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Home My WebLink AboutTR-7418 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD NEW YORK PERMIT NO. 7L18, DATE: OCTgI_LER 20. 2010 ISSUED TO: JACK il—GGANk PROPERTY ADDRESS: 8871 OREGON ROAD, CUTCH O UE AUTHORIZATI N Pursuant to the provisions of Chapter 275 and/or Chapter 111 o wn Code o wn of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on October 20,2010,and in consideration of application fee in the sum of$250.00 paid by Jack Bigeane 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 construct a timber stairway on the bluff, with the condition that the project conforms to Chapter 236 of the Town Code—Storm Water Management; and as depicted on the site plan prepared by Creative Environmental Design, received on August 31, 2010, and stamped approved on October 20, 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. r L 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 (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 Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7418 DATE: OCTOBER 20~ 2010 ISSUED TO: JACK BIGGANE PROPERTY ADDRESS: 8871 OREGON ROAD~ CUTCHOGUE SCTM# 83-1-34 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 Resolution of the Board of Trostees adopted at the meeting held on October 20. 2010. and in consideration of application fee in the sum of $250.00 paid by Jack Biaeane 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 t° ~constrUct a timber stairway on the bluff; With the condition that the project conforms to Chapter 236 of the Town Code - Storm Water Management; and as depicted on the site plan prepared by Creative Environmental Design, received on August 31, 2010, and stamped approved on October 20, 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 Permittee Jack Biggane, residing at 8871 Oregon Road, Cutchogue, 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 clam for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 October 20, 2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. David Cichanowicz Creative Environmental Design P.O. Box 160 Peconic, NY 11958 RE: JACK BIGGANE 8871 OREGON ROAD, CUTCHOGUE SCTM# 83-1-34 Dear Mr. Cichanowicz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 20, 2010 regarding the above matter: WHEREAS, Creative Environmental Design on behalf of JACK BIGGANE 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 August 31,2010, 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 Headng was held by the Town Trustees with respect to said application on October 20, 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 have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JACK BIGGANE to construct a timber stairway on the bluff; with the condition that the project conforms to Chapter 236 of the Town Code-Storm Water Management; and as depicted on the site plan prepared by Creative Environmental Design, received on August 31, 2010, and stamped approved on October 20, 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 requirad at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, j ,i, .~o he~t~ ~'J'~'~ President, Board of Trustees JMD/eac Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095Main 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 /~wc~37L~_~, o,~,/C) has been reviewed by this Board at the regular meeting of~;~C~~)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) __ 1st Day of Construction ($50.00) Constructed ($50.00) l//"/'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 SCOTT A. RUSSELL SUPERVISOR TOWN HALL - 53095 MAiN ROAD Fax. (631)-765-9015 JAMES A. RICHTER, R.A. ENGINEER TOWN OF SOUTHOLD, NEW YORK 11971 Tel.(631)-765-1560 OFFICE OF THE ENGINEER TOWN OF SOUTHOLD October 1,2010 Jill Doherity - President Southold Town Board of Trustees ~' 53095 Main Road Southold, New York 11971 Re: SCTM #: 1000-88-01-33 Jack Biggane - Wetland Permit for Timber Stairway Dear Mrs. Dohefity: I am in receipt of an E-Mail from Mark Terry, LWRP Coordinator, requesting a review of the proposed action. From the aerial photographs available on the internet, it is evident that storm water runoff and drainage issues have been created by existing site development. It is recommended that these drainage issues be addressed as a condition of any new permits issues for this site. As I understand the current situation, DEC & Trustee Permits have already been issued to repair the bluff face. I have discussed this matter with Dave Chicanowitz. He is the contractor currently in the process of armoring the bluff. His solution to modify the drainage was to install another drain further south to keep storm water away from the bluff. If this new leaching pool is also installed in clayed soils, it will not solve the current problem. I suggested, at the very least, that a test hole be drilled at this new location to verify soil types and the depth to which well draining soils are present. If necessary, this new pool location should be excavated by crane to reach good drainage material to prevent the sub- surface saturation of unstable soil found in this area. If this excavation is deemed to be too deep, other areas of the site should be investigated to find good drainage. The bluff erosion that has already taken place indicates the presence of unstable soils under saturated conditions. It is recommended that the Board of Trustees consider requiring a formal drainage review subject to Town Code Chapter 236 for Storm Water Management. If you have any questions concerning this project, please contact my office. ~ Richter, R.A. I cc: Mark Terry, LWRP Coordinator Michael Verity, Principal Building Inspector Page 1 of 3 Richter, Jamie From: Terry, Mark Sent: Thursday, September 23, 2010 8:48 AM To: Richter, Jamie Subject: FW: JACK BIGGANE requests a Wetland Permit to construct a timber stairway on the bluff. Located: 8871 Oregon Rd., Cutchogue. SCTM#83-1-33 See below. We need to go out to the site. Mark Terry Principal Planner LWRP Coordinator Town of Southold Planning Department P.O. Box 1179 53095 Main Road Southold, New York 11971 (631) 765-1938 Mark. Terry~town.southold.n¥.us From: .]ill Doherb/[mailto:jilld927@optonline.net] Sent: Thureday, September 23, 2010 6:58 AM To: Terry, Hark Cc: Bob Ghosio; jbme4u@gmail.com; David Bergen; Standish, Lauren Subject: RE: .]ACK BIGGANE requests a Wetland Permit to construct a timber stairway on the bluff', Located: 8871 Oregon Rd., Cutchogue. SCTM#83-1-33 Mark, We tabled this application til next month. We talked about the drainage and you will see how it will be taken care of in the existing permit. The neighbor is doing the same. Any questions, give me a call. Thanks Jill On Wed, Sep 22, 2010 at 3:54 PM, Terry, Mark wrote: I could not reach you on the phone. Thanks for the response. I support the common stairway approach. The real concern is another failure of the bluff slope, if that happens the survival of the vegetation would be Iow and ability of the stairs to hold is slim. I recommend that we really address the drainage/erosion before the Board allows a structure to be built on the bluff. Even though the Board permitted a restoration plan there is no indication that it will be successful. This area is prone to slope failure due to surface and subsurface influences. Jamie and I discussed that the erosion is from crest to toe indicating storm or groundwater influence. Frankly, I think this area contains the most unstable bluff in the Town. In the same area the new O'mara stairs failed and fell down the bluff. The vegetation that they planted did not hold, the slope was too severe. I would like the opportunity to go out to the site and see if there is anything that could be done. I was going to go with Jamie today but he attended a class. Could you give us that opportunity? In the event that the Board wants to move forward my recommendation is that the action is INCONSISTENT pursuant 10/1/2010 Page 2 of 3 to policy 4.1. The action is located within the CEHA. 4.1 Minimize losses of human life and structures from flooding and erosion hazards. The following management measures to minimize losses of human life and structures from flooding and erosion hazards are suggested: A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. 1. Avoid development other than water-dependent uses in coastal hazard areas. Locate new development which is not water-dependent as far away from coastal hazard areas as practical. a. No development is permitted in natural protective feature areas, except as specifically allowed under the relevant portions of 6 NYCRR 505.8. b. Avoid hazards by siting structures to maximize the distance from Coastal Erosion Hazard Areas. I will deliver a more formal review tomorrow, but in the interest of time this will suffice. Mark Terry Principal Planner LWRP Coordinator Town of Southold Planning Department P.O. Box 1179 53095 Main Road Southold, New York 11971 (631) 765-1938 Mark. Terry~,town.southold~ n,/.us From: Jill Doherty [mailto:jilld927@optonline.net] ~ent: Wednesday, September 22, 2010 3:12 PM To: Terry, Mark Cc: Bob Ghosio; John Bredemeyer; David Bergen; Standish, Lauren Subject: FVV: JACK BIGGANE requests a Wetland Permit to construct a timber stairway on the bluff. Located: 8871 Oregon Rd., Cutchogue. SCTM#83-1-33 Hi Mark, The road is not near this site. Years ago the trustees requested that a drain be placed in the area of the bluff to catch the property runoff at the Iow point. It was an idea that did not work. I believe Mr. Biggane has since abandoned this catch basin. However, the damage has been done. Mr. B. currently has a permit to restore this area. I believe that this area is the best location for a set of stairs and it will serve 2 properties. They would like to do the stairs asap as to get the fall planting done. If you have time before tonight, you can give me a call. 561-885-0308 thanks Jill 10/1/2010 Page 3 of 3 ........ Begin forwarded message ........ Subject: FW: JACK BIGGANE requests a Wetland Permit to construct a timber stairway on the bluff. Located: 8871 Oregon Rd., Cutchogue. SCTM#83-1-33 Date: 9/22/10 1:10:12 PM From: "Standish, Lauren" To: bob~burts.com, bergend@sunysuffolk.edu, jilld927@optonline.net, jbme4u@gmail.com From: Terry, Mark Sent: Wednesday, September 22, 2010 1:06 PM To: Standish, Lauren Cc: Richter, Jamie Subject: JACK BTGGANE requests a Wetland Permit to construct a timber stairway on the bluff. Located: 8871 Oregon Rd., Cutchogue. SCTN#83-1-33 Lauren, Could you forward this the Board? As I discussed with you, I spoke to Jamie Richter and he and I would like to go out and evaluate the site more closely to determine the source of storm water contributing to the severe erosion. He mentioned that the mad drainage may be influencing the erosion. I would like the Board to give us the opportunity to accomplish this. Creative Environmental Design on behalf of JACK BIGGANE requests a Wetland Permit to construct a timber stairway on the bluff. Located: 8871 Oregon Rd., Cutchogue. SCTM#83-1-33 Mark Terry Principal Planner LWRP Coordinator Town of Southold Planning Department P.O. Box 1179 53095 Main Road Southold, New York 11971 (631) 765-1938 Mark. Terry~town.southold.ny.us 10/1/2010 SCOTT A. RUSSELL SUPERVISOR TOWN HALL - 53095 MAIN ROAD Fax. (631)- 765 - 9015 JAMES A. RICHTER, R.A. ENGINEER TOWN OF SOUTHOLD, NEW YORK 11971 Tel. (631) - 765 - 1560 OFFICE OF THE ENGINEER TOWN OF SOUTHOLD Jill Doherity - President Southold Town Board of Trustees , ~- ,~ ~ ~r~ ~' / 53095 Ma n Road Southold, New York 11971 Re: )ctober 1,2010 SCTM #: 1000-88~01-33 ~:~{~!£??~ Jack Biggane - Wetl~ll~d-P--~rn'fitf6r Ti'tuber Stairway Dear Mrs. Doherity: I am in receipt of an E-Mail from Mark Terry, LWRP Coordinator, requesting a review of the proposed action. From the aerial photographs available on the internet, it is evident that storm water runoff and drainage issues have been created by existing site development. It is recommended that these drainage issues be addressed as a condition of any new permits issues for this site. As I understand the current situation, DEC & Trustee Permits have already been issued to repair the bluff face. I have discussed this matter with Dave Chicanowitz. He is the contractor currently in the process of armoring the bluff. His solution to modify the drainage was to install another drain further south to keep storm water away from the bluff. If this new leaching pool is also installed in clayed soils, it will not solve the current problem. I suggested, at the very least, that a test hole be drilled at this new location to verify soil types and the depth to which well draining soils are present. If necessary, this new pool location should be excavated by crane to reach good drainage matedal to prevent the sub- surface saturation of unstable soil found in this area. If this excavation is deemed to be too deep, other areas of the site should be investigated to find good drainage. The bluff erosion that has already taken place indicates the presence of unstable soils under saturated conditions. It is recommended that the Board of Trustees consider requiring a formal drainage review subject to Town Code Chapter 236 for Storm Water Management. If you have any questions concerning this project, please contact my office. Sincerely, James A. Richter, R.A. cc: Mark Ten2/, LWRP Coordinator Michael Verity, Principal Building Inspector Poter Young, Chairman Laur~n Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 15, 2010, the following recommendation was made: Moved by Jack McGreevy, seconded by Doug Hardy, it was RESOLVED to NOT SUPPORT the Wetland Permit application of JACK BIGGANE to construct a timber stairway on the bluff. Located: 8871 Oregon. Rd., Cutchogue. SCTM#83-1-33 Inspected by: Audrey Horton, Jack McGreevy The CAC does Not Support the application because of the following: · There is a serious drainage condition on the bluff; · The location is questionable for beach stairs because of the close proximity to the property line and in the area of a "blow-out"; and · The CAC recommends a best management plan. Vote of Council: Ayes: All Motion Carded ' ~ -. Jill M Doherty, President James F King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765 ~ 1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ~-/~ y~O /~5-£ JACK BIGGANE requests a Wetland Permit to construct a timber stairway on the bluff. Located: 8871 Oregon Rd., Cutchogue. SCTM#83-1-33 T ~,,of area to be impacted: __Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Town Code proposed work falls under: pt.275 Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were:/~J.King JJ.Doherty__/J. Bredemeyer__ B.Ghosio, ° D. Dzenkowski other Form filled out in the field by g Mailed/Faxed to: Date: · Bergen OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 M~JLING 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: October 20, 2010 Re: Request for Wetland Permit for JACK BIGGANE SCTM#1000-83-1-34 Creative Environmental Design on behalf of JACK BIGGANE requests a Wetland Permit to construct a timber stairway on the bluff. Located: 8871 Oregon Rd., Cutchogue. SCTM#83-1-34 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 denoted following Policy Standards and therefore is CONSISTENT with the LWRP. This recommendation was made with consideration of the conditions and best management practices required in Wetlands Permit (7174) issued by the Board of Trustees in 2009 and the Engineering Report dated October 1st, 2010 and drafted by Jamie Richter, Office of the Town Engineer requiring that the action comply with Chapter 236 Stormwater, Grading and Drainage Control Law. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Jill M. Doheay, 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 (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~wOaStal Erosion Permit Application etland Permit Application Administrative Permit ~endment/Trans fer/E~tension eceived Application:~_~L~ eceived Fee:$ _r~F~)C-'~ . _', .~Completed Application ~Incomplete __SEQRA Classification: Type I Type Il Unlisted Coordination:(date sent) ~LWRP Consistency Assessment Form ~..~'AC Referral Sent~[t~["0 ~te of Inspection: "~ !! ~Receipt of CAC Report: Lead Agency Determination: Technical Review: .,t~h~lic Hearing Held: ~'~0 Resolution: NameofApplicant ~_~ ~'~i 0OC~t.(I~ Address #o ~ ~'~0.~ ~ ~(. ~(LCC~ ~ ~:~: Phone Numbs:( ) Suffol~ Co~ty ~ ~p ~um~: ~000- Z~ ~ D ~ - ~ Prope~yLocation: ~Vt ~f~ ~. C'+O[~O~ (provide LILCO ~ole fl, dictate to cross streets, ~d location) (If applicable) Address: Phone: rd of Trustees Ap~llcatio0 Land Area (in square feet): Area Zoning: (~f-> · Previous use of property: Intended use of property: GENERAL DATA ~/No Covenants and Restrictions: Yes 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 ~/No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspendefoy a governmental agency?. ~' No Yes If yes, provide explanation: Project DescriPtion (use attachments if necessary): 73Cu . of Trustees Applicati¢ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: ~'~/~tg~4~ +o ~d~.~-~-~ Area of wetlands on lot: ~'~0 O square feet Percent coverage of lot: ~ O~ % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: ~9_ feet Does the project involve excavation or filling? ~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): of Trustees Applicatic COASTAL EROSION APPLICATION DATA 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) PROJECT ID NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only 'ART 1 - PROJECT INFORMATION r TO be completed by Applicant or Project Sponsor) //~ONSOR · 2. PROJECT NAME 3.PROJECT LOCATION: County Municipality 4. PRECISE LOCATION: Street Addess and Road Intemecfions, Prominent landmass etc -or provide map SEQR 6~ DESCRIBE PROJECT BRIEFLY: To 7. AMOUNT OF LAND AFFECTED: Initially ~ C> I acres Ultimately · g~! acres 8,1.~,,~,J~POSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? I ~Yes [] No If no, describe briefly: dlS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ential []Industrial r~commercial [~Agriculture [--] Park / Forest / Open Space [-~Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Fy Stateor Local) r~Yes b_.._.~No if yes, list agency name and permit / approval: 11. DOE ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? es / []No If yes, list agency name and permit / approval: 12. AS A RESF.~ OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? E]Yes ~ No CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS .TR~UE TO THE BEST 0.~. Applicant/-~nsor N_al~er'~;~_.~'C-~<'~s'J;('Z- I C~---~'"I~'"T'~Jt'- If t'*'"--'~he n is a Costal Area, and you are a state agency, MY KNOWLEDGE complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by ~_e=_a_ Agency) · B. IMLI. ACTION RECEIVE COORDINATED REVIEqNAS PROVIDED FOR UNUSTED ACTIONS IN 6 NYCRR, PART 617.67 ff No. a negative C. COULD ^CI'K)N RESULT IN ANY AITvE.~;~: Ei-r L-~ ~ ~ AS80CIATEO VJI'H 11.E FOLLOWING: ~ ~ be ~,; ~) INo ! C6. Long tem~, shaft ~erm~ n,m,_~tive, or o{ber ~r,=~a not ;G~i~;;.,=d in 01.C6? 0 C7. Ofber cha Intaeofeitbe~ ua or r of o. wu. THE PRO~ECT H~VE A~ ~MP^CT ON mE ENV~O~MENT~ CHAeACTER;ST~CS THAT CAUSED mE ESTAeUSHMENT OF ^ c~mc~ LJ~M;ONMENT~ ~ (CEA)? (~f yes, eq~a;n Beard of Trustees Name of Lead Agency Jill M. Doherty · -' ~tnt or Type Name of R~spon?ble 01~ in Lead Agency President Date TlfleofRespon~b~Officer 8lgna[ure of Preparer (If d;;'mm~i ~rom mepo~lsible off:er) Town of Southold l~ ~ Erosion, Sedimentation & Storm.Water Run-off ASSESSMENT FORM PROPER~ LOCATIOH: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A /~(~0 ~'~) al?c~ ~ STORM.WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN 'D~smct section Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRU(3111ON 1'11.~ # / WORK A~SE~SM~4~ Yes. No a. What is the Total Ama et the Project Pamels? '~00// I~ 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Pamels located within the Scope of Work for proposed Construction) ~ I, ~,.~ Generated by a Two (2")Inch Rainfall on Site? · (S.F. fAc*es) (This item will include all run-off created by site J [~l b. What LS the Total Area of Land Clearing/ cleadng and/or construction activities as well as all and/or Ground Disturbance for the proposed ~/, ~,~ Site Improvements and the permanent creation of impervious surfaces.) construction activity? (s.~: / Afr,) 2 Does the Site Plan and/or Survey Show AIl Proposed PROVIDE BRZEF PROJ[CT DESCRi~q3ON (r~,,~. ~ddr~,~ P.;.. N.,~d) Drainage Structures Indicating Size & Location? This v Item shall include all Proposed Grade Changes and -- -- 3 Does the Site Plan and/or Survey descdbe the erosion and sediment control practices that will be used to · sentro~ site erosion and storm water discharges. This -- 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural ~ [ Existing Grade Involving more than 200 Cubic Yards~ __ of Material w~thin any Pamel? 5 Will this Application Require Land Disturbing Activities [--~ Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? 6 is there a Natural Water Coume Running through the Site? Is this Project within the Trustees jurisdictionI--I General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland or Submission of a SWPPP is required for all Construction actNities invoNing soil Beach? disturbances of one (1) or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes r'--'l are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen (15) feet of Vertical Rise to I including Construction activities involving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. SWPPP's Shall meet the Minimum Requirements of the SPDES General permit 8 Will Driveways. Parking Areas or other impervious r"--1 for Storm Water Discharges from Construction activity - permit No. GP-O-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off U 1. The SWPPP shall be prepared p~or to the submit/al of the NOI. The NO~ shall be into and/or In the direction of a Town right-of-way? submRted to the Department prior to the commencement of construction activity. 2. The SWPPP shall deschbe the en~sio~ end sediment control practices and where 9 Will this Project Require the Placement of Material. required, post-construction storm water management practices that '~11 be used and/or Removal of Vegetation and/or the Construction of any ~ ~ constructed to reduce the poJlutants in storm water discharges Snd to as.sum Item Within the Town Right-of-Way or Road Shoulder STATE OF NE~V YORK, ~ COUNTY OF ....................................... .:... SS That I, ....~..!....~.....~...~...~....~../..~..Z/. being duly sw6m, deposes and says that he/she is the applicant for Permit, Owner and/or representative of the Owner or Owners, and is duly anthorized to perform or have perforated the said work and to make and file this application; that ail statements contained in this applicafioD are true t~[;f~l~ NI~ ~.~ge and belief; and that the work will be performed in the manner set forth in the application filed here~t~ N/~.0. I_ ,. Sworn to before me this GU~~un_t~ ,, % FORM- 06/10 ~ 3 Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemcyer 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 JACK BIGGANE COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, '7'~r16k /V~a24" , residing at /dba being duly sworn, depose and say: That on the/(/ day of t:~{2~ ,2010, I personally posted the..prgper~ kpo,,yn as 5 8-/I Oceo 'Pr/' Cbq cLoqve, by placing the Board of Trustees official poster where it canrcJasil~ be seen, and that l~av~ 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. September 22~ 2010 on or about 6:00 PM. Dated: (signature) / Swom to before me this l q/day of,~tl~O~d) Jeanne Sweet Bartos NOTARY PUBLIC, State of New York No. 01BA6210083 Qualified in Suffolk County Commission Expires August 10, 20/_._..~ PROOF OF MAI! ATTACH CERTI~l~ or PO Box NO. STATE OF NEW YORK COUNTY OF SUFFOLK ?-~31~'~d; ~q 11~)7/ ,beingdulyswom, deposes ano says mat on me - lq day of .~,z~/t'/c,h~ , 20 lO, deponent mailed a true copy of the Notice · set ~o~h. in the Boar~l~of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Officeat p~o*~/~,'c; K)x/ ,thatsaidNotieesweremailedtoeachofsaidpersonsby (certified) (registered5 mail Swom to before me this Day of ! C( ,20../~ ~' Nota~ublic WENDY L, KUKLA Notary Public, Stat~ of New York No, 01 KU6176871 Qualified in Suffo k County Commission Expires 11/05/2011 Nalne' Total Postage & Fees STATE OF NEW YORK COUNTY OF SUFFOLK ~r[. ~J't IIqTI ,bcingdulyswom, deposesandsaysthatonthc ~ day'of ~,D~x-~'r", 20/(), dep~..nent mailed a Irue copy of the Notic~ '. set f6rth, in the Board o~'Tru~tees Application, directed to each of the aboYe named persons at the addresses set opposite thee respective names; that the addrcsses set oppositc the names of said persons are the address of said p~rsons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Officeat pe c,r')O ;'¢ ; M? ,thatsaidNoticesweremailedtoeachofsaidpcrsonsby (certified) (registered) mkil. ? Sworn to before me this~ Day of / c/ ,20' fO - - N~ Public WENDY L. KUKLA Notary Public, State of New York No. 01KU6176871 Qualified in Suffolk County Commission Expires 11/05[2011 OBoard of Trustees Applicat~on County of Suffolk State of New York ~~ C~ ~%--'-'-'-'-'-'-'-~bc~ ~'~, BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOK THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TKUE 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, ! HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR ~PRESENT^TIVES(S), TO ENT~ ONTO ~Ve P~OP~rV XO INSPECX ZHE PREUISES IN CO~nmCTIO~ VaTH REVmW swo~ TO BEFORE ME ri-ns ,~/~ D^Y O~ ~ ?, ,20 /0 '-~loiary Public LAUREN M STANDISH Nota~..Publlc, ~.~te of New ~10. 01ST6164008 ,.~ Q~al fled in Suffolk Cmm'm of Trustees Applicatio~ AUTHORIZATION (where the applicant is not the owner) ~(~r~in~t ~f'~C residing at ]~ ~3~D ~. owne~f property) ('mailing address) ~C~ C~,~11/~l~0 do hereby authorize CC~e~¢o~e~t~eS~d (Agent) ~ ~0C~O~CZ to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ~Owner s signature~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of intern.st on the ~.~ of.to~wn ~officers and .emolovees. The ouroo.se o.f this form is to ~mvide information which can alert the town of ~osslble conflicts of mt~l~?t and allow It to lake whatever action is Pecessarv 1° av°id ~ i~~ . ~ ' YOURNAME: ~[~)/~c~.(_N CG JcJf~~'--~c~/i C"7~ (Last name, fa'st name,~iddle initial, unless you are applying in the nan~e of someone ¢ls~ 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 Trustee ~ Change of Zone Coustal 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) have a relationship with any officer or employee of the Town of Southold? "Relationship' includes by blood, rnarnage, or business interest. "Bus~ness 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 more than 5% o~lams. 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 applicant/agent/representative) and the town officer or employee. Either check thc appropriate line A) through D) and/er describe in the space provided. The town officer or employee or his or her SlX}USC, sibling, parent, or child is (check all that apply): __~) the owner of greater than 5% of the shares of the corporate stock of thc applic0nt (when thc applicant is a corporation); __J~) the legal or beneficial owner of any interest in a non-corporate entity (when thc applicant is not a corporation); ___C) an officer, director, parmer, or craployee of thc applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listing, both suooortin~, and non- sup~ortlng facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION scm# _ o/ The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board ~ 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: Location o£ 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: (b) Mailing address: (c) Telephone number: Area Code ( ) (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] NoN Ifyes, which stateor federaiagency? 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. ~NotA ~Yes ~ No. pplieable Attach additional sheets if necessary Policy 2. Protect and .p~,rve historic and archaeological resources of the Town of Southold. See LWRP Section III - PoiSes Pages 3 through 6 for evaluation criteria ~ Yes ~ No J/klf-~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 -~ Pages 6 through 7 for evaluation eriterin [-'] Yes [--] No ~_]r--X/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 Pajle/s 8 through 16 for evaluation criteria ~ Yes ~ No[--/f~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Sonthold. See LWRP Section III - Polleies Pages 16 throu~ 21 for evaluation criteria ~ Yes ~ No ~_l~Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Sonthold ecosystems including Significant Coastal Fish a/~ld Wildlife Itabitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluotio/n/eriteria. ! Yes Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southoid. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~ Yes ~ No/~ot 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.~_] ~ ~No Ye~ , No tApplieable Attach additional sheets if necessary 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 ~ot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonie Estuary and Town waC.ers. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes [-~ No/I/~lNot Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section IH - Policies; Pages 62 through 65 for eval/uation criteria. [--] Yes ~ No/L-l~Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies 65 through 68 for evaluation criteria. ~ Yes [] Norl/~f'l Not Applicable DATE~ N LOgO ~.H. W~' aLO,~ ~AV6~J. Arid ~jUd~ N81 SURVEY O? PROPERTY AT $OUTHOLD TOWN OF $OUTHOLD SUFFOLK COUNTY, N.Y. 1000-51-04-13 SCAL~: 1'=30' WAY f6. 2008 J~,l¥ '~0~ ~OG ~~'oo~l'o'l &ro~.,'~. ~.~ '-----"-- 117.86' S83'50'00"W soUND VIEW AVENUE AREA-23,047 SO. FT. TO TIE LINES ANY ALTERATION OR ADDITION TO THIS SURt,~Y l$ A WOtAliON OF S~CTION X2090F THE NEW` YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDIVISION 2, ALL C..ERBFICATIONS HEREON ARE VALID FOP! THIS MAP AND COPIES THEREOF ONLY Il" SAID MAP OR COPIES 8EAR THE ItdPRESSED SEAL OF THE SUR~YOR WHOSE $1GNA TURE APPEARS HEREON. · =MONUMENT · =REBAR SET PFCONIC ~U~YOAI ,~ (~'~) 7~s-5o2o F~ '~ P.o. ~ox 909 <.~ ~2JO TRA VELFR STREET' SOUTHOLD, N. Y H971 t APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD //I / ~// /// / / / 7://,½/ /// / L ,1t / / AUG 3 1 2010 Io3o- ,¢,'~ - I ,,o - ..~4. O_ ~/,8" =- I :o" J( - 3o'-r-o A MW,A~