The URL can be used to link to this page

Home My WebLink AboutTR-7311 Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0667C Date July 8, 2011 THIS CERTIFIES that the demolition and construction of a new single-family dwelling, sanitary system, attached garage, gutters, leaders and drywells At 2870 Peconic Bay Blvd., Laurel Suffolk County Tax Map #128-6-11 Conforms to the application for a Trustees Permit heretofore ~ed in this office Dated 4/14/10 .pursuant to which Trustees Wetland Permit #7311 dated 5/19/10 was issued and conforms to all of the requirements and Conditions of the applicable provisions of law. The project for which this certificate is being issued is for The demolition and construction of a new singJe-familv dwelling, sanitary system, attached ~ara~e, ~utters, leaders and drgwells. The certificate is issued to ROBERT & SUSAN GATEHOUSE owners of the_aforesaid property. Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer 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 DATE OF INSPECTION: "' Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ¼ constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: 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 179 $outhold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOV~I 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 ½ constructed V/Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7311 DATE: MAY 19~ 2010 1SSUED TO: ROBERT & SUSAN GATEHOUSE PROPERTY ADDRESS: 2870 PECONIC BAY BLVD., LAUREL SCTM#128-6-11 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on Mav 19. 2010 in consideration of application fee in the sum of $250.09 paid by Robert & Susan Gatehouse and subject to the Terms and Conditions as'~ and permits the following: Wetland Permit to demolish the existing dwelling and abandon the existing sanitary system and construct a new two-story dwelling with new sanitary system and new attached garage, with the condition gutters and drywells are with Chapter 236-Stormwater Management of the Town Code, and a line of staked hay bales and silt fencing is installed prior to demolition and construction activities and maintained until completion of the project, and all as depicted on the site plan prepared by Samuels & Steelman Architects dated April 13, 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 ~aid Board as of this date. TERMS AND CONDITIONS The Permittee, Robert & Su~an Gatehouse, residing at 3 Redorange Rd., Middletown, CT 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 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 oftha Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and 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 unreasonable interference with navigation as a result oi~ 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 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 May 19, 2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Thomas Samuels Samuels & Steelman Amhitects 25235 Main Rd. Cutchogue, NY 11935 RE: ROBERT & SUSAN GATEHOUSE 2870 PECONIC BAY BLVD., LAUREL SCTM#128-6-11 Dear Mr. Samuels: The Board of Town Trustees took the following action during its regular meeting held on Wed., May 19, 2010 regarding the above matter: WHEREAS, Samuels & Steelman Architects on behalf of ROBERT & SUSAN GATEHOUSE applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance, application dated April 14, 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, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 19, 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, 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, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Waterfront Revitalization Program, and, BE IT FUTHER RESOLVED, that the Board of Trustees APPROVES the application of ROBERT & SUSAN GATEHOUSE to demolish the existing dwelling and abandon the existing sanitary system and construct a new two-story dwelling with new sanitary system and new attached garage, with the condition gutters and drywells are installed in accordance with Chapter 236-Stormwater Management of the Town Code, and a line of staked hay bales and silt fencing is installed prior to demolition and construction activities and maintained until completion of the project, and all as depicted on the site plan prepared by Samuels & Steelman Architects dated April 13, 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:S100.00 Very truly yours, Jill I~. Doherty, Presiddht Board of Trustees JMD/Ims Jill M. Doherty, President James F. King, Vice-President Dave Bergen Rob 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. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Storm Water Runoff Trustee Matters Spring/Summer 2010 With the recent heavy rainfalls, we are reminded once again of the problems Southold Town has with storm water runoff. With over 100 road ends terminating at creeks, bays, inlets, or Long Island Sound, as well as all of the lawns and homes lining our miles of shoreline, 100's of thousands of gallons of storm water runoff enters our wetlands every year. Carrying sediment that prevents sunlight from reaching aquatic plants, nutrients fi.om animal waste and lawn fertilizers that promote algae blooms detrimental to shellfish, and bacteria and other biologicals that in high doses can be harmful to swimmers, storm water runoff is one of the Trustees main public safety concerns. So important, in fact, that Southold has a Storm Water Management Code. Southold Town's Chapter 236 provides an outline for how people need to deal with storm water runoff fi.om their properties. For example, new construction or renovation is required to contain any potential runoffto the wetlands from the construction by installing hay bales and silt fencing. This acts as a barrier and keeps our wetlands clean. Another example in Chapter 236 is that every building must have provisions to collect and disperse, ON-SITE, at least a 2 inch rainfall. This is usually handled by installing gutters, leaders and dryweils to the home. The Trustees also have a standing policy of requiring pervious non-turf buffers along bulkheads and at tops of bluffs that help keep mn off from entering the wetlands and prevents erosion to bluffs. These are important measures to keep our wetlands safe and dean! Before deciding to renovate or build, the Town Trustees urge you to check our website and the other department's websites to make sure what you are planning to do meet the Town's Codes. These codes have been developed for the good of all citizens. And the wildlife all around us too! 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 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated r.}l/It///'O has been reviewed by this Board at the regular meeting of '.D--.].Ie) Jl t~ and your application has been approved pending the completion of the following items checked off beloW. __ Revised Plans for proposed project c/Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of Construction ($50.00) Constructed ($50.00) ,,/'~inal Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ IF)O, BY: Jill M. Doherty, President Board of Trustees Peter Young, Chairperson Lauren Standish~ Sccretary 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., May 12, 2010, the following recommendation was made: Moved by Doug Hardy, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of ROBERT & SUSAN GATEHOUSE to demolish the existing dwelling and abandon the existing sanitary system and construct a new two-story dwelling with new sanitary system and new attached garage. Located: 2870 Peconic Bay Blvd., Laurel. SCTM#128-6-11 Inspected by: Doug Hardy, Jack McGreevy The CAC Supports the application with the Condition lateral access stairs are constructed over the jetty, every effort is made to save trees, and a 10' non-turf buffer is installed landward of the upper bulkhead. Vote of Council: Ayes: All Motion Carried Jill M. Dohe~xy, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. P.O Boxl179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 [ ) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: ROBERT & SUSAN GATEHOUSE to demolish the existing dwelling and abandon the existing sanitary system and construct a new two-story dwelling with new sanitary system and new attached garage. Located: 2870 Peconic Bay Blvd., Laurel. SCTM#128-6-11 ~wf area to be impacted: ater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: JL'C~apt.275 __Chapt. 111 other Type of Application: /~Wetland __Coastal Erosion ~Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: ~J.King V~J.Doherty ~J. Bredemeyer L~D. Bergen~/~'''''~ B.Ghosio, __ D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: Gatehouse Residence, 2870 Peconic Bay Blvd 2/9/10, 12:00 pm, #1 View East Gatehouse Residence, 2870 Peconic Bay Blvd 2/9/10, 12:00 pm, #2 View East Gatehouse Residence, 2870 Peconic Bay Blvd 2/9/10, 12:00 pm, #3 View West Gatehouse Residence, 2870 Peconic Bay Blvd 2/9/10, 12:00 pm, ~ View West Gatehouse Residence, 2870 Peconic Bay Blvd 2/9/10, 12:00 pm, #5 View North Gatehouse Residence, 2870 Peconic Bay Blvd 219110, 12:00 pm, #6 View South 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: Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: May 14, 2010 Re: Proposed Wetland Permit for ROBERT & SUSAN GATEHOUSE SCTM#1000-128-6-11 Samuels & Steelman Architects on behalf of ROBERT & SUSAN GATEHOUSE request a Wetland Permit to demolish the existing dwelling and abandon the existing sanitary system and construct a new two-story dwelling with new sanitary system and new attached garage. Located: 2870 Peconic Bay Blvd., Laurel. SCTM#128-6-11 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 Policy Standards and therefore is CONSISTENT with the LWRP. 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 Office Use Only ~eastal Erosion Permit Application tland Permit Application Administrauve Pemfit ~,~e~eeC Amendment/Transfer/Extension e~vcd Application:~ ceived Fee:$ c~q~'~ -- ~mpleted AppliCation q{..I X4~.['30 __Incomplete __SEQRA Classification: Type I Type 1! Unlisted__ Coordination:(date sent). a/TWRP Consistency Assessment Form ~410.C~ [~D ~-CAC Referral Sent: q ~fl_O~{) ' ' ~Date of Inspection:~.~_ Receipt of CAC Report: Lead Agency Determination: Technical Review: ~Public Hearing He~f ~ Resolution: Name of Applicant Robert and Susan Gatehouse Address 3 Redorange Rd. Middletown, CT 06457phoneNumber:( ) 860-685-0746 Suffolk County Tax Map Number: 1000 - 128 - 6 - 11 Property Location: 2870 Peconic Bay Blvd. Laurel, NY NYT #76 (provide LILCO Pole #, distance to cross streets, and location) AGENT: Tom Samuels- Samuels and Steelman Architects (If applicable) Address: 25235 Main Rd. Cutchogue, NY 11935 Phone: 734-6405 )ard of Trustees ApplicatiO Land Area (in square feet):. Area Zoning: R- 4 0 GENERAL DATA 58,895 Previous use of property: Res idential Intended use of property:. Residential Covenants and Restrictions: Yes x No If "Yes", please provide copy. Prior pemlits/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: Project Description (use attachments if necessary): Demolition of existing residence and abandonment of existing sanitary system, construction of new two story residence with new sanitary system and new attached garage. of Trustees Applicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To construct a new year round residence in accordance with modern codes and regulations. Area of wetlands on lot: 0 .square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: 32 ' - 3" feet Closest distance between nearest proposed structure and upland edge of wetlands: 77 ' - 6" feet Does the project involve excavation or filling? No x Yes If yes, how much material will be excavated? 600 cubic yards How much material will be filled? 300 cubic yards Depth of which material will be removed or deposited: ? Proposed slope throughout the area of operations: 0% Manner in which material will be removed or deposited: Backhoe/bulldozer feet 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): None PART t - PROJECT INFORMATION 1. APPLIGANT ! SPONSOR Thomas Samuels Suffolk M??,tcipmlb, Laure 1 ,., Cotmty 2870 Peconic Bay Blvd. Laurel, NY $.'$ P"OF~3$£D ACTION [] New OE.~an~on ONNxl*ca~xxq/al~en~tion 617.20 APPENDIX C STAI'~ ENVIRONMENTAL QUALITY F~VlEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only' ( To be cc~nple{ed by A ~icant or Pr~ect . PROJECT NAME Gatehouse Residence eEQR 6, DESCRIBE PROJECT BRI~FLY: Demolition of existing residence and abandonment of existing sanitary system, construction of new two story residence with new sanitary system and new attached garage. 7. AMOUNT OF LAND AFFECTED: !nl~la~ 0.4 ac,ma U~mat~y 0. 2 7 8. V~LL PROPOSED ACTION COMPLY tMTH EXISTING ZONING OR OTHER RESTRICTIONS? g, WHAT tS PRESET LAND U~E ]N VICINITY OF PR(LJ~CT? (Chooseasmanyaeaplaly) ::::]Other (rte~,cxihe) 10 0DES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW DR ULTIMATELY FROM ANY OTHF-.R GOVERNMENTAL AGENCY ~eral. S~e0~ Lo~) NYS DEC, SCHD, Town Buildin9 dept [~]Y~ r-1~ ir yes. Iisi agency name end pan'nil ! app~oval: --']Yes r~~O if yes. list agency ~ame and perm~ / approval: l~S A RE~[~LT OF PROPOSED ACTION WILL EXISTING PERMITY APPROVAL REQ~JtRE MODIFICATION? CERTIFY THAT THE INFORMATION PROViOj~ A~OVE IS '~UE TO THE ;lEST OF MY KNOWLEDGE If the action I$ a Cos~l ~, and you i~ a Ita~ agency, comp~ the Coas~l Assessment Fo~ ~e~re ~dlng wl~ ~ls assesement PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR. PART 617A? If )~, ceo~dlnate the renew process and use the FUlL EAF. B. ~ ACl~ON RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH 114E FOM.OWING: (Answem nmy be handwdflen, if ~) INo C6. Long term, shQrt term, cumulative, or other effects not Idenflf~:l in 01-C57 Explain briefly: I, o F- IS THERE, OR IS I~ERE UKELy TO BEI CONTROVERSy RELATED TO'pOTENTIA/. ADVERSE ENVIROf; f.',~%'TAL IMPACTS? If )~s ~;a;i~. P.~M~I' I# - ~= I r.~r,~tIH~ ! IUN OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS; Foreachadeerseeffeofiden~ndabeve~detsrminev/ne~beritbsubstenIf~orge~pa~~n~ Each ~ sbeuk[ be assem~d in connection with ~ (a) setting (I.e. urban or lural); (b) probability of occunlng; (c) dumtlen; (d) Irreverslb~, (e) geographic scope; and (t) magnitude. If necessary, add attachments or reference supporling mateltals. Ensure that exidarlationa centsin · ufficient detail to show Ifmt aH relevant adveme impacts have been k:kmlitind and adequately addrasend. If ques~on d of pair ii was checked yes, the,deterrfdnath:m of Ngnifl(~ance must evaluats the potential impact of the proposed acllon (Xl the envlromllental characteftsfics oftbe CEA Chec~ this box If you have detmmlned, based on the kffmmation and analysis above and any suppmtl~ d~tlon, Ihat the proposed actim Board of Trustees Name of Lead Agency Jill M. Doherty Prt~ er Type Name of Re..spo~s. ib~e Officer in Lead Agency President Title of Respons~)le Officer Slgna[ure of Prepare~ (If dlffem~ from responsible officer) 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ROBERT &SUSAN GATEHOUSE COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, -~~ ,residing at/dba ~b2~ t~/~/~ ~/-/ being duly sworn, depose and say: / f ,/1,t,, ,, That on th~'2~ day of / V(?/~ ,, ,2010, 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 bearing. Date of hearing noted thereon to be held Wed.~ May 19~ 2010 on or about 6:00 PM. Dated: Swom to before me this day of~d~//~ 20~'/c3 I'~otary Public PROOF OF MAILING OF NOTICE ATTACH' CERTIFIED MAIL RECEIPTS COUNTY OF SUFFOLK set forth, in the Board of Trustees , residing at g¥0 ~ ~ , being duly sworn, deposes an~d says that on the ,20 / O, deponent mailed a true copy of the Notice 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 p~rsons are the address of said persons as shown on the current assessment roll of the Town o~'S,outhold; that said Notices were mailed at the United States Post Office at ("J~Jg~ ~L~ , that said Notices were mailed to each of said persons by (certified) (registered)Cfiaail- ~ Sworn to before me this / ~ fA Day of l~ c~ ,20 /~ Notary Public v ~j JOANNE M. DOUGHERTY Notar~ Public, State of New Yefl~ No, 01DO6204526 Qualified In Suffolk County ~mmi~ion Expir~ April ~0, ~01~ Board of Trustees App County of Suffolk State of New York ~'~)}Ma.~ '-~ak14/t~~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, 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 7L/ DAY OF fi/~tr3'{ ,20~9 Notary Public Nct:r7 Public, State of New York No. 01 R!6042467 Qualified in Suffolk County Co.nmisslon Expires May 30, ~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Towa of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is rtecessarv to avoid same. (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company, lfso, indicate the other person's or company's nmne.) 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 rnap Pla~ming Other (If"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or bushless interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial oumership 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 fom~ and date and sign ~vhere indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agenffrepresentative) 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 9/o 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, panner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELA'FIONSItlP Form TS 1 Submitted this 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 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). lfany question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 128 6 11 The Application has been submitted to (check appropriate response): TownBoard [] Planning Dept. [] Building Dept. ~ BoardofTrustees [] Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Demolition of existinq residence and abandonment of existing sanitary system, construction of new two story residence with new sanitary system & new attached qaraqe Locationofaction: 2870 Peconic Bay Blvd Laurel, NY 11948 Site acreage: 1. 352 AC Present land use: Single Family Residence Present zoning classification: R- 40 If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Robert and Susan Gatehouse (b) Mailing address: 3 Redoranqe Rd. Middletown, CT 06457 860-685-0746 (c) Telephone number: Area Code ( ) (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?. NYS DEC 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 Demolishzng an existing, non-conforming structure and replacing it with a new structure, and sanitary system will improve the environmental situation on site and the beach. Attach additional sheets it' necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section Ill - Policies Pages 3 through 6 for evaluation criteria [] Yes {-~ No [] Not Applicable There are no historic or archeological structures on property. Altach additional sheets if necessary Policy 3. Enhmice 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 The new structure is in keeping with the style of all neiqhborinq structures. 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 All rainwater runoff is and will be retained on site with the use of underground drywells. Durinq construction hay bales will be placed between the construction and the shore, to keep runoff spoils on the site. 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 [ ~NotApplicable Ail rainwater runoff is and will be retained within the upland, by use of underqround drywells. The sanitary system for the residence meets current SCHD standards for sanitary waste water. Atlach 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 tbrough 32 for evaluation criteria. [] Yes [-~ No [--~ Not Applicable NO development will take place in the "protected" or "natural indiginous environment". 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 The development will not add pollutants into the air. All construction vehicles meet the Federal standards for air pollution discharge. The mechanical systems of the residence meet the federal standards for air pollution discharqe. 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 II1 - Policies; Pages 34 through 38 for evaluation criteria. Yes [] No [] Not Applicable The construction and use of the residence will make use of the town's disposal and recycling center. All waste water "sanitary" will be discharged into an approved SCDHS sanitary system. 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 No public land involved. Littoral access unimpeded. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. [] Yes [] No [] Not Applicable There are no public or commercial activities or uses on site. Historically this property and neiqhborinq properties are residential in use and will Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes [] No [] Not Applicable This project will protect and preserve the living marine resources by maintaining all rainwater discharge and sanitary flow from the residence on site by approved SCDHS sanitary system and drywells for rainwater runoff. AUach 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 [~ Not Applicable There are no agricultural lands on site. 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 The construction will be using equipment approved by the Federal government for energy usage. The residence will meet Federal standards for conserving enerqy "enerqy Star Proqram" and will use "NY State Enerqy Conservation and Created on 5/25/05 11.'20 AM DATE S A M U E L S & S T E E L M A N April 14, 2010 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 RE: GATEHOUSE RESIDENCE 2870 Peconic Bay Bird Laurel, NY TAX MAP # 1000-128-6-11 Dear Sir/Madam: We are requesting a WETLANDS PERMIT for the above reference project, for the demolition of existing residence and septic system and the construction of a new residence with attached garage and sanitary and associated improvements. For your review we are submitting the following documents: 2. 3. 4. 5. 6. 7. 8. 9. Application Short Environmental Assessment Form Application Affidavit LWRP Consistency Assessment Form (3) SITE, PLANS prepared by Samuels & Steelman Architects Stamped current Survey Letter of authorization from Owner Check for $250.00 Six photographs of existing site conditions Please call us with any questions or concerns. Sincerely, SAMUELS & STEELMAN ARCHITECTS Thomas C. Samuels, Architect enc, ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK f1935 (631) 734-6405 FAX (631) 734-6407 SITE DATA 1000-1284)6-t t 2870 PECONIC BAY BLVD. LAUREL, NY SUSAN & ROBERT GATEHOUSE 3 REDORANGE RD. MIDDLETOWN, CT 06457 SITE: 58,895 sf = t.352 ac ZONING: R-40 SURVEYOR: NATHAN TAFT CORWlN III PO BOX 16 JAMESPORT, NY 11947 LICENSE # 50467 DATED 11/23109 NOTES: t. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM SCTM # PROPERTY: ADDRESS OWNER: LOCATION MAP jFOf~ A 4 BEdrOOM ~I~ENCE }[OOO ~FUTU~E :OCATION FO~ (I)~' ~IA x ~ HIgH N/O/~ J~E C. STARK el. ~I~ENCE I S 35'16'56' W ' ~. ' ~ ~-/~- I '-:.:.:,:.:~:4~.:.:.: ~ % ,'NE~ ....... ;~ ~::::"::':: 14.3 4~ ~EXtSTIN~ ¢~,AVEL I:~'~ V~A pOLE EXIST11 ®AP..A~E TO BI= ~DEMOLISHED DOMINIC J'. NARDI &: FRANCES J'. NARDI NEI~HBO~IN® 5TEPPIN~ STONE SITE PLAN SCALE: 1" = 20'-0" N/O/F MICHAEL MASTROPOLO ~c lEAN MASTROPOLO EXISTIN® WOOD JtETT'f APPROVED [ BOARD OF TRUST[. TOWN OF $OUTHO 'IN® DLJLff-.H/~AI3 REGULATORY APPROVALS 0912 DRAWN BY: UT CHECKED BY; TS DATE: 4113110 SCALE: 1" = 20'-0" HEET TITLE: SITE PLAN SHEET NO.: 1 SURVEY TOWN SUFFOLK S.C. TAX OF PROPERTY SITUA T£ LAUREL OF SOUTHOLD COUNTY, NEW YORK No. 1000-128-06-11 SCALE 1"=30' NOVEMBER 25, 2009 AREA = 58,895 sq. ft. TO TIE LINE 1.352 ~ BULKHEAD CERTIFIED TO: SUSAN S. GATEHOUSE ROBERT GATEHOUSE APtl I 4 2010 ,¢ ? NO TES, 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. ~988 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:SO ARE SHOWN THUS: ...... EXISTING CONTOUR LINES FIRST FLOOR TB TOP OF BULKHEAD 2. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36103C0483 H ZONE VE' COASTAL FLOOD ZONE WITH VELOCITY HAZARD (WAVE ACTION), BASE FLOOD ELEVATIONS DETERMINED ZONE X. AREAS DETERMINED TO BE OUTSIDE THE 0~2% ANNUAL CHANCE FLOODPLAIN, No. 50467 Nathan Taft Corwin III Land Surveyor PHONE (631)727-2090 Fox (631)727-1727 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF I~IE NEW YORK STATE EDUCATION LAW. S 06°36'57" W 26.9 20"52'37" 49.47' 72'31 '58" 13.57'~ 20.9