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TR-7364
James F. King, President Of so�ly Town Hall Annex Bob Ghosio,Jr.,Vice-President O 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer H Q Michael J. Domino %� �� Telephone(631) 765-1892 O�y�ourm,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0817C Date: November 21, 2012 THIS CERTIFIES that the renovation of existing two-story dwelling, construction of new screened and covered porch; construction of 1,100 sf. single-story artist studio; installation of new sanitary system; new driveway; installation of gutters to leaders to dWyells At 1060 Northview Drive, Orient, New York Suffolk County Tax Map # 13-1-2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated June 18, 2010 pursuant to which Trustees Wetland Permit#7364 Dated July 21, 2010, was issued and Amended on October 20, 2010 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the renovation of existingtwo-story dwelling, construction of new screened and covered porch; construction of 1,100 sf. single-story artist studio; installation of new sanitary system; new driveway: installation of gutters to leaders to drvwells. The certificate is issued to WILLIAM ADAMS owner of the aforesaid property. rthorized Signat3 e 0 0 Jill M.Doherty,President �QF sooTy Town Hall Annex James F. King,Vice-President ��� �� 54375 Main Road Dave Bergen P.O.Box 1179 Southold,New York 11971-0959 Bob Ghosio,Jr. G Q John Bredemeyer '.2` Telephone(631) 765-1892 D�COU ' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE F INSPECTION: alldlL Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction —/P/% constructed roject complete, compliance inspection. INSPECTED BY: V're COMMENTS: CERTIFICATE OF COMPLIANCE: Page 1 of 1 Cantrell, Elizabeth From: Dzenkowski, Don Sent: Sunday, September 19, 2010 8:16 AM To: Cantrell, Elizabeth Subject: North View Dr. No violation at this time,contractor stated Building Dept made a mistake and is lifting the Stop Work Order Monday. 5Cw5Pd- V o 0.1 t ol-) 77.0 E �9;lle.� 1310,3. ;OYC �o.— has 1ho'16CT �eck d dwelhnc 9/20/2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD FACSIMILE TRANSMITTAL SHEET .L(1. FROM- Don Dzenkowski Elizabeth Cantrell ( mIPAN) DAI1l Southold Town Bay Constable 9/17/2010 14\X NI'MRP.R.. ('(PI AL NU_OIPAGI(S INCI'LT DING CMIAZ 765-2715 2 PI I< NP.NCNIRIdt SIINIAHUS PI IONP.NUMRIIR- 765-2798 (631) 765-1892 RI SI'.NDEWS PAX NrNu3IAt, 1060 Northview Dr.,Orient (631) 765-6641 ❑ URGP,N'I' ❑ tont wivii;,Av ❑ IIJX-ASP: CONINIFN I ❑ 111TASI( RH111N ❑ PLP:ASIS RI;CYCLF. N0 1 WCONINWN I'S- Don, This is in regards to the phone message I left. The property is located at 1060 Northview Drive, Orient; SCTM# 13-1-2, owner is William Adams. Please go out as soon as possible and investigate whether or not the applicant has gone beyond the Wetland Permit and if necessary issue a stop work order and/or a violation. At this time the building dept. has issued a stop work order in regards to a deck on the seaward side of the house that was not part of any permit from any office, and the bldg. dept. does not see any concerns with the house itself. From what was seen in a photo I looked at just taken today, the exterior walls, windows & doors have been removed, framing possibly left in place and new plywood is being installed. I cannot tell from the photo if it is a demolition of dwelling. Thank you, Elizabeth Cantrell 54375 MAIN ROAD N.P. BON 1179 SOU 11101.1), N1' 11971 5URV=-Y/OpF PROPERTY N SITUATE: ORIENT ORAINA6E SYSTEM 6ALCTAI ION', T $T HOLE DATA IA��I ��I��� SAI EL=74.4' TO' "•' `�0 L r � SnplO ROOF AREA.IP40 sq. � �sr��tL li3olol�r� SUFFOLK COUNTY, NY ORD sq fL X O 1,, ITT — nT a_f[.2 422-5 vertKal It o1 6No lo—N.,v—I requYeo r uW u 'SURVEYED: APRIL 23,2010 PROVIDE n1 B'olo.x 6 STORM DRAIN POOL J PROP.A6TION5 MAY,,2010 PROPo5ED e'DIA n 3'DEEP DRrMFLLS FOR ROOF RUN-OFF ARE SHOWN Tt«n REV..IME 12,2010,lk'r 2,-2010 5LR OLK COUNTY TAX a NOOSE ROOF INCLUDINO NEry S RELN PORCH -- 1000- 13- 1-2 Ia I2 Oq.11 xIII=tae- 11 246 cu_It /422=55—tical It.of B'Ola.IeocNlnj pool requlre0 y,py RRVVIOE 121 It'Glo.x 3'STORM DRAIN POOL VALLIAM AltI RI LONG ISLAND - _ SOUND I - -------- -- NB��S.p2"E __ - _---�� Ngo V- _ , n --------------------------- ------------ ,.,R, --" r-- I -- ____ _ ____tea, - — _ _ ---------------------- -------- ------------------ --- ____"_ ______- •\------- ---:[_-_________ -----_ -------- - — — — - ---- --- - _\`: __ `--` - - _----_----_-_-_ _ 7 _v'-________ S - _- ---- ---- — — — — ''-------- U ___ R10-10002a ------ -•.\••;;; •`; ; --------- ____-_-- --- -- -HEALTHDEN.REF. ___ _ :_.___ \ - w - \ _- -_-- - - .- ------ ------ ---------- ------------- -- --- - ------ ___ --- _ _ _ ___ _ - - A Mz5 / i Af A / 5 A Of, Omz R II ,{ if `�' •tel` pO OAN .� *n . g '`✓� n TIN � a z x zmm dR F �r CmcP I p 3 O pcc `v ' D 9 ( z<z y mMD a�: o pN < et NI APPROVED SEPTIC INVERT5 BOARD OF TRUSTEES A T TONIN OF SOUTHOLD _ _ A DATE n w \ 20 b a91' bgb5, :�. 59.77. V E MONIMENT pi NEW EXI5TIN6 CESSPOOL TO BE ABANDONED 5 AS PER S.CD.H.S.STANDARDSw,.�„� „�'+- rr� * y , ELEVATIONS REF.NAVD '66 DAIllM ,a>.,,,..,.�...m.w...... Are. = ,4,1465.F. ` . JOHN C. EHLERS LANDSURVEYORAran = 1.,022 Acres S� 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC 51-ALE V= 40' RIVERHEAD,N.Y.11901 369-8288 Fax 369-8287 REF C:\Documems and Settings\Ow eAMy DocumenlsU9y Dmpbox\10\10-128 m revised per wstees.pm PER,IMIT ISSUED TO 1� DATE _ •:0s, I V ADDRESS � 00 N&4hV00e4w* G This notice must be displayed during construction and returned to Building Dept. to get a certificate of occupancy upon completion of work. BUILDING INSP'ECTOR'S OFFICE, TOWN OF SOUTHOLD SOUTH LD, N.Y. *PIPES CD -x?-10 54 against this application? (No response). Seeing no one, are there any comments from the Board? TRUSTEE KING: What's the limit of disturbance behind the bulkhead? Is that on there? TRUSTEE BREDEMEYER: The approximate limit of backfill was ten feet, which is consistent with the Board's thoughts of making it a 10-foot non-turf buffer. For those of you who are wondering what that means, it means that because this is going to be getting a replacement bulkhead, we'll require that the replacement will have an area of buffer behind it that will not allow fertilizer or intensely managed area so that we avoid getting nitrates and other assorted pollutants into the creek through the constructed area. TRUSTEE BERGEN: And also with the raising of the bulkhead by one foot will decrease that steep slope. That will also help with the runoff situation. Jack? MR. MCGREEVEY: The CAC again is concerned about allowing public access. It will be a comment that will be attached to a lot of our recommendations. It has to be considered. It's part of the LWRP and it should be part of the record. TRUSTEE DOHERTY: Comment noted. TRUSTEE BREDEMEYER: Thank you. TRUSTEE KING: In an area like this there is not much you can do. TRUSTEE BREDEMEYER: Unless New York State, along with all the towns, develops a new coastal standard which may allow also recapturing materials that we lost to regenerate beach areas, we are much at a loss. MR. MCGREEVEY: I can appreciate that. The Conservation Advisory Council is concerned that it should be on an individual basis. It should be judged on that basis. TRUSTEE BREDEMEYER: Thank you. Any further comments? (No response). Hearing none, I'll close will hearing in this matter. TRUSTEE GHOSIO: Second. TRUSTEE DOHERTY: All in favor? (ALL AYES). TRUSTEE BREDEMEYER: I move to approve this application with a ten-foot non-turf buffer and increase the elevation by one foot to match that of the neighboring Hodgkins. TRUSTEE KING: Second. TRUSTEE DOHERTY: All in favor? (ALL AYES). TRUSTEE BERGEN: Number 13, Ryall Porter Sheridan Architects on behalf of WILLIAM ADAMS requests a Wetland Permit to renovate the existing two-story dwelling; construct a new screened and 55 covered porch on concrete piles; construct a 1,100 square foot single-story artist studio on concrete piles; install new sanitary system replacing the existing system shared with the house; and install a new driveway. Located: 1060 Northview Drive, Orient. This was reviewed under the LWRP and found to be consistent with one recommendation; that the proposed driveway be constructed of pervious materials. And the Conservation Advisory Council supports the application with the condition there is no turf underneath the deck. The Board did go out and looked at this. Is there anybody here to speak for or against this application? TRUSTEE GHOSIO: Just one second before we move into the comments. I have labeled this picture wrong. This is not the Falco home, this is the one we are talking about now, the Adams home. TRUSTEE BERGEN: Thank you. It would be a shocker to both parties. MR. RYALL. I'm Bill Ryall, I'm the architect for the owners Bill Adams and Alexandra Pearlstein, who are also here this evening. I'm really just hear to answer any questions you may have. I just wanted to point out we have the DEC letter of non-jurisdiction because we are at the elevation of 75, the house, and we have the Health Department approval for the new septic system. The house is -- existing house, is about 200 feet from the high water line and there is also a proposal for a new artist studio to be built on the property which is about 300 feet from the high water line and 160 feet from the edge of the bluff. So I'm not sure that structure even is in your jurisdiction, but it's in the application. TRUSTEE BERGEN: I also note, it says on the plan, the proposed driveway, dirt and gravel driveway. It could be that is describing what is presently there but would your client consider the proposed driveway to pervious? MR. RYALL: Absolutely. They didn't even want us to call it a driveway, but the surveyor John Ehlers in Riverhead had said we should actually note the driveway is there and it stops there because he didn't want the Health Department to go back and imagine they could go back and drive on the new septic system. That's why we have it there at all. But it will probably not even be gravel, sand. The soil itself is quite, it takes the water very, very well. TRUSTEE BERGEN: The only other question the Board had out there, it looks like the proposed septic is approximately, looks like 65 feet from the top of the bluff. And we were wondering, given the depth of that property, is there any way of moving that back 56 to take it out of our jurisdiction, in other words moving it so it's 100 feet, to take it out of our jurisdiction. MR. RYALL: 100, to take it out of your jurisdiction, right. There is a reason for putting it there, actually. But yes, you want it back 100. 1 think it was just so we wouldn't have to dig so much for it. But, you know, and also it's putting it back approximately where the existing system is already. Oh, I know, the reason for it being there is so that you could run horizontally from the existing house. The sewage line from the existing house goes to the bottom of the basement level. There is a laundry, washing machine down there. So you want it to run horizontally from there and not have to do even more excavation, which would be necessary the farther south we go, with the septic. Because you can see from the contours it's a steep site. TRUSTEE BERGEN: Yes, we did note that. MR. RYALL: That's the reason why it's there and in your jurisdiction rather than pushing it back. TRUSTEE BERGEN: As you noted, it's proposed at about the very same distance as the abandoned one, the one proposed to be abandoned, and if we could move it back in any way, it would sure help us out. But like I said, it's just a matter if there is an opportunity to move the septic back in any way, shape or form, even if it's not the full hundred feet, but move it back some so it's farther away from the bluff than the current system that is being abandoned is. MR. RYALL: I'll call Mr. Ehlers tomorrow morning. He'll do it the best he can about it. Something I didn't mention, there is a small screen porch to be added to the existing house, which is on the land side. TRUSTEE BERGEN: I see that in the plans. MR. RYALL: Okay. Can I give you the affidavit of posting? TRUSTEE BERGEN: Yes, please. Was there anybody else in the audience who would like to speak with regard to this application? (No response). If not, any feeling on the Board, any comments from the Board? TRUSTEE KING: I would say if we could move the septic landward, it would help. If we can't, we can't. TRUSTEE DOHERTY: I have no problem approving it subject to moving the septic back, or do we want to table it to find out if that's possible? TRUSTEE BERGEN: I'm trying to follow the contour lines here. It looks like it's currently at approximately the 74-foot contour line. And if we can move it back to where the proposed clean out is on the plans, if it's moved back to there, I see the contour lines there at 78 feet. So we are looking at a 57 difference of about four foot in elevation. Is that something that could work? MR. RYALL: I see it. Yes, we could do that. TRUSTEE BERGEN: That probably will take it outside of our jurisdiction, looking at it. MR. RYALL: Okay. TRUSTEE BERGEN: Are there any comments from the Board at all? MR. MCGREEVEY: Can I make a suggestion. I didn't inspect the property, Dave, but is there any consideration or should there be consideration of runoff from the roof to drywells, gutters and leaders? 1 don't know, I was not on the site. TRUSTEE BERGEN: You are absolutely correct. Jack, thank you. And I'm looking on the plans here. I do not see that noted on the plans. MR. RYALL: Yes, he doesn't, Ehlers doesn't have them on these plans but they are definitely on the DEC plans. And both the existing structure and the new drywells to catch all of the runoff. And they are located, again, on the landward side of the existing house. TRUSTEE DOHERTY: We would need to see them on the plans. MR. RYALL: Okay, if you like, I don't know how your procedure goes, but we can say conditional, we can give that to you and have it added to your plan. TRUSTEE BERGEN: Yes. And we just measured it out. With the septic moved back to that area as marked as proposed clean up, it will take it out of Trustee jurisdiction. MR. RYALL: Okay. TRUSTEE BERGEN: Hearing no other comments, I'll make a motion to chose the public hearing. TRUSTEE DOHERTY: Second. All in favor? (ALL AYES). TRUSTEE BERGEN: I'll make a motion to approve the application of Ryall Porter Sheridan Architects behalf of William Adams as described at 1065 Northview Drive, Orient, with the condition that a new set of plans will be submitted that will show the inclusion of drywells, leaders and gutters on the house and the studio, and that the proposed septic will be moved back to what is noted on the plans stated stamped received June 18, 2010, where the proposed clean out is, thus taking it outside, the septic, outside our jurisdiction. And doing so will find it consistent with the LWRP. So I make that motion. TRUSTEE BREDEMEYER: Second. TRUSTEE DOHERTY: All in favor? (ALL AYES). TRUSTEE KING: Number 14, Peconic Permit Expediting on behalf of ROBERT & EMERENCE STICKLE, requests a Wetland Permit for the 5URVEY OF PROPERTY N ORIENT HOLE DATA 51TUATE: ORIENT DRAINAGE 5Y5TEM GALGULATI0N5: ✓ E EL - �4.4' TOWN: SOUTHOLD W I� sT `R�)L�Bo0R���R S NDIO ROOF AREA: 1,040 sq. FL SUFFOLK COUNTY NY 1,040 Eq ft. X 0.I1 cu. ft. : Ill cu_ ft. / 42.2 = 5 verticol ft. of 8' dia- leaching pool required SURVEYED: APRIL 23, 2010 PROVIDE (1) 8' &o, X 6' STORM DRAIN POOL S / PROP. ACTIONS MAY -7, 2010 l( REV. JUNE 12, 2010, JULY 21-2010 PROF05ED 8' DIA X 3' DEEP DRYNELLS FOR ROOF RUN-OFF ARE SHOWN THUS: ° u^ OCT. 4, 2010 SUFFOLK COUNTY TAX >< HOu5E ROOF INCLUDING NEN 5CREFN PORCH 1442 sg. ft. X 0.17 = 246 cu, ft. o,iox,.„ex n 1000 - 13 - I - 2 246 cu. ft./ 42.2 = 5.8 Vertical ft. of e' dia. leaching pool required CERT=TO: PROVIDE (2) 8' dia. X 3' STORM DRAIN POOL. MADAMS LONG ISLAND I, AIZCk RA lP1EARLSTEW -- SOUND 35 W N8�°'a-zdiz2g ,12 _______ __..____ ----------------- ^� 3OIOHIGH W,ER H1ftK _b.. ___ __ --- __ ___ _ OF�� _ _ ___ Southhold Town _ _ _ --_ �----- —_ —--------------BoardoiTrustees - - 7— -- - �- _----- ---------------- —- --- --- -- -_-\ ----- _-��`-`�- ----- -- - -----_-----_-- - �- AA-4 -- o HEALTH DEPT. REF. a \ _ --------------- - - /♦o _ ------- . .- - ---- - - __-_-_---_.-- RIO-10-0029 © - --------' - _ - ---- - - __ _---- __ °oo D➢moNO ----- d N - ____ - OzZNOD N _ D -- -- __ --- - ------ --------- -------------------- ----- __ ----- ---- --------- M> ___"--__ - _-_-__--------------- __ -- --- ----------- to ASfZNi l O mN IY - i— __ _ �➢(� Aho 6� 6R ON_'��1 IV 10 3 Co , _ o0 m ' O./ gl ,r 8P n£2 yAp N I I O r 1 /p p m , /0 Ido /o , - I (7-10 �/ V N 1942'00” E 124 Al" lusr L POLE IlP 1 �� pO,.E W,E^O M y 11 b4.6 p'Wo 59.77' -9 O, ^�a.r Ronoryn 3 NOTES: �RpPD,) MONUMENT FOUND pF NEW 0 �� EXISTING GE55POOL TO BE ABANDONED F� C2 AS PER 5.C.D.H.5. STANDARDS ELEVATIONS REF. NAVD '88 DATUM G Area = ,4,146 5. F. JOHN C. EHLERS LAND SURVEYOR Area = 1.1022 Acres \ 'A. O 6 EAST MAIN STREET N.Y.S.LIC.N0.50202 GRAPHIC, 5GALE 1"= 40' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 __ RERC:\Documents and Settings\Owner\My Documents\My Dropbox\10\I0-128 as revised per trustees and HD.pro Jill M. Doherty, President �QF sours Town Hall Annex James F. King,Vice-President O� �� 54375 Main Road Dave Bergen P.O. Box 1179 Southold, New York 11971-0959 Bob Ghosio,Jr. G John Bredemeyer .2 Telephone(631) 765-1892 ��yCo Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 20, 2010 Mr. William Ryall Ryall Porter Sheridan Architects 135 Fifth Ave. New York, NY 10010 RE: WILLIAM ADAMS 1060 NORTHVIEW DR., ORIENT SCTM#13-1-2 Dear Mr. Ryall: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., October 20, 2010: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit #7364 to revise the septic plan at the request of the Dept. of Health, and as depicted on the survey prepared by John C. Ehlers last dated October 4, 2010. This is not a determination from any other agency. Sinc rely, JillDoherty, Presid t Board of Trustees JMD:Ims From: 10 10/010 13:57 #043 P.001/001 10/04/2010 10:50 7656641 BOARD OF TRUSTEES PAGE 02 To"HaU Jill M.Doherty,BVk o-President �O�,President �,OF�Ul S0096 Route 26 p p Diakerepn .16 P.O.Box 1179 0,5 '! Southold.New York 11971-0968 Dave Ba"n John Hoh4 d Telephone(681)786.1892 afwb�4'LtFax(881)766.0841. t ROAM OF TOWN TRUSTM8 � _o_� r TOWN OF80UTHOrm OCT — 4 2010 APPLICATION FOR AN AMBNDMENT TO A WETAND P 'Town ar o rustees DATE 1D. DLI. 10 OWNER We LL t uric An 4 M t PHONE ADDRESS 'S'No C-k*44�at, Qt'. 2.rcr,r. 2 Ns ye + yjob,, AGENT �+�� +h�.,.L� PHONE 2.12• ZT-i. 1175- ADDRESS 135 S' 4�c 2N 1-2- 10010 PROPERTYLOCATION 02t�rir 1•lr `7o�, it TAX MAP NO. loon — 13 — 1 — MeW t Lt-+w" Al w6l, request an Amendment to Permit# 73(P op to Tis.vl L Tu( saor'r p6+xt-1 ar T+aL ✓1� Ltct- o'r Tl.lc� Dydw-u-r-1L„cr eG 1a4t t.r� Signed$y 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 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ½ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PE ~RMIT NO. 7364 DATE: JULY 21~ 2010 ISSUED TO: WILLIAM ADAMS PROPERTY ADDRESS: 1060 NORTHVIEW DRIVE~ ORIENT SCTM# 13-1-2 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resoluti ~o~,, of the Board of Trustees adopted at the meeting held on July 21~ 2010, and in consideration o f applicatio~n fee in the sumof $250.00 paid by William Adams and subject to the Terms and Conditions as stated ~ the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to renovate the existing two-story dwelling; construct a new screened and covered porch on concrete piles; construct a 1,100 square foot single-story artist studio on concrete pries; install new sanitary system replacing the existing system shared with the house; and install a new driveway; with the conditions of the installation of gutters to leaders to drywelis to contain roof runoff and in accordance with Chapter 236 of the Town Code~Storm Water Runoff, the new sanitary system is to be installed outside the jurisdiction of~the Board. of Trustees; and as depicted on the survey prepared by John C. Ehlers Lard SUrveyor~ last dated July 27, 2010, and stamped approved on AuguSt 2, 2010. IN WITNESS WHEREOF, the ~said Board of Trostees hereby causes its Corporate Seal to be affixed, and these presents t~ be subscribed bya ~lajority of~ said]Board as of thiS'date. SURVtE¥ OF PROPER-I-'f 51TUA'I'~, ORIENT TOk'tN~ .50UTHOLD 5UI~OLK COUNt, N'f 5URVE'r~D: AF:~.IL 23, 2010 t::~,OP. ACTIONS, HAT' -~, 2010 REV. JUNE 12, 2010, JOLT' 2-)'-2010 .SUPFOLK ~OUNTT' TAX # I000- 13- I - 2 / LONG ISLAND ~0UND TEST HOLE DATA EL T4.4' HEALTH DEPT. REP. # t~..I 0 - I 0-002<::1 a~ APPROVED SEPTIC INVERT5 BOARD OF TOWN OF $OUTHOLD DATE E I NOTES: ..' ? .. ,._. ,,'.. / / / ..... ~.~ ~. , i ..... .~ ~_~,_..,_~;..,,r~,_~ i'....,"!~ .: ',~ ~, ":/ii": :;: ; ::r~' 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.C:XDocuments and Settings\Owner\My DocumentsVV~y Dropbox~l 0Xl 0-128 as revised per trustees.pro TERMS AND CONDITIONS The Pcrmittee William Adama, residing at 1060 Northview Drive, Orient, 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 from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to tins 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 Permittec 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 tins 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 th~ 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 Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 July 21,2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. William Ryall, AIA Ryall Porter Sheridan Architects 135 Fifth Avenue New York, NY 10010 RE: WILLIAM ADAMS 1060 NORTHVIEW DRIVE, ORIENT SCTM# 13-1-2 Dear Mr. Ryall: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 21, 2010 regarding the above matter: WHEREAS, Ryall Porter Sheridan Architects on behalf of WILLIAM ADAMS 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 June 18, 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 July 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 WILLIAM ADAMS to renovate the existing two-story dwelling; construct a new screened and covered porch on concrete piles; construct a 1,100 square foot single-story artist studio on concrete piles; install new sanitary system replacing the existing system shared with the house; and install a new driveway; with the conditions of the installation of gutters to leaders to drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code- Storm Water Runoff, the new sanitary system is to be installed outside the jurisdiction of the Board of Trustees; and as depicted on the survey prepared by John C. Ehlers Land Surveyor, last dated July 27, 2010, and stamped approved on August 2, 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: $50.00 Very trulyyours, Jill I1~/. Doherty ~/ Pre§ident, Board of Trustees JMD/eac Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., July 14, 2010, the following recommendation was made: Moved by Doug Hardy, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of WILLIAM ADAMS to renovate the existing two-story dwelling; construct a new screened and covered porch on concrete piles; construct a 1,100 sr. single-story artist studio on concrete piles; install new sanitary system replacing the existing system shared with the house; and install a new driveway. Located: 1060 Northview Dr., Orient. SCTM#13-1-2 Inspected by: Doug Hardy The CAC Supports the application with the Condition there is no turf underneath the deck. Vote of Council: Ayes: All Motion Carried Jill M Dohe~xy, President Jarneg F King, Vice-President Dave Bergen Bob Ghosio, Jr John Bredemeyer P.O. Box 1179 Southold, NY 11971 Telep6one (631 ) 765* 1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: WILLIAM ADAMS requests a Wetland Permit to renovate the existing two-story dwelling; construct a new screened and covered porch on concrete piles; construct a 1,100 sf. single-story artist studio on concrete piles; and install new sanitary system replacing the existing system shared with the house. Located: 1060 Northview Dr., Orient. SCTM#13-1-2 '~r~-(3LL~ ~"~LL) (~-~J~-L~OJ~, ~wf area to be impacted: ater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ~'hapt.275 Chapt. 111 other Type of Application: P//Wetland __Coastal Erosion __Amendment __Administrative__Emergency __Pre-Submission __Violation Info needed: Modifications:, Conditions' Present Were: ~'~.J.King ,/'-J.Doherty ~'~J. Bredemeyer __ B.Ghosio, D. Dzenkowski other Form filled out ir&the ~eld by Mailed/Faxed to: Date: ~D. Bergen ,'~ Architects July 28, 2010 Board of Trustees-Town of Southoldi-=: Town Hall, 53095 Main Rd. ' P.O. Box 1179 Southold, NY 11971 Re: SCTM//1000-13-01-2.0 William Adams Residence Dear Trustees: I am the Architect for the above-referenced project which was reviewed at last Wednesday's Trustees' meeting (July 21,2010). At the meeting, the Application was Conditionally Approved pending relocation of new septic system further to the south, father from the water, so that the Septic System is at least 100' away from the Bluff Edge, effectively removing the Septic from Trustees' jurisdiction. Additionally, the Trustees asked that the plans clearly indicate that all roof run-off is captured in drywells. Enclosed please find four (4) copies of John Ehlers Land Surveyor's Plan revised July 27, 2010, with relocated Proposed Septic, and new drywells on landward side of the existing house, clearly capturing all roof run-off. Please call me if you have any questions or require more information. Sincerely, OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY11971 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: July20, 2010 Re: Proposed Wetland Permit for WILLIAM ADAMS SCTM#1000-13-1-2 Ryall Porter Sheridan Amhitects on behalf of WILLIAM ADAMS requests a Wetland Permit to renovate the existing two-story dwelling; construct a new screened and covered porch on concrete piles; construct a 1,100 sr. single-story artist studio on concrete piles; install new sanitary system replacing the existing system shared with the house; and install a new driveway. Located: 1060 Northview Dr., Orient. SCTM#13-1-2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that the following best management practices are implmented. If the action is approved to further Policy 5: Protect and Improve Water Quality in the Town of Southold and Policy 6; Protect and Restore the Quality and Function of the Town of Southold Ecosystem it is recommended that a undisturbed, natural vegetated buffer be required landward of the top-of bluff line. UNDISTURBED NATURAL VEGETATED BUFFER -- a land area of a certain length and width where existing vegetation occurs prior to the commencement of any grading or clearing activity. Maintenance activities within the buffer are limited to removing vegetation which are hazardous to life and property, trimming tree limbs up to a height of fifteen feet (15') to maintain viewsheds, replanting of vegetation and establishing a four foot wide access path constructed of pervious material for access to the water-body. Further the following best management practices are recommended: 1. Require that the proposed driveway be constructed of pervious materials. Pursuant to Chapter 268, the Board of Trustees shall considE,r this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney ToWn of Southold Board of Trustees Application Office Use Only __~wOaStal Erosion Permit Application etland Permit Application Adminisa'ative Permit Amendmenffrransfer/Extension Rece~vved Application:~.~., eceived Fee:$ o~b'-~ ~e~ _(~_t0!'_v~L} .,~42ompleted application b ~ Incomplete __SEQRA Classification: Type I Type I1 Unlisted C~oordination:(date sent) ~ I ~ ~LWRP Consistency Assesl~megt Form ~C~C Referral Sent: ~1~3...~[(2) ~Dateoflnspecfion: TI I"~1~0') Receipt of CAC Report: ' ' -- Lead Agency Determination: Technical Review: ~rpublic Hearing Held: Q,_~J- Resolution: Name of Applicant: William Adams Address: 530 Canal Street 2nd Floor, New York, NY 10013 Phone Number: (646) 673-4531 Suffolk County Tax Map Number: 1000 - 13 - 01 - 2.0 Property Location: 1060 Northview Drive, Brown's Hills Road orient, NY 11957 LILCO pole #9, 1060 feet from Brown's Hills Road and Northview Drive intersection (provide LILCO Pole #, distance to cross streets, and location) AGENT: William Ryall, Ryall Porter Sheridan Architects (If applicable) Address: 135 5th Avenue 2nd Floor New York, NY 10010 Phone: (212) 254-1175 Board of Trustees Application GENERAL DATA Land Area (in square feet): 74,146 Square Feet Area Zoning: R-40 Previous use of property: Single Family Dwelling Intended use of property: Single Family Dwelling Covenants and Restrictions: Yes X No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals __ If "Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency Date Yes X No X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): The lot is a waterfront parcel above Long Island Sound. There are no wetlands within 100 feet of the proposed activity. The proposal is for the renovation of an existing two story, wood framed house with the addition of an attached screened and covered porch on concrete piles. Also proposed is a new 1,100 sq ft single story artist studio on concrete piles. This new structure incorporates two sinks and a single toilel attached to a new septic system replacing the existing system and,s.h,,ared with the hou,,se.. The proposed studio sits within the legal setbacks of 15-0 side yard and 50-0 front yard (waterfront properties) and is within the maximum allowable height of 18'-0" as per chapter 280 Article IV of the Town of Southold Zoning Laws. Both the new addition to the house and the propsed studio stand on concrete piles to minimize the impact on the existing land and every effort has been made to further limit the environmental impact of the proposed design. Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Residential Addition Are wetlands present within 100 feet of the proposed activity? X No Yes Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? 275 (cubic yards) How much material will be filled? 400 (cubic yards) Manner in which material will be removed or deposited: Backhoe Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) There are no environmantal impacts anticipated from the work associated with this project. I 617.20 PROJECT IC NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SNORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION ( To be completed by Applicant ~ Project Spons~) t 1. APPLICANT I SPONSOR ~ 21 PROJECT NAME 3.PROJECT LOC*~T~ON: ' I - ] I SEQR IS PROPOSED ACTION: [] New [~cxpansion r-~Modh'ica~3nlaleralJon 6. DESCRIBE PROJECT BRIEFLY: WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OmER RESTRICTIONS? E~Yes [] NO If rio, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choo~easrnanyasapply.) E~Resldentlal I~lndusMal r--Icommerclal r--"lAgdculture E]ParklForest/OpenSpace F--IOther(desctibe) 10, DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY O~IER GOVERNMENTAL L~Yes r-]Ne If yes, list agency name and pencil / approval: 11, DOES ANY~IY ~(~PBCT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? I--lYes II yes, list agency name and permit ! approval: []No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature If the action Is a Costal Area, and you are a State agency, complete the Coastal Assessment Form before procasdlng with this assaslment PART II - IMPACT ASSESSMENT ~To be completed by Lead Agency) A. DOES ACT1ON EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes. coordinate the review process and use the FULL FAF. [-"J Yes J']No B. WILL ACTION RECEIVE COORDINATED REVlL~V AS PROVIDED FOR UNLISTED ACTIONS tN 6 NYCRR. PART 617,67 If NO, e negative declaration may be superseded by another Involved a~ency. I--lyes [--1No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if ~egthte) C1. Existing air quetity, suri'ace or groundwater quality or quaatity, noise levels, exls~ng traffic pattern, solid waste produc~Jo~ or disbosal, potential ~or emsfon, dmiaage or ttoo~tug p~blem~? Expla~ bdotiy: l C2. Aesthetic, agricultural, a~haeologinel, hlstndc, or other natural or'~,,.~ml m~o~rcesi'~ ~unily or neighborhood character? Explain briefly: I C3. VngeteUo~'~'f~une. f'uth, sbellf~h or wtidli~ species, .lgni~cent habitats, or thmatene~ m endangered species? Explain bndfly: i I I C7. Othorlmpects ql~i~l~Ch~n~leo'lh use ofeifherquanitt~o~'i~of~e~ Explain bndit~': D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA [CEAt? Jif )'eSr explain brtefiy: PART lit - DI: i e:RMLNATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reech~dvorsee~ectidenti~ed~b~ve~detmmi~ewhetherit~ssubetant~a~arge~imp~rtant~r~thanvi~es~gniit~ant~ Each effect should be assessed in connection with ~ts (a) setting (i.e. u~oan or rural); (b) prohabilily of occurring; (c) duration: (d) Irteversibility; (e) geographic scope; and (t) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show 6qat all relevant adverse impacts have been identified and adequately edclressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the pmpoeed action on the environmental characteristics o~the CEA. C hack thiS box if you have identified one o~ mom pots ntially large or aigniflcant adverse impacts which MAY occur. The n proceed direc~y ta the F UL L FAF and/or prepare a positive declaration. Check this box If you have determined, based on the information and analysis above and any supposing documentation, that the proposed actior WILL NOT result in ~lrly signit'~cant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi~ determination. Nsnm of Lead Agency Date Title of Responsible Officer ......... ~gnature ot' Preparer (if different ~'rom responsible ofllcer) Slgnat~J~ of Responsible Oltt c~.J~ Lead Agency Town of Southold Erosion, Sedimentation & Storm.Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T,M.#: TH": FOLLOWING; ACTIONS MAy REQUIRE THE SUBMISSION OF A sTORM-wATER, GRADINGI~ DRADtAGE AND ERGSION CONTROL PLAN SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# /WORKASSESSMENT ] Yes No (,nciude Total Area of all Parcels l~cat~d wllh,n ']~1.,"~,/ ~.~ Oenerated by a Two (2') lnch Ralnfa~ on Site? v~F~ 4 Will tflis project Require any Land Flfllng. Grading or D / 5 Will this Applicatl~ Require La~d Disturbing Activities O / 6 IslhereaNa~uralWaterCoulseRunnlngthroughBle D / SWPPP's ~hall meet the I,flnlmum Reqelmment~ of the SPDE$ C-eneml Pemllt 8 Will Driveways, Parking Areas o~ o~her Imperious ~ / STATE OF NEWYO~, COUNTY O1~ ....~...%..~.~ ......... SS DOROTHY WEED \^ I ' ~i-- k-~ ~-- . NOTARYPUBUC.$TATEOFNEWYORK ']'hst ! v~ ..- ~ , -- MY COMMISSrON EXPIRES 03-23-2013 Owacr and/or representative of ~he Owner er Owner,% and Js duly authori, zed to perform or have p~d~)m]ed the sa~d work ~u-~d {~ make and £de this applicator; that ;dj sta~cmcn~ ¢onr~a~ed in dA~ ~pplic~do~ a~ u'ue to the bes[ o£ I~s ~owledg. an(~ ~li.e£; .'md that the work. ~ be peffon~ed ~ thc manner se[ to[th il) the ~.pp[icadon flied herewith. Sworn to before me this; / ~ /~ ............................................. ....................................................... FORM - 06/10 Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of WILLIAM ADAMS COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, Wl~/b'o.~n, ~L~,residinga~~i~~_~ ?~n,'~ ~r~o~L~.~ being duly ~ depose and say: ' That ~n th~ day of ~ , 2010, I personally posteO ~e prop~y ~n ~s ~. fy placing t~e Board of T~stees o~Cial poster where it c~ easily be seen, ~d ~at I have checked to be sure the poster h~ r~ain~ in place for ei~t days p~or to ~e date of the public hemng. Date of hea6ng noted thereon to be held Wed. July 21~ 2010 on or about 6:00 PM. Dated: (signature) Sworn to before me this ,:-'07~ dayof~JJ 200 c9<9/D BARBARA L WARD NOTARY PUBLIC STATE OF NEW YORK QUALIFIED IN MANHATTAN COUNTY NO 01WA618217§ MY COMMISSION EXPIRES 02.19-~0'i2 PROOF OF I~LaH.I[NG OF NOTICE ATTACH CERTIFIED MAll, RECEIPTS Name: Address: STATE 'OF NEW YORK COUNTY OF S~l~/~/~u~a'*~ ~ ~~: ~ ~ ~ ~ ~l5 ,residingat' l~c~ ~o-~l~4~tl~~o ~.~a~c~ C>o ~.~ r-- t'4."~, DqS'"/ l, being duly sworn, deposes and says that on the }~v~ ' dayof ~,a~-,~ · ,'201-D-)deP0nentmail~xlatmec°py°ftheN°tice set forthin the Board of T~ustees/~pplicetion, directed to each ~f the above named persons at the addresses set opposite there r~,spective names; that the addresse~ set opposite the names of said persons are the. address ofsaid persons as shown on the current assessment roll of the Town of S°uthold; thai said Notices were mailed at the-United States Post ~tq. t-..'t'gav~'r ~_tl~. tbo~, that said Notices ~vere.mailed to each of said persons by Sworn to before me this l~ay of,-~-ta [ x ~ ,20 I ~~ '{ Notary Phhlic DOROTHY WEED NOTARY PUBLIC, 8TA'tE OF NEW YORK QUAUFIED IN QUEENS COUNTY NO. Ol WE6203025 MY COMMISSION EXPIRES 03-23-2013 'l ~E~II~C ! A L U S E $1.39 (X)15 $2,80 O1 $ $4,19 07/14/2010 ; oE;I,~E~CIAL USE I $2.80 Ol $0~00 ~ o?/1~/20~o $ $1.39 (X)15 $0.00 $0.® $ $4.19 07/14/2010 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAlL RECEIPTS Nanle~ Address: STATE OF NEW YORK COUNTY OF SUFFOLK day of opposite Office at 10t, o r, being duly sworn, deposes and says that on the mailed a true copy of the Notice directed to each of the above named }pposite there respective names; that the addresses set persons are the address of said persons as shown on the current Town of Southold; that said Notices were mailed at the United States Post to each of said persons by i mail. ) before me this of ,20__ Notary Public I ~(~YE~ITC I A L U S E Re~um Reee~ Fee (Endorsement Required) Restrlcied Delh~,y Fee (Endomement Required) TOtal Postage & Fees $ $1.05 0015 $2.80 3J $0.00 Here $0.00 $' $3.85 06/17/2010 $1.05 0015 c~.ldod F~, $2,80 33 ~ (Endorsement Required) $0,00 ru $3.85 D6/17/2010 ,r po Box No. _ ................................................... ,~)~J; ~:15~ I A L S E $3.85 06/17/~10 m postage $ $1.05 0015 Coltidod F.e $2.80 33 D (Endomement Required $0,00 r-t (Endorsement Required) r'LJ ru Tota~Pomge & Fee~ $ $3.85 06/17/2010 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: ~H.~/,ar'C- a.~ CJn<~c.r',~ ~=n,~r20~c¢- t~r~ c*~e.~-o.,cr- 1 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 'Tuft ~,,n. cG~ ~ t~. ~at-r~- 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: . You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Enc: Copy of sketch or plan showing proposal for your convenience. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: ,--,:. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: Doe: p,~n.t, et~. I~ ~ 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: . You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Enc: Copy of sketch or plan showing proposal for your convenience. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: I:'~..t~.~..~ ~ Au~,~t_~,,~ b YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: T~: p.~n.e..et~. I~ m 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: . You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal OWNERS NAME: MAILING ADDRESS: PHONE #: Enc: Copy of sketch or plan showing proposal for your convenience. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: "T'~: F'~n-e-tr~- I~ ,~ 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: . You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: MAILING ADDRESS: PHONE #: Enc: Copy of sketch or plan showing proposal for your convenience. Board of Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WiLL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS ~ DAY OP-~'~ tOQ.~ ,20 lO DOROTHY WEED NOTARY PUBLIC, STATE OF NE1N YORK QUALIFIED IN QUEENS COUNTY NO. 01WE6203025 MY COMMISSION EXPIRES 03-23-2013 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at %%o (mailing address) (Agent) ~,~c~ ?~,'tr~'~ ~t~e,'B~,,4 ~tt_u, r,~r"ato apply for permit(s) from the Southold Board of Town Trustees on my behalf. APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: NATURE OF APPLICATION: (Check all that apply.) Tax Grievance Variance Special Exception If "Other", name the activity: (Last name, first name, r~niddle inititll, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person or company name.) Change of Zone Approval of Plat [__ Exemption from Plat or Official Map Other Do you personally, (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the Town officer or employee has even a partial ownership of (or employment by) a corporation in which the Town officer or employee owns mom than 5% of the shares. YES [ I NO I Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): [ ] A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); I I B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); ~ C) an officer, director, partner, or employee of the applicant; or [~-'--] D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this Signature: Print Name: '1 June 14, 2010 Board of Town Trustees Southold Town Hall 53095 Route 25 P.O. Box 1179 Southold, NY 11971 To Whom It May Concern: B0~rd of Trustees On behalf of William Adams and Alixandra Pearlstein I am submitting this application for a Southold Board of Trustees approval. I understand this application will be reviewed for completeness and scheduled for the next public hearing. If you have any questions or concerns please contact me, or the project architect, John Buckley. Sincerely, William Ryall, AIA Enclosed Forms and Drawings (3 copies): Board of Trustees Application Survey of Existing Conditions (signed and sealed by John Ehlers - Surveyor) June 25,2010 Board of Trustees Town of Southold 53095 Route 25 PO Box 1179 Southold, NY 11957 Dear Lauren, Enclosed are the four outstanding items you requested: $250 check to the Town of Southold, the LWRP Assessment form, the Storm water assessment form and a notarized page three of the Town trustees Application. We are happy to hear that our project is to be heard on the 21st of July. If there are any comments or concerns please feel free to contact me. Sincerely, John Buckley 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 Office, the P_lannin. D,-n~,-t~,--t -.all local libraries and the Town Clerk's office. I:; ~! IG ~ ~ ]~ ',~ t~ I t L2Jr B. DESCRIPTION OF SITE AND PROPOSED ACTION I r ilj ~.~ u~, '-" '- -..~ ; SCTM# I o~'o - ,~ - o , - _Z"°----, I ..... The Application has been submitted to (check appropriate response): ~l'r~:~ e! TownBoard [] Planning Dept. [] Building Dept. [-~ BoardofTrustees~ Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: I Locationofaction: )o~,~, N*~-~t~ ~,*~ o~,,-~ar N~ Site acreage: Present land use: Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: (c) Telephone number: Area Code ( ) 'Z t 7_. 7_ :5'x.I. I t -t 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? 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 111 - 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 Ill -~ages 3 through 6 for evaluation criteria ~ Yes Ir~ No I' I Not Applicable Attach additional sheets if necessa~ Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LW~ection Ill - 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/Ul - Policies Pages 8 through 16 for evaluation criteria ~ '~ Yes Iq 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 I11 - Policie~Pages 16 through 21 for evaluation criteria ~l_~ Yes [] No ~NotApplicable t 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 111 - Policies; Pages 22 through 32 for eval~teria. [] Yes [] Nol~ Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section 111 - Policies Pages 32 through 34 for~aluation criteria. Yes [-'-q Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes/flee LWRP Section 111 - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [] No~t-~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of/Southold. See LWRP Section Ill - Policies; Pages 38 through 46 for evaluation criteria.[] I~ ~ Yed I Noi-~ 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/L%VRP Section Ill - Policies; Pages 47 through 56 for evaluation criteria. [] Yes [] No ] ~ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town w~rs. See LWRP Section Ill - Policies; Pages 57 through 62 for evaluation criteria. Yes I I NoI-~ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section Ill - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [--] No[~l-~ Not Applicable Attach additional sheets if necessary Policy 13. Prom.otc appropriate use and development of energy and mineral resources. See LWRP Section III - Polie~ges 65 through 68 for evaluation criteria. [] Yes ~-] No ~ Not Applicable Created on 5/25/05 11.'20 AM June 14, 2010 Board of Town Trustees Southold Town Hall 53095 Route 25 P.O. Box 1179 Southold, NY 11971 To Whom It May Concern: On behalf of William Adams and Alixandra Pearlstein I am submitting this application for a Southold Board of Trustees approval. I understand this application will be reviewed for completeness and scheduled for the next public hearing. If you have any questions or concerns please contact me, or the project architect, John Buckley. Sincerely, William Ryall, AIA Enclosed Forms and Drawings (3 copies): Board of Trustees Application Survey of Existing Conditions (signed and sealed by John Ehlers - Surveyor)