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Home My WebLink AboutTR-7407 Jill M. Doherty, President Bob Ghceio, Jr., Vice-President James F. King Dave Bergen 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 HOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE It 0683C Date August 25, 2011 THIS CERTIFIES that the demolition of dwelling to first floor deck; demolition of north foundation wall; new dwelling, porch and garage; rear deck with hot tub; screened porch; flagpole; and 4' wide access path to boat basin At 1200 Broadwaters Rd., Cutchogue Suffolk County Tax Map//104-9-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 8/16/10 pursuant to which Trustees Wetland Permit//7407 dated 9/22/10 was issued and Amended on 12/15/10 and on 3/23/11 and conforms to all of the requirements and Conditions of the applicable provisions of law. The project for which this certificate is being issued is for The demolition of dwelling to first floor deck; demolition of north foundation wall; new dwelling, porch and garage; rear deck with hot tub; screened porch; flagpole; and 4' wide access path to boat basin. The certificate is issued to THOMAS & MAUREEN DOWL1NG owners of the_aforesaid property. Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box t 179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: /,,~ Ch. 275 Ch. 111 INSPECTION SCHEDULE __ Pre-construction, hay bale line/silt boom/silt curtain __ 1st day of construction ~ constructed L~Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 March 23, 2011 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mark Schwartz & Associates P.O. Box 933 Cutchogue, NY 11935 RE: THOMAS & MAUREEN DOWLING 1200 BROADWATERS RD., CUTCHOGUE SCTM#104-9-3 Dear Mr. Schwartz: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., March 23, 2011: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit #7407 to reflect the new dimensions of the proposed deck and hot tub area, and as depicted on the site plan prepared by Mark Schwartz dated February 16, 2011 and stamped approved on March 23, 2011. This is not a determination from any other agency. Sincerely, Jill M(/Ooherty, Presider~ Boar(ff of Trustees JMD:lms Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Beqgen 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: '~>/fit:,/{( Mark Schwartz & Assoc. on behalf of THOMAS & MAUREEN DOWLING requests an Amendment to Wetland Permit #7407 to reflect the new dimensions of the proposed deck and hot tub area. Located: 1200 Broadwaters Rd., Cutchogue. SCTM#104-9-3 Type of~'e~O be impacted: £,~:~dt'water Wetland Freshwater Wetland Sound ¢ Bay Distance of proposed work to edge of wetland ~ "~.~ t Part of Town Code proposed work falls under: __Chapt.275 __Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion mt--A'"~end ment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: st Were: ~ J'" J.'~D. D0herty ~B~redemeyer io, D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: .~Bergen__ B,CHITECT MARK SCHWARTZ & ASSOCIATES 284!)3 Main Road · I'O Box 933 · (:lll('ll~lguc. NY 11933 631.734.4185 I xxxx~x.n~ksarchitcct.(,,m February24, 2011 Southold Town Board of Trustees P.O. Box 1179 54375 Main Road Southold, New York 11971 Re- Dowling House 1200 Broadwaters Road Cutchogue, New York (SCTM#1000-104-09-03) Trustees Permit #7407 Dear Board Members: We are proposing a slight change to the approved proposed deck and hot tub area. The deck and hot tub dimensions have been changed on the plans but the setbacks to the wetlands and bulkhead areas have not changed. Please review the Site Plan and floor plan for a Trustees permit amendment approval. Please call this office if you have questions or require additional information. Thank you. Mark Sc~w~, ~T~0' RADIUS FROM SEPTIC LOT 254 (DEVELOPED) PUBLIC WATER POLE TEST HOLE DATA (DEVELOPED) PUBLIC WATER DATA SUPPLIED BY: McDONALD GEOSCIENCE BOX 1800, $OUTHOLD, NY 11791 (631) 765-3677 PROPOSED SEPTIC SYSTEM DETAIL ZONE EXISTING SEPTIC SYSTEM X TO BE REMOVED PER SCHDS REQUIREMENTS 16 14 ZONE R40 FRONTYARD SETBACK MIN.: 40~ SIDE YARD SETBACK MIN,: 15' SIDE YARD SETBACK TOTAL: 35' REAR YARD SETBACK MIN.: 50' 12 10 ZONE 8 LINE ZONE 6 LINE ~ECK 182'6~ BULl/* HEAD F,~ Nm'"~or'°"~,:~"c ~r~£M TEST HbM ', ZOt ZONE ~.' . ~ ~ EL. 8 D' SEPERATION EDGE OF ~. UPLAND SE~C MAP LEGEND ZONE ZONE 6 '. ~(/ETLANDS FLAGGED BY OO R. FOX 4 o I , I AUGUST 2010 7 54 50' ~¢J 423.45' ~ ~.X/ETLAN DS UPLAND o('Nj ~ Z BEOAD"C,/ATERS ~'~' COVE STRAW BALE DIKE DETAILS STORMWATER MANAGEMENT REOUIREMENTS WHERE APPLZCABLE LOT 252 (DEVELOPED) PUBL C WATER (DEVELOPED) PUBLIC WATER 150' RADIUS FROM SEPTIC SILT FENCE DETAILS RETAINING WALL ELEVATIONS: NORTH POND ROAD (BEYOND ]50' FROM SEPTIc) PROPOSED SEPTIC SYSTEM LOCATION: ROOF DRAINAGE: $ 3°30,0,, ~y¢ 38~.00, ' SITE ~.:_C~ SITE DATA 1ST. FLOOR ADDITION: SCTM# 1000-104-09-03 FLOOD ZONES FROM FIRM 36103C164G ORIGINAL SURVEY BY; PECONIC SURVEYORS. P.C. JOHN METZGER, NYS LIC. 49618 PERCENT COVERAGE OF ESTIMATED ESTIMATED LOCATION: AREA; SOUTHOLD TO'C/N BUILDABLE EXCAVATION: FILL: LAND & DEC ADJACENT AREA: ACTUAL PROPERTY 37,626 SQ. FT. WATER (BULKHEADED) -16SC SQ. FT. WETLANDS -8026 SQ. FT. PROPERTY (BUILDABLE) 27944 SQ. FT EXISTING HOUSE: 1493.3 SQ. FT. 5.3% EX. HOUSE PORCHES: 35,9 SQ. Fr. 0.1% (TO REMOVE} .5 CU. YD, EX. GARAGE/APARTMENT: 4B7,6 SQ. FT. 1.7o/a EX. APARTMENT PORCH: 37.4 SQ, FT. 0.1% (TO REMOVE) .5 CU, YD. EXISTING TOTAL: 2054.2 SQ. FT, 7.2% PROPOSED HOUSE ADDITIONS 943.0 SQ. FT. 3.4% 140.0 CU. YD. PROPOSED SCREENED PORCH 129.9 SQ. FT. 0.5% I CU. YD. ~ROPOSED COVERED PORCHEJ 200.6 SQ, FT. 0,70/0 I CU. YD. PROPOSED DECK 644,3 SQ. FT, 2.3% I CU. YD. ~ PROPOSED TOTAL: 1917.B SQ. FT. 6.9% I'OTAL EXISTING & PROPOSED ~898.7 ST. FT, 13,9% EXISTING DRIVE~Y~AY: 441.0 SQ. FT, 1.6% EXISTING WALK~CAY: ' 147~0 SQ. FT. 0.5% (TO ALTER) EXISTING SANITARY SYSTEM; (TO REMOVE) 150 CU, YD. 150 CU. YD PROPOSED SANITARY SYSTEM: 300 CU. YD. 300 CU. YD TOTALS (NOT INCLUDING 3898.7 ST. bT. 13.9°/o 594 CU. YD. ¢50 CU. YD DIVE~AY OR WALK WAY): SITE DRAINAGE CALCULATIONS: ROOF DRAINAGE CALCULATIONS: TOTAL DP-Y~/ELL CAPACITY: REVISIONS ADENDUM I 07/27/2010 MIN._. _ 15' SETBACK (VI.F)_ I G.C. TO VERIFY PRIOR TO CONSTRUCTION ' 10'-0" 3'-0" ~ . j 3'~9V~" ~ , - .~ ..... : :~ 4-10 . 4-8 ....... : :::::::::::::::::::::::::::::::::::: ................ ~ '-I-~ .... '~:E~;~E:'~Err"~'~''''"'": ~ , ~ , , , ,,~ ~ ; .... · ~ '~-' j ~ DECK ~ ~'-o" ~; . ~ ~ ~ _ ., ~ .,."'~,. _~,,1, ~s~q ................................ ~ : ~ ~ '" '""~l'~,~ STORAGE ¢-~0 - N~ ~l~' ! ' ~:,: , ., ~ :l;~ ~ -o , . . . . , ,~ ~ , : . ,' ,~ , . ~'-~" ~'-"~" ,. ~.,~,,.. ~ '-.~- .......... ~z... x~ D , , ,. . , ....... 12'-7V/' .~ 4'-0" , '~ ~' -I ....... ',- '~ , 2-8 1,4 ~' 3'- 8'" ..... 4'-2" ' ..... 1ST. FLOOR P~N " SC~kE: 1/4"= 1' COVE N. 85'Z8'00' E. 36.48' LOT Z54 LoT 0 0 4 6 $ ]0 12 16 ZON~ X ZONE X' 2O ./ LIC. NO. 49618 LOT Z5 g ANY ALTERATION OR A~ TO ~ SURVEY 1S A VIOLATION OF SECTION ?809 OF THE ~ YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7~Og-SU~NVI~3N ~ ALL CERTIF/CAT/0NS HEREON ARE VALID FOR T~S MAP Ah~ COPIES THEREOF ONLY F SAD 14AP OR COPIES BEAR THE IMP~ SEAL OF THE SURVEYOR II/HOSE S~ONATURE APPEARS HEREON. RETLANDS BOUNDARY BY R. FOX AUG. £010 z AREA = 37,626 sq. ff. fo tie lines FLOOD ~ZoNES FROM FIRM 36103Cl 64G ,c3 SURVEY OF LOT 253 "AMENDED MAP 'A' OF NASSAU POINT~ NASSAU POINT CLUB PROPER'~IES, INO, FILED AUG, 16, 1922 FILE NO. 156 AT NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000' ' 104 09 - 03 SCALE I*'-- 50' OCT, 23, 2009 ATLI~. E~, 2010 (weflm~ds boundary) (631) 7EO P. 0.80~909 I~0 TRA VEl. ER t651) 765 - 1797 STREET TO NGVD, Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 December 15, 2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Mark Schwartz P.O. Box 933 Cutchogue, NY 11935 RE: THOMAS & MAUREEN DOWLING 1200 BROADWATERS RD., CUTCHOGUE SCTM#104-3-3 Dear Mr. Schwartz: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., December 15, 2010: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit #7407 to demolish the dwelling to first floor deck and demolish the north foundation wall and build new wall and footing, and as depicted on the site plan prepared by Mark Schwartz dated November 16, 2010. This is not a determination from any other agency. Sincerely, JMD:lms 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ~ Ch. 275 Ch. 111 INSPECTION SCHEDULE ~//Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ~ constructed Project complete, COmpliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT Signed By: Jill M Dohcrty, Presidenl 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: Mark Schwartz on behalf of THOMAS & MAUREEN DOWLING requests an Amendment to Wetland Permit #7407 to demolish the dwelling to first floor deck and demolish the north foundation wall and build new wall and footing. Located: 1200 Broadwaters Rd., Cutchogue. SCTM#104-3-3 Type of area to be impacted: __Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion ~Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: __J.King __J.Doherty __J. Bredemeyer B.Ghosio, D. Dzenkowski other Form filled out in the field by D. Bergen__ Mailed/Faxed to: Date: Jill M. Doherty, President James F. King, Vice-President Dave Bergen [lob Ghesio, 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 ½ constructed Project complete, compliance inspectio~ BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7407 DATE: SEPTEMBER 22~ 2010 ISSUED TO: THOMAS & MAUREEN DOWLING PROPERTY ADDRESS: 1200 BROADWATERS ROAD,iCUTCHOGUE SCTM# 104-9-3 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 Trustees adapted at the meeting held on September 22, 2010, and in consideration of application fee in the sum of $250.00 paid by Thomas & Maureen Dowlin~ and subject to the Terms and conditi6ns as stated in the Resolution~ the SouthOld Town Board of Trustees authorizes and permits the followifig: Wetland Permit to construct an addition between the existing house and existing garage apartment; construct ai"terations Within building; second-floor expansion; proposed rear deck and screened.in porch; for the existing flagpole; and for a 4' wide access path to the boat basin; with the conditions that the existing wetland areas are to be left in its natural state and are not tobe mowed with the e$ception of the 4' wide access path to the boat basin; and as dePicted on the site plan prepared by Mark SchWartz, Architect, last dated September 23, 2010, and stamped approved on October 4, 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 data. TERMS AND CONDITIONS The Pennittee Thomas & Maureen Dowling, residing at 1200 Broadwaters 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 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 stmeture 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 thc 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 furore 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 September 22, 2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Mark Schwartz, Architect P.O. Box 933 Cutchogue, NY 11935 RE: THOMAS & MAUREEN DOWLING 1200 BROADWATERS ROAD, CUTCHOGUE SCTM# 104-9-3 Dear Mr. Schwartz The Board of Town Trustees took the following action dudng its regular meeting held on Wednesday, September 22, 2010 regarding the above matter: WHEREAS, Mark Schwartz, Architect on behalf of THOMAS & MAUREEN DOWLING 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 Southoid, application dated August 16, 2010, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfrent 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 September 22, 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 THOMAS & MAUREEN DOWLING to construct an addition between the existing house and existing garage apartment; construct alterations within building; second-floor expansion; proposed rear deck and screened-in porch; for the existing flagpole; and for a 4' wide access path to the boat basin; with the conditions that the existing wetland areas are to be left in its natural state and are not to be mowed with the exception of the 4' wide access path to the boat basin; and as depicted on the site plan prepared by Mark Schwartz, Architect, last dated September 23, 2010, and stamped approved on October 4, 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: $100.00 Very truly yours, Jill WI. Doherty v President, Board of Trustees JMD/eac 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 Please be advised that your application dated /~xq~,¥//~ / c~/O has been reviewed by this Board at the regular meeting o~~c~,, ,--~o'O and your application has been approved pending the comlJletion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of Construction ($50.00) ¼ Constructed ($50.00) 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 Southotd. 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 (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 THOMAS & MAUREEN DOWLING to construct an addition between the existing house and existing garage apartment; construct alterations within building; second-floor expansion; proposed rear deck; and screened-in porch. Located: 1200 Broadwaters Rd., Cutchogue. SCTM#104-9-3 Inspected by: Audrey Horton, Jack McGraevy The CAC does Not Support the application because of a possible wetland code violation on the property. The area seaward of the "limits of clearing" is being mowed and should be addressed before consideration of the application. Vote of Council: Ayes: All Motion Carded Jill M Doherty. President James F. King. Vice-President Dave Bergen Bob Ghosio, Jr John Bredcmeycr 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: THOMAS & MAUREEN DOWLING request a Wetland Permit to construct an addition between the existing house and existing garage apartment; construct alterations within building; second-floor expansion; proposed rear deck; and screened-in porch. Located: 1200 Broadwaters Rd., Cutchogue. SCTM#104-9-3 T~?se of area to be impacted: altwater Wetland Freshwater Wetland Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ~_hapt.275 Chapt. 111 other Sound Bay Type of Application: ~- Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info n?eded: '-4 Modifications: Present Were: __&King __J.Doherty __J. Bredemeyer Y,.-D. Bergen__ B.Ghosio, __ D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: IU [11 I]11 ]llll 111 ~w ~ PHOTO: A PHOTO: F PHOTO: D PHOTO: B PHOTO: G PHOTO: E PHOTO: C PHOTO: H 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: September 21,2010 Re: Proposed Wetland Permit for THOMAS & MAUREEN DOWLING SCTM# 1000-104-9-3 Mark Schwartz, Architect on behalf of THOMAS & MAUREEN DOWLING requests a Wetland Permit to construct an addition between the existing house and existing garage apartment; construct alterations within building; second-floor expansion; proposed rear deck; and screened-in porch. Located: 1200 Broadwaters Rd., Cutchogue. SCTM#104-9-3 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 LWRP provided that the following best management practices are implemented to meet and further the below listed policies: Poficy 5. Protect and improve water quality and supply in the Town of Southold Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 6.3 Protect and restore tidal and freshwater wetlands. Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order to ensure protection of the wetland's character, quality, values, and functions. E. Maintain buffers to ensure that adverse effects of adjacent or nearby development are avoided: Maintain buffers to achieve a high filtration efficiency of surface runoff. Avoid permanent or unnecessary disturbance within buffer areas. Maintain existing indigenous vegetation within buffer areas. Existing Conditions - A site inspection was conducted on September 9, 2010. This site is unique in that high marsh wetland vegetation (spar#na patens, distich#is spicata, iva frutescens, baccharis halimifolia and salicornia sp.) occurs landward of the bulkhead for a distance of 115_+ feet. The vegetation is mowed in several areas: to maintain a wide (greater than 11') path to an existing boat basin and catwalk, around an existing flagpole and west of the boat basin to maintain a sitting area (beach chairs were observed). Evidence of frequent ponding was also observed behind the bulkhead in areas of lower elevation surrounding the flagpole. The area is a wetland and subject to Chapter 275 Wetlands and Shorelines provisions of the Southold Town Code. Hydrology on site indicates that if the mowed areas were allowed to re- establish, high marsh wetland species would re-colonize the areas. It is recommended to minimize impacts to surface and subsurface water quality, vegetation and habitat from the developed areas that a buffer be established to preserve the natural (wetland) vegetation. The landward limit of the buffer is proposed to be where the (line) of existing wetland vegetation meets the lawn area. Access to the water should be achieved via an unimproved path of a specified width. The area surrounding the flagpole and sitting area (white circle below) could be continued to be mowed. A sample definition of a natural vegetated buffer is included for your use. NATURAL VEGETATED BUFFER -- a land area of a certain length and width where existing vegetation occurs prior to the commencement of any grading or clearing activity. Vegetation shall be maintained to achieve a minimum percent ground cover of ninety-five (95) percent. To achieve the percent ground cover indigenous, drought tolerant vegetation shall be planted. Survival of planted vegetation shall be (ninety) 90 percent for a period of three (3) years. Maintenance activities within the buffer are limited to removing vegetation which are hazardous to life and property, trimming tree limbs up to a height of fifteen feet (15') to maintain viewsheds, replanting of vegetation and establishing a four foot (4') wide access path constructed of pervious material to access the water-body. Figure 1. Subject parcel (white arrow). 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 OfficeUseOnly __~Woastal Erosion Permit Application etland Permit Application Administrative Permit Amendmcnt/Tran_s f~r/E ~tension ec~e~ved A pplicat~i~.~ eceived Fee:$ ~ ~ ompleted Ap~~~ __Incomplete ~S£QRA Classificelion: Type I Type II Unlisted Coordination:(date scnt~ , --,,..C~C Rcfcnal Scnt:~ Receipt of CAC Report: ___Lead Agency Determination: Technical Review: Resolution: Name of Applicant Thomas and Maureen Dowlin9 Address 20 Bulson Road, Rockville Center, NY 11570 Phone Number:(5~6) 459-5833 Suffolk County Tax MapNumber: 1000 - 104-9-3 Property Location: 1200 Broadwaters Road, Cutchogue $0utt~h01d '/own Beard of Trustees (provide LILCO Pole #, distance to cross streets, and location) AGENT: Mark Schwartz, Architect (If applicable) Address: 28495 Main Road, P.O. Box 933, Cutchogue, NY 11935 Phone: (631-734-4185 ~rd of Trustees Applicatio~ GENERAL DATA Land Area (in square feet):. 37626 sf (.86 ac) Area Zoning: R40 Previous use of property: Residential Intended use of property: Residential Prior permits/approvals for site improvements: Agency Date DEC Southold Town ZBA Southold Town Building Dept. ] No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? 17] No {---] Yes If yes, provide explanation: Project Description (use attachments if necessary):.Addition between existing house and existing garage apartment, alterations within bulding, 2nd floor expansion, proposed rear deck and screened-in porch of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Addition between existing house and existing garage apartment, proposed rear deck and screened-in porch and front porch also proposed. Area of wetlands on lot: 8026 square feet Percent coverage of lot: 21.3 % Closest distance between nearest existing structure and upland edge of wetlands: ~09.6' feet Closest distance between nearest proposed structure and upland edge of wetlands: 69.9' feet Does the project involve excavation or filling? If yes, how much material will be excavated? 5 cubic yards How much material will be filled? 4 cubic yards Depth of which material will be removed or deposited: 4 feet ' Proposed slope throughout the area of operations: approx. 8% Manner in which material will be removed or deposited: soil excavated to remain on site and used for fill. 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 effect will be positev because of the new septic system located greater than 100' from wetlands, a new system of drywells to be installed to capture stormwater runoff and the wetlands will be protected during construction with staked haybales. PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPUCANT I SPONSOR Mark Schwartz, Architect 3.PROJECT LOCATION: Cutchogue j 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL A~SESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Pro)ect Spor~or) 2. PROJECT NAME Dowling Property SEQR Suffolk Coumy 6. OESCRIBE PROJECT BRIEFLY: additions and alteration to existing house and detached garage to connect the two structures with a one story addition, expand the second floor and create enlarged living areas on the first floor, additional bedrooms on second floor and a partially finished walk-out basement. The existing site grading will be maintained, excavation of approximately 594 CY will be necessary for the house additions and filling of the existing and proposed septic systems will require approx. 450 CY. A project limiting haybale line will be installed and a system of drywells is proposed to contain the roof runoff. 7. AMOUNT OF LAk~ AFFECTED: acres Ultkna~y acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? need approval frore Town Zoning Board for total side yard setback relief. 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY Ol14ER GOVERNMENTAL S~~a~ac~Se~A ~-~T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MOOIFICATION? I' I'- I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST Of MY KNOWLEDGE If the a,.~ie~ Is a Costal Area, and you are a e~ate agency, 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 TI-IRESHOLD IN 6 NYCRR, PART 617A? If yas, ceom'lnate the renew procuas and u~e the FULL EAF. r-I - 171"0 B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNUSTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative I--Iv- 171"o C. COULD A~ RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answem may be handwfiifefl, If legible) C1~ E~dsting ak quaity, suffase or groundwater quaity or quantity, r~Ise levels, exls0ng traffic pattern, solid waste preclusion or disposal, I"° I C2. Aasth~c, agdcultural, arcttasoingical, hibtod~c, or other natural ~ cultural reas~mas; or community or neighborhond character? Explain bdelly: C3. [N°egetafl '"on or'fauna, fish, sbelllish or wildlife spectas, signl~ant haditats, or Ihreate. or .angored species? Esp.ib bdefy: C4. A cefnmunity s exisffng Plens or goals as ;~cialy adof)(ed, or a change in use or Intensity ~f use o~'laml o,- o~ttor nature resources? Expleib b~ie6y: I C~. Ore.h, aul~qu~nt de.qemm*at, or ~t~ a{~,as I~k~l~ to bo ibdeced V/tne pro~q~ ~tlon? F~,q~ain ~fly: I"° , D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED 11'IE ESTABLISHMENT OF A CRITICAl. ~/I YeRTM I"~ENTA~°T (CEA'? Ill ~'esl e~plain brieflY: ' E. IS THERE, OR I$ THERE LIKELY TO BE1 CONTROVERSy RELATED TO'poTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If )'as PART III - D~: i t:i~IINA~ION OF SIGNIFICANCE (To be completed by Agency) iN~'I~UCTIONS; For each adverse effect identified above, determine wflether it is substantial, large, importent.orothenvise $1gniticanL Each effeof should be assessed in connexion with its (a) seffing (i.e. Urban or rural); (b) ixobebil'~ of occurring; (c) duration; (d) irreversl~ilty; (e) geographic scope; and (f) magnitude. If ne~essar/, add attachments or reference suppa~ng materials. Ensure that ex~nadons contain ~lfficfent detail to show that ail mlavant adverse impacts have been identified and adequately addressed. If ques~o~ d of pad il was ~hecked yes, the,detemlinatfen of significanne mastevalaafe the paten~al Impact of the proposed ectk~ on the envlronmefttal characteristics of the CEA. Check this box If you have Identiltnd ase or mom patentially Iorge or slgnBcant advorse Impacts which I~lAy ocox. 'nle~ procead dlre~ to the FULJ FAF and/or prepare a passive declaration. Ch~ck this box if you have determined, based on the information and analysis above and any suflpa~ documentation, that the prop~,,ed ac~x WILL NOT result in any significant adverse environmental impacts ANO pro.de, on attech~tents as necessary, the masons supporting thk determination. Board of Trustees Name of Lead Agency Jill M. Doherty r Tyde Name of Responsible Officer in Lead Agency Signature of Resp~s'ible' Office~/( Lead Agency President Signstum of Preparer (If different from responsible officer) Title of Responsible Officer Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A [000 /~) ~- 8~i~oc~ O ,~ STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN Diatrlct Section Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRU(jIIION ITEM # / WORK ASSF~SM~NT Yes No a. What is the Total Area of the Project Parcels? ~7~ I Will this Project Retain Ail Storm-Water Run-Off (Include Tofal Area of ail Pamels located within Generated by a Two (2"} Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will include all run-off created by site b. What is the Total Area of Land Cleating (S.F. I Acres).. clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed ~ OOO ~"~ ¥/-- Site Improvements and the permanent ~eation of construction activity?--t impervious surfaces.) (s.~.,^~) 2 Does the Site Plan and/or Survey Show All Proposed PRO'vIDE BR]E~ PRO. CT DESCRIFIION (P~* ~dlt~n~ P,,Ses ~ Nee~d) Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and , ' 3 Does the Site Plan and/or Survey describe the erosion control site erosion and storm water discharges. This '~'~" ~f't~ '~7~L'~''' ~/ ~ 4 Will this Project Require any Land Filting, Gradingor d'/"~' t /,'~ct.~ ,.'~'t~, ~,~J~. // ~. ExcavationwherethereisachangetotheNatural D Existing Grade Involving more than 200 Cubic Yards ~' - ~ of Material within any Paroel? 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 Course Running through the r'"'-'l Site? Is this Project within the Trustees jurisdiction~ General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetrand or Submission of a SWPPP is required for all Construction activities involving soil Beach? dislurbances of one (1) or more acres; including disturbances of less than one acm that 7 Will there be Site preparation on Existing Grade Slopes ~ [ are pea of a larger common pisn that will ultimatsly disturb one or mom acres of lend; which Exceed Fifteen (15) feet of Vertical Rise to (.~ inc~udir~ Cons~uction activities involving soil disturbances of less than one (t) acm where One Hundred (100') of Horizontal Distance?~ /he 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 Storm Water Discharges from Construction acbvity - Permit No. GP.0.t04)0t .) Surfaces be Sloped to Direct Storm-Water Run-Off I. ~e SWPPP shall be prepared prior to the submittal of the NOI. llqe NOI shall be into and/or in the direction of a Town dght~f-wa.y?L~ -- submitted to the Department pdor to the commencem~st of construction activity. 2. T~e SWPPP shall describe the erosion and sediment control practices and ',~hem 9 Will this Project Require the Placement of Material, required, post-construction ctorm wa/er management practices that '~1[ be used and/or Removal of Vegetation and/or the Construction of any~[ ! constructed to reduce the pollutants in storm waler discharges and to assure Item Within the Town Right. of-Way or Road ShoulderL~J STATE OF NEW YORK, ~- ,¢,~ - That I ....... ~',,,~.._.,. ,,em=_. .............................................. being duly sworn, deposes and says tha e/se is the applicant for Permit, (Name of isdividual signing Document) Owner and/or representative o£ the Owner or Owners, and is duly authorized to perform or bare performed the said work and to make and file this application; that all statements contah]ed in this application are true to the best of his lmowtedge and belief; and that the work will be performed in the manner set forth in die application filed herewith. Sworn to before me fl'tis; FORM - 06/10 Qualified in Suffolk Counb/ -, C0mmissi,~n Expires July 28, 2OL~ Jill M. Doherty, President James F. King, Vicc-Prcsidcnt Dave Bergcn 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 THOMAS & MAUREEN DOWLING COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING residing at/dba ~.oC>4 ~'0" /'~ being duly sworn, depose and say: That on the/Z,~ay of $IE~' 7'- ,2010, I personally posted the property known as by placing the Board of Trust~es official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of heating noted thereon to be held Wed. September 22~ 2010 on or about 6:00 PM. Dated: /~~.'/ / ~ (signature)~ ~ Sworn to be/bre me this day Notary Public CONNIE D. BUNCH Notary Public, State of New Yor~ No. 01BU6185050 Qualffied in Suffolk County Commission Expires April 14, 2 Nme: $1 ~.~ Certified Fee ~ Return R~eipt Fee $2.~ Hem ~ $6.15 ~/07~10 . STATE OF NEW YORK COUNTY OF SUFFOLK C4/'r-~ ~t~ ~'O ~ , being duly sworn, deposes and says that on the '7 '/~ d~y of ,~I~/~ ,20 lO, deponent mailed a tree copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Otticeat ¢u7-C~ t4oO'e4F_.~ (certified) (registered) mail. Sworn to before me this payor_%--pr. , , that said Notices were mailed tor.~ch of said persons by NANCY T. 4rusco Notaq Public.State of New Yolk ~. 01FU4882475 C~emdr4iorJ F. xptm~ J~ 20, 20/_~.~ B,CHITECT MARK SCHWARTZ & ASSOCIATES 1000-104-09-03 Dowling House 1200 Broadwaters Road Cutchogue, New York 1000-104-09-02 1000-104-094.2 1000-104-11-8.1 1000-104-11-09 1000-104-10-12 Joseph Sferrazza Family Trust 235 Pond View Drive Port Washington, New York Thomas Frenz 117 Queens Court Massapequa Park, New York 11762 Keith & Helen Hughs 39 Furrow Lane Levittown, New York 11756 Caroline Riley 1175 York Avenue, Apt 2C New York, New York 10021 no owner as per Assessors list of Trustees ApplicationO County of Suffolk State of New York DEPOSES AND AFFIRMS THaT H~/SIt~ IS ~ ~PLICANT FOR T~ ~O~ DESC~BED PE~T(S) AND ~T ~L STA~S COWARD ~ ~ ~ TO ~ BEST OF HIS~R KNO~EDGE A~ BELIEF, A~ ~T ~L WO~ ~LL BE DONE ~ T~ ~R SET FORTH ~ T~S ~PLICATION A~ AS ~Y BE ~PRO~D BY T~ SO--OLD TO~ BO~ OF ~US~ES. ~ ~PLICANT AG~ES TO HOLD THE TO~ OF SOUTHOLD A~ T~ TO~ ~US~ES ~ESS A~ F~E FROM A~ ~ ~L D~GES A~ CL~S ~S~G ~ER OR BY ~ OF S~D PE~T(S), · G~N~D. ~ CO~LE~G ~S ~PLICATION, I ~BY AU~O~ZE ~ TRUSSES, T~ AGENT(S) OR ~P~SE~ATIVES(S), TO E~R O~O ~ PROPER~ TO ~SPECT ~ P~MISES ~ CON~C~ON ~~~~ S~~ swo~o~Fo~m ms ] (~ ~v oF ~,,~ ~,20~ o Notary Public VICKI TOTH Nota~ ..Public, State of New York ~o. 01106190696 Qualified in Suffolk County ! Commiss o, [x~ires luht 28, 20__ Thomas Dowling 20 Bulson Road Rockville Centre, NY 11570 516-459-5833 June 22, 2010 To Whom It May Concern: I, Thomas Dowlfl~g, authorize Mark Schwartz, AIA - Architect, to act as agent for permit applications to the Southold Town Board of Trustees, New York State Deparanent of Environmental Conservation, Suffolk County Department of Health and the Southold Building Department. The proposed residential conslruction project is located at 1200 Broadwaters Road Cutchogue, New York (SCTM# 1000-104-09-03). Sincerely, Thomas Dowling date: 22Jtme 2010 APPLICANT ~ NSACTIONAL DISCLOSURE FO~ (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: I(. (Last name, flint nan~e~ middle ~nitial, unless ~ou are applying in the name of someone else or other entity, such as a company. If se, indicate the other person or company name.) NATURE OF APPLICATION: Tax Grievance Variance Special Exception I f'~Other''' name the activity: (Check all that apply.) Change of Zone I Approval of Plat L__ ] Exemption from Plat or official Map I I Do you personally, (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the Town officer or employee has even a partial ownership of (or employment by) a corporation in which the Town officer or employee owns more than 5% of the shares. Complete the balance of this form and date end sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship be¢weee yourself (the applicant) and the Town officer or employee. Either check the apprepriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): [ ] A) the owner of greater than 5% of the shares oftbe corporate stock of the applicant (when the applicant is a corporation); ] B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporetion); [--_l__] C) an officer, director, partner, or employee oftbe applicant; or [~]D) the actual applicant. DESCRIPTION OF RELATIONSHIP TO OW R, COmPaCT YEi';D E D ^GaNT: The Town of Southold's Code of Ethics prohibits conflicts of interest on the pan of Town of'ricers and employees· The purpose o£ this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take Whatever action is necessary to avoid same. (Last name, other first name, /m~ in the name of Someone else or entity, such as a company, lfso, indicate the other person or cOmpany name.) NATURE OF APPLICATION: (Check all that apply) Variance / Special Exception *Other Approval or Exemption ~ from plat or official map Change of Zone ~- -- Tax Grievance "If "Other" name the 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? "~nchides by blood man-ia e or business interest. "Business i " ' · . -- ~ich the Town officer or . nterest" means a business includin a · · em~ven a atrial Ownershi of or e~ ment b a co oration m which the Town officer or em 1o ee owns more t~ YES If you answered "YES'; complete the bala~xce of this form and date andsign Where indicated Name of person employed by the Town of Southold: Tiff e or position of that person: Describe that relationship between yourself (the applicant, agent or contract vendee) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her. spouse, sibling, parent, or child is (check all that apply): ~ A) the OVmer of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); ~__ B) the legal or beneficial Owner of any interest in a non-corporate entity (when the applicant is not a corporation); ~ C) an officer, director, partner, or employee of the applicant; or ~ D) the actual applicant. ESCR/PTtON OF RELATIONSHIP ?bmitled this _~--/'//~a~,, of ~, Signature:~ -' ~..~z~~ __ Print Name:~ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM INSTRUCTIONS I. 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. 2. 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). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the L¥~P policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION 104 09 03 SCTM# The Application has been submitted to (check appropriate response): Town Board ~'~ Planning Dept. ~-~ Building Dept. ~ Board of Trustees ~-] 1. 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: Proposed additions and alterations to the existing two story house and detached garage. The house and garage will be connected with a one story addition, the existing house will also be expanded with larger 2nd floor and decks. New roof runoff drywells and septic system proposed. Location of action: 1200 Broadwaters Road Cutchogue Site acreage: .86 Present land use: single family residential Present zoning classification: R40 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: lhomasd and Maureen Dowling (b) Mailing address: 20 Bulson Road Rockville Centre, NY 11570 (c) Telephone number: Area Code ( ) 516-459-5833 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes {--] No~-'} If yes, which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Sonthold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial nsc of a coastal location, and minimizes adverse effects of developmeot. See LWRP Section m- Policies; Page 2 for evaluation criteria. ~'~ Yes [] No [] (Not Applicable- please explain) This project entails additions and alterations to the existing single family home and detached garage in a heavily developed neighborhood. Policy 1 is not applicable to the project. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section IH - Policies Pages 3 through 6 for evaluation criteria ~ Yes ~ No ~ (Not Applicable - please explain) The subject property does not contain nor does the project affect historic or archeological resources; nor is the project located in a historic maritime area. Policy 2 is not applicable to the project. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section Ill - Policies Pages 6 through 7 for evaluation criteria ~] Yes F~ No ~ (Not Applicable - please explain) To the extent that this policy is applicable to the proposed project, visual quality and scenic resources will be protected at the site through the protection and maintenace of the well vegetated area buffering the developed portion of the site from the tidal wetlands of Broadwaters Cove. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. MinimiT~e loss of life, structures, and natural resources from flooding and erosion. Sec LWRP Section III - Policies Pages 8 through 16 for evaluation criteria [] Yes [---] No F~ (Not Applicable - please explain) The project does not address nor affect erosion control structures or other erosion/flooding control initiatives. Policy 4 is not applicable to the project. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section IH - Policies Pages 16 through 21 for evaluation criteria F~ Yes [--] No [--] (Not Applicable - please explain) The proposed project is consistent with Policy 5 via (3) three major project cemponenets; I - upgrade and relocation of tl,~ existing septic system more than 100 feet from wetlands to ensure effective treatment of sanitary waste; 2 - installation of a drainage system of drywells to control, manage and recharge stormwater runoff; and 3 - retention of the existing vegetation on the northdy portion of the site to be protected from site disturbance during construction by a project- limiting fence and staked haybales. 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. Sec LWRP Section IH - Policies; Pages 22 through 32 for evaluation criteria. ['~ Yes [~ No[--~ (Not Applicable - please explain) This project will be consistent with Policy 6 for the same masons described for Policy 5; because there will be no loss of wetlands and because the statutory and regulatory requirements of both the Southold Town Trustees and the New York State Department of Conservation will be complied with. 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. See Section III - Policies Pages; 34 through 38 for evaluation criteria. [] Yes ~ No~ (Not Applicable- please explain) The project will neither affect nor have an impact on air quality in the Town of Southold, Policy 7 is not applicable to the project. Attach additional sheets if necessary Policy 8. MinimiTe environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section HI - Policies; Pages 34 through 38 for evaluation criteria. F'~ Yes [-~ No ~'] (Not Applicable - please explain) The project will neither create nor rrequire the handling of solid waste or hazardous substances. Policy 8 is not applicable to the project. 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. ~ Yeti No[~ (Not Applicable - please explain) The project is limited to the upland portion of the property, public access and recreational use of the adjacent coastal waters and public lands and resources will not be affected by the project. Policy 9 is not applicable to the project. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Sec LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~--]Yes ~ No~-~ (Not Applicable - please explain) The project neither proposes nor affects water-dependent uses. Policy 10 is not applicable to the project. Attach additional sheets if necessas3' Policy 11. Promote sustainable use of Hying marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [--] Yes [] No [~] Not Applicable - please explain The project neither proposes nor affects commercial or recreational fishedes or other uses associated with the living madne resources of Long Island Sound. Policy 11 is not applicable to the project. Atlach 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- please explain The project site is neither situated on nor adjacent to agricultural lands. Policy 12 is not applicable to the project. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [--]Yes ['--] No[~ Not Applicable- please explain The project affects neither the use nor development of energy and mineral resources. Policy 13 is not applicable to the project. COVE N. 8'8'°28'00' E. 36.a~I' LoT 254 I~ E T L A N D S LoT 25,3 4 N-E'! AE(el 8) zonE LINE 0 0 14 - 16 -- ZONE- 12 0 m ZONE 0 ,4 LOT 25 2 ANY ALTERATION OR ADDITioR TO T~ SURVEY IS A VIOLATION OF ,~ECI~N 7209 OF T~E ~ YORK STATE EDUCA'ftDN LAIC · ETLANDS BOUNDARY BY R. FOX AUG, 2.010 AREA = 37,626 sq.fl. to fie lines FLOOD'ZONES FROM FIRM 36103CI 64G c~~'Q' SURVEY OF LOT 25:5 "AMENDED MAP 'A' OF NASSAU POINT~ NA,SSAU POINT CLUB PROPERTIES, INC." FILED AUG. I$, 1922 FILE NO. 156 AT NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. IOOO ' 104 - 09 03 SCALE I'l= 50' OCT, 23~ 20-09 A'U~. gzt~ ~010 (weflonds boundary) ELEVATIONS & CONTOURS ARE REFERENCED TO NGVD. ] $0~ RADIUS REVISIONS' EROMSEFT,C .ou.. PROPOSED SEP'nC,.o. To,c^..SYSTEM Z O N E R40 ~,~m~ ..... FRONT YARD S~BACK MIN.: 40' ........... ~.~ o[ ~0,~ SIDE YARD SETBACK MIN.: 15' ........... . . , ~ SIDE YARD SETBACKTOTAL: 35' ' ": ':' REAR YARD SETBACK MIN.: 50' LOT 254 ~'~ ;". ~ ~ '"~'" ~.o~. ~,~.,.~,~ ~ (DEVELOPED) - ~ ~ ~ ~ PUBLIC WATE~ ( ~ ~~ ~ ~ ~ X ~ ZONE ,,, ~ R. FOX ~ ~ -- EXISTJNGSE~IC SYSTEMTo BE REMOVE PER . Z~"E W~LAND, F~GGED BY SCHDSREQUIREMENTS ~ oLINE .'" 6 LINE 4 -. ~o~a~, ~1 ~2.4~I AUGUr2010 ...... ~ ~ ~ . DATA SUPPLIED BY:McDONALD GEOSOIENCE% ~ ~ ~ ~ "*~"" ; ' . ' , ~,,.o ~ J / k ' ' WETLANDS . m . BOX O00 SOUTHOLD NY 1 7g 631 65-3677 ~ % / ~O% ~% ~~ EX ASPHA~TDR[~ ~ ~' / / / . . . ~ 7 ·. , _: ~uu Juuu ,,~¥., - ,:,:, ' . · . . N Nm, f .'.'-.' / / / :-:: :-:: :: ', EL. 8 NGc 10/ , / / ~¢.¢-' j ..... ~ ~ - ~ .... u.~Nu :/ ZONE ZONE 6 ' ' '~' LOT 252 ~:AI~IN6~ALL ELEVA ~/ ~ // ) ~ ~ / % % PUBLIC ~ATER j " '"'"' "";' ~* ' - ..... SITE DATA ~ J ~ x x k X X ~' c ""'", "'"': SCALE: 1" - 20' 0' ~ ~ ~~~ B~ER BROADWATER COVE[ j ~11 ~ ~ ~ ~ D ~E EL EL EL. ~2'~ DS'" , 8 EL aL m .S ~ O ~, ~ LOCATION: AREA: ~ND )OUTHOLD , PERCENT & DEcTO~N COVE~GE ADJACENT BUILDABLE AREA'.OF EXCAVATION EST MATED : E~ FILL MATED COVE // ~ % X ~ ~ / EXISTING HOUSE: 1493.3 SQ. FT. 5.3%0 - ) ~ ~ ~ ~ ~ ~ ~ EX. HOUSE PORCHES: 35.9 SQ. FT. 0.1% ~O REMOVE) .5 CU. YD. ~ ~ /2 ~ ~ ~ ~ ~ / EX. OR'AGE/APARTMENT: 487.6 SO, ~. L7% - / ~// .~ % (DEVEL~ED) % % % EX. APARTMENT PORCH: 37.4 SQ. FT. 0.P/o ~O REMOVE) .S CU. YD. l) ([ }k% N% ¢~ X N ~, 1~. FLOOR pROPOSED SCREENED PORCH 129.9 SQ. FT, 0.5% ,.~----~~ Cr~,a~ ,~,,~.~,~, EXI~ING D,IV~AY: 147 0 ,Q 441.0 ,Q. FT. 0 5% ~O ALTER)l'6% NORTH .~,~~ ¢~/JVl~ I~UU IU~ U~ U~ EXI~INGWALK~AY, FT - ' ' [u~D ROAD ~oo~zo~*o~m~m~a~46 ' .... (~SY STORMWATER MANAGEMENTREQUIREMENTSOND 150- FROM SEPTIc) EXI~ING SANITARY~EM;' ~O REMOVE) 150 CU, YD. 150EM. YD. SI~W B~LE DIKE D[TAIkS SIkT FE~C[ D~/glLS - ~.,o, .,,~,,.,o., ,~..~...~,,~,,.o.,,~..~..o, SITE DRAINAGE CALCULATIO~ S ,.,--,:._, o,. ,.. ...... . ............... , .... ~,, .'~..,~,~..~c.~.~poo~ ~0.~' ,..~' ~,.~' OF SOU ~ ~ ~ ROOF DRAINAGE: .. ................................ ROOF DRAINAGE , , SCALE. (SEE PLAN'. S-1 PERCENT COVERAGE OF ESTIMATED ESTIMATED LOCATION: AREA: ;OUTHOLDTO't~N BUILDABLE XCAVATION: FILL: LAND & DEC ADJACENT AREA'. ACTUAL PROPERTY 37,626 SQ. FT. w~rLANDS -8026 SQ. FT. PROPERTY (BUILDABLE) 27944 SQ. FT. EXISTING HOUSE: 1493.3 SQ. FT. 5.3% EX. HOUSE PORCHES: 35.9 SQ. FT. 0.1% (TO REMOVE) .5 CU. YD. EX. GARAGE/APARTMENT: 4B7.6 SQ, FT. 1.7Ol, EX. APARTMENT PORCH: 37.4 SQ. FT. 0.1% (TO REMOVE) .5 CU. YD. EXISTING TOTAL: 2054.2 SQ. FT. 7.20/0 PROPOSED HOUSE ADDITIONS 943.0 SQ. FT. 3.4% 140.0 CU. YD. PROPOSED SCREENED PORCH 129.9 SQ. FT, 0.5%a I CU. YD. PROPOSED COVERED PORCHE! 200.6 SQ. FT. 0.7% I CU. YD. PROPOSED DECK 644.,3 SQ, FT. 2,3°1o I CU. YD, PROPOSED TOTAL: 1917.8 SQ. FT. 6.9% TOTAL EXISTING & PROPOSED: 3898.7 ST. FT. 13.9°/o EXISTING DRIVE~AY: 441.0 SQ. FT. 1.6% EXISTING WALK~4]AY: 147.0 SQ. FT. 0,5% (TO ALTER) EXISTING SANITARY SYSTEM; (TO REMOVE) 150 CU, YD. 150 CU. YD. PROPOSED SANITARY SYSTEM: 300 CU. YD. 300 CU. YD. TOTAL~ (NOT INCLUDING 1898.7 ST. FT. 13.9% 594 CU. YD. $50 CD, YD. DIVEWAY OR WALK WAY): ~0' RADIUS ZONE R40 ~' 170r FRONT YARD SETBACK MIN.: 40' BROkeN gLI~[AND SIDE YARD ~ETBACK MIN.: 15' ~ SIDE YARD 5~BACK TOTAL: 35' R~AR YARD 5~ACK MIN.: 50' kOT 254 ~ ~ PUBLIC WATER , ~>~ ~ ~ X TO S~ REMOVED PER ZONE ~ ~ome ~, FOX ~"" - .......... ~,~, ~ ~ SOliDS R~Um~MmTS ,~ o LINE /' 6 LINE 4 ~ _. ..... ~ ~ ~ Au~u~20m . ~ ¢ V/ / ~ S , X % % PUBLIC WATER , ~,,,.~ ~,,.,, ~zmL rmml p i .... ~ ~ // %~ ~ ' ~ ~ ~ ~ ~ST, FLOOR PROPOSED SCREENED PORCH 129.9 SQ. ~, 0.5°~o 1 CU. YD, ST~W BALE DIKE DET~LS SILT FENCE DETAILS PROPOSED SANITARY iYSTEM: 300CU. YD. ~OOCU. YD ........ PROPOSED -~ / ~EPTIC SYSTEM DETAIL ~~~ ' '' """'~'*~ APPROVED BY ....................... ~'-- ~ ' ~ ~~" ~"" BOARD OF TRUSTEES ~ , , ~, , ~, , , : .................... ~ ..... ,, ,, ,, ,~ TOWNOF SOUTHOLD , 2010 SC~e (SEE PLAN; ~,.. , ~.~. PERCENT COVERAGE OF LOCATION: AREA: ;OUTHOLDTOWN BUILDABL ESTIMATED ESTIMATED .AND & DEC ADJACENT AREA: EXCAVATION FILL: ACTUAL PROPERTY 37,626 SQ. FT WATER (BULKHEADED) 4656 SQ. FT. WETLANDS -8026 SQ. FT. PROPERTY (BUILDABLE) 27944 SQ. FT, EXISTING HOUSE: 1493.3 SQ. FT 5,3% EX, HOUSE PORCHES: 35.9 SQ. FT, 0.1% (TO REMOVE) 5 CU, YD. EX. GARAGE/APARTMENT: 487.6 SQ. ET. 1.7% EX. APARTMENT PORCH: 37.4 SQ, FT, 03% (TO REMOVE) .3 CU. YD. EXISTING TOTAL: !034.2 SQ, FT 7,2% PROPOSED HOUSE ADDITION,~ 943.0 SQ. FT. 3.4% 140.0 CU. YD PROPOSED SCREENED PORCH 129.9 SQ. FT, 0,5% ] CU. YD, )ROPOSED COVERED PORCHE'. 200.6 SQ. FT. 0,7% I CU. YD. PROPOSED DECK 644.3 SQ, FT, 2.3°1o I CU, YD. PROPOSED TOTAL: !1917.8 SQ. ET, 6.9% rOTAL EXISTING & PROPOSED: 3898.7 ST, FT. 13.9% EXISTING DRIVEWAY: 44].0 SQ. FT. 1.6% EXISTING WALKWAY: 147.0 SQ. FT. 0.5% (TO ALTER} EXISTING SANITARY SYSTEM: (TO REMOVE) 150 CU, YD, 150 CU. YD PROPOSED SANITARY SYSTEM: 300 CU. YD. 300 CU. YD TOTAI~ (NOT iNCLUDING D]VE~UAY OR WALK WAY): 3898.7 3-1', FT. 13.9% 594 CU. YD. tS0 CU. YD