The URL can be used to link to this page

Home My WebLink AboutTR-7352Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE __ Pre-construction, hay bale line __ 1st day of construction ½ constructed v'/'"' Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD; NEW YORK PERMIT NO. 7352 DATE: jULY 21, ,2010 ISSUED TO: A & E KOEtILER PROPERTY ADDRESS: 1595 BAY SHORE ROAD~ GREENPORT SCTM# 53-4-5 AUTHORIZATION Pursuant to the provisions of Chapter 2~5 and/or Chapter 111 of the Tom Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adoPted at the meeting held on July 2,1i 2,0.,1.0, and in consideration of apPlication fee in the sum of $250.00 paid by A & E Koehler and subject to the Terms and Conditions as stated inthe ReSOlution, the Southold Town Board 0f Trustees authOrizes and pe~itS ~he following: Wetland Permit to repair the existing stone rip-rap, and as depicted on the site plan prepared by J Grammas COnsultants, last dated May 24, 2010, and received on May 25, 2010. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittec A & E Koehler, residing at 1595 Bay Shore Road, Gre~nport, New York as part of the consideration for the issuance of the Permit does understand and proscribe to the following: That the said Bom'd of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties; and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, hut should cimumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of thc 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, t6,remove or alter this work project herein stated without expenses to the Tgwn 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. & Mrs. Eugene Koehler 108 Allen Blvd. Farmingdale, NY 11735 RE: A 8, E KOEHLER 1595 BAY SHORE ROAD, GREENPORT $CTM# 53-4-5 Dear Mr. & Mrs. Koehler: The Board of Town Trustees took the following action dudng its regular meeting held on Wednesday, July 21,2010 regarding the above matter: WHEREAS, A & E KOEHLER 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 May 25, 2010, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Headng was held by the Town Trustees with respect to said application on 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, WHEREAS, the Board has considered all the testimony and documentation submitted conceming 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 approve the application of A & E KOEHLER to repair the existing stone dp-rap, and as depicted on the site plan prepared by J Grammas Consultants, last dated May 24, 2010, and received on May 25, 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 truly yours, President, Board of Trustees JMD/eac Jill M. Doherty, President lames 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 (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated /)~Y' c~/ c~O/O has been reviewed by this Board at the regular meeting of ~ I.~ ~1.. ~/O 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) __ 1~ Day of Construction ($50.00) __ ~ Constructed ($50.00) ~/~ Final Inspection Fee ($50.00) ~~1~ __ Dock Fees ($3.00 per sq. ff.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set fo~h in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessa~. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE:$ ~ BY: Jill M. Doherty, President Board of Trustees 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., June 9, 2010, the following recommendation was made: Moved by Jack McGreevy, seconded by Doug Hardy, it was RESOLVED to SUPPORT the Wetland Permit application of A & E KOEHLER to repair the existing stone dp-rap. Located: 1595 Bay Shore Rd., Greenport. SCTM#53-4-5 Inspected by: Audrey Horton, Jack McGreevy The CAC Supports the application with the Condition the dp-rap is landward of the mean high water and the location is in compliance with the Public Trust Doctrine. Vote of Council: Ayes: All Motion Carried Jill M. Dohe~gy, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr John Bredemeyer PO. Box 1179 Southold. NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ~_~,-'~ --(~) A & E KOEHLER request a Wetland Permit to repair the existing stone rip- rap. Located: 1595 Bay Shore Rd., Greenport. SCTM#53-4-5 area to be impacted: ater Wetland Freshwater Wetland Sound (-.'""Bay Distance of proposed work to edge of wetland ~haf Town Code proposed work falls under: pt.275 Chapt. 111 other Type of Application: [.--~/etland __CoaStal Erosion __Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: ~J'7, King __'J~.Doherty L~J. Bredemeyer {/"/D. Bergen__ B.Ghosio, ~, ../D, Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: - Southold Town Police Incident Report Case Number I Report Occurred On/From Occurred To 01-10-002638 104/10/2010 09:39 04/10/2010 09:39 Incident Type Cese Status Cese Status Date TOWNCODE-OTHER FELDARRESTFrCKET SSU 04/2112010 IlL Common Name 1595 BAY SHORE RD GREENPORT, NY 11944 (SUFFOLK County) ~ Sector: 3 803 Map Reference: GPT4 Location Type: VVETLANDS Sector: 3 803 Report 04/10/2010 09:39 Case Number 01-10-002638 Report Type Original C eared Total Damaged Property Value: $0.00 Total Stolen Property Value: $0.00 Total Recovered Property Value: 90.00 O F F E1 S E State Classification TOWN CODE-OTHER Statute/Ordinance Stc 275-5 Federal Classification (Larceny Only): Not Applicable (-) Attack Reason: NO BIAS/NOT APPLICABLE (-) Location Type WETLANDS Attempted/Committed COMPLETED Disposition Date 04/10/2010 Federal Disposition: FIELD ARREST/TICKET ISSUED p Person Type Business/Person Name Business Phone E SUSPECT John KOEHLER 631-~ R Home Phone Person Address Map Reference SA (516) 779-2727 22 LILY DR S.SETAUKET, NY 11720, SUFFOLK County O ~ Cell Phone Employer Address Map Reference N Race Sex SSN I DL Exp. Date I DL Number VVHITE Male Birth Date Birth City 05/16/1958 Age: 51 Body Marks: Adult/Juvenile: ADULT N A R R ^1 I V E Topic Original While on patrol undersigned observed the defendant building a stone revetment within 100' of a tidal wetland without a permit. Summons# A4282 issued. Reporting Officer Department Report Status: Donald dzenkowski (2068) Approved Officer Name Date/Time Verifying Officer Department Data I Time SGT JAMES A GINAS (2691) SOUTHOLD TOVVN POLICE 04/21/2010 13:45 ] of ] m A -4282 Town of Southold Suffolk County, NY The People of the State of New York vs. New York State Department of Environmental Conservation Division of Fish, Wildlife & Marine Resources, Region One Marine Habitat Protection SUNY @ Stony Brook, 50 Circle Road, Stony Brook, New York 11790-~409 Phone: (631) 444-0295 FAX: (631) 444-029?' Webslte: www.dec,state.ny,us_' Alexander ~, Grannis Commissioner WARNING LE'I-FER May 18, 2010 John Koehler 22 Lilly Drive South Setauket, NY 11720 Re: 1595 Bayshore Rd, Greenport (Suffolk) Dear SidMadam; During a recent inspection, Department staff noted a potential violation at 1595 Bayshore Rd, Greenport (Suffolk County), Specifically. the reconstruction of a rock revetment approximately 63' long × 7' wide, adjacent to a regulated tidal wetland and without the required NYS DEC permits. This is a regulated activity within the Department's Tidal Wetland jurisdiction and therefore, requires a permit from the Department. Conducting regulated activities without the required NYSDEC permits is a violation of Article 25 of the State's Environmental Conservation Law, Such violations may be subject to a maximum penalty of $10,000 per day per violation. /~t this time, the Department is issuing this warning letter in lieu of further enforcement action against you, We now consider this violation resolved. You are reminded, however, that any future regulated activity will require the appropriate permits. Thank you for your cooperation in this matter. Sincerely, Karen Graulich~ Regional Manager Madne Habitat Protection Region 1 W10AF03 cc: ECO Gadomski OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 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 A & E KOEHLER SCTM# 1000-53-4-5 A & E KOEHLER request a Wetland Permit to repair the existing stone rip-rap. Located: 1595 Bay Shore Rd., Greenport. SCTM#53-4-5 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 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 Office Use Only ._~,w,astal Erosion Permit Application ~Wetland Permit Application Administxative Permit Amendment/Trans fer/E~xtension ~/~ece~vved Application: .ql , ~_Received Fee:$~l.[ ~/Completed Application~_.~j[L3 __Incomplete SEQRA Classification: Type I Type I1 Unlisted Coordination: (date sent) ~WRP Consistency Assess~nent Form ~x3~[ e~-t) ,aL:VAC Referral Sent: ~ t ~}-q I~ ,l~ale of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: · Palqlic Hearing Held: [') [~.[9 [. [~ Resolution: Name of Applicant ~7/~ /~tTd./~'£~,E . Address /~ ~o ~ ~/~ Phone Suffolk County Tax Map Number: Property Location: (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Ooard of Trustees Ap~ GENERAL DATA Land Area (in square feet): ! Area Zoning: /tg. [, 'ab E~-~' Previous use of property: ,A~6; z5 f,-.,/7-..:~t 6. Intended use of property: ~ ,' '~ ~'~Z~'/~6 - Covenants and Restrictions: If "Yes", please provide copy. Yes ,~ No Does this project require a variance from the Zoning Board of Appeals If "Yes", please provide copy of decision. Yes Prior permits/approvals for site improvements: Agency No __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? If yes, provide explanation: .~ No__ Yes Project Description (use attachments if necessary): ! oBoard of Trustees Applica~n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: -~ _square feet Percent coverage of lot: ~ % Closest distance between nearest existing structure and upland edge of wetlands: .~'O feet Closest distance between nearest proposed structure and upland edge of wetlands: ~ feet Does the project involve excavation or filling? /~ No Yes If yes, how much material will be excavated? How much material will be tilled? Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: cubic yards cubic yards feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): oBoard of Trustees Applica~n COASTAL EROSION APPLICATION DATA Purposes of proposed activity: /--'~ ~:%~'7",'~x/v f_.. --~ .4~,'Ze~'~- ~ Are wetlands present within 100 feet of the proposed activity? No .r~ Yes Does the project involve excavation or filling? .~r No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? .(cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) PROJECT ID NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) SEQR 3.PROJECT LOCATION: / Municipality /.~'"* ~V/~.f,~,~ ~/~, Cou,ty d~I//~ /~ O- 4. PRECISE LOCATION: Street Ad/e'~ss and Road Intersections, Prominent la~C~arks etc - or provide mad 5. IS PROPOSED ACTION: i--'l/~ew I---I Expansion r-~ Modificaflon, alteraUon ~ /~,~:~ ¢~.~ , 6. DESCR,BE PROJECT BR,EFL¥: .'gD D ~ ~ ..~F'--~'"',"~'.~ /-~ ~,z~ 7. AMOUNT OF LAND AFFECTED: Initially O acres Ultimately '~ acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~es [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) t~]Re$idontial [~]lndustdal ~]Commor¢ial [~-]Agriculture [~]Parfl/Forest/OponSpace [~]Other (doscdbe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ~Yes.[~° If yes, list agency name and permit/approval: ~--./~4'.~'~__~_~ 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~ [~Yes t~No If yes, list agency name and permit / approval: t2. AS A RESULT OF PROPOSED ACTrON WILL EX,ST, NC PERM,T~ APPROVAL REOU,RE MOD,F,CATION? [~]Yes E~No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicantSign at u re ~ .~'~ i.~.,~./~,.,.~---- Spa Is~ Name _ ~"~/'//--)~ /~ ~-'~ ~' · Data: 't~ If the action is a Costal Area, and you are a state aoencv. complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) · A. DOES ACTION EXCEED ANy TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yue, ooo~linate the review process and use the FUll EAF. I-I - I71No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNUETED ACTIONS IN 6 NYCRR, PART 617.67 If No. a negative r-I - rTi.o C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOllOWING: (AllSWem may be hafx~,/ntton, If legible) Cl. ~ air qua~, ~taua er groundwater quality er quantity, ~ Imets, ~ traflte bettem, solid waste proeucaon or disposal i,"° C3. V~a..ia~;un or fauna, fish, ~,~ ;'.,; i or ar,~;;;= spedes, significant habitats, or threatened or endangered species? ~= .w~ Ixtelly: C4. A CO"-,'dnltY'S ~mu, aa Plaue o~ guels as offictally ~, or a e. hange ~ ~ er ~ ~ m ~ ~ er ~ ue~ ~? F~!~ ~: C5. Growth, subsequent de~,~l~a,~L or re~ated ac~lVi~reS likely to be induced by Ihe pr.~ _ _ _=~_ ac~o~? F%~.=_~t briefly: I"° , C6. Longterm,$herHemLcumutetive, or other effects not identified in Cl.C5? Explainlxtetly: D. WILL THE PROJECT HAVE AN IMPACT ON 'I~E ENVlRONMENTA 'L CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRffICA[ ENVIRONMENTAL AREA (CEA)? (ff yes, explain br;eli),: E. IS THERE, OR IS TI~T. RE UKELY TO BEt CONTROVERSY RELATED TO'POTENTIAL ADVERSE ENVIRC:',:.'.'C~.TAL IMPACTS? If PART III - E~= g =maieu~tluN OF SIGNIFICANCE (To be co.tad by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edabeve~determ~ne~d~ether~ti~sebet~nt~a~~r~s~n~L Each ~ sholdd be assessed in ~cenection with its (e) setting (i.e. Urban or rural}; (b) probeblllly of o~urflng; (c) duramen; (d) Irrevem~otlily; (e) geographic s<x~oe; and (0 magnitude. If necesea~j, add attachments or reference auppo~ng matmtals. Ensure Ihat explanations contain sufl~lent detail to show that all relevant adverse impacts have been identified and adequately addressed. If que~on d of part II vms checked ye~. the,detemlinaflon of stgnlflcence must evaluate the potential Impact of the propce~ action en the envfmmnentalcharacterlstics of the CFA WILL NOT result in any significant adverse emdronmental Impacts AND provide, on attschlmmts aa neoessmy, the reasona suplx~ tie determination. ,,Board of Trustees Name of Luad Agency Jill M. Doherty P~nt or Type Name o~esp~lsible/Offi.,~r in Lead Agency ,/// 81g ture of Responsible O~r in Lead Agency v v President Date Title of Responsrole Officer Signature of ~,~i ~ (If dlffere~ from responsible officer) Jill M, Doherty, President James F. King, Vice-President Davc Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of A & E KOEHLER COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING ,resid,ngat/dba, &'& ,.% [ being duly sworn, depose and say: That on the].~"-day of,~JM- t~/~ ,201 o, 1 personally posted. ~te property known as by placing the Board of Trustees o£fic~al 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, June 16~ 2010 on or about 6:00 PM. (signat Sworn to before me th.is /~)Z/tday of~ 200 'l~ Nota/y Public ~ N~O1HMIOTI~O: . -' · Complete items 1, 2, and 3, Also COmplete item 4 if Restricted De~ive~ is desired; · Print your name and address on the reverse so that we can ratum the card to you. · Attach this card to the back of the maJJpiece, or on the front if space permits. 1. Article Addressed to: ~ Signature X [] Agent B. Recelvedby(PdntedName) tC. Date of Delivery D. Isde~iveryaddmsedEterantfmm~tem 17 [] Yes If YES, enter delivery address below: [] No r~ [] Express Mall [] Return Receipt for Merchandise [] C.O.D. ' 2. Artlcl~ Number (Transfer f~orn Ps Form 3811, February 2004 Domestic Return Receipt 4. Resflfcted DeVilry? (E~-aFee) [] Yes rm · Compiate items 1, 2, and 3. Alan complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can tatum the card to you, · Attach this card to the back of the mailpiece, or on the front Jf space permits. 2. Article Number X [] Agent [] tnsumd Mail [] F.~cp~ss M~l [] Retum Receipt for Memhandlse [] C.O.D. 4, Restricted Deliver? (Ezra Fee) [] Yes PS Form 3811, February 2004 7009 0080 0001 9555 Domestic Return Receipt 8474 102595~2-M-1540 · Complete items 1,2; and 3. Also complete item 4 If Restricted Delivery Is desired. · Print your name and address on the reverse so that we can return the crud to you. · Attach this card to the back of the mai~pleca, or on the front if space permits. 1. Article Addressed to: Al Yl /97 / 2. Ail~cieNumber 7DD9 0081 (T~ansfer from se~/ce ~. ~gnature rl Agent X [] Addressee B. Reoaived by ( Pr/nted Name) C. Date of Delivery D. Isdelive,~addmssd[ffemntfmmlteml? [] yes If YES, enter daiive~ address below: [] No [] R~um Recaipt for Merchandise [] Insured Mail [] C.O:D. 4. Res~cted Delive~ ~ Fee) [] Yes 0001 9555 8467 i PS Form 3811, February 2004 Domes*dc Retum Receipt OFF C AL USE I OFFiCiAL OFF C l A [~_~[$ E ~¥ 2 6 20!0 // Cer~fled Fee Return Receipt Fee ~ (E~me~nt R~ul~) OFF CtAL L · Complete ~ems 1, 2, .and 3. AJso complete item 4 if Rbstrlctecl D&livery is desired. · Pdnt your name and ~ddress on the reverse so that we can retum the card to you. · Attach this card to the back of the mallplece, or on the front if space permits. 1. Article Addressed to: A. Signature X n Agent [] Addressee B. Received by (Printed Name) C. Date of Delivery D. Is delNery address different from item 1 ? [] Yes If YES, enter delivery address below: [] No M~I [] Express Ma~ ' [] Registered [] Retum Reselpt for Me~.h,=,dlse [] Insured Mall [] C.O.D. 4. Rest~cted Delivery? (~-~'tra Fes) [] Yes 2. Article Number 0'ransfer from sen4ce ~=e/) 7009 0080 0001 9555 8504 I PS Form 3811, February 2004 MAILING OF NOTICE RTIFIED MAIL RECEIPTS Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~/~J ~_~q[~?.- , residing at <:~,,_~/'~/~'7'~., , being duly sworn, deposes and says that on the c~ Tk _ day of ~ Pr-c/ ,20/O, deponent mailed a true copy of the Notice · set forth in the Board of T(-ustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessmenLroll of the Town of Southold; that said Notices were mailed at the United States Post Office at Je'lql~i'rlt~d,¢~. AJ Y , that said Notices were mailed to each of said persons by (~certified) (registere~l) mail~ -/ Notary Pu~ NOTICE TO ABJACENT PROPERTY ~o^Ro oF TRUSTEES, TOWN OF SOUT.O'D In the ma~er 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: /~?/~ ~,}~ ~ ~cc. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275/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. PROPERTY OWNERS NAME: MAILING ADDRESS: f PHONE#: AGENT: MAILING ADDRESS: PHONE #: Eric: Copy of sketch or plan showing proposal for your convenience. KOEHLER RESIDENCE Soreham Living Trust #53-4-6 21 Hunt Street Bethpage, New York 11714 May 26, 2010 Re: E.&A. Koehler Certified Mail 70090080000195558481 RRR #5647 Request Permit from the Board of Trustees To Whom It May Concern: I have attached a "Notice to Adjacent Property Owner" regarding the public hearing to be held by the Southold Town Board of Trustees, at Town Hall, 53095 Main Road, Southold, New York on Wednesday June 16, 2010 for public comment regarding the repair at #5647 of the Rip Rap Wall. I have also attached our Site Plan which shows the area for repair for your convenience. Very truly yours, John Koehler 1595 Bayshore Road Southold, New York 11971 Office: 631-694-4720 Fax: 631-694-4649 KOEHLER RESIDENCE Nicholas & Paraskevi Parliavos 217-04 43rd Avenue Bayside, New York 11361 #53-4-31 May 26, 2010 Re: E.&A. Koehler Certified Mail 70090080000195558504 RRR #5647 Request Permit from the Board of Trustees Dear Nicholas & Paraskevi Parliavos: I have attached a "Notice to Adjacent Property Owner" regarding the public hearing to be held by the Southold Town Board of Trustees, at Town Hall, 53095 Main Road, Southold, New York on Wednesday June 16, 2010 for public comment regarding the repair at #5647 of the Rip Rap Wall. I have also attached our Site Plan which shows the area for repair for your convenience. Very truly yours, John Koehler 1595 Bayshore Road Southold, New York 11971 Office: 631-694-4720 Fax: 631-694-4649 KOEHLER RESIDENCE May 26, 2010 Ms. Annette Golden #53-4-4 1445 Bayshore Road Southold, New York 11971 Re: E.&A. Koehler Certified Mail 70090080000195558467 #5647 Request Permit from the Board of Trustees To Whom It May Concern: I have attached a "Notice to Adjacent Property Owner" regarding the public hearing to be held by the Southold Town Board of Trustees, at Town Hall, 53095 Main Road, Southold, New York on Wednesday June 16, 2010 for public comment regarding the repair at #5647 of the Rip Rap Wall. I have also attached our Site Plan which shows the area for repair for your convenience. Very truly yours, John Koehler 1595 Bayshore Road Southold, New York 11971 Office: 631-694-4720 Fax: 631-694-4649 KOEHLER RESIDENCE Maureen Higgins #53-4-32.1 37-05 221st Street 8ayside, New York 11361 May 26, 2010 Re: E.&A. Koehler Certified Mail 70090080000195558474 RRR #5647 Request Permit from the Board of Trustees To Whom It May Concern: I have attached a "Notice to Adjacent Property Owner" regarding the public hearing to be held by the Southold Town 8oard of Trustees, at Town Hall, 53095 Main Road, Southold, New York on Wednesday June 16, 2010 for public comment regarding the repair at #5647 of the Rip Rap Wall. I have also attached our Site Plan which shows the area for repair for your convenience. Very truly yours, John Koehler 1595 Bayshore Road Southold, New York 11971 Office: 631-694-4720 Fax: 631-694-4649 Board of Trustees Ap~ ~on 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 W~---~W~ ~) ¢ignature SWORN TO BEFORE ME THIS O7~/~ DAY OF Notai~(PWolic LAUREN M. STANDISH Notary Public, State of New York No. 01ST6164008 Qualified in Suffolk County , Commission Expires April 9, 20[__/_ IS, (print owner of property) ADT~ORIZATION (where the applicant is not the owner) .~/~c~ residing at ~ ~6o~:cNq, tl~% (mailing address)' do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics omhibits conflicts of interest on the oart of town officers and emolovees. The oumoso of this form is to orovidc information which can alert the town of oossible conflicts of interest and allow it to take whatever action pecessarv to avoid same. (Last name, fi~rs~ name;~aiddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other", name thc activity.) Do you personally (or through your company, spouse, sibling, parent, or child) havc a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or bUSiness intcre~ "BUSiness interest" means a business, including a partnership, in which the town officer or croployee has even a partial ownership of (or employn~nt by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title Or position of that person Describe the relationship between yourself (thc applicantffagent/repmse nt ative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or Child is (cheek all that apply): __.A) the owner of greater than 5% of the shares of the corporate stock of the applic0nt (when the applicant is a corporation); B) thc legal or beeeficial owner of any interest in a non-corporate entity (when the applicant is not a corporalioo); __.C) an officer, director, partner, or employee of thc applicant; or __.D) thc actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 g 200/ Submitted ? [~. Signature ../L/~,l.~.n. IL, t.,t.~L~ ~ Print N~e ~ ~ ~ KoL~L~ · Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for pen-nits* 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 prepa~r 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 Offi~ce; the ?:_hnning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION scm# / The Applieatinn has been submitted to (check appropriate response): Town Board 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: Location of action: Site acreage: Present land use: Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (c) Telephone number: Area Code ( ) ~-3/~' ~ff4- 472~O (d) Application number, if any: Will the action be d~ctly undertaken, require funding, or approval by a state or federal agency? [-'] No~J~ If yes, which state or federal Yes agency.'?. /, C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects 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 [-~ No ~Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LwRP Section III - Policies Pages 8 through 16 for evaluation criteria ~ Yes ~ No ~/Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not ! Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~ Yes ~ No~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Yes No'~ Not Applicable / PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [~ Yes~ No'Not Applicable Attach additional sheets if necessary 'WORKING COAST POLIOS 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 ( At~ach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Ycs [] Nor /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 Attach additional sheets ifnecessar~ 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 PREPARED BY~'ITLE DATE N 0o AR£A,=16,955 SQ. TO TIE UNE B--MONUMEN T e=PIPE / ~ / v \ \ / / -~- SURVEY OF PROPERTY ~A T~ ARSHAMOMA OUR TO fCN~O?~ SO UTHOLD SU?.mOLK CO'U~NTY, N. Y. 1000-55-04~-05 SCAL~: l ~=RO' ~ MA Y 26, 2004 ~' dUNE 9, 2004 (oddilions) LOT NUMBERS REFER TO "AMENDED MAP E~AY ESTATES" FILED IN THE SUFFOLK COUP', OFF/CE ON MA Y 19, 19J3 AS FILE NO. Et. EVA TIONS REFERENCED TO N.G. V.D. FLOOD ZONE_. FROM FIRM ~703c0159 G MA Y 4, 1998 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A ViOLATION OF SECTION 72090F THE NEW YORK STATE EDUCATION LA Hf EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID'FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES"BEAR THE IMPRESSED SEAL OF THE SURVEYOR ~'HOSE S/GNA TUBE APPEARS HEREON. '/~ OF PECONI.,,~.,......,~ S. LIC. NO. 49618 765- 179 7 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 04-1;'4 KOEHLER RESIDENCE BAYSHORE RD. SOUTHOLD, N.Y. I "'~ RAI"IHAD GONE~I)LTANTS ~EVI~ION~ RIP ~P ~ ~O~t, N.Y, ~CTM ~ 5D-4-D PLOT PAN, ~OTIOND ~ATE: 5-24-10 D~IN¢ NO. JOB No. 0041 %' I I~ ~ '"" ~,o,,, ,o.. t~.EA~ ELEVATION ~ L ~'_ ~ / -- ~~ ~1/4"=1'-0" ,< I ~ ~1 IO~l APPROVE BY zoo, ~ BO ED OF T~UST[ES ~, 4 TO~ N OF SOUTHOLD ....... ~o~,, N~'~2'~" ~ ~'~' 51~ ANALYDIS: __A N~ 51TE PLAN ~'"~' ""~