e~aluation criteria. [] Yes [] No [3~Not Applicable ARach additional sheets if necessary Policy 8. Minimize env'~oonmental degradation in T. own of Southold from solid waste and hazardous substances and w~ee LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [--] Yes [-'] No [-~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for publi/g/access to, and reereati.onal use of, .co. astal waters, public lands, and public resources of the Town of/$6uthold. See LWRP SecOon III - Policies; Pages 38 through 46 for evaluation criteria. ~ V~ Ye~ No l ' I Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect South/old's water-dependent uses and promote siting of new water-dependent suitable locations. See~LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~ Yes ~ No~/~ Not Applicable uses in Attach additional sheets if necessary Policy 11. Promote sus/t~(inable use of living marine resources in Long Island Sound, the Peconic Estuary and Town watts. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ['-] Yes ~ No[~/I ~ Not Applicable ~ Attach additional sheets if necessary Policy 12. Protect agric~ural lands 62 through 65 for~ion criteria. [] Yes [] No I ~" I Not Applicable in the Town of Southold. See LWRP Section III - Policies; Pages Attach additional sheets if necessary Policy 13. Promote appr~riate use and development o.f en. ergy and mineral resources. See LWRP Section III- Policr~;~,~s 65 through 68 for evaluation criteria. ~ Yes [~ No ~ Not Applicable PREPARED rEST HOLE DATA N CONCRFTE A'£ £A/N/NG i'AALLS 'ALL CONCRETE 4,000 psi AFrER 28 DAYS M/N/MUM ALL REBAR ASTM A-61§ GRADE 60 FOOTINGS ARE TO BE INSTALLED ON UNDISTURBED ~fRGIN SOIL. THE BOTTOMS OF ALL FOOTINGS ARE 10 BE INSTALLED A MINIMUM OF .7' BELOW GRADE UNLESS OTHERI~1SE INDICA TED. ~OIL SiDE OF WALLS AND FOOTINGS ARE TO BE COATED I~TH BITUMINOUS fOUNDATION COATING. CONTROL JOINTS ARE TO BE SEALED ON THE SOIL SlOE OF THE WALL ~TH A FLEXIBLE MEMBRANE COATING OR ~'IEET PRODUCT- W.R. GRACE FOUNDATION WATER PROOFING SYSTEM. CONCRET~ RETAIHING WALL ~['~' ~E C~ACT~ IS ~ ~1~ ALL MEASUREMEN~ IN ~E RELD AND ANY ~S~ANOES ARE ~ BE ~ ~ J~2 ' PRI~ ~ CONS~UC~, NOTE: ALL SURROUNDING DWELLINGS IffTHIN. 150' HA~,'E PUS/lC WATER ! 1/2 sTORY r fR. HSE. £.FL~. EL. 10.0' 41.0' ,No~ 4000 W o: ~ o.~w ] / I om familiar w/th the STANDAPDS FOR APPROVAL n_~~ ~ -- A ND CONS TRUC T~ON OF SUBSURFA CE SE WA GE DISPOSAL SYSTEMS FOR SINGLE FAMILY RES/D£NCES ~ ~ ~ '' and wi// ab/de by the conditions set forth therein and on t. he '~ permit to construct. ~ -- The /ocaUon of wefts and cesspools shown hereon are from field Observations and or from data obtained from others. ElevoUons referenced to N.G. V.D. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A V~OLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCADON LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CER 77FICA TIONS HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SUPVEYOR WHOSE S/GNA TURE APPEARS HEREON. pATlO AREA-lO,063 SO. FT, (PU,qLIO , / S.C.D.H.S. REF tf RIO-05-OIOI SURVEY OF PROPERTY A T ARSHAMOMOOUE TOfCN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-53-06-24 JANUARY 29, 2008 MA~ I~ 2~ (LOT ~MA~) AP~L ~ ~ (LOT ~RA~) 180. 00' SEPTIC SYSTEM [1] 1,000 GAL CYLINDRICAL SEPTIC TANK SAND COLLAR POOLS: DIAME~R x 2' D~P SEPTIC SYSTEM DESIGN BY: CONDON 1755 StGSBE ~,~ MA TTI n~CK /~~. :% -, >~CON/C s~=~e:~:?, -- (631) 765-~2~~~179 7 P. 0. BOX 909 Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I t 79 Southold, NY 11971 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 Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7244 DATE: FEBRUARY 24 2010 ISSUED TO: ROBERT SWING PROPERTY ADDRESS: 4295 BAYSHORE RD. GREENPORT SCTM#53-6-24 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 Trnstees adopted at the meeting held on February 24. 2010 in consideration of application fee in the sum of $250.00 raid by Robert Swim, and subject the Terms and Conditions as stated in the Resolution. the Southold Town Board of Trustees authorizes and th~ follbw~ng: ' Wetland Permit to demolish the existing one-story (966 sq.ft.) with the existing foundation to remain; add three (3) courses of concrete block tS the existing foundation to comply to FEMA flood regulations; construct a new I M story dwelling on the existing foundation/footprint including a second loft/storage containing 580 sq.ft.+/-; construct an addition to the landward side of the existing foundation/footprint contalning 627 sq.ft.+/-; remove the existing sanitary system and replace with an updated sanitary system within the front yard, install a retaining wall surrounding the sanitary system measuring 118'+/-X1.3'+/- high, install a French drain along the southern side yard propert3 establish a 5' wide non-turf buffer along the landward side of the bulkhead, with the condition of a driveWay, Which is not to encroaCh int0~the TtWn Ri~ht-of-Way,'and a line 6f Staked hay bales and silt fencing is installed prior to construction activities and maintained throughout construction, and as on the survey prepared by John T, Metzger receivgd on January 26, 2010 and stamped, approved on February 24, 2010, and Plans prepared by Frank N0taro, Architect received'on January 26, 2010 and stamped approved on February 24, 2010. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee, Robert Swin~. residinu at 96 Gun Club Road, Northport, NY, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own' expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 mouths, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Pennittee 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 ageuts, and non,compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the w~rk herein authorized. That there shall be no interference with the fight of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trnstees, the work s.h~all cause unreasonable obstruction to free navigation, the said Permittee will be required, upon dueinotiee, to remove or alter this work project herein stated without expenses to the Town of Southold. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 February 24, 2010 BOARD OF TOWN TRUSTEES 'TOWN OF SOUTHOLD Frank Notam, Architect 13405 Main Rd. P.O. Box 93 Mattituck, NY 11952 RE: ROBERT SWING 4295 BAY SHORE RD., GREENPORT SCTM#53-6-24 Dear Mr. Notaro: The Board of Town Trustees took the following action during its regular meeting held on Wed., February 24, 2010 regarding the above matter: WHEREAS, Frank Notaro, Architect on behalf of ROBERT SWING 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 January 26, 2010, 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, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Headng was held by the Town Trustees with respect to said application on February 24, 2010, 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 the Board of Trustees APPROVES the application of ROBERT SWING to demolish the existing one-story (966 sq.ft.) with the existing foundation to remain; add three (3) courses of concrete block to the existing foundation to comply to FEMA flood regulations; construct a new 1% story dwelling on the existing foundation/footprint including a second story loft/storage containing 580 sq.ft.+/-; construct an addition to the landward side of the existing foundation/footprint containing 627 sq.ft.+/-; remove the existing sanitary system and replace with an updated sanitary system within the front yard, install a retaining wall surrounding the sanitary system measuring 118'+/-X1.3'+/- high, install a French drain along the southem side yard property boundary and establish a 5' wide non-turf buffer along the landward side of the bulkhead, with the condition of a pervious driveway, which is not to encroach into the Town Right-of-Way, and a line of staked hay bales and silt fencing is installed prior to construction activities and maintained throughout construction, and as depicted on the survey prepared by John T. Metzger received on January 26, 2010 and stamped approved on February 24, 2010, and plans prepared by Frank Notaro, Architect received on January 26, 2010 and stamped approved on February 24, 2010. 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: $.00 Very truly yours, I~.. e~y~~ Dob ~resident, Board of lrustees. JMD/Ims Chairman Laurcn Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765 - 1892 Fax (631 ) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Thurs., February 18, 2010, the following recommendation was made: Moved by Peter Young, seconded by Anne Trimble, it was RESOLVED to SUPPORT the Wetland Permit application of ROBERT SWING to demolish the existing structure and include the addition of three (3) courses of concrete block to existing foundation to conform to FEMA. Located: 4295 Bayshore Rd., Greenport. SCTM#53-6-24 Inspected by: Peter Young The CAC Supports the application with the Condition of a 12'-15' non-turf buffer along the southeast side of the property. Vote of Council: Ayes: All Motion Carried Jill M Doherty, President James F King, Vice-President Dave Bergen Bob Ghosio~ Johll Bredemeyer P.O. Box 1179 Southold, NY 11971 Telephone (63 [ ) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ROBERT SWING requests a Wetland Permit to demolish the existing structure and include the addition of three (3) courses of concrete block to existing foundation to conform to FEMA. Located: 4295 Bayshore Rd., Greenport. SCTM#53-6-24 Type of area to be impacted: __Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: __J.King __J.Doherty __J. Bredemeyer B.Ghosio, D. Dzenkowski other Form filled out in the field by D. Bergen__ Mailed/Faxed to: Date: Swing Residence S.C.T.M. # 1000-53-6-24 Swing Residence S.C.T.M. # 1000-53-6-24 Swing Residence S.C.T.M. # 1000-53-6-24 Swing Residence S.C.T.M. # 1000-53-6-24 Swing Residence S.C.T.M. # 1000-053-06-024 Swing Residence S.C.T.M. # t000-053-06-024 Swing Residence S.C.T.M. # 1000-053-06-024 SWING Property Situate: Bayshore Road; Town of Southold, NY SCTM #: 1000 - 053 - 06 - 024 SITE 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 Fe~x: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees / From: Mark Terry, Principal Planner ,t'~ LWRP CoordinatoP - Date: February 17, 2010 Re: Proposed Wetland Permit for ROBERT SWING SCTM#1000-53.-6-24 Frank Notaro on behalf of ROBERT SWING requests a Wetland Permit to demolish the existing structure and include the addition of three (3) courses of concrete block to existing foundation to conform to FEMA. Located: 4295 Bayshore Rd., Greenport. SCTM#53-6-24 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 EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "B" which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site, including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit; The proposed action is not located within the CEHA. 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 Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application --~,Vetland Permit Application __ Administrative Permit Amendment/Transfer/Extension i,~Receivved Application: ~ [,~J0 [~0 ,..4t'Cceived Fee:$~Q ~ ~' ~L~ompleted Appfication I ~0_ [ I {3 Incomplete __SEQRA Classification: Type l~Type II Unlisted Coordination:(date sent) ~-WRP Consistency Assessment Form I [~CI. II~ ~AC Referral Sent:_~ I,~1~0 __ ,.J~ffe of lnspection:~]~_~ __Receipt of CAC Report: __Lead Agency Detem~ination: Technical Review: ~4Vublic Hearing Held: ,..~_t~,~.0 __Resolution: Name of Applicant Address ~.., (..~ u ~ ~F~, ~?, Phone 1~7 t,~5 Suffolk County Tax Map Number: 1000- '~.~_ ~ fly- Zff Property Location: (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Phone: b3~,- z,q._c3 ti Z ? ~rd of Trustees Applicati GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of Property: Covenants and Restrictions: If "Yes", please provide copy. Yes ;,~ No 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? ~,~ No Yes If yes, provide explanation: Project Description (use attachments if necessary)' Applic~i proposes to demolish exisling one story dwelling (986 s.f. +/-) with the existing foundation to remain. Applicant then proposes to add 3 courses of concrete block to the existing foundation to comply to FEMA flood regulations. Applicant also proposes to construct an new 1 ~/2 sty. dwelling on the existing tbundation/footprint including a second sty. loft/storage containing 580 s.f. +/-. In addition, the applicant proposes to construct an addition to the landward side of the existing foundation/footprint containing 627 s.f. +/-, removal of the existing sanitary system and replace with an updated sanitary system within the front yard, installation of a retaining wall surrounding the sanitary system measuring 118' +/- x 1.3' high +/-, installation ora French drain along the southern side yard property boundary and establishment of a 5' wide non4urf buffer along the landward side of the bulkhead. Land Area (in square feet):.__ Area Zoning: Previous use of property: Intended use of propc-rty: GENERAL DATA Covenants and Restrictions: If"Yes", please provide copy. Yes ~ No Prior permits/approvals for site improvements: Agency Date ~,t.J._3 ........... .~l ~,et.~ i sS , 'z.o,,~l __ No prior pe~ff~appmvals for site improv~ts. Has'any permit/approval ~ver been revoked or suspended by a governmental agency? pe No Yes yes, provide explanation: ZO0~] ~!0iq.~3 S~TTgG~T£9 1'VA' ;~T:TT OTO~/9:~/TO Board o~ Trustees Applio&t. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Arcs of wetlands on lot: ?_..: ~P ~ Closest distance between near~t existing sWacture and upland edge of wetlands:., Closest distance b~vc~n nearest proposed structure and upland edge of wetlands: S-7_.. o.,~ feet Docs the projcc~/nvolve excavat/on or filling? ~ No Yes If yes, how much r~terial will bo excavated? 'g/~ ,cubic yards How much mater/al will bs fillcd? cubic ysrds Depth ofwh/ch mater/al will be removed or deposited:.___~ Proposed slope throughout the area of opcrafioas: t~/A. Msnner in which material will be removed or deposited: feet Statement of thc effect, if any, on the wetlands and tidal waters of the town that may result by roason of such proposal operations (use attachments if appropriate): CO0~ NONNY3 9~TT961TC9 1'VA CT:TT OTOI/9I/TO 617.20 PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART '1 o PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2. PROJECT NAME 3.PROJECT LOCATION: Municipality ~"~"T'ff ~ ICounty ~'~{~"'~ J~i~---~' 4. PRECISE LOCATION: S]reet Addess and Road Intersections, Prominent landmarkl~ etc -or provide map SEQR 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to demolish existing one story dwelling (986 s.f. +/-) with the existing lbundation to remain. Applicant then proposcs to add 3 courses o('concrete block to the existing foundation to comply to FEMA flood regolations. Applicant also proposes to construct an eew 1 Y~ sty. dwelling on the existing ii.mndation/t'ootprint including a second sly, loft/storage containing 580 s.f. +/-. In addition, the applicant proposes to construct an addition to the landward side of the existing foundation/footprint containiag 627 s.l~ .~/-, remnval of thc existing sanitary system and replace with an updated sanitary system within the front yard, insta[lation of a retaining wall surrouading the sanitary system ~neasuring 118~ +/- x 1.3' high +/-. installation of a French drain along the sonthem side yard property boondary aod establishtnent ora 5' wide non-turf buffer along the landward side of the bulkhead. l. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [] Yes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE I1:,1 VICINITY OF PROJECT? (Choose as many as apply.) ~]Residentia, [~]lndustrial []Commercial l~]Agriculture [] Parkl Forestl Open Space []Other(describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E~Yes 'F~]No If yes, list agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~'~Yes ~lNo If yes, list agency name and permit / approval: ~2. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: e ac Ion IS a OS a rea, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PROJECT ID NUMBER PART 1 . PROJEGT tNFORMA'[ION 1. APPLtC.,RNT I ~,CX'~ISOR 3,PROJECT LOCATION: 6t7.20 APPENDIX C STATE ENVIRONMENTAL QUAUTY REVIEW SHORT ENVIRONMEN'I'AL ASSESSMENT FORM for UNUSTED ACTIONS Only ( To be competed by ,~ )licant or Project SponsOr) SEQR 9. WHAT 18 PRESENT LAND USE IN VICINITY OF PROJECT? (~llsmanyuapply,) 10, DOES AGTiON [~h/OLVE A pERMIT APPROVAL, OR FUNDIN~I, NO~N OR ULTIMATELY FROM AN~ OTHER ~ENTAL If the aetlon Is · Co·tel Area, and you are · state agenoy, complete the Coastal Assessment Form before prooeedlng with this 900~ NO.~T_NT3 8;TT96~TC9 '~V~ tT:TT OTO~/9~/TO PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLO IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL FAF. [] Yes [] No B. VVlLL ACTION RECEIVE COORDINATED REVlEVV AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative dedarafion may be superseded by another involved agency. r~Yes []No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. E. xtsfing air quality, su[faca or groundwater quality or quanlAy, noise levels, existing traffic pattern, solid waste production of disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricufiurel, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain bdefiy: C3. Vogetetior~ or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endaogemd species? Explain briefly: C4. A community's existing plans or gcats as officially adopted, or a change in uss or intensity of uss of land or other natural resources? Explain i~tefly: C5. Growth, subsequent development, or related activifie~ likely to he induced by the pmpossd acfio~? Exl~ain bhefly: co. koog t~rm, ~ort term, ~mulsUvo, or other effects not identified In C'1-~$? Explein briefly: I C7. Other impacts Ilnctudin~l chanties in use of either quanti~ or ~e of ene~l~/? Explain bdefl~/: I,,,,°, ..... D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL E. IS THERE, OR IS THERE LIKELY TO BEt CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If)'es explain: PART III - Dc I I::RMINAT1ON OF SIGNIFICANCE (To be completed by Agency) INS3RUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otheneise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessmy, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail fo show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was che(Aed yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box If you hevo identified one or more potentially ladle or significant adverse impacts which MAY occur. Then proceed directly to the FULl. FAF and/or prepare a positive dedarafion. Ched~ this box if you have determined, based on the information and analysis above and any suppedi~g documentation, that the proposed actior ~NILL NOT result In any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporfiog lhl~ determination. Board of Trustees Name of Lead Agency Jill M. Dohert¥ Print or'l,~ype Name of Responsibl~ Officer in Lead Agency {,~hatere of Respons~le Offser iTad Agency Date President Title of Responsible Officer Signature of Preparer (If different from responsible officer) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: STATE OF NEW YORK COUNTY OF SUFFOLK _, residing at ~-4 _~'t-['. ~/to-h~-,,1~, being duly sworn, deposes and sa~s that on the j~.~'~ ~ flay of ~g.~..~-~¥ , 20 I~, 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 S outhold; that said Notices were mailed at the United States Post Office at ~[-[r~,~ v-~/ ~-~(. , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this Day of ~r24~.~ , 20 Notary Public BARBARA Hi TANDY Nota~ Publlo, State Of New ~3t~ No. 01TA608~001 C Qualified In Suffolk Coun~,, ommisslon Expires 01/18/20,,l I · Jill M. Dohc~y, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Brcdcmcyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUT}-tOLD In the Matter of the Application of ROBERT SWING COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING residing at/dba being duly sworn, depose and say: That on the ~jt day of:~F,,,l*.O~::~', 2010, ! personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public heating. Date of hearing noted thereon to be held Wed.~ February 24~ 2010 on or about 6:00 PM. Dated: .I Sworn to before me this day ofF:: g:~2050 qotary Public BARBARA H. TAND¥ Nota~"y Public, State Of No, 01TA6086001 (3ualifled In Suffolk Count~/ Commission Expires 01/13/20 July 1, 2009 I, Robert Swing residing at 96 Gun Club Road, Northport, N.Y. 11768 do herby authorize Frank Notaro (architect) and/or Eric Nielsen (agent) to apply for permit(s) from any state or local agencies in my behalf for property located at: 4295 Bay Shore Road Southold, N.Y. 11971 (owner's signature) of Trustees Applicat~on County of Suffolk State of New York ~-~-'~ ~ ~ ~1'-''~'d~'''~ BEiNG DULY SWORN DEPOSE~S AND AFFIRMS THAT HE[SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE iN THE MANNER SET FORTH iN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, 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 /Z~ignatu~e DAY OF ,20 Nota~e~p~u~ ///~ ~ ~-~'~ JOANNE M. DOUGHERTY NOt~ Public, State of New ¥o1~ No. 01 DO6204526 Qua ified in Suffolk County ~ommission Expires Apr 20,2015 APPLiCANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM eTo of S thod' e thi rohib't con itt of'neresto the o ~s ormist vid ino' atio~'ttot ewatev ra uon~ts th' ~ /'~ QX ~ ~'~ ~ -'7.._, ;7.t.ss ¥'~'~-UU are a~ng in'~e nam'e of YOUR NAME: -~(Last namc, first name, oaldme mmm, ~,,~ 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.) Building Tax grievance ~ Trustee -- Variance ~ Coastal Erosion Change of Zone ~ Mooring Approval of plat ~ Planning Exemption from plat or official map ~ Other (If "Other", name the activity.) _ . · r child have a relationship with any o.,fi,,Icor or employee ......... ~. ..... comnanv, spouse, stbhng, parent, o - ! -ce 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% oftbe shares. NO J.~ YES .... and sign where indicated. If you answered "YES", complete the balance of this form a~d date Name of person employed by the Town of Southold _ Title 0r position of that person _ Describe the relationship between yourself (the applicantlagent/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, o¢ ~hild is (check all that apply): ~A) the owner of greater than 5% oftbe shares of the corporate stock oftbe applic~.nt (when the applicant is a corporation); ~_._._.B) the legal or benefic al owner of any interest in a non-Corporate entity (when the applicant is not a coq)oration); ._~C) an officer, director, partner, or employee of the applicant; or .._D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this '~.~ day of %~200 I ca Signature ~ Print Name~~ -- ~ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalizatinn 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- supporting, facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# ~ ~ ~ - ~ PROJECT NAME The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board [-] Building Dept. ~-'] BoardofTrusteesJ~] Category of Town of Southold agency action (check appropriate response): Ca) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) Cb) Financial assistance (e.g. grant, loan, subsidy) (c) Nature and extent of action: Permit, approval, license, certification: '~ Applicant proposes to demolish existing one story dwelling (986 s. fi +/-) with the existing ~bundation to remaio. Applicant theo proposes to acid 3 courses of concrete block to the existing fimndation to comply to FEMA flood regulations. Applicant also proposes to construct an new l V2 sty. dwelling on the existing lbundation/ibotprint including a second sly. loft/storage containing 580 s.[[ W~. in addition, l}~e applicant proposes to construct an addition to the landward side of the existing foundalion/[botprint containing 627 s.[~ +/~, removal of ll~e exisling sanitary system and replace with an updated sanitary system within thc f?ont yard, installation ora rctaining wall surrounding the sanitary system measuring 11 g' 4/- x 1.3' high +/-, installation of a French drain along the southern side yard property boundary and establishment of a 5' wide aon-mrf huflbr alom~ tim i;mdwm'd side nfthe bulkhead To~n of Sonthold LWRP CONSISTENCY ASSESSMENT FO ,,RM INSTRUCTIONS All applicants for p~mlt$* inoluding Town of Southold agencies, shall complete this CCAF for proposed actions that are subjcct to tho Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplemcnt other information used by a Town of Southold agency in making a determination of consistenoy. *Exc6pt minor exempt actions including Building Permits and other minist~rial permits not located within tl~ Coaytal Erosion 2;lazard .~a. Before a~swering the questions in Scction C, the preparer of this form should review the exempt · minor action list, policies and explanations of each policy contained in thc Town of Southold Local Water~ont Revitaliza~on Pro,'am. A nw'oose~l act/on will be eW~Junh,~'l as ID ils ~o~l~ennt bcr~ficial and adverse t~t't~ tmon abe ,,~n~! grca (which i~eh,t~ all of Sou~ld Tow~t)~ If any question in Section C on this form is answered "yes" or "no", then the proposed aciion will aff~ot the addevemlat of the LWRP policy standards and conditions contnined in tl~ consistenoy ~view law. Thus. each answer mnst be ~rnhi.,~_ in detnil. !_~i.,~ both mnnorltnn and ~n ~ If an action cannot be cartifi~ as consistent with th~ LWRP policy standards nnd eondition~ iL~, A copy of The LWRP is available in h~o following places: online at the Town of Southold ' s websi~e (southoldtown.~orthfork. not). the Board of Trustees Office, thc Planning D~panment. all local libraries and the Town Clerk's office. B. DESCRIPTION OF SHE AND PROPO~_~ ACTION SCrM# i 'X, - The Application has been submitted to (check appropriate response): TownBoard [] Planning Board ~] BuildingDept, ~ BoardofTrustees [] Category of Town of $outhold agenoy action (oheck appropfiatc'response): (a) Action-,~crakea dir~-tly by Town agency (e.g. capi~ [] construction, planning activiW, agen~y regulation, land trsnsacfion) [] (b) Financial assistan~ (e.g. 8rant, loan, subsidy) (c) Namr~ a PermR, approval, licen,~, c~..nificaiion: ['00[~'-='''~ ~IOICqV3 9ITT96~Tg9 XV,,.T CT:IT OTOI/9I/TO Location of salon: ~Lq~' _/~L ~i~ acrca~c: , ~.. ~. ~ ~ Present !and use: !~9.~:~ Presant zoning classific~ion: If an applicalion for the p~posed action has been filed with the Town of Southold agmcy, the followin~ information shall be prov/d~: (a) Nameofapplican~ ~---;,,~,~T' ~,t~ .~- (c) Telephone number:. Area Codc (d) Application number, if any: Will the aclion be direly undcrtakcn, require funding, or approval by a state or fccl~a[ agmcy? Yes [] No~ Ii'ye.s, which state or federal a~'ncy?. 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 Proetiees that will further each policy. In~ompJete answers will require that the form be returned foF completion. COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances communit~ character, preserves open space, makes efficient use of infractructhFe, makes beneficial use of a coastal location, and Policy 2, Pro~ and preserve hbterie and archaeological resources of the Town of Seuthold. See LWRF Section III- Policies Pages 3 through 6 for evaluation criteria GO0~ ~O~L~IVO g~TTC6ITCg /~ CT:TI OTO~/9I/TO Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~ No [] Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LwRP Section III - Policies Pages 8 through 16 for evaluation criteria [~ Yes [] N° ~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [] Yes [~ No [~ Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not A~ll~cable 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 [X~ 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. [-~ yeJ-~ No ~] Not Applicable Attach additional sheets if necessary WORKING COAST POLICI~ Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~ Yes ~'~ No ~ Not Applicable 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. 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 ~ No/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 ,+ A P PI~O~q, ED~. BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE ,,~,,_ ~k/_/D LOT COVERAGE //~ LOT A AREA OF UPLANDS EXISTING COVERAGE. ~. 4.9' \ EXISTING DICELLING - 1060,5 sq. ff. CONCRETE WALKS & SHOWER 182 sq. fl = SH~D- 1o be removed I00 £q. fl.. = 1.5~ EXISTING COVERAGE = .~9.7% - PROmO~D COVERAGE Q1OHffIOS '~O NMOL %'? ~ ,";: I]'d,L ~O I am fomilior with the STANDARDS FOR APPROVAL AND CONS~RUClTON' OF SUBSURFACE SEWAGE ' OlSPOEAJ; SYSTEMS ~FOff SINGLE FA~41L Y RESIDENCES and will obide by tile conditions set forth therein and on the ~ \ peri'nit to construct.', The Iocot/o~ of wells, and .cssspools. shown hereon ore from Reid obsm, vationa and or from doto obtoined from others. Elevations. referenced to AREA-lO,063 ,SO. FT. '40'30 ?$LAND II£W JOINT oE'rAIL-~OLSM~ L A /V£ SEPTIC SYSTEM ,. SCDHS ReLiC RIO-05-OIOI SURVEY OF PROPERTY AT ARSHAMOMOOUE TOWN OF SOUTHOLD SUFFO~,K COUNTY, N.K 1000-53-06-24 SCALE: 1'=20' JANUARY 29. 2008 SEPTIC SYSTEM DESIGN BY CORDON ENGINEERING, P.C. I7~5 SIGSBEES ROAD N.Y. 11~5~ SOUIHOLD, N. K ~S. LIC NO. 49618 P.C. AX (631) Z65-1797 Jag~lo II 14' CRAWL SPACE PROPOSED FOUNDATION PLAN oFFIcE SET I LOFT/STOR. PROPOSED SECOND FLOOR LOFT PLAN KITCHEN SUNROOM GREAT RM PORCH PROPOSED FIRST FLOOR PLAN BATH/MUD RM, M. BATH M. BEDROOM EAST ELEVATION WEST ELEVATION (EXISTING WINDOWS) OFFICE SET 9.1o.o8 L.U TEST HOLE DATA RETAINING WALL SECiTOI, (N. r.s.) CONTROL JOINT DETAIL-POURED CONCRETE RETAINING WALL NOTE: ALL SURROUNDING DWELL NOS ~WTH/NG 150' HAVE PUBLIC WATER coNCRETE FoUNDA~ON NS$'40'JO~W ~ou.~ S.C.D.H.S. REF // R10-05-0101 SURVEY OF PROPERTY AT ARSHAMOMOQUE TO'tN OF SOUTHOLD SUFFOLK COUNTY, N.K 1000-55-06--24 SCALE: 1'=20' JANUARY 29, 2008 FEBRUARY 14, 2008 (ADD/EONS) MARCH 6, 2008 (REWSIONS) MARCH 18, 2008 (LOT COVERAGE) APRIL 8, 2008 (LOT COVERAGE) JANUARY 12, 2010 (FOUNDATION LOCATION) I om fomilior with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ond will abide by the conditions set forth therein and on permit to construct. The Iocotion of wells and cesspools shown hereon are from field obeervcltions and or from data obtained from Elevot/one referenced to N.G. ~<D. ANY ALTERATION OR ADDITION TO TI-IlS SUR~EY IS A !40LATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LA~ EXCEPT AS PER SECTION 7209-SUBDI~'ISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATHRE APPEARS HEREON. AREA=10,063 SO. FT. others. GRAD/NC PLAN SEPTIC SYSTEM ~' ~o~,~ [I] 1,000 GAL CYLINDRICAL SEPTIC TANK PIPE [5] LEACHING POOLS 8' x 2' DEPTH WITH .?tm ~ ~,, J' SAND COLLAR (SW) [5] 8' DIAME~R x 2' DEEP SEP~C SYSTEM DESIGN BK' CONDON EN 1755 ¢9618 (~I) P.O. BOX 909 12J0 TPA VELER STREET SOU THOLD,