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Home My WebLink AboutTR-7280 Michael J.Domino,President QF S0 Town Hall Annex 54375 Route John M. Bredemeyer III,Vice-President � y�l � O P.O. Box 11799 Glenn Goldsmith Jxt Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 Io4UNT`I,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #-1575C Date: MU 29, 2019 THIS CERTIFIES that the replacement of the existing deteriorated and collapsing foundation and the installation of two (2) 8'x2' deep drywells with the condition that the existing_structure is not to be demolished and if there is a reason for the structure to have to be demolished new permits must be applied for prior to demolition; At Main Road& Sage Road, Southold , Suffolk County Tax Map #1000-53-5-12.6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated March 30, 2010 pursuant to which Trustees Wetland Permit#7280 Dated April 21, 2010,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 replacement of the existing deteriorated and collapsing_foundation and the installation of two (2) 8'x2' deep drMells, with the condition that the existing structure is not to be demolished and if there is a reason for the structure to have to be demolished new-permits must be applied for prior to demolition. The certificate is issued to Hernan Michael Otano owner of the aforesaid property. 0 l Authorized gignature 5 Michael J.Domino,President ��0f SU(/r�o Town Hall Annex John M. Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas KrupskiG Q � O Telephone(631) 765-1892 Greg Williams O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD - J l DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: �. �d d jeyo el ev'- COMMENTS: f _ to 0 ale//V,- Ci twc CERTIFICATE OF COMPLIANCE: Jill M.Doherty,President �QF so�jy Town Hall Annex James F.King,Vice-President ,`O l0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 Bob Ghosio,Jr. G John Bredemeyer �� Telephone(631) 765-x.892 ��',COU ,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE INSPECTION: Z R l Q Ch. 275 Ch. 111 INSPECTION SCHEDULE ZPre-construction, hay bale line/silt boom/silt curtain 1 st day of construction Y2 constructed Project complete, compliance inspection. INSPECTED BY: � COMMENTS: C21R /A(0 Wks ,41,' CERTIFICATE OF COMPLIANCE: o Jill M. Doherty, President James F. King, Vice-President Dave: Bergen Bob Ghosio, Jr. John Bre~demcyer Town Hall, 53095 Main Rd. P.O. Box I 179 $outhold, NY 11971 Telephone (631) 765-1892 Fax (63 I) 76546641 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 ~ constructed V/ Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT ~O. 7280 DATE: APRIL 21, 2010 ISSUED TO: HERNAN MICHAEL OTANO PROPERTY ADDRESS: MAIN ROAD & SAGE ROAD~SOUTHOLD SCTM# 53-5-12.3 & 12.4 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 1 ! 1 of the TOwn Code of the Town of Southold and in accordance with the Resolution of the Board 0f Trustees adopted at the meeting held on April 21, 2010, and in consideration of application fee in the sum of $250.00 paid by Hernan Michael Otano and subject to the Terms and Conditions as stat~ in the p, es61Ufion the SoUthOld TOwn Board of Trustees authorizes and permits the following: Wetland Permit to replace the existing deteriorated ~nd collapsing foundation and the'installation of two (2) 8'x2' deeP drywells, with the Condition that the existing structure is not to be demolished and if there is a reason for the structure to have to be demolished, new permits must be applied for prior to demolition, and as depicted on the site plan prepared by Condon Engineering, P.C., last dated April 22, 2010, and stamped approved on May 3, 2010. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and thbse presents to be subscribed by a majority of the said Boardas of this date. TERMS A~D CONDITIONS The Permittee Heman Michael Otano, r~siding at Main Road & Sage Road, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released fxom 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 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 of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion 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 HallAnnex 54375MainRoad P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 April 21,2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. John J. Condon, P.E. Condon Engineedng, P.C. 1755 Sigsbee Road Mattituck, NY 11952 RE: HERNAN MICHAEL OTANO MAIN ROAD & SAGE ROAD, SOUTHOLD SCTM# 53-5-12.3 & 12.4 Dear Mr. Condon: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 21,2010 regarding the above matter: WHEREAS, Condon Engineering, P.C. on behalf of HERNAN MICHAEL OTANO 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 March 30, 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 Apdl 21, 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, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of HERNAN MICHAEL OTANO to replace the existing deteriorated and collapsing foundation and the installation of two (2) 8'x2' deep drywells, with the condition that the existing structure is not to be demolished and if there is a reason for the structure to have to be demolished, new permits must be applied for prior to demolition, and as depicted on the site plan prepared by Condon Engineering, P.C., last dated April 22, 2010, and stamped approved on May 3, 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:$100.O0 Very truly yours, President, Board of Trustees JMD/eac Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghnsio, Jr. John Bredameyer 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 O/'P~,a f-c~ ,2xO, r>OOIDhas been reviewed by this Board at the regular meeting df [-J~F,') c2.~. ,-~OIrD and your application has been approved pending the completion of'the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1at Day of Construction ($50.00) __ ¼ Constructed ($50.00) V/FinallnspectionFee($50.O0)~C),~oO~)I0 __ 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: BY: Jill M. Doherty, President Board of Trustees 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., April 14, 2010, the following recommendation was made: HERNAN MICHAEL OTANO to replace the existing deteriorated and collapsing foundation and installation of six (6) 8'X 2' deep drywells. Located: Main Rd. & Sage Rd., Southoid. SCTM#53-5-12.3&12.4 The CAC did not make an inspection, therefore no recommendation was made. Jill M. Doheny. President James F. King, Vice-President P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: /'] ' ILl" )0 HERNAN MICHAEL OTANO requests a Wetland Permit to replace the existing deteriorated and collapsing foundation and installation of six (6) 8'X 2' deep drywells. Located: Main Rd. & Sage Rd., Southold. SCTM#53-5- 12.3&12.4 Typ/e of area to be impacted: ,,Saltwater Wetland Freshwater Wetland Sound p- Bay Distance of proposed work to edge of wetland P~cOf Town Code proposed work falls under: hapt.275 Chapt. 111 other Type of Application: V/Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Conditions: Present Were:,~/'J.King /'J.Doherty /J. Bredemeyer /D. Bergen__/ B.Ghosio, D. Dzenkowski ---other Form filled out in the field/Dy _/ Mailed/Faxed to: Date: \ I / I Condon Engineering, P.C. New York Stat~ Licensed Professional Engineem 1755 Sigsbee Road Mattituck, New York 11952 631-298-1986 Fax 631-298-265t condonengineeHng.com April 22, 2010 Ms. Elizebeth Cantrel, Clerk Board of Trustees Town Hall Annex Building 54375 Route 25 Southold, New York 11971 Ms. Cantrel: Attached please find three revised copies of the plans for the work relative to a foundation replacement for the Otano cottage on the Breezy Shores property. The changes made include recalculation of the drainage structure requirements and the number of drainage structures pursuant to last nights meeting If you have any questions please call me at 298-1986. Yours truly, 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/2%/ From: Mark Terry, Principal Planner LWRP Coordinator Date: April 16, 2010 Re: Proposed Wetland Permit for HERNAN MICHAEL OTANO SCTM#1000-53-5-12.3&12.4 Condon Engineering, P.C. on behalf of HERNAN MICHAEL OTANO requests a Wetland Permit to replace the existing deteriorated and collapsing foundation and installation of six (6) 8'X 2' deep drywells. Located: Main Rd. & Sage Rd., Southold. SCTM#53-5-12.3&12.4 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the below Policy Standards and therefore is CONSISTENT with the LWRP. 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 ~weaStal Erosion Permit Application tland Permit Application Adminislrative Permit Amendmenffl'rans[e~r~}~tension eceived Application: eceived Fee:$ e~<~"O ~ ./~Completed Application ..T)i Incomplete SEQRA Classification: Type 1 Type Il Unlisted__ Coordination:(date sent) ~-~2WRP Consistency Assessment Form -."C-AC Referral Sent: I~ ~.~l~ate of Inspection: q~ ~Receipt of CAC Report: __Lead Agency Determination: Techn ca Review: ~..P-ablic Hearing Held: Resolution: Name of Applicant .~f_~'/'d.O~O Suffolk County Tax Map Number: lO00- Prope~y Location: (provide LILCO ~le ~, distance to cross streets, and location) AGENT: ~aO (lf applicable) Address: Phone: of Trustees ApplicatioJ Land Area (in square feet): Area Zoning: GENERAL DATA Previous use of property: Intended use of property: Covenants and Restrictions: Yes No If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date ~' No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ~ No__ Yes If yes, provide explanation: Project Description (use attachments if necessary): B~d of Trustees Application0 COASTAL EROSION APPLICATION DATA Purposes of proposed activity: i~p/_,.,A~tl/l~',g.~ 01:' Are wetlands present~,~hin 100 feet of the proposed activity? No ~t Yes Does the project invol~,~6xcavation or filling? No ~e/ Yes If Yes, how much material will be excavated? ~.~(cubic yards) How much material will be filled? _'~,~_N--' ~ (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) Bid of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposeoftheproposedoperations: To ~"pz.A~ Area of wetlands on lot: //o ~'~-'~/~.~aa~-f~ Pement coverage of lot: _/.~0 C:) % Closest distance between nearest existing structure and upland edge of wetlands: .~._~,~' feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No / Yes If yes, how much material will be excavated? ~2]~ubic yards How much material will be filled? ~,~, cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: (~ Manner in which material will be removed or deposited: 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): Apr 05 10 05:07p J3hn Condon 631-298-2651 p,2 ]~REEZY SHOR~S COMMUNITY, INC. SAGE BOULEVARD GREENPORT~ NEW YORK AprilS, 201{) To Whom It May Concert, The Board of Ditn:raom of Bn~zy Shor~ Community, Inc. favorably supports tho f~m~oa stabilization and reamvaticm of C. oltage//5 to be undetnakefl by share, holder Hemm~ Otto. Mr. Otano has retained it~¢ services of John Condon of Condon Engineetin~ Matlituck, N~v Yo~k to aid in all aspe~ of this pro'jest with the exception of house raising, which will be performed by Dawn House Movers of Yap~n~ New York, The l]oard gratefully acknowledges the continued support of the Trustees and Town of Southold as we strive to maintain our property within this. woad~-q~l community. $int~ly, Presldeat, B~'d of Dire~ors 4/5/2010 Apr 05 10 05:07p John Condon 631-298-2651 p.1 Condon Engineering, P.C. New York State Licensed Prc~msto.~ Engineer t7~ SigsI~e Road Maiii;-,ck, Nsw York 11952 Fax Cover Sheet John 3. Condo~, P.E. TIM~_: PHONE: PHONE: Numb~'o~l~a~ includi~3 coversheet= ~ 63¶-29B-1986 F'ax 631..298.,265t 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 (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of HERNAN MICHAEL OTANO COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~"'~],~) ~ ~~residingat/dba~~~d~~ being duly sworn, depose and say: That on the ~ day of ~/~ ,2010, I personally posted the property known as by placing the Board of Tmste~'s 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.~ April 21~ 2010 on or about 6:00 PM. Dated: Sworn to before me this day of/~0rl ['2~0~ ~ to BARBARA H. TANDY Notary Public. Stata Of Ney/Yof~ No. 01TA6086001 Qualified In Suffolk Cou~ly CommlsslOrl Expires 01113/20 II , Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print owner of property) (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalfi r's signature) Board of Trustees Application County of Suffolk State of New York ~,4'~AJAI~ /]4/~M~"Z. ~ffffl9 BEING DULY SWORN DEPOSES AND AFFIRMS THAT HEL~E 1S THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT AL[, STATEMENTS CONTAINED HERE1N ARE TRUE TO THE BEST OF HIS/~I~R KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE iN THE MANNER SET FORTH IN TillS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICAN]7 AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, 1 HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REV_fEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME TillS DAY OF //~/fl~w_~_ 20 r/~) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of S0gthold'$ C9d¢ of Ethics prohibits conflicts of interest on the uart of town officers and emalovees. The pttrpose of this form is to provide information which On alert the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first name, middle initial, ~e~s you are applying in thc name of someone else or other entity, such ms a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building J Variance Trustee Cba~ge of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning 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 oftba Town of Southold? "Relationship" includes by blood, manfage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee h~s even a partial ownership of(or employment by) a corporation in winch the town officer or employee owns more than 5% oftba shares. YES __ __ NO ~ If you answered "YES", complete the balance of this form and date and sign where indicate& Name of person employed by the Town of Southold Title or position of that person Describe thc relationship between yourself(the applicant/ageat/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. ltte town officer or employee or his or her spouse, sibling, p~rent, or child is (check all that apply): A) the owner o[~greater than 5% oflhe ,~hares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSI Form TS 1 Submitted this Signature Print Name PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: PRECISE LOCATION: Street Addess and Road IntorseclJons. Prominent landrm~rks etc -or provide mm) 617.20 SEQR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACllONS Only ( To be completed by Applicant or Project Sponsor) 6. DESCRIBE PROJECT BRIEFLY: ~7. AMOUNT OF LAND AFFECTED: IniUally m O1~ acres Ultimately ~. 0 i ~ acres 8. WILL PROPOSED ACTION COMPLY WITH EXIST,NG ZONING OR OTHER RESTRICTfONS? 9. WHAT tS PRESENT LAND USE tN VICINITY OF PROJECT? (Cttoona as many as apply.) [~ OUter (dnac~be) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER C-OYERNMENTAL AGENCY (Federal, State or Local) ,~Yes I---I No If yes, list agency name and perfrlil / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ---'lYes ~;:::~No If yes, list agency nan~ and permit / approval: I~:~SesA ~T OF PROPOSED ACTION WiLL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE iNFORMATION PROVIDED ABOVE IS 'I~UE TO THE BEST OF MY KNOWLEDGE Signature ~ ~-...~te the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed b~ Lead A~lenc~/). A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 ff yes. coordlnafa the mvlsw process and use the FULL EAF. I::] ~. [].o B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, s nega6ve de~laraG~o~ may be enpor;eded by snothor Involved agency. C. (~OULD ACTION RE~JLT IN ANY ADVERSE EFFECTS ASSOCIATED WITH 11~ FOLLOWING: (Answors may be ham~dlfan, If legible) C3. ;'~a~[a~k~, or fauna, fish, ~; ,~;;,',~h or .;~;;,'~ ~,, ~,~,,~r~.~.i habitats, or Ihmatenad or endangered ~? F"~ ~!'~ briefly: C4. A 'u-,,-,-..'nlty's ~;~;.~ Ptsns ~' goals as o,T~r~y ~, or a cha~ge in use ~ ~ ~ uN ~ ~ or ~ ~ ~,~? ~ ~: I I"° C5. Growth, s~ba~4uent de~,~.i~i~, or related ack, es likely to be I~at,,'e~_ _ by lhe pmrr~'.~_ _ soften? r=v~.,j~l bltefly: C6. Long fa~m, shorttmm, cumulaave, or other effects ent idenflfied in Cl.CS? Exp~alnbdetly: ' D. WIbL I~IE PROJECT NAVE AN IMPACT ON I~IE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABUSHMENT OF ^ CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain bdefl~: fi. 18 T;{ERF.. OR ~$ 'FH~ LILLY 10 I~ CON'TRO'~t$¥ R~LATE~ TO'po~ .'~q~l~qfi E~I~,~I~',~',%'IAL M~AClS~ ff ~ PART Ill - Dr: a =t~MINA~I'ION OF SIGNIFICANCE (1'o be completed by AgancT) IN~'IRUCTION$: Foreach adverse effect identified above, determine whether it ls substanUal, large, importentor othen,dse signifiCanL Each eftrect should be assessed in connection with its (a) setting (i.e. Urban or rural); Co) probeblllty of occurring; (¢) duration: (d) Ineversibllity; (e) geographi~ scope; and (t) magnitude, ff necessary, add attachments or reteren~e supporting materials. Ensure that explanations cor~ain eufficlent detail ~o show that all relsveflt adverse impacts have been identified and adequately addmsuad. Ifquestk)n d of part llwas checked yes, the,determination of significance must evaluate the potential impact oftha prolx~ anion on the emaronme~al chamcte~ of the CEA Board of Trustees Name of Lead Agency gency Check fids bex If you have k:km~"~ed one or mom pofef~aNylsrge or significant advorse impa<~fa which MAy ooour. Tben ixommd dimclly to tbe FUU FAF and/or prepare a positive declsra~)e. WILL NOT result In any significant adverse environmental Impacts AND prm/Me, on attachfftor~ ss na(=essary, the masorts suppmtlng tl~ Date President Title of Responsible Officer Signature of Preparer (If dlfformd from responsible officer) 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). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Offiee, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION 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 [] conslxuction, 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 ~ application for the pro~sed action h~ ~en filed wi~ tbe To~ of Sou~old agency, ~e following info~ation shall be provide: (a) N~e ofapplic~t: ~~ ~t ~ ~0 (b) Mailing address: ff/~ ~ /~ ~,~ ~/~0~ (c) Telephone number: AreaCode?l? ~/o -' Z°)~7 (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? ,~--~ ~7'C~ /f~.~ 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 ~3~/_~ ?/zo.~[O- ~-~-r~ Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ~_, Yes [] No [] Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. Sec 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 [] 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 IH - 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 Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southoid. 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. Sec LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. RYes ~-~ No ~-~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. Sec LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ Yea[--] No[-~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~es ~ 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. ~es [] No [] Not Applicable Attach additional sheets if necessa~ Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energ3, and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. _1~ Yes [] No [] Not Applicable Created on 5/25/05 11.'20 AM Condon Engineering, P.C. New York State Licensed Professional Engineers 755 Sigsbee Road Mattituck, New York 11952 condonengineering.com 631-298-1986 Fax 631-298-2651 March 29, 2010 Ms. Elizebeth Cantrel, Clerk Board of Trustees Town Hall Annex Building 54375 Route 25 Southold, New York 11971 Ms. Cantrel: Attached please find the following documents relative to a foundation replacement for the Otano cottage on the Breezy Shores property: · (3) sets of the Trustee Application, short EAF, LWRP, and Transactional Disclosure Form. · (3) sets of pictures of the site and building · (3) sets of the site plans for the work · (3) sets of the survey of the property showing contours and elevations · A check for $250.00 application fee The applicant proposes to replace the collapsing brick foundation below the existing building with a poured concrete pier foundation. If you have any questions please call me at 298-1986. Yours truly, '1 10" Footing 2 2 10" Footing I ~,~ I I 2½'x2½'x 10" Footing I L__ xO 10" Footing 2 2 2½'X2~2'x L 2 3'-3"x3'-3"x 1 O" Footing 2½'x2½'x_ 10" Footing 2:2'x2½'x 10" Footing ~ 2 ~'x22~'x ~/-10" Footing 2½'x2~'x ~[~ 10" Footing ACQ -~ I I 3'-3" x 3'-3" x S'-S" x 3'-3" x ~ ~ _ _ fo" Ecogng ~ _ ~ 10" Ecoting ~, ~, F I 22X22X I 10" Footing I 'T' 5 b5 x 9.5 Level 3~ ~ I L -- L _ J_ __ ~olman,zed p~r~l~m -- __ / / / 2 x2 x xO I 2~'x2~'x ~ 10" Footing 'x2~'x r---I--/'~/'-1 °" F°°ting r~7 r-I 10" Footing L-----J 7.5 x 7.5 L__J · I ACQ I I I 7.5 x 7.5 L----J L--I-~J ACQ ~ , 10" Footing 2½'x2~2'x 10" Foohng Foundation and Floor Framing Support Details - Plan View SCALE: 1/4"=1' Foundation Notes: The contractor ia to verify all measurements in the field and any discrepancies are to be brought to the Engineer prior to construction. 1 - All concrete 3,500 psi after 2fi days minimum. 2 - All rebar ASTM A-615 Grade 60. 3 - Footings am to be installed on undisturbed virgin soil. The bottoms of all footings are to be installed a minimum of 3' below grade unless indicated sthenvise. 4 - Backfill around footings and pier is to be clean material and is to be mechanically compacted in 6" lifts to 95% of maximum dry density. 5 - The areas below the building are to be filled with clean soil to grade level. Framing Notes: The contractor is to verify all measurements in the geld and any discrepancies are to be brought to the attention of the Engineer prior to construction. 1 - The 7 ½ by 7 -~ beams are to be ACQ No. 2 Southern Yellow Pine. 2 - The 5.5 x 9.5 beams are to be Level 3 Wolmanized parallam by iLevel Trus Joist. 3 - All straps, connectom, bolts, nails, etc. are to be galvanized, ZMax coated or stainless steel. Designated connectors, strap etc. on these drawings are made by Simpson unless indicated othenvise. All connectors, straps etc. are to be nailed/bolted in accordance with the manufacturer's specifications. Roof Drainage Calculations Roof Area = 793 sf 2" Rainfall Event Volume = lZ2 x 793 = 132.17 cf 8'~ x 2' Deep Dr/well Pool Volume = 3.14 x 4'x4'x2' = 100.5 cf Number of Pools Required = 132.17/100.5 = 1.3 Number of Pools Proposed -- 2 Design Loads: - Roof-Live Load - 30 psf Based on ASCE-7 and Pg = 20 psf - Dead Load - 15 psf - Attic Floor - Live Load - 20 psf - Dead Load - 15 psf - 1st Ftaor - Live Load - 40 psf - Dead Load - 15 psf Floor Elev. Existing Floor Elev. 6.18'-- -- Base Flood Elev. 6' Existing Grade Elev. 4.2' Northern Elevation SCALE: 1/4"=1' Simpson H2.5 ZMax les All FJ to All Existing 2x6 fJ ~ 5.25 x 9.5 Level 3 Wolmanized Parallam 18" ~ Sonotube Piem ~ No. 5 Rebar--~ ~1 2, x 2, x: 10. Footing.~'~ J ~- Simpson LOB66 for LVL Beams and LCB88 for 7 2: x 7 ~ Beams All are to be ZMax Peitmeter Beam Wood Blocking at Piers ~- 18" ~ Sonotube Piers --No. 5 Rebar ~2' x 2' x 10" Footing Foundation and Pier Section Detail Scope of Work * Secure the services of a surveyor to vedfy the existing elevation of the grade around the buikfing and the first floor of the building. Adjust the elevations shown on the drawing as necessary to assure that the top of the finished floor is 2 feet above the Base Floor Elevation at the conclusion of the *Install erosion control systems as shown in the plan. * Pump standing water from areas below the building into the dry wells. * Install (2) 8' x 2' deep precast concrete dry wells in area of lot shown in the site drawing on this page. Excavated soil is to be mixed with clean sand and used to backfill area under buildilng *Install temporary shoring under existing building. The buildilng is to be raised to an elevation at least I foot above the filnal elevation to facilitate instaitation of the foundation system. * Remove existing bdck foundation and other debds from areas below the building. All materia~ is to be removed from the slite and properly disposed. * Ex~*avate soil as necessary to install new poured concrete footings and piers. Excavated soil is to retained below the buildiing as much as possible. * Inst~all new floor beams as shown in the plans. EROSION CONTROL MEASURES 1. IN ACCORDANCE WITH THE PROVISIONS OF THE USEPA GENERAL PERMIT AND THE NYSDEC, DURING THE COURSE OF CONSTRUCTION, CERTAIN EROSION AND SEDIMENT CONTROL MEASURES MAY BECOME NECESSARY TO PREVENT THE TRANSPORT OF SEDIMENT TO OFF-SITE AREAS, PONDS, WATER COURSES, DRAINAGE INLETS, RECHARGE BASINS, ETC. ACTUAL EROSION CONTROL MEASURES WILL BE DICTATED BY FIELD CONDITIONS AS CONSTRUCTION PROGRESSES, BUT THE FOLLOWING GENERAL CONDITIONS SHALL BE OBSERVED: EXISTING VEGETATION TO REMAIN SHALL BE PROTECTED AND REMAIN UNDISTURBED. CLEARING AND GRADING SHALL SE SCHEDULED SO AS TO MINIMIZE THE SIZE OF EXPOSED AREAS AND THE LENGTH OF TIME THAT AREAS ARE EXPOSED. THE LENGTH AND STEEPNESS OF CLEARED SLOPES SHALL BE MINIMIZED TO REDUCE RUNOFF VELOCITIES. - SEDIMENT SHALL SE RETAINED ON THE SITE, * Set: existing stmcfure down onto new floor framing system and ~secum all floor existing joists to the beams as indicated in the drawing. * Backfill the areas below the building to the existing grade elevafion with clean sand mixed with soil excavated for the dry wells and any matedal excavated in order to install the footings. * Install aluminum gutters and leaders along the front and rear fcof edges. Install 3"0 drainage pipes underground from the front and rear northern comers of the building to the dry wells. Regrade excavated areas and around building and plant grass seed. SCALE: 1/2"=1' SPECIFIC METHODS AND MATERIALS EMPLOYED IN THE INSTALLATION AND MAINTENANCE OF EROSION CONTROL MEASURES SHALL CONFORM TO THE "NEW YORK GUIDELINES FOR EROSION AND SEDIMENT CONTROL". 2. SEDIMENT BARRIERS (SILT FENCE, HAY BALES OR APPROVED EQUAL) SHALL BE INSTALLED AS REQUIRED ALONG THE LIMITS OF DISTURBANCE FOR THE DURATION OF THE WORK. NO SEDIMENT FROM THE SITE SHALL BE PERMITTED TO WASH ONTO ADJACENT PROPERTIES, WETLANDS OR ROADS. 3. GRADED AND STRIPPED AREAS AND STOCKPILES SMALL BE KEPT STABILIZED THROUGH THE USE OF TEMPORARY SEEDING AS REQUIRED. SEED MIXTURES SHALL BE IN ACCORDANCE WITH SOIL CONSERVATION SERVICE RECOMMENDATIONS. 4. DRAINAGE INLETS INSTALLED AS PART OF THE PROJECT SHALL BE PROTECTED FROM SEDIMENT BUILDUP THROUGH THE USE OF SEDIMENT BARRIERS, SEDIMENT TRAPS, ETC. AS REQUIRED. 5. INSPECTION AND MAINTENANCE OF EROSION CONTROL MEASURES IS TO BE PERFORMED DAILY BY THE CONTRACTOR PRIOR TO THE START OF CONSTRUCTION FOR THE DAY AND AFTER HEAVY OR PROLONGED STORMS, MAINTENANCE MEASURES INCLUDE, BUT ARE NOT LIMITED TO, CLEANING AND/OR REPAIR OF SEDIMENT BASINS OR TRAPS, SEDIMENT BARRIERS, BERMS, DIVERSIONS AND INLET PROTECTION. 6. APPROPRIATE MEANS SHALL BE USED TO CONTROL DUST DURING CONSTRUCTION. 7. A STABILIZED CONSTRUCTION ENTRANCE SHALL BE MAINTAINED TO PREVENT SOIL AND LOOSE DEBRIS FROM BEING TRACKED ONTO LOCAL ROADS. THE CONSTRUCTION ENTRANCE SHALL BE MAINTAINED UNTIL THE SITE iS PERMANENTLY STABILIZED. 8. SEDIMENT BARRIERS AND OTHER EROSION CONTROL MEASURES SHALL REMAIN IN PLACE UNTIL UPLAND DISTURBED AREAS ARE PERMANENTLY STABILIZED. AFTER PERMANENT STABILIZATION, PAVED AREAS SHALL BE CLEANED AND THE DRAINAGE SYSTEM CLEANED AND FLUSHED AS NECESSARY. ? I / Otano Residence Scale: 1/4" = 1'-0" Drawn by: JJC Date: 4-22-2010 STRAW BALE INLET PROTECTION DETAIL NOTES: 1. BALES SHALL BE PLACED AT THE TOE OF A SLOPE OR ON THE CONTOUR AND IN A ROW WITH ENDS TIGHTLY ABUTTING THE ADJACENT BALES. 2. EACH BALE SHALL BE EMBEDDED IN THE SOIL A MINIMUM OF 4 INCHES AND PLACED SO THE BINDINGS ARE HORIZONTAL. 3. BALES SHALL BE SECURELY ANCHORED IN PLACE BY EITHER TWO STAKES OR RE-BARS DRIVEN THROUGH THE BALE. THE FIRST STAKE IN EACH BALE SHALL BE DRIVEN TOWARD THE PREVIOUSLY LAID BALE AT AN ANGLE TO FORCE THE BALES TOGETHER STAKES SHALL BE DRIVEN FLUSH WITH THE BALE. 4. INSPECTION SHALL BE FREQUENT AND REPAIR REPLACEMENT SHALL BE MADE PROMPTLY AS NEEDED. 5. BALES SHALL SE REMOVED WHEN THEY HAVE SERVED THEIR USEFULNESS SO AS NOT TO BLOCK OR IMPEDE STORM FLOW OR DRAINAGE. BOUND STRAW BALES FLOW~ TWO REBARS, STEEL PICKETS, OR 2"x2" STAKES DRIVEN ' ~'~'~'~/~'~~4"VERTICAL 2',NTO GROUND. FACE STAKE DRIVEN AT ANGLE BEDDING DETAIL TOWARDS PREVIOUSLY LAID STRAW SALE. DRIVE STAKES FLUSH WITH TOP OF BALE ANGLE FIRST STAKE TOWARD PREVIOUSLY Flow ANCHORING DETAIL HA Y BALE&.,,,. F~OW 2X2 WOOD STAKES (TYP.) (SEE BEDDING DETAIL) INLET STRAW BALE DIKE DETAIL APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD 4-22-2010 Revision - Drywells 2-20-2010 Initial Dwg Condon Engineenng, P.C. 1755 Sigsbee Road Mattituck, New York 11952 (631) 298-1986 Otano Residence Unit #5 Breezy Shores Sage Blvd. Southold, New Yonk S-1 L. K.B. # 4022, 4,JS4 now dames/:>os ~OpOsed SUbdivision ~Cres X X 6.5 Z.8 9,0 X L XS.0 2.1 X S,O X z.e x 2.5 x IL6 X X X X6.5 zex 5.9 X 8.2 X e,o'~ ,~ 5e\~o 7.0 X X II Rose P r/ 9.9 X X X 6,9 X 6.6 X 7.1 X // SOUTHOL D KID 0 I00 200 300 SCALE=I"=/O0' CONTOUR INTERVAL: 2' X 7,0 X 67 X \ 7.0 BAY SITE DATA I. AREA OF ISLAND 2. AREA '5. AREA OF MAIN PARCEL 4. TOTAL AREA: 83.1 IT ACRES 5. TOTAL NO. OF LOTS = 6. TOTAL LENGTH OF ROAD = 8.4 X 8.5 X GENERAL NOTES= LEGEND SAND 3.0 X PAVED ROAD UNPAVED ROAD TRAILS BUILDING WOODED AREA INDIVIDUAL TREE WATERLINE CULVERT MARSH FENCE LIGHT POLE UTIL) TY POLE POLE MANHOLE RETAiNG WALL BULKHEAD PIER OR DOCK RAILROAD TRACKS CONTOURS SPOT ELEVATION WATER ELEVATION I 'm X OMH V V V --*20 AreO= L ,566 X 3.8 SUBI ;ION SKETCH PLAN PREPARED FOR HARBORVIEW LANDI AT GREENPORT TOWN SUFFOLK OF SOUTHOLD COUNTY, N.Y. LOCKWOOD, KESSLER & BARTLETT, INC, 89- 0155 __ now or formerly John H. Mulhoilond MAR 3 0 2010 OSTRANDE:R AVE., RIVERHE~ N.Y.