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Home My WebLink AboutTR-469 (2)0'6/22/2011 10:04 718347P!5[ VIKAR NGT PAGE 02 Jam~ F. Kin~ l~i~ie~t ~o~ Hol~pf~l Town H~dl 58~96 l~ute 25 P.O. ~ 1179 ~outhol8, New York 11971-0959 Tel~pho~ (6~X) 7~-1892 Fax (631) 7~.6641 BOARD O1~ TOWN T~USTEE$ TOWN OF SOUTHOLD APPLICATION FOR AN AM~NI)MENT TO A WETLAND PERMIT ^e~_ ., ~o~ ~,, ADDP~S$ Jill M. Dohcrly~ Prcsidcnt Bob Ghosio, Jr. , Vice-President Jallqcs F. King Davc Bcrgen John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 l) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD ,. ,' ~ '~ ' BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of JUL ...... ? BRUNO ILIBASSI COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 1, 6~,o1'~0 ..T-bl~'A%$f , residing at /dba t"{-,,~cg ,4&S~,q-OlOtl4~OW being duly sworn, depose and sa3>: That on thc I [ day of .3'-0 [.c/ ,201)t 1 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~ July 20~ 2011 on or about 6:00 PM. Dated: (signature) Sworn to betbre me this //"//day ol-'Ta/}/ 20// Notary I~{~bli~ F CINDY d. CARACCIO Notary Public, State of New York No.30.01CA4895967 Oua!ified in Nassau County commission Expires May 18, 20 ~.. PROOF OF M~ILING OF NOTICE ATTACH CERTIFIED MAIl, RECEIPTS Name: Address: I~q 'fl STATE OF NEW YORK COUNTY OF SUFFOLK ~ t~ ( ,~ &~ ~ II %~ t , being duly sworn, d~oses ~d sa~ ~a~ once I( dayof~ ~Ou~ ,20~/ ,deponentmail~a~e~pyof~eNotice set fo..in the Bo~d of T~tees Application, dir~t~ to each of ~e abo~e nm~ pe~om at ~e ad~esses set opposiW ~ere resp~five ~; ~at ~e ad~esses set opposite ~e nines of s~d persom ~e ~e ~s 0f s~d p~so~ ~ shorn on ~e c~ent ~se~sment roll of ~e Tom of Sou~old; ~at ~d Nofic~ were m~l~ at ~e U~t~ States Post Office at , ~at s~d Notices were mail~ to ~ch of said persons by (ce~ifi~) (re~ster~) m~l. Sworn to before mc this Dayof .~2 ~/y ,20// l~ot~f~ublic CINDY J. CARACCIO Notary Public, State of New York No.30-01CA4895967 Qualified In Nassau County Commission Expires May 18, 20 ~ Here 11040 joan Kuchner PO Box2801 Setauke~ NY 11733 item 4 if Res~cted De~ive~/is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece. or on the front ff space permits. B. Received by ( Pdnted Name) I C. Date of De~ I z. Article Number (~cansfer from service label) PS Form 3811, February 2004 Domestic Relurn Receipt ~2h2 00h0 ~000 0~2 0~0L Alma Ilibasai & Bruno Ilibassi Shoreline Restoration Dru Associates, Inc. 40 Hitching Post Ln. Glen Cove, NY 11542 516-676-7107 Revised: 4-16-2011 prepared: 1-12-2011 Scale: 1"= 60' Lot 9 n/o/f Edward W. Graham Lot 8 n/o/f James F. Travers Lot 7 Henry J. Latham B Lot 6 n/o/f ,loan Kuchner Lot 5 n/off Alma Ilibassi & Bruno Ilibassi APPROVED BY L~ARD OF TRUSTEES TOWN OF SOUTHOLD DATE Lot 4 Bed)ara J. Ball & Thomas J. Ball ting Rock Armor at I~ulkhead A AppRoVED AND CON[ PERMIT N DAT; TERMS ~o~s oF // Beach sand replenishment area = 10,000 sf Bend volume approx. 2000 cyds 0 40 80 lllll 160 Feet Survey by Nathan Taft Corwin III February 11, 2008 Sections by Dm Associates Inc. October 2010 by Tran~t Level Typical section: Ilibassi Property NY APPROVED AS PER TERMS AND CONDITIONS OF ./ Restoration by re-seffing sun'ace s~ones after replenishing sand. with added aand as needed, f~ilowed by replacing stones, w~h added stone as needed ~8/22/2011 18:84 7183478155 VIKAR MGT PAGE 83 New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY' @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 Phone: (631) 444~0362 Fax: (631) 444-0360 Webslte: www dec ny ~ov CommJssion¢~' May 24, 2011 Bruno & Alma Ilibassi P.O. Box 180 Southold, NY 11971' Re: Permit No.: 1-4738-03178/00004 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance dudng the term of the permit. If you are unable to comply with any conditions please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. MAM/Is Sincerely, MacKinnon Agency Program Aide ~/22/2011 1B:04 71~3470155 VIKAR ~GT P~GE 04 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03178 PERMIT Under the Environmental Conservation Law (ECL) Permittee and Facility Information Permit Issued To: BRUNO/ALMA ILIBASSI PO BOX 180 SOUTHOLD, NY 11971 (718) 279-8799 Facility: ILIBASSI PROPERTY 1724 ARSHAMOMAQUE AVE[SCTM#1000-66- 2-45 SOUTHOLD, NY 11971 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Southold Facility Principal Reference Polnt: 1,,ryrM-E: 717.61~4 NYTM-N: 4549.375 Latitude: 41003'59.4'' Long/tude: 72°24'33.0" Project Location: 1724 Arshamomaque Avenue - Watercourse - Great South Bay Authorized Activity: Rehabilitate the rock revetment seaward of the bulkhead by installing a single row of stone approximately 1,000 pounds in size and underlain with filter fabric. Replenish the beach area with compatible (equal or larger) grain size sand. No sand shall be placed seaward of the mean Io~ water. All work must be in accordance with the two page plan prepared by Dm Associates Inc., dated 1/12/11 last revised 4/16/11 and stamped NYSDEC approved 5/24/11. (MAM) Permit Authorizations ] Tidal Wetlands - Under Article 25 Permit ID 1-4738-03178/00004 , New Permit Effective Date: 5/24/2011 Expiration Date: 5/23/2016 Water Quality Certification ~ Under Section 401 - Clean Water Act Permit ID 1-4738-03178/00005 New Permit Effective Date: 5/24/201 l Excavation & Fill in Navigable Waters - Under Article 15, Title 5 Permit ID 14738-03178/00006 New Permit Effective Date: 5/24/2011 Expiration Date: 5/23/2016 Expiration Date: 5/23/2016 Page 1 of 6 0512212011 10:84 7183470155 VIKAR NGT NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facilliy DEC ID 1-4738~03178 PAGE 85 NYSDEC Approval By acceptance of this permit~ the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. P~tmit Administrator: JOHN A WIEL~AND, Deputy ~dm~ Address: NYSDEC R -,ION i HEadQUARTERS ] SUNY ~ ~ NY B R~)O'K[5 0 C I RC]~,~ RD // Autho"...e Si ,,ture: "X-t~ ~on List Habitat - TW MARY A MACKINNON Permit Components NATURAL RESOURCE PERMIT CONDITIONS WATER QUALITY CERTIFICATION SPECIFIC CONDITION GENERAL CONDITIONSi APPLY TO AL.._.~L AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS~ WATER QUALITY CERTIFICATION; EXCAVATION & FILL IN NAVIGABLE WATERS 1. No Interference With Navigation There shall be no unreasonable interference with navigation by the work herein authorized. 2. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part 0fthe permit application. Such approved plan~ were prepared by Dru Associates Inc. dated 1/12/I I last revised 4/16/11. 3. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. Page 2 of 6 06/22/2011 18:84 7183470155 VIKAR HGT PAGE 06 ,I~'EW YORK STATE DEPARTNiEN'F OF ENVIRONMENTAL CONSERVATION Facttity DEC ID 1-4738-03178 4. State May Require Site Restoration If upon the expiration or revocation &this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore thc site to its fomaer condition· No claim shall be made against the State of New York on account of any such removal or alteration. 5. State May Order Removal or Altcration of Work If future operations by the State of New York require an alteration in the positiOn of thc structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation &said waters or flood flows or endanger the health, safety Or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation &this perm/t, the structure, fill, excavation: or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmenta] Conservation may require, remove all er any portion et'the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 6. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland Or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, cOncrete, leachate or any other environmentally deleterious materials associated with the project. 7. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion &the enclosed notification form certify/ag that they are fully aware of and understand all terms and conditions of this p~nnit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of thc completed work. ti. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 9, No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 10. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined to the upland area landward of the bulkhead or on a barge. · ti. No Beach Excavation For Fill No excavation of the beach is authorized for the purpose of obtaining fill or stone materials. 12. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest · that the Department will issue a permit for such activities in the future. 13. Bulkhead Armoring The authorized bulkhead armoring shall consist of a single row of stone approximately 1,000 lb. in size and underlain with filter fabric. Page 3 of 6 BG/92/2B11 18:04 7183470155 VIKAR MGT .N,-EW YORK STATE DEPART~tENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03178 PAGE 07 14, Material All material deposited on the beach shall be of compatible (equal or larger) grain size to the naturally-ocCurring beach. No sand shall be placed seaward of mean low water. WATER QUALITY CERTIFICATION SPECIFIC CON DITIONS 1. Water Quality Certification The NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 9%217) provided that all of the conditions listed herein are met. GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department Thc permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of EnvironmentaI Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all ~imes at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit docs not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Depad,,ent requires. Any renewal, modification or transfer granted by thc Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC REGION 1 HEADQUARTERS SUNY ~ STONY BROOKI50 CIRCLE RD STONY BROOK, NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Excavation & Fill in Navigable Waters, Tidal Wetlands, Water Quality Certification. Page 4 of 6 ~]6/22/2011 10:04 7183470155 VIKAR MGT , NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC II) 1-4735-03178 PAGE 08 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit. The grounds for modification, suspens on or revocation include: a. materially false or inaccurate statements in the permit application or supp~rting papers; b. failure by the pcrmittee to comply with any terms or conditions of the permit; c. exceeding the scope of thc project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance &the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless thc Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the pemdttee% acts or omissions in connection with the pcrmittce's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions &the pe..it. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DECks own negligent oy intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision ~ under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all Special conditions while acting as the permittee's agent udth respect to the permitted activ/ties, and such persons shall be subject to thc same sanctions for violations &the Environmental Conservation Law as those prescribed for the pennittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any o{her permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Page 5 of 6 ~G/22/2811 18:84 7183478155 VIKAR MGT NEW YORK STATE DEPARTMENT OF ENVFRON~ENTAI, CONSERVATION Facility DEC II} 1-4738=03178 PAGE 09 Item D: No' Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or intcrf~e with the riparian rights of o~hers in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Page 6 of'6 Ld Alma & Bruno Ih'bassi Shoreline Res[oration nm Associates, 40 Hitching Post Ln. Glen Cove, NY 11542 516-676-7107 RevL~ed: 4-16-2011 Prepared: 1-12.2011 Sca[e: 1'= 60' Lot9 Edward W. Graham Lot 6 ~folf Lot 5 \ Joan Kuchrler n/oR Alma llLbas$i Lot 4 L~t 8 & ~mno Ilibassi nlo~ ~ . ~e~ ~a~a~ J. Ball N Y James F. T~S & ~omas J. Bsll ~ ~PROVED ~ PER ~R~ ~ On~ RockArmorM~u~head DA~ ~/~1/I Lot 7 /~ t ~ / ~ ~nd ~lume eppmx, 2~0 cyds ~ ~ Febma~ 11,2008 m SeXtons by Dru Assorts I~. 0 ~ . ~ '6~ Feet O~ober201o ~ TmnsLt Level Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375MainRoad P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 20, 2011 Mr. Bruno Ilibassi P.O. Box 3504 New Hyde Park, NY 11040 RE: 1728 ARSHAMOMAQUE AVE., SOUTHOLD SCTM#66-2-45 Dear Mr. Ilibassi: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., July 20, 2011: WHEREAS, BRUNO ILIBASSl applied to the Southold Town Trustees for an Amendment to Wetland Permit ~469 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 22, 2011, 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, the project complies with the standards set forth in Chapter 275 of the Southold Town Code, and, WHEREAS, the Board has determined that the project will not affect the health, safety and general welfare of the people of the town, and, NOW THEREFORE BE IT, RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit ~469 to replenish the beach with approx. 400 cy. of sand, as depicted on the site plan prepared by Dru Associates, Inc. last revised April 16, 2011 and stamped approved on July 20, 2011. This is not a determination from any other agency. Sincerely, Bo~l~cl of Trustees JMD:lms Ju! 20 !! 0!:52p p.1 Suffolk Environmental Consulting, Inc. Newman Village, Suite E 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (63 l) 537-5291 Bruce Anderson, M.S., President VIA FAX July 20, 2011 JUL 2 0 2011 Southhold Town Board of Trustees Ms. Jill Doherty, Chairwoman Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Situate: KUCHNER PROPERTY 726 Amhamomaque Ave., Southold BALL PROPERTY 1890 Amhamomaque Ave., Southold BEIXEDON ESTATES ASSOCIATION, INC. Arshamomaque Ave. Right of Way, Southold LA THAM PROPERTY 846 Arshamomaque Ave., Southold ILIBASSI PROPERTY 1728 Amhamomoque Ave. Southold Dear Ms. Doherty, This Firm represents Mr. John Nickels, who resides in Beixedon Estates and received various Notices in ~onnection with the proposed Wetland Permit Amendments referenced above. I understand that each property owner proposes to replenish a beach area with 400-500 cubic yards of sand which sand would be substantially placed on top of the existing toe armor installed along the continuous bulkhead line. I also understand that the deposited sand would be monitored by the NYSDEC and a private consultant representing the property I presume that the purpose for monitoring of the deposited sand is to determine whether or not the sand remains over time and, if the deposited sand it is lost to storm erosion, where it settles out. It is in the latter that I suggest that a marker be introduced into the deposited sand so that lost sand can be tracked in the field. Jul 20 11 01:53p '2 Cc. d. Nickles Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY ! 1971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., July 13, 2011, the following recommendation was made: Moved by Derek Bossen, seconded by Audrey Horton, it was RESOLVED to SUPPORT the application of BRUNO ILIBASSl to Amend Wetland Permit #469 to replenish the beach with approx. 400 cy. of sand. Located: 1728 Arshamomaque Ave., Southold. SCTM#66-2-45 Inspected by: Derek Bossen, Audrey Horton The CAC Supports the application with the Condition the beach, approx. 15' in width, is planted with Cape Amedcan Beach Grass to protect the shoreline. Vote of Council: Ayes: All Motion Carried Jill M Doherly. President Bob Ghosio. Jr., Vice-President James F King Dave Bergen John Bredemeyer PO Box 1179 Southold, NY 11971 Telephone{631 765-1892 Fax(63])765-664] Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: '"7 '" I '~' I( BRUNO ILIBASSI requests an Amendment to Wetland Permit #469 to replenish the beach with approx. 400 cy. of sand. Located: 1728 Arshamomaque Ave., Southold. SCTM#66-2-45 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 __Administrative__Emergency __Coastal Erosion ~Amendment Pre-Submission __Violation Info needed: Modifications: Conditions: ~L~r. Bredemeyer___ D. Dzenkowski __other Form filled out in the field by (~D. Bergen, Mailed/Faxed to: Date: 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 tl971 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 1 st day of construction ½ constructed V/Project complete, compliance inspection. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town H~lAnnex 54375MainRoad P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 June 16, 2010 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Mr. Bruno Ilibassi P.O. Box 3504 New Hyde Park, NY 11040 RE: 1728 ARSHAMOMAQUE AVE., SOUTHOLD SCTM#-66-2-45 Dear Mr. Ilibassi: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., June 16, 2010: WHEREAS, BRUNO ILIBASSI applied to the Southold Town Trustees for an Amendment to Wetland Permit #469 under the provisions of Chapter 275 of the $outhold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 29, 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, 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 Southold Town Board of Trustees APPROVES the Amendment to Permit #469 to install dp-rap ~ to 1 ton stone armor in front of the existing bulkhead, and as depicted on the survey prepared by Nathan Taft Corwin III dated May 14, 2010. This is not a determination from any other agency. Sincerely, Jill ~1. Doher~y, Presid~t Boa'fd of Trustees JMD:lms Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghnsio, 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 /.//~ c~//O has been reviewed by this Board at the regular meeting of ~)//(~ [10 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) __ Ist Day of Construction ($50.00) Constructed ($50.00) v/ Final Inspection Fee ($50.00) __ Dock Fees ($3.00 Per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southotd Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTALFEES DUE:$ BY: Jill M. Doherty, President Board of Trustees 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., June 9, 2010, the following recommendation was made: BRUNO ILIBASSI to Amend Wetland Permit #469 to install rip-rap % to 1 ton stone armor in front of the existing bulkhead. Located: 1728 Arshamomaque Lane, Southold. SCTM#66-2-45 Inspected by: Audrey Horton, Doug Hardy The CAC determined that there is insufficient information to make a final recommendation. There is an indication that an environmental impact statement should be developed addressing the impact of the existing jetty and public access. Jill M. Dohecty, P~sident James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer P.O. Box 1179 Southold, NY 11971 Telephone ( 631 ) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: G, '~-/~ BRUNO ILIBASSI requests an Amendment to Permit #469 to install rip-rap ¼ to 1 ton stone armor in front of the existing bulkhead. Located: 1728 Arshamomaque Lane, Southold. SCTM#66-2-45 T~SSa of area to be impacted: ItwaterWetland Freshwater Wetland __ Distance of proposed work to edge of wetland ~Chaf Town Code proposed work falls under: pt.275 Chapt. 111 other · Type of Application: 'C/Wetland __Administrative__Emergency Info needed: Sound Bay __Coastal Erosion __Amendment Pre-Submission __Violation Modifications: Conditions: Present'Were: ~J.King ~.Doherty~/~J. Bredemeyer '~D. Bergen__ B.Ghosio, /-'"=--D. Dzenkowski other Fo~rm filled ,o~t j%the field by / Mailed/Faxed to: Date: 4/28/2010 17:55:48 1 of 1 TO~N OF $OUTHOLD BOARO (~F $OU~(TLD ~FO~NN -J'R~b'F~EE$ SOUTHOLD, NEW YORK ~f~tiOn~ {umlr~,~ed;in :.Ap~ica~iea, No, :,.~5,,?_5..._;..;~ fi ~,ed ~b~/~Appl~ ,~C.~ .~..s. _.t~.t~ ~ ..;h3 ~; .... .a~d ~;e33_ nn August Z&, lg 8.7~ · A ma~ or,he ~roposed work w be kepi 9n fil:e in.~he Trustee Ot'f~de undar the appliCation Pa'mit granted tc~ do th~ ~-ol~wi~J work.. ~,°...c.9,~ .s..tE.~.c..t --~,, ~ -t ~-.~.~. -~-.e-t~a~- ~-. -~.~ - -~ $~'- ~'~ ~ ~ · Creek, Bay or Harbor fronting prope~y .r...S..°.~-t..~.-°[~..~.a~ ...............~. .............................................. '$izaofwork: ~en§~-~*?~"~-~-~:~"~t*~-~?~u~n-~];.~..t~--~~, ................................................... Yards to be Filled ...... Z,?..0..,~c~.....~..~.,s.: .................................................................... intended use of property ....~..e?..d.e.~..~.'..~I. .............................................................................................. Expiration Date .~M...~a~...c~.h.~.Z..8.~.~.~.~.~.w`~T-.k.`~.~..~..n.~-L-~`~.~[~: .................... Number of Inspeetions Rdquired .....Z.7.~.~..u.`s..t.~e~.~..s...~a.T.-e..~.~....b.-e``.~.~"~.~.~.e...d`..Mg~.~..~`.~..~... Inspection Fees . ,$.1..0: 00. [~ ............................................................................ HENRY P. SMITH JOHN M. BREDE/~EYER; 'II~, President John-Bednoski, Jr. ALBERT KRUPSF~}~.JR~ Vice-President BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold. New York 11971 January 25, 1988 TELEPHONE (516) 765-1892 Mr. Roy L. Haje, President En-Consultants, Inc. 1329 North Sea Road Southampton, Ne~v York 11968 Re: Freedman, Ilibassi & Ball Application No. 575 Dear Mr. Haje: The following action was taken by the Board of Town Trustees during their regular meeting held on January 21, 1988 regarding the above matter: RESOLVED that the Southold To~vn Trustees Amend the approval granted on November 2'4, 1987 on behalf of Eh-Consultants, Inc. for Freedman, Ilibassi and Ball to reflect a timber bulkhead to b.e placed 5 feet landward of the escarpment with planting in front of the wall and the return on the East side is to be armored with ½ ton stones. Property is'located on Arshamomaque Avenue, Southold. ~ Very fruly yours, John M. Bredemeyer, III, President Board of Town Trustees JMB:ip cc: CommissiOner Thomas C. Jot]lng, D.i~2C., Albaiiy Robert A..Green.e; D.E;C., Stony Brook - . Steph~n Mars, Armlf' Corp_s 6f Engineers . - Thomas Hart; Coastal Management - - John.Iilolzapf~ Chairman, Southold Town C.'A.~; ': " '" -:] '- Victor..:Less_a;~d,'~.Admin., Building"Dep~, Planning BOard 'Board of Appeals ;. -- file ' . , Bldg. 40, SUNY, Stony Brook, NY (516) 751-7900 New York State Dep~ilment of Environmental Conservation Regulatory Affairs Unit - Region I Room 219 11794 AMENDMENT TO PERMIT Former Permit # (if any): Thomas C. Jorling Cornrn~sioner RE: Dear Permit No. & Location: 3 ~ Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that there has not been a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; therefore, the expiration date is extended to ~i~ ~ Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is amended to authorize: This letter is an amendment to the original permit and as such, shall he posted at the job site. All other terms and conditions rpmain as written in the original permit. Very truly yours, Sent Deputy Regional Permit Administrator o4 ~4 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAIL1NG 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: June 14, 2010 Re: Proposed Wetland Permit for BRUNO ILIBASSI SCTM# 1000-66-2-45 BRUNO ILIBASSl requests an Amendment to Wetland Permit #469 to install rip-rap ~ to 1 ton stone armor in front of the existing bulkhead. Located: 1728 Arshamomaque Lane, Southold. SCTM#66-2-45 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 "EE" which states: A. Maintenance or repair involving no substantial changes in an existing structure or facility; Cc: Lori Hulse, Assistant Town Attorney Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Br~d~m~--yer 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 Office Use Only Coastal Erosion Permit Application efland P~lmlt Application ' AdminisWative Permit endmenffTransfer/E~tension "~eceived Application: q ,-~eceiveA Foe:$ ~ ..Completed Application_~Dl~ SEQRA Classification: Typo I Type II Unlisted _~clion:(clate sent) onsist~ncy Ass~nent,Fg.rm ~---eAC Re fetral Sent: ~]~r~[~0 _~l~at¢ of Impection: RI cl~'f0} Receipt of CAC Repot}:" Lead Agency Determination: Technical Rmdcw:. ~_Resolution: Name of Applicant Address AGENT: (If applicable) Address: Phone: )ard of Trustees Applicati, GENERAL DATA Previous use of property: E~~ fden ~ / Covenants and Restrictions: Yes If "Yes", please provide copy. Prior permits/approvals for site improvements: No Date/ /~ __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspexn/ded by a governmental agency? ~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): zv,'e s/v II Board of Trustees A~plication WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: /[/~6~/'?0 +~/O~, )0 C~_~ Area of wetlands on lot: square feet Pement coverage of lot: % 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 fillin~? --~ , ~/ , J No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER 617.20 APPENDIX STATE ENVIRONMENTAL QUALITY REVIL=~N SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2. PROJECT NAME SEQR 3.PROJECT LOCATION: ~- ~/ Municipaliiy ,-.;0,./ 4. PRECISE LOCATION: Street A(~dess and Road Intarsec~.n~. Prominent landmarks etc-or provide map 5. IS PROPOSED ACTION: [] New ["--~Expenslon [~]Mediflcalion/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: In;tJaliy acres Ultin~tely acres ' 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? L.~Yes L--J No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [~Resi~entia, r-]industrial r-~commercia, F~Agriculture ~--]Park/Forost/ObenSpace ~-']Other (describe) 10. DOES ACTION INVOLVE A PERMiT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) []Yes [] No If yes. list agency name and permit / approval: /'/ 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~]Yes r-~No If yes, list agency name ;~nd permit / approval: j21 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 Date: If the action Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency). A. DOES AG¥iON EXCEED ANy TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If Ysa, ceordinate the re~e~ process and use the FULL EAF. B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNUSTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negntive d~laratte~ may be supe~,ded by another Involved agency. - IZ]"e C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answem may be hendwdifno, If legible) Cl. F-JdsUng air quaE~y, surface or grouadwater quality or quantity, ~dsa In. Is, existing traffic pat~m, solid waste productino or disposal, potential for em-~no, drainage or flooding problems? Explain C4. A '~'~'~ii"mlty's ~x~ Plans or goals as .,T..~;;y edopted, or a cha,~.~ In uae of .... -. ............. . C5. Growth, ~-~ _-~_ juent dew{~,~,ii~, ii. or related ach'vities likely to be Induced by the pfo~ &~.~ ,? ~;_-.'_-;~: briefly: I"° C6. Long term. sh~t term. cumulativo, or other effects not Identified In Cl-Cti? ExplaIn brintiy: No C7. Trim acts~ Includi changesInuseofelther ua ' or of aln ENVIRONMENTAl-AREA(CE-Al? (If)~es, ex,lain brlell~.: r-I[]NoI 18 THERE, OR IS THERE LIKE[.y TO BE~ CONTROVERSY RELATED TO'po~ I:NTIAL ADVERSE ENVI~O,~;~.'-~;TAL IMPACTS? If PAI~' III - D= ~ ,-, ..'.:.-.~'lOfl OF 81GNIFICANC£ (To be completed by Agency) iNS'I~UCTION$: F~¢eachadversae~e~tident~adabeve~determ~nem~etheritisenbstantia~arge~imp~rtsnt~r~themlees~gnIficant' Each effect should be assessed in cennecdon wilh its (a) sel~ng (i.e. Urban or rural); (b) probability of ex.un'lng; (c) durelJon; (d) i~reverelbllit,/; (e) geographic scope; and (0 magnitude. If necessarj, add attachments or rofere~ suppartlng materials. Ensure Ihat explanaflens contain Iiufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked ye~, fbe determination of significance must evaluate the potential impact of the p _~_m,~___ ac~len en fbe en~&-oniT, e,,;=; ,~&,=~,,,;~Ecs of the CF_~ Check thte box If Yno havo ;G,,~;;=cl one or mom/,o;=,diaily large or ¢gnlticent ad,~rse impants which MAY ocox. Then pro<~nt direly te the FUU FAF and/or prepare a p~siti~ dectera~no. WILL NOT result In any significant adverse envtronmentsl Impacts AND prodde, on attschmente as nece~ory, the masons suppmtlng thb detormlnation.. , Board of Trustees Name of Lead Agency .Jill M. Doherty ~PHof or Type Name of Res~)onsible Officer in Lead Agency President Date Slgnalure of ~et,a,=¢ (If different from responsible officer) Title of Responsible Officer 86/14/2818 88:28 71834701§5 VIKAR MGT PAGE 81 June 14, 2010 Ms. Jill M. Doherty, President Southold Town Board of Trustees Town Hall PO Box 1179 Southold, NY 11971 $outhhold Town _ Board of Trustees Dear Ms. Doherty: I am aware of the June 16, 2010 Trustees heating on the application submitted by Bruno Ilibassi to amend permit # 469 ( install rip-rap ½ to 1 ton stone armor in front of his existing bulkhead). Sincerely, Joan Kuchner 1726 Arshamomaque Ave. Southold, NY 11971 June 14, 2010 Ms. Jill M. Doherty, President Southold Town Board of Trustees Town Hall PO Box 1179 Southold, NY 11971 Dear Ms. Doherty: I am aware of the June 16, 2010 Trustees hearing on the application submitted by Bruno Ilibassi to amend permit # 469 ( install rip-rap ½ to 1 ton stone armor in front of his existing bulkhead). Sincerely,. ~ Barbara Ball Thomas Ball 1890 Arshamomaque Ave. Southold, NY 11971 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 BRUNO ILIBASSI COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, g~q~tff~ [bvl~.qYrf/ ,residingatfiall~ I?~-~ /P~q.Sbk,4Mom~Ol/~ gea't . /IqT/ being duly swor~, depo~te and say: That on the~ 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, add 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 heating noted thereon to be held Wed., June 16, 2010 on or about 6:00 PM. Dated: (signature) Sworn to before me this //-~-~ day o~_~20~I~ Nota~P~lic CINDY d. CARACCIO Notary Public, State of New York No.30-01 CA4895967 Qualified in Nassau County Commission Expires May 18, 20// 20;0 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Cerlifled Fee r--I Return Receipt Fee [~3 (Endorsement Required) $0.44 0241 $2.80 11 $2.~0 .e~e $0.00 $5.54 06/14/2010 STATE OF NEW COUNTY OF SUFFOLK $0.44 0241 $2.80 11 $2.30 Hem $0.00 $5.54 0&14/2010 ,residingat' .1~7~-~ ~-~-~,4 fi~ffl~U~ ¢g~C- , being duly swom, deposes and says that onthe ~ dayof ,Tul,~l~- ,20 ~o, deponent mailed atrue copyofthe Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite thom respective names; that the addresses set opposite the name~ of said persons are the address of said persons as shown on the current esse~sment roll of the Towa of Southold; that said Notices were mailed at the U~ted States Post Officeat ~dl,3~' ~qt :~9{o , that said Notices were mailed to each ofsaid persons by (certified) (registered) mail. Sworn to before me this //~' ~/~ '~' Notary Public CINDY J. CARACCIO Notary Public, State of New York No.30-01 CA4895967 Qualified in Nassau County ,f Commission Expires May 18, 20 // Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (63 l) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of BRUNO ILIBASSI COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~} ~ O ~-L~/~c~- I. residing at /dba I'/R~ being duly sworn, depose and sly: That on the c~ ~day of ~-~ ,2010..j personally posted the property known as by placing the Bo~d of Trustees official post~ wh~e it c~ easil~ be se~n, ~d ~at I have check~ to be sure the poster has remained in place for ei~t days prior to ~e date of the public he~ng. Date of he~ng noted thereon to be held Wed. June 16~ 2010 on or about 6:00 PM. Dated: Sworn to before me this /~'day o~ 20~1~ Notar~ Public CINDY J. CARACCIO Notary Public, State of New York No.30-01 0A4895967 Qualified in Nassau County Commission Expires May 18, 20~_. PROOF OF MAII,ING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS .................... STATE OF NEW YORK COUNTY OF SUFFOLK , residingat'/?~lg ~,R$'b/d~dOP/AdV~' 4I''~. , being duly sworn, deposes and says that onthe ~n_~l. d~yof t ~'],tk/~ ,20[0 , 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 curren! assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Officeat 23'i/~ ..2 ~ ,7~1o , that said Notices were mailed to each of said persons by ~(registered) mail. / .~ ~ //,~./'~7 Sworn to before me this Day of~ ~'_ ,20 - J ~ Notary Public CINDY J, CARACClO NotaryPublic, State of New York ' No,30-01CA4895967 Qualified in Nassau County Commission Expires May 18, 20.~_. Board of Trustees Appli4on County of Suffolk State of New York swo DEPOSES ~ ~F~S ~T ~S~ IS ~ ~PLIC~ FOR ~ ~0~ DESC~ED PE~T(S) ~ ~T ~L STA~S CO~D ~ ~ ~ TO ~ BEST OF ~S~R ~0~GE ~ BEL~F, ~ ~T ~L W0~ ~L BE DO~ ~ ~ ~R SET FOR~ ~ ~S ~PLICATION ~ AS ~Y BE ~PRO~D BY ~ S0~OLD TO~ BO~ 0F TRUSSES. ~ ~PLIC~ AG~ES TO HOLD ~ TO~ 0F S0~OLD ~ ~ TO~ ~US~S ~ESS ~ ~E ~OM ~ ~ ~ D~GES ~ CL~S ~S~G ~ER OR BY ~ OF S~ PE~T(S), ~ G~. ~ CO~LET~G ~S ~PLICATION, I ~BY A~O~ ~ ~US~S, ~ AGE~(S) OR ~SE~ATI~S(S), TO E~R O~O ~ PROPERTY TO ~SPE~ ~ P~SES ~ CON~CT~W OF ~S ~PLICA~ON. Sig~e SWORN TO BEFORE ME THIS / ? DAY OF/~f14 L- ,20 / o Public JOHN A. ILIBASSI Nota~/Public, State of NewY~ No.4937574 Ouallfled in Nassau Count~ Commission Expires 6/20/ Ai3r 2~ 10 11:37a 6317654354 o .ESC.~dmr. mN o~ ~lLinoNsi-n~ Form 'rS I 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" 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- suooortin~ 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# 0~- .2. PROJECT NAME __TZ. / ~ff / The Application has been submitted to (check appropriate response): Town Board [-~ Planning Board ~ Building Dept. [] Board of Trustees ~ Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital [] constmction, 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 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: (b) Mailing address: (c) Telephone number: Area Code (). Di-'Tb --233 2_ (d) Application number, if any: Will the action be directly undertaken, require funding, or approval b~y a state or federal agency? Yes [~J~] NoN Ifyes, which stateor fedemlagencyAJ?~D~ C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes [~ No ~ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ~-] Yes [~ No ~ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughOut the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes 71 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 IH - 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 Anach additional sheets ifnecessmy 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 IH - Policies; Pages 22 through 32 for evaluation criteria. ' Yes No ~ 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. No ~] Not Applicable Yes Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southoid from solid waste and hazardous substances and wastes. See LWRP Section IH - Policies; Pages 34 through 38 for evaluation criteria. ~ Yes [] No ~?] Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lauds, 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 POISES 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 Peeonie Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes [] No ~ Not Applicable ~ Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. Yes ~-] No [~ Not Applicable Atlach 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 DATE PREPAREDBY ~-'~ro, nO ~-IiD6.~i TITLE TOPOGRAPHICAL SURVEY OF BEACH SITUATE SC)UTHOLD TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK SCALE 1"=40' FEBRUARY 11, 2008 1. ELEVATIONS ARE REFERENCED TO HIGH WATER BEING ELEVATION EXISTING ELEVATIONS ARE SHOWN THUS: ~ SOUTHoLo t3A Y N.Y.S. Uc. No, 50467 Nathan Taft Corwln III Land Surveyor PHONE (631)727-2090 Fox (651)727-1727