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Home My WebLink AboutTR-7334Jill 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 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 ¼ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK pERMIT NO. 7334 DATE: JUNE 16~ 2010 ISSUED TO: W.L. LYONS BROWN III & SUSANNAH S. BROWN PROPERTY ADDRESS: HEDGE ST.~ FISHERS ISLAND SCTM#10-7-12 AUTHORIZATION Pursuant to the pro(-isions of Chapter 275 and/or Chapter 111 of the Town Code ofthe Town of Southold and in acco/dance with the Resolution of the Board 0fTl'mstees adopted at the meeting held on lune 16, 2010 in consideration of application fee in the sum of __ S. Brown and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to for the existing fixed dock; replace existing pries with new 10' on center spaced 5' apart; replace fixed dock with a 4' wide fixed dock with open grate de6king; remove existing ramp and replace with new 4' Wide ramp over uplands and tidal wetland with open grate decking, and as depicted on the survey pr6[}ared by Richard H. Strouse, PE last revised October 11, 2010. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its C0rp0mte Seal to be affixed, and these presents to be subscribed by a majority 0fthe said Board as of this date. TERMS AND CONDITIONS The Permittee, W.L. Lyons Brown Iii & Su~snnah S. Brown, residing at Hedge St., Fishers Island, NY, 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 this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and nonZcompliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expens_es 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 ~o 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 June 16, 2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Glenn E. Just J.M.O. Environmental Consulting P.O. Box 447 Quogue, NY 11959-0447 RE: W.L. LYONS BROWN III & SUSANNAH S. BROWN HEDGE ST., FISHERS ISLAND SCTM#10-7-12 Dear Mr. Just: The Board of Town Trustees took the following action during its regular meeting held on Wed., June 16, 2010 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting on behalf of W.L. LYONS BROWN III & SUSANNAH S. BROWN 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 3, 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 Hearing was held by the Town Trustees with respect to said application on June 16, 2010, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, 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 APPROVES the application of W.L. LYONS BROWN III & SUSANNAH S. BROWN for the existing fixed dock; replace existing piles with new piles 10' on center spaced 5' apart; replace fixed dock with a 4' wide fixed dock with open grate decking; remove existing ramp and replace with new 4' wide ramp over uplands and tidal wetland with open grate decking, and as depicted on the survey prepared by Richard H. Streuse, PE last revised October 11,2010. 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, JMD/Ims 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 (63 I) 765-1892 Fax (63 l) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ~-L"5 ~ Io has been reviewed by this Board at the regular meeting of ~ ]i~]lO and your application has been approved pending the completion of the following items checked off below. v/' Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ¼ Constructed ($50.00) V/ Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: Jill M. Doherty, President Board of Trustees Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 l) 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: W.L. LYONS BROWN III & SUSANNAH S. BROWN for the existing 4.5'X 133' timber fixed dock and to replace 11 pilings. Located: Hedge St., Fishers Island. SCTM#10-7-12 The CAC did not make an inspection, however there is insufficient information. Soundings should be provided as well as the proposed location of the pilings. There is also a concern with possible disturbance to eelgrass beds. Jill M. Doherty~ President James F. King. Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer P.O Box 1179 Southold, NY I 197[ Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspecti°n/Worksession Report Date/Time: J.M.O. Environmental Consulting on behalf of W.L. LYONS BROWN III & SUSANNAH S. BROWN requests a Wetland Permit for the existing 4.5'X 133' timber fixed dock and to replace 11 pilings. Located: Hedge St., Fishers Island. SCTM#10-7-12 Type of area to be impacted: v"M ~/~ 7'~ C/Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work fails under: __Chapt.275 Chapt. 111 other Type of Application: [/Wetland __Coastal Erosion __Administrative__Emergency __Pre-Submission __ __Amendment Violation Info needed: Conditions: / Present Were: ZKing /J.Doherty /J. Bredemeyer__ __. B.Ghosio, __ D. Dzenkowski __other Form filled out in the field by D. Bergen__ Mailed/Faxed to: Date: % %,.. GOOSE O~Bp-$ co/F, tO 5.1 NOTICE OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O, Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: June 16, 2010 Re: Proposed Wetland Permit for W.L. LYONS BROWN III & SUSANNAH S. BROWN SCTM# 1000-10-7-12 J.M.O. Environmental Consulting on behalf of W.L. LYONS BROWN III & SUSANNAH S. BROWN requests a Wetland Permit for the existing 4.5'X 133' timber fixed dock and to replace 11 pilings. Located: Hedge St., Fishers Island. SCTM#10-7-12 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 Office Use Only __Coastal Erosion Permit Application ~----~Wetland Permit Application __ Administrative Permit __Amendment/Trans fcr/l~xten sion ,~Received Application: ~b-l~ I 1'~ ufReceived Fee:$ ~'~.3 ' '~ ' ~'Completed Application ~]~ .._._Incomplete SEQRA Classification: Type I Type Il Unlisted ~LCOOrdination:(date sent) WRP Consistency Asslessmel~t Form ¢~'CAC Referral Sent:_~Q' ~L~ ~_Date of Inspection: Receipt of CAC Report: __Lead Agency Determination:__ Technical Review: ~ablic __Resolution: NameofApplicant ~,, i 1 ..... l?l ...... TTT · o ....... la o Address2565 Altamar Drive, Laquna neaeh,Cg Phone Number:( ) Suffolk County Tax Map Number: 1000 -01 0- 7-1 ~ Property Location: }-loc]go ,qt-rt~t-Fnn//: ~i~hor~ Tql~nd (provide LILCO Pole #, distance to cross streets, and location) AGENT:Glenn E. Just/JMO Environmental Consultinq (If applicable) Address: P.O. Rex 447 Qnmgn~; ~J v 11qsq-0447 Phone: ~3-0607 Board of Trustees Ap~)lica~n Land Area (in square feet): 2,330 Area Zoning: ~- 40 GENERAL DATA Previous use of property: Single family dwelling Intended use ofproperty: Single family dwelling Covenants and Restrictions: Yes x No If "Yes", please provide copy. Prior pennits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Project Description (use attachments if necessary): ADDlicant seeks to permit an existing4.5' x 133' timber fixed dock and to replace 11 pilings. Board of Trustees Ap~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Legalize existinq dock and replace 11 piles 750 Area of wetlands on lot: square feet Percent coverage of lot: n / ~ % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? x No Yes If yes, how much material will be excavated? How much material will be filled? 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): The project as DroDosod shall nob n~g~ixzlx~r impact the waters or wetlands of the Town of Southold O Board of Trustees Applica~n COASTAL EROSION APPLICATION DATA n/a Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? 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) 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 12. PROJECT NAME W.L. Lyons Brown III & Susanna S. Brown /Prop. pile replacement 3. PROJECT LOCATION: Municipality Fishers Island County Suffolk 4. PRECISE LOCATION (Sheet address and read intersections, prominent landmass, etc., or provide map) Hedge Street, No # Location map and survey enclosed 5. PROPOSED ACTION IS: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Applicant seeks to permit existing 4.5' x 133' fixed dock and replace 11 piles 7. AMOUNT OF LAND AFFECTED: Initially 0 acres Ultimately 0 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? --L~ Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial [] Commercial [] Agriculture [] Park/Forest/Open Space [] Other Describe: Single family dwellings 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ~ Yes [~ No If Yes, list agency(s) name and permit/approvals: Southold Town Trustees,N.Y.S.D.E.C., NYSDOS & USDOA 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~ Yes [] No If Yes, list agency(s) name and pan*nit/approvals: 12. AS A RESULT OF PROPOSED ACTION WILL EXIST,NG PERMIT/APPROVAL REQUIRE MODIFICATION? []Yes []No I CERTIFY THaT TI-~FORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AP plica nt/spo nsor name./,~l//~i('ll E/'~tlst]as a~ Date: 5/2/10 s,,n.,u.: / // -- I If the action i~t/the Coastal Area, and you are. a state agency, complete the I I Coastal Assessment Form before proceed,ng with this assessment I OVER I Reset PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) · A. DOES ACTION EXCEED ANy TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 ff YeS, ceo~lsate the ra~ process a~d use the FULL EAF. B. WILL ACTION RECE/VE COORDINATED REVlEWAS PROVIDED FOR UNUSTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declora6on may be superseded by another involved agency. I---Iv. C. COULD ACllON RESULT IN ANY ADVERSE EFFECTS ASSOCIATED V~ErH THE FOCI. OWING: (,NlSWem may be haadwdffon, if legible) Ct. E~ds~ng air quarry, surface or 6reundwater quaiily or quantity, ~se invels, existing imfiic pa~em, ~ ~ ~ or ~1' potenlgal fix erosion, drainage or Ilon~ng problems? Exp;ain b~. 03. ¥'~;~;u,, or fauna, fish. ~,~';,'.,; i or .;~1;;= species. ~l,i~.~;,! habitats, or Ihreatenad or endangerad ~_? r=-~.=_!n bfMI1y: C4. A ~.~,,.~unlty'~ +~;_.s_~!.~ p;ans o~ gcels es ~T...~iix a,jupbad, or a ~,,~i~ in use or ~ttensit/a~ use af laad or oiner natural resau~? ~¥~!n ~. INo · I,,"° D. V~flLL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAl_ CHARACTERISTICS THAT CAUSED ~ ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA [] Yea ~]No I (Ifzesrexplain b~eflY: E. IS~..1Yes'P~ I r'--~.E., ORr~NOIS THEiE MKELY TO BE, CONTROVERSy RELATED TO'POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If )'es / PART III - Ur: ~ =~am~lAllON OF SIGNIRCANCE (To be completed by A<~mcy) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, taq]e, important.or otherwise slgnitiCanL Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) pmbeblllty of occurring; (c) duration; (d) I~llty; (e) geographic scope; and (0 magnitude. If necessary, add attachments or reference suppallfng matedais. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, Ihe,determinado~ of significance must evaluate Ifm potential impact of the proposed action on the environmental characteristics of Ihe CEA. C~neck this box If you have Identiflad one or more pntestlaiiy large or slgnlflcent ad,,,er~.,e impacts which MAy occur. Thon prcoeed direly 1o Ihe FUU EAF and/or prepare a p~siflve declaration. Check this box if you have detefminad, based on the informaffe~ and analysis above and any suppo~ll~lg documentation, that the proposed adlor WILL NOT result in any significant adverse envimmental impacts AND provide, on attachments as ne~'~__~-_~, the masons suppo~ng thl~ determination. Board of Trustees Name of Lead Agency Jill M. Doherty Print or Type Name of Responsible Officer in Lead Agency Signature of Res'po/~sible O fiider i~,~e ad Agency President ( Dat~ Signature of Preparer (ff different from responsible officer) Title of Responsible Officer Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of W.L. LYONS BROWN III & SUSANNAH S. BROWN COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being ~ul~s~ g~ose ~d ~ay: That on the~ay of ~ ,2010, 1 personally post~ the prop<yZnown as b laci~the BodgofTm&ees official p6st~ wh~e it¢~ e~ily be seen, ~ that I have checked YP to be sure the poster has r~ained in place for ei~t days pfior~ ~e date of the public he~ng. Date ofhe~ng noted thereon to be held Wed.~ June 16~ 201 ~.on or about 6:00 PM. Dat~: (s~gnatu{~e~ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAlL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~~, ~, , being duly sworn, deposes and s~ys ~t on ~e ~ ddy of ,20 , deponent ~iled a ~e copy of ~e Notice set fo~ in ~e Bored of Trustees Application, directed to each of ~e above ~ed p~ons at ~e ad~esses set opposite ~e~ respective names; ~e ~esses set opposite ~e n~es of said pemons ~e ~e address of sai~ pe~ ~ sho~ on ~e c~ent ~t ~e~nited ~sessment mil of~e Town of Sou~old; ~at said Nofi~s~ery'maih States Post Office at ~ ~ , ~at said $otice~'4~re~iled t, ach~fs~id pe~ons by (ce fied) ffegis~d) mail. Sworn t~ me ~is JAN~ M. T~ ' ~ta~ Public.State ~ N~ Yo~ Fo3rd of Trustees No. 01105 ?51905 .... Qualified in Suffo k Coun~ ~mission Ex,*res November F3, 20~ F~R-20-E~)10 18:28 ~:Jl~O COx~SL~-TING G~ TO:Eq371076 P.5 Board of Truetees Appl$cation .County of Suff~ State of ."~=w ':'u~k W.L. Lyons Brown, III and Susarmah S. Brown' BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION A_ND 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 AR/SING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBy AUTHORIZI~_ THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Susan. S. Brown SWORN TO BEFORE ME THIS b~ o - DAY OF ~ci / ,20 ) 0 APR-20-2010 10:28 FROM:JMO CONSULTING 653~548 T0:2871076 P.4 Board of Trustees Application AUTHOI~IZATIO!N (where the applicant is not the owner) S. Brown I,W.L. Lyons Brown, III & Susan~asidhagat 2565 Altamar Drive, Laguna Beach, CA (print owner of property) (mailing address) .do hereby authoHze Glenn Just and Stephen L. Ham, (AgenO each acting separately and not tointl~ tO apply~orpermJt(s) ~omth¢ III, ~?°ld Board o f Town T~mcy, behalf. (Owner's signature) W.L. Lyons Brown, III/Susannah S. Brown APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nrohthits conflicts of interest on the ~art of town officers end emolovees. The oumose thia form is to orovidc information which can alert the town ofvossible conflicts of interest YOUR. NAME: W.L. Lyons Brown, III and Susannah S. Brown (Last name, first name, middle initial, unless you arc applying in thc munn of someone else or oth~' anfity, such as a company. If so, indicate thc othor persoo*s or cnrapan¥'s name.) NAME OF APPLICATION: (Check all that apply.) Tax g~evancc Building Varlancc Truce Change of Zone Coastal Erosion Approval of plat Mooring Examptlon from plat or official map Plmlaing Other (If'Other", name the aclivity.) Do you I~r~onally (or through your company, spouse, sibling, p~t, or child) have a relationship with any officcr or employee of the Town of Southoid? "Rclationship" inc]u&~ by blond~ ma~iag~ or bosiness interest "Business in~t" meoas a businass, hlcluding a parincr~hip, in which the town officer or employee has even a pariial ov~e~hip of (or employment by) a corporation YES NO ffyou answnrod "YES", complete the halancc of this form and date and sign whare indicated. Name of pm'son employed by the Town of Southold T~tl¢ or posi~inn of thas p~on Deecribe the r~lltionshlp between your~lf' (th~ appllca~t/ag~nf/r~p~cntofi ye) and thc town officer or ~mploy~. Either check the apprepriat~ line A) through D) and/or deecrlha in ,.he spece provided. The tOwn officer or ~nplo),~ or his or her ~po~e, ~thlin~, pa~-a~, er child ia (check all tha~ ~pply): A) the owner of I~a~r than (when th~ applicant is a corporation); B) ~1~ legal or b~nvfic~ owner of any inter~i in a nnn~co~oratn ~fi~ (when the npplicanl is not a corporation); __D) the actual applicant DESCRIPTION OF KELATIONSHIP Form TS 1 IMntName . . yons ~rown~ III and Susannah S. Brown Town of Southold LWRP CONSISTENCY AS,q~qMF-.~IT FORM INSTRUCTIONS 1. All appl/~/ntlt for p~il~ts* il~ll,difl~ Town of Souihold agencies, shall complete this CCAF ~r proposed actions that are subject to the Town of Southold Waterfront Consiatcn~ Review Law. This assessment is /niended to supplement other information used by a Town of Southold agency in m~ldng a delerminafion of consistency. *Except minor exempt action~ including Building Permits and other mlnlsterial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the que~ons in Section C, &e ta~garer of this fo~m ahould ~wi~w ~!~ ~x~nnpt minor action list. policie~ and explanafiona of ~ach policy contained in th~ Town of Southold Local War.front Revitalization Program. A proposed action will be evaluated as to Jla significant b~neficial and advers~ effects upon the coastal area (which inoludes all of Southold Town), 3. ff any qu~on in Se~on C on this form is answcrezl "yea", then the propaaed action may aff~ct the Thua, th~ aaion ahould bo atmtyzed in mote detail aad. if n~c~ssary, modif~d prior to m~t-ing a d~ir~!nation that it is consistent to the maximum extent practicable with the LWRP policy standards ~nd conditions, If an action cannot bo c~rtified az consistent with the LWRP policy standards and condi~oas, i~ A copy of the LWRP is available in the following placea: online at tho Town of Southold's website (aoutholdlown.notatfork.net), the Board of Trustees Office, the l~a..ing Department. all local librari~ and the Town Cl~rk's office. DESCRIPTION OF SITE AND PROPOSED ACTION 010 7 12 The Appli~flon bas b~en submitted to (check appropriat~ n~spon~): To. Board [] plo--tngDcpt. [] BufldingDept. {-~ BoardofTrustees [] 1. Ca. gory of Town of Sou~hold agency action (check appropriate response): (a) Action undertaken direc~y by Town agency (e.g. capital cO~ffuctio~, planninE act/vlty, agellcy ~gulation, lal~td wansaction) Co) Financial assialance (e.g. gnmt, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: See attached MAY-2T-2010 19:SS FROM:JMO CONSULTING GS~3~4B TO:TGSGG41 P.3 Hedge Street, no #, Fishers Island Si~a~ca~c:. 0.48 acres ~t~n4use: Existing single family dwelling P~mt z0-i-~ c~s~fica~en: R- 40 ~ ~ ~fi~ ~ ~c p~ ~on ~ ~ ~ ~ ~e To~ of ~M ~, ~ ~11o~ (a) N~~: W.L. LyOns Brown & Susanna S. ~rown ~)~E~: 2565 Altmar Drive Laguna 8each, CA D~riLOl~l) CO~T POLICY Policy' 1. Foster s ps.~r, of devetepment in the Town of Soo*old *st _e~. ?ee~ ~mmuni~.ch~.. cter, _ pr~rves open space, makes efficient use of infrestFucture, makes beneficial use oz a constm t0.cauon, asa m~limizes adverse effects of development. See LWRP Section m- Policies; Page 2 for cvaluouan 7~terla. /~] Yes [] No [] Not Applicable Attm The proposed reconstruted dock shall have no negative · impacts upon the character of the community of Fishers Island / ~m if ~e~e~ 2. Pixq__,~__ and preserve histoFic and archaeological resouFces of *e Town of Southold, Sec p Section Ill - Policies Pages :3 *rough 6 for evaluation criteria Yes [-~ No [-~ Not Appflcoble The DroDosed DrO4ect shall have no tnpacts on the hlstor~al or archaeoloqical resources of the Town MAY-L~7-E~IO 19:56 FROM:JMO CJ]NSULTING 6533348 TO:?G56641 P.4 AUac. h additional ~h~ if necessary Policy 3/Emlmm~ visual quality mad prot~ m~Mc.~..tl~m~l~mt the Town of Soulhold. S~ LWl~tion 111 - Policies Pages 6 through 7 for evamanon crttms Yes [] No [] Not AppUcable Attach ~kEtio~l sbe~s ~ne~ss~y NA~.YRAL COAST POLICIES Policy 4.~nize loss ~ life, struetmes, and natural resom'ees from flooding and erosion. See LWRP S~_~ ~olkJe~ Pages 8 through 16 for evaluatlon criteria [~' Yes [] No [] Not Applicable The proposed reconstruction of an existin~ dock shall have no impact upo~rosion, loss of life or structures. Po.Ii?, ~ and improve water quality and ~pply m the Town of ~d. ~ee LWRP Section m - ~---~es l',Aes 16 throu~ 21 for evaluation criteria ~ Yes ~ No [] Not Applicable The proDosed dock reconstruction involvo-~ ~h~ ~-- of nnn ~rm~*~ Attach additional ~aeet~ if nece~mt7 Signi~mt Coastal 1~.. and Wildlife Habitats and we*hods. See LWRP Section m - rmmu, fltrou~h 32 for evaluation criteria. The proposed reconstruction of this existing docking faCILITY MAY-2?-2010 19:56 FROM:$MO CONSULTING 653;]348 TO:?GS6641 P.5 Policy 7.,/~ect and improve air q..ml~, in the Town of S~*hoht. See LWRP Sec0on 111 - Policies l)ages/~ through 34 for evaluation cflterm. [] Yes [] No [] Not Applicable The proposed project has no impact on air quality · e e~vtronmental degradation m Town of Southold from sotid w.~..and ~ s~n~sjd ~ See LWRP S~ction HI - Policl,; Pages 34 through 38 for evama--n 't ~Yes [] No [] Not Applicable PUBLIC CO~T POLXCW.~ .......... - .__ The proposed dock reconstrucvtion shall allow the applicants WORi~ COAST POLICIES --',..,,40. ~,~ ~-~', -,~--~ ~" '.--_-..0'""_._."_~._~_~.'. -- '" S~le loca~tions. See LWRP Section m - Policies; Pages 47 througl~ ~e mr ewuua... ~ ,-- -- [] Yea [] No [] Not Applicable MAY-27-2810 19:57 FR~:JMO CONSULTING 6533348 TO:TGS~l P.6 ~Ye~ [] No[~ Not Applicable th~ dock to access Town waters -- ~ ~ ~ ~e To~ of ~. ~ LW~ ~on ~ - ~o~; ~a~ for ~sh~on c~ ~ y~ ~ No ~ Not App~ble The ~ct ~oes not involve the use of ~riculturAL L~~ Se~n ul - Policies; Pages 6S through 68 for evaluuon [] Yes FI No [--~ Not App#cabte energy or mt--~al resources Created on 5/25/05 11:20 AM Envir°nmentJaiM'O' · Consulting Services October 15, 2010 Mr. James King Board of Town Trustees Town of Southold P.O. Box 1179 Southold, N.Y. 11971-1179 RE: Application for Lyons Brown 713 Hedge Street, Fishers Island S.C.T.M.No. 1000-010-7-12 As a follow up to our last telephone conversation regarding this project kindly be advised to the following. As discussed, I have had Mr. Richard Strouse of CME revise the enclosed plans to depict the modifications the Board of Trustees had requested for this project. Should you have any questions upon your review of the enclosed material please feel free to contact our office. arh Phone (631) 653-0607 · Fax (631) 653-3348 121 Jessup Ave · 2nd Floor · P.O, Box 447 Quogue, New York 11959-0447 SCALE: 1"=500' 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE ENGAGEMENT. 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S SIGNATURE ANO AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND SURVEYOR. 4.) A PORTION OF THE SITE IS LOCATED IN FLOOD ZONE VE & AE, ELEVATION 14 PER FIRM (FLOOD INSURANCE RATE MAP) FOR SUFFOLK COUNTY, NEW YORK. COMMUNITY NUMBER .306813, MAP NUMBER 36103C0019H MAP REVISED SEPTEMBER 25, 2009. 5.) SITE IS iN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP/ 1000, SECTION 010, BLOCK 7, LOT 12 / 6.) TOTAL AREA = 0.48+ ACRES. R E V l S l 0 N S 09/10/10 PER TRUSTEE APPROVAL PLAN OF PROPOSED DOCK REPAIR PREPARED FOR BROWN RESIDENCE 713 HEDGE STREET FISHERS ISLAND, NEW YORK 2 10/11/10 PER TRUSTEE AP DATE: o /tO/lOl SCALE:AS NOTEDI SH£ET:I OF 5 CME 'ROVAL RHS JOB ~2010816 I CME Engineering, Land Surveying & Architecture, PLLC formerly CHANDLER, pALMER & KING JR. HOLE~ WEST HARBOR TIDAL WETLANDS BOTTOM OF' WALL MEAN HI6H _ AT %% % % N/F" / W.L. LYONS BROWN, III & SUZANNE S. BROWN EXISTING N/F" W.L. LYONS BROWN. III / COASTAL EROSION /~, j HAZARD LIMIT CONDITIONS REVISIONS 1 iO9/lO/lO I TRUSTEE APPROVAL PLAN OF PROPOSED DOCK REPAIR PREPARED FOR BROWN RESIDENCE 713 HEDGE STREET FISHERS ISLAND. NEW YORK I RHS 2 10/11/10 PILE (TYP.) MEAN LOW WATER OF TIDAL WETLANDS LEGEND · PILING TO REMAIN o PILING TO BE REPLACED e PILING TO BE ADDED X5.23- SPOT ELEVATION 30 15 0 GRAPHIC SCALE IN FEET PER TRUSTEE APPROVAL RES CME Engineering, Land Surveying &Architecture, PLLC 30 formerly CHANDLER. PALMER & KING DATE: O5/lO/lO[ SCALE:AS NOTEDI SHEET: 2 OF 5 JOB ~2o,o8,6 I :RTY, ,IR. lee HOL£~ MEAN HIGH AT WEST HARBOR EXISTING PILES DOCK NO1EO), FIXED & DECKING TO WIDTI¢ OF OO~K STA. 0+32..~ TO 1+134. TO BE 4 FT. NEW PILE SPACING % % % % % W.L. LYONS BROWN, III & SUZANNE S. BROWN W.L. LYONS BROWN, III PROPOSED DOCK NEW PILE COASTAL EROSION .,..,~, HAZARD LIMIT RECONSTRUCTI )N REVISIONS PER TRUSTEE APPROVAL PLAN OF PROPOSED DOCK REPAIR PREPARED FOR BROWN RESIDENCE 71,3 HEDGE STREET FISHERS ISLAND, NEW YORK 2 10/11/10 PILE (TYP.) STA. 1+134. TO STA. 1+37+ TO REMNN 5 FT. WIDE. MEAN LOW WATER OF TIDAL WETLANDS REMOVE EXISTING RAMP ~ NEW RAUP OVER UPLANDS AND TIDAL WLtI1.ANDS STA. 0+054- TO SrA. 0+324. TO BE: FT. WIDE AND CONamdumu OPEN ORATE OIrCKINg LEGEND · PILING TO REMAIN PILING TO BE REPLACED e PIUNG TO BE ADDED · NEW PILE ~TION X5.23- SPOT ELEVATION 30 15 0 GRAPHIC SCALE IN FE~[* PER TRUSTEE APPROVAL RHS 30 CME Engineering, Land Surveying & Architecture, PLLC formerly CHANDLER, PALMER & KING 55 Main Street, Suite 340 N~ch, CT 06360 Phone 888-291-3227 DATE: 05/10/10I SCALE:AS NOTEDI SHEET: 3 OF ,5 JOe //2010816 16 NOTE: NOTE: BE PlUNGS TO DRIWN 25' MINIMUM 12 //~ BE ~ ~M~ ~ R~ ~K 5.5, MDE ~ ~,R~ ~C~ S~ SH~ 3 ~ 5 ~R P~ M~ / ' ~ 133 - I no II II -- II ii Ill -- II I II _M~ H~ III II ~ o T Y 8 EXISTING CONCRETE RETAINING WALL 0 LIMIT OF WETLAN -4 -8 DATUM ELEV -10. O0 o+00 0+50 1+oo 1+50 PROFILE SCALE HORZ: 1'-30' VERT: 1 '-5' 30 15 o 30 GRAPHIC SCALE IN FEET REVISIONS Il Io9/lO/lO J PER TRUSTEE APPROVAL PLAN OF PROPOSED DOCK REPAIR PREPARED FOR BROWN RESIDENCE 713 HEDGE STREET FISHERS ISLAND, NEW YORK DATE: 05/10/10J SCALE: AS NOTEDI SHEET: 4- OF 5 2 10/11/10 JOB ~2010816 I PER TRUSTEE APPROVAL RHS CME Engineering, Land Surveying & Architecture, PLLC formerly CHANDLER, PALMER & KING ~ WOO0 PILE (TYP) STRINGER ' CROSS MEMBER CENTER TO CENTER pLAN VIEW-- 4' IMDE DOCK WITH 2" X 8" DECKING NOT TO SCALE WOOD PILE (TYP) CENTER TO CENTER 1" SPACE (TYP)-~'- pLAN VIEW- DOCK WITH OPEN GRATE DECKING 12" DIA / x DEC / PILING~ ELEV 6.0~ MH.W. M I CENTER'~CENTERI 5" x 10" STRINGER .3" x 8" SPLIT CL, 5" x 8" CROSS B C_ROSS SECTION 4" WIDE FIXED DOCK NOT TO SCALE EXISTING N~ P~C2'~ SIDE VIEW WITH 2" X 8" DECKING 2" DIA PILING ELEV 6.0:/: M.H.W. M.L.W. DETAILS PLAN OF PROPOSED DOCK REPAIR PREPARED FOR BROWN RESIDENCE 713 HEDGE STREET FISHERS ISLAND. NEW YORK I SCALE: AS NOTED I SHEET: 5 OF 5 DATE: 05/10/10 2 10/11/10 CME JOB ~2010816 I PER TRUSTEE APPROVAL RHS CME Engineering, Land Surveying & Architecture, PLLC