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Home My WebLink AboutTR-7503 Jill M. Doherty, President Bob Ghosio, 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0673C Date: July 26, 2011 THIS CERTIFIES that the repair to the foundation of the existing single-family dwelling At Stephenson's Road, Orient, New York Suffolk County Tax Map # 17-1-2.1 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated March 1, 2011 pursuant to which Trustees Wetland Permit 117503 Dated March 23,2011 and Coastal Erosion Permit 117503C Dated March 23,2011 was issued 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 repair to the foundation of the existing single-family dwelling The certificate is issued to SUSAN MAGRINO-DUNNING owner 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 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (63 I) 76545641 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 1 st day of construction __ % constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: ;/ Jill M. Doherty, President Bob Ghosio, 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 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD 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 __ % constructed __ Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7503&7503C DATE: MARCH 23, 2011 ISSUED TO: SUSAN MAGRINO-DUNNING PROPERTY ADDRESS: STEPHENSON'S RD.~ ORIENT SCTM#17-1-2.1 AUTHORiZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town o~ Southold and in accordance with the Resolution of the Board of Trnstees adopted at the meeting held on March 23,2011 in consideration of application fee in the sum of $500.00 paid by Susan Mam'ino-Dunnine and subject to the Terms and Conditions as stated in the Resolution, and pea'mits the following: Wetland Permit and Coastal Erosion Permit to repair the foundation of the existing single-family dwelling, and as depicted on the survey prepared by John C. dated November 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, Sn~n Magrino-Dunnin? residing at 2 Sutton Place South-Apt.17D, New York, NY, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should cimumstances warrant, request for an extension may be made to the Board at a later date. o 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 canse 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 Tgwn of Southold. That the said Board will be notified by the Permittee of the completion&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 Bob Ghosio, 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 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT #7503C ApplicantJAgent: Suffolk Environmental Consulting, Inc. Permittee: Susan Magrino-Dunning SCTM#: 17-1-2.1 Project Location: Stephenson's Rd., Orient Date of Resolution/Issuance: March 23, 2011 Date of Expiration: March 23, 2013 Reviewed by: Board of Trustees DESCRIPTION OF ACTIVITY: To repair the foundation of the existing single-family dwelling, and as depicted on the survey prepared by John C. Ehlers dated November 20, 2010. INSPECTIONS: Final SPECIAL CONDITIONS: (apply if marked) In accordance with Chapter 111-15 Erosion Protection Structures: __ A maintenance agreement is attached and is a necessary special condition of of this permit. Jill/t~l. Doherty, P~e~ident B~rd of Trustees Jill M. Doherty, President Bob Ghosio, 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 March 23, 2011 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Matt D. Ivans Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bddgehampton, NY 11932 RE: SUSAN MAGRINO-DUNNING STEPHENSON'S RD., ORIENT SCTM#17-1.2.1 Dear Mr. Ivans: The Board of Town Trustees took the following action during its regular meeting held on Wed., March 23, 2011 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of SUSAN MAGRINO- DUNNING applied to the Southold Town Trustees for permits under the provisions of Chapter 275 of the Southold Town Code the Wetland Ordinance, and Chapter 111 Coastal Erosion Management, applications dated March 1,2011, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Headng was held by the Town Trustees with respect to said application on March 23, 2011, 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 Southoid Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees APPROVES the applications of SUSAN MAGRINO-DUNNING to repair the foundation of the existing single-family dwelling, and as depicted on the survey prepared by John C. Ehlers dated November 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 required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Jill I~ooherty, p)resld~e Boar~l of Trustees JMD/Ims Jill M. Doherty, President Bob Ghosio, 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ~ ] ~ ] I I has been reviewed by this Board at the regular meeting df .-%[,,,1,.5J I1 and your application has been approved pending the com'pletion 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) V// Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $. ~-0, O~ 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., March 16, 2011, the following recommendation was made: Moved by Meaghan Burke, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit and Coastal Erosion Permit applications of SUSAN MAGRINO-DUNNING to repair the foundation of the existing single-family dwelling. Located: Stephenson's Rd., Orient. SCTM#17-1-2.1 Inspected by: Audrey Horton, Meaghan Burke The CAC Supports the applications with the Condition there is no further clearing of the bank and the run-off traveling down the bank from the neighboring property is addressed. Vote of Council: Ayes: All Motion Carried Jill M. Dohelly, President Bob Ghosio, Jr., Vice-hesidcnt James F King Dave Bergen P.O. Box I 179 Southold, NY 11971 Telephone {631 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: 2- I~' [/ SUSAN MAGRINO-DUNNING requests a Wetland Permit and Coastal Erosion Permit to repair the foundation of the existing single-family dwelling Located: Stephenson's Rd., Orient. SCTM#17-1-2.1 T~Ys~alt~f area to be impacted: aterWetland __Freshwater Wetland Sound __Bay Distance of proposed work to edge of wetland Pa~,~,c~f Town Code proposed work falls under: x-/~hapt.275 Chapt. 111 other Type of Application: ~,//Wetland __Coastal Erosion __Amendment ~Ad ministrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were:k-'/3.King ~'~JiDoherty __ __J. Bredemeyer B.Ghosio, D. Dzenkowski other Form filled out in the field by Bergen Mailed/Faxed to: Date: MA GRINO-D UNNING Property Situate: Right-of-Way off Bird's Eye Road; Orient; Town of Southold, NY SCTM #: 10OO--01'7--01 -- OO~2,1 MA GtlINO-D UNNING Property Situate: Right-o~kWay offBird's Eye Road; Orient; Town of Southold, NY SCTM ~: 1ooo - o17 - Ol - oo~2.1 MA GRINO-D UNNING Property Situate: Right-ofLWay offBird's Eye Road; Orient; Town of Southold, NY SCTM #: 1000 - 017 - 01 - 00~2.1 MA GIlINO-D UNNING Property Situate: Right-of-Way offBird's Eye Road; Orient; Town of Southold, NY SCTM~: 100o-o17-01-oo9.1 MA GRINO-D UNNING Property Situate: Right-of-Way offBird's Eye Road; Orient; Town of Southold, NY SCTM #: 1000-017 -01 -oo~.1 Suffolk Environmental Consulting, Inc. Newman Village, Suite E. 2322 Main Street. P.O. Box 2003, Bridgchampton. New York 11932 2003 (631) 537 5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President March 29, 2011 Ms. Jilt Doherfy, Chairwoman Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Situate: SCTM #: STARClC~zr~tlands Permit Modification Request 360~l-a~e View Terrace; Marion; Town ot Southold, NY 000 - 031 -09 - 012 Dear Ms. Doherty, As you know, this Firm represents the owner of the property referenced above, who has received approval from the Southold Town of Trustees to improve thereon. To satisfy conditions of approval enclosed please find: A check made payable to your order to cover requisite final inspection fee. Should you have any questions regarding this matter, please feel free to contact this office at any time. Thank you in advance for your attention in this matter. Sincerely, Diane K. Wass~cK,~ encl. cc: Mi. Sfarcic 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: March 14, 2011 Re: Proposed Wetland Permit for SUSAN MAGRINO-DUNNING SCTM#1000-17-1-2.1 SUSAN MAGRINO-DUNNING requests a Wetland Permit and Coastal Erosion Permit to repair the foundation of the existing single-family dwelling. Located: Stephenson's Rd., Orient. SCTM#17-1-2.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "A" an which states: A. Maintenance or repair involving no substantial changes in an existing structure or facility; 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 Office Use Only X Coastal Erosion Permit Application X Wetland Permit Application _l~_.Amendment/Trans fer/Extension Received Application: .o~J I ~ 11 Received Fee:$ 7CompletedApplication: ~]1 j II __Incomplete: SEQRA Classification: ___Type I Type II Unlisted. __Coordination(date sent) . ~ LWRP Consistency Ass~ssn~ent Form: ~.--CAC Referral Sent: ~]L] [ [] ' ~/'-Date of Inspection: __Receipt of CAC Report: __Lead Agency Determination Technical Review: /Public Hearing Held: ~/~,~//9 Resolution: Administrative Permit Name of Applicant Address New York, NY 10022 SUSAN MAGRINO-DUNNING 2 Sutton Place South - Apt. 17D Phone Number: Suffolk County Tax Map Number: Property Location: (646) 522-7004 1000 - 017-1-2.1 ROW offBird's Eye Lane, Orient (provide LILCO Pole #, distance to cross streets, and location) AGENT: BRUCE A. ANDERSON @ Suffolk Environmental Consulting, Inc. (If applicable) Address: P.O. Box 2003; Bridgehampton, NY 11932 Phone: (631) 537-5160 Land Area (in square feet): Area Zoning: Board of Trustees Application GENERAL DATA 37, 405 square feet + R-40 Previous use of property:. Intended use of property:. Covenants and Restrictions: Residential Residential Yes X No If"Yes", please provide a copy. Prior permits/approvals for site improvements: Agency Date Trustees Permit #6257 12/21/2005 __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No If yes, provide explanation: Yes Project Descripflon (use attachments if necessary): Repair existing foundation Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed activity: protect existing dwelling Area of wetlands on lot: 0 .square feet Percent coverage of lot: 5 + % Closest distance between nearest existing structures and upland edge of wetlands: 126 feet (existing d~cks/bulkheads/ew...) Closest distance between nearest proposed structures and upland edge of wetlands: 132 + feet ~oroposedreconstructed dories/low-sill buIlcheach'nbO Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? 25 How much material will be filled? 0 Manner in which material will be removed or deposited: .(cubic yards) .(cubic yards) By hand 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): No impact to the wetland~ or natural protective feature as all work would be done by hand and the locus of activity is 8S-feet landward of the landward edge of the beach ~d of Trustees Applicatio~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: [~19o~'1,¢- ¢;)Ow~-'~4.¢ava 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? ~-~'~ How much material will be filled? Manner in which material will be removed or deposited: (cubic yards) .(cubic yards) Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) Jill M. Doherty, President Bob Ghosio, Jr. , Vice-President James F. King Dave Bergen 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 SUSAN MAGRINO-DUNNING COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, depose and say: That on~the/~ ~'day. of ~fi'/qle (~t/ ,2011, I personally posted the property known as by plato* 'ng the ~oard of Trustees ~cial p~st~where ~C~ easily bd seen, and that I have checked to be s~e the poster has remained in place for ei~t days prior to the date of the public hemng. Date of heating noted thereon to be held Wed~ March 23, 2011 on or about 6:00 PM. Dated: ~ ~5~ ~O~ S?yom to before me this c797/~g day o fic4Z ¢ ~/20 // Notn :'!h ¢ N,wYork Commiss,or Ex?as~a .a,vz~,n 20f~ Suffolk Environmental Consulting, Inc. Newman Village, Suite E. 2322 Main Street, P.O. Box 2003, Bridgehampton. Ncw York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Andersom M.S., President March 21,2011 Ms. Lauren Standish Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re,* Situate: SCTM #: MAGRINO-DUNNING Property R.O.W. off Bird's Eye Lane; Orient; Town of Southold, NY 1000 - 017 - 01 - 002.1 Dear Ms. Standish, As you know this Firm represents the owner of the propedy referenced above who is seeking to improve thereon. As per the hearing requirements of the Sauthold Board of Trustees I enclose herewith: Affidavits of Mailing dated March 15, 2011, with certified receipts attached to all abutting property owners. Please be advised that we will forward to you the green receipts cards as we receive them. Should you have any questions concerning this matter, please feel free to contact this office at any time. Thank you in advance for your attention and consideration. Sincerely, Diane K. Wassick enc. cc: Ms. Magrino- Dunning Name: Lewis Edson 1000-17-1-2.2 Charlotte Greene 1000-17-1-6.0 Donna Tweedie 1000-17-1-11.5 Anthony & Susan Aquino 1000-17-1-5.0 Ubaldo & Dorothea DiLorenzo 1000-17-1-3 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: P.O. Box939;C~cho~e, NY]1935 P.O. Box 566; Orient, NY 11957 P.O. Box 196; Orient, NY 11957 P.O. Box 391; Orient, NY 11957 5 Clarendon Place; Scarsdale, NY 10583 STATE OF NEW YORK COUNTY OF NEW YORK Diane K. Wassick c/o Suffolk Enviro~ntal Consulting, Inc., residing at 2322 blain St.; Newman Village Suite E; P.O. Box 2003; Brid~ehamptont NX 11932 ,being duly sworn deposes and says that on the /~/3q- day of A~ , 2011, deponent mailed a true copy-of~ the Notic~ ~t ~'6rth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their 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 Office at Brid~ehmm~ton , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this day of ~ , 2011 N~a~y Public ~'~ $2.eo $2.~ lIAR $ $5.54 m CeItified Fee Return Receipt Fee (Endorsement Required) Restdctert Delivery Fee (Endorsement Requirert) Total Postage & Fees P stmark $2,30 R1 § ~11 1::2 --":J Postage Certified Fee Return Receipt Fee (Endorsement Required} Restdcled Delivery Fee ~ (Endorsement Required) $2.80 $2.30 $ Postmark 14-16-4 (9/95)-Text 12 617.20 [ PROJECT I.D. NUMBER ] Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Suffolk Envirenmental Consulting, Inc. MAGRINO-DUNNING Property SEQR 3. PROJECT LOCATION: Municipality Town of Southold County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc. or provide map) R.O.W. off Bird's Eye Road; Orient; Town of Southold, New York SCTM #: 1000-017-01-002.1 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to repair the foundation to the existing dwelling. Please refer to the attached Survey for all specifications. 7. AMOUNT OF LAND EFFECTED: Initially < 0.1 acres Ultimately < 0.1 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No if No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential []Industrial [-~Commercial []Agriculture {--]Park/Forest/Open space []Other Describe: Similar private single-family dwellings and related appurtenances. 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENT AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes []No If yes, list agency(s) and permit/approvals Southold Building Department approvals. 1 1. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If yes, list agency(s) and permit/approvals 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes [] No I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Matt D.,Ivans - Suffolk Environmental Consulting, Inc. Date: Signature: ....... ~-~ February 28, 2011__ If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART II- ENVIRONMENTAL ASSESSMENT (To be completed by A~enc),) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 use the FULL EAF. [] Yes [] No If yes, coordinate the review process and B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. [] Yes [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, sudace or groundwater quality, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archeological, historical or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitat, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or change in use or intensity of use of land or natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? I--lYes I--INo D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL iMPACTS? [] Yes [] No If yes, explain briefly PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important, or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes, the determination and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Print or Type Name of Responsible Officer Title of Responsible Officer Signature of Responsible Officer in Lead Agency officer) Signature of Preparer (if different From responsible PART II - IMpAcT ASSESSMENT (To be completed by Lead AgenCy) * B. ~ ~ ~ ~ P~ F~ U~ A~ IN 6 ~ P~ 617.67 C. COULO ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED vvm*I THE FOLLOWING: (Answers may be imadwdttefl, ff ~) I CS. Omwf~ ~_ _ _mJ~q_ ~,_,ent dew~T,~ ,L or related ac~,es likely to be I~d,,eaa by em pmk. __-~_ action? I:~ b~efllc' C6. Leng tefra, .sh~t rem1, curative, o~ other effects not Identified in C, 1-C57 I= .~3~!~ bdefly: I · I'"0 D. ~.R~) NEMPE~.~IC,~V~EC~ i ~M I~A ~.~s?: ~: bE~N~,,RONMENTA~' CHARACTERISTICS THAT CAUSED THE E~TABUSHMENT OF A CRITICAL E. I1~ TI, ~'i-'-, OR [~ T',4~--__~. UKELY TO [lEi CoNTROVERSy RELATEO I'0*PO'I'I~I~IAL ADVERSE ENVIRC~,;M~%'TAL IMPA~T~ If ~s ex~lalrl: PART II - f~: ~ ~=tadlNA ~ rd~ OF 81GiiiF~CE (To be ~3mpleled by/~<tency) · I8'IRU~'TION$-' F~reachadver~eef~t~denfi~edabove~newhe~h~r~ssubs~an~a~arge~mp~r~ant~r~hen~ises~gn.i~canL Each .----'-,- .... --,'-, ,', -'~, ...... ,~-~--~,~,, aaa mmc~men~s or remref~e suppomng materials. En"~lm that explanations c<mialn EAF and/o~ prepare a po"d~ive .decla ratlo~. WILL NOT resu# In any slant adve~e environmental Impads AND prodde, on allacho~ms as necessary, the masons supposing ~: dete~nlm~tlon.. Board of Trustees Name of Lead Agency Jill M; Doherty ' " I~ er Type Name of, l~sponsible Ol~cer in Lead Agency President Ti[le of Responsible Officer Igna[ure of Preparer (if different Eom responsible officer) Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCAtiON: $.C.T~I, #: THE FOLJA)WINO ACTIONS MAY ~ ~E 8~I~WN ~ A 1000- 017- 01- 002.1 ~WA~I~D~D~~~ ~ ~ B~ ~ C~D BY A ~ON P~ IN ~ ~A~ ~ ~ Y~ SCOPE OF WO~ - PRO~S~ CON~U~ON Y~ No ~ ~ ~ ~r ~ ~ < 0.01 acre. Site I~ a~ ~ ~ ~ of Applicant p~oposes to repair the ~oundado~ ~o the . C. EHLERS, L.S., dated November ~o, ~o l O. a~ ~t ~ ~ ~t ~l ~ u~ to of Ma~ 6 ~~~~~n~{l)~ ~ HU~ (1~) of ~ ~? EI'K]~ OF NEW YORK, SUFFOLK AGENT m~e ~d file fibs appli~don; ~at ~1 s~temcnL~ con.ned in ~ks appE~fion ~ ~e to ~e ~s( of his ~m~edge ~d t~lief; and · at the ~rk ~dll ~ i~fformed in the m~me~ set fonh in d~e appli~fion filed he~dfl~. Sworn to I~fore me flus: FORM - 06/10 CommdssLor, Expires Ja, nuary 22, 20tt¢ / Board of Trustees Application County of Suffolk State of New York BRUCE A. ANDERSON- Suffolk Environ. Consulting, Inc. BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO l'H E BEST OF F~S]H ER KNOW, LEDGE AND BELIEF, AND I'HAT 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 HARMELESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY BIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I I-I~REBY AUTHORIZE ~ TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(SO, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES 1N CONJUNCTION WII'H REVIEW OF THIS APPLICATION. ! ignature SWORN TO BEFORE ME THIS Z~'~ DAYOF ~~ / No(ary Public Board of Trustees Application AUTHOI~IZ&TION (where the applicant is not the owner) I, SUSAN MAGRINO-DUNNING residing at2 SI, ffTON PLACE APT. 17D: (prlut owaer of property) (mdling address) New York. NYdo hereby authorize Suffolk Environmental Consulfina. Inc. (Agent) to apply for permit(s) from the Southold Board Of Town Trustees on my behalf. /~'~ X-~Owner,~'~ignature) ~ ~' Town of Southoid LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.no~thfork.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 SCTM# 017 01 002.1 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: Applicant proposes to repair the foundation to the existing dwelling. Please refer to the attached Survey for all project specifications. Location of action: Site acreage: R.O.W. off Bird's Eye Road; Orienh New York 0.86 acre -+ Present land use: Improved with single family dwelling & related appurtenances 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: Susan Magrino-Dunning (b) Mailing address: 2 Sutton Place South - Apt. lTD; New York~ New York 10022 (c) Telephone number: Area Code ( 646 ) 522 - 7004 (d) Application number, if any: N/A 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? NYSDEC DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [] Yes [] No [] Not Applicable This aoolication is for the sim[~le repair of the existing foundation beneath an existing and conforming sinqle-family dwelling. No impact to any condition or quality within the Town of Southold will result from the implementation of this project. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No [] Not Applicable This application is for the simple repair of the existing foundation beneath an existing and conforming single-family dwelling. No impact to any condition or quality within the Town of Southold will result from the implementation of this project. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 5 through 7 for evaluation criteria [] Yes [] No [] Not Applicable This application is for the simple repair of the existing foundation beneath an existing and conforming single-family dwelling. No impact to any condition or quality within the Town of Southold will result from the implementation of this prelect. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria [] Yes [] No [] Not Applicable This application is for the simple repair of the existing foundation beneath an existing and conforming single-family dwelling. No impact to any condition or quality within the Town of Southold will result from the implementation of this project. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section Ill - Policies Pages 16 through 21 for evaluation criteria [] Yes [] No [] Not Applicable This aoolication is for the simple repair of the existinq foundation beneath an existinq and conforming single-family dwelling. No impact to any condition or quality within the Town of Southold will result from the implementation of this proiect. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria [] Yes [] No [] Not Applicable This application is for the simple repair of the existing foundation beneath an existing and conforming single-family dwelling. No impact to any condition or quality within the Town of $outhold will result from the implementation of this project. 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 [] Not Applicable This application is for the simple repair of the existinq foundation beneath an existing and conforming single-family dweliinq. No impact to any condition or quality within the Town of Southold will result from the implementation of this project. 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 This application is for the simple repair of the existinq foundation beneath an existing and conforminq single-family dwelling. No impact to any condition or quality within the Town of Southold will result from the im[~lementation of this project. Attach additional sheets if necessary PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria [] Yes [] No [] Not Applicable This application is for the simple repair of the existinq foundation beneath an existinq and conforminq sinqle-family dwelling. No impact to any condition or quality within the Town of Southold will result from the implementation of this proiect. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria [] Yes [] No [] Not Applicable This application is for the simple repair of the existing foundation beneath an existinq and conforming single-family dwelling. No impact to any condition or quality within the Town of Southold will result from the implementation of this project. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town Waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria [] Yes [] No [] Not Applicable This application is for the simple repair of the existing foundation beneath an existinq and conforming single-family dwelling. No impact to any condition or quality within the Town of Southold will result from the implementation of this project. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No [] Not Applicable This application is for the simple repair of the existinq foundation beneath an existinq and conforming sinqle-famil¥ dwelling. No impact to any condition or quality within the Town of Southold will result from the implementation of this prelect. 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 This application is for the simple repair of the existinq foundation beneath an existino and conformino single-family dwelling. No impact to any condition or quality within the Town of Southold will result from the implementation of this proiect. Attach additional sheets if necessary Created on 5/25/05 11.'20 AM Suffolk Environmental Consulting, Inc. Newman Village, Suite E. 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932 2(103 (631 ) 537-5160 Fax: (631 ) 537-529 I Bruce Anderson, M.S., President Hand Delivered March 1, 2011 Ms. Jill Doherty, Chairwoman Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 2011 Re: Situate: SCiTM #: MA GRINO-DUNNING Property R.O.W. off Bird's Eye Lane; Orient; Town of Southold, NY 1000 - 017 - 01 - 002.1 Dear Ms. Doherty, This Firm represents the owner of the above referenced property, who is seeking approval to repair the foundation beneath the existing dwelling thereon. In that the property is situated along Long Island Sound, a wetlands permit from your Board is required. Please find attached: (1) Town of Southold Trustees Wetlands Permit Application (original and two [2] copies); (2) Short Environmental Assessment Form (original and two [2] copies); (3) Local Waterfront Revitalization Program application (original and two [2] copies); (4) Town of Southold Erosion, Sedimentation 8, Storm-Water Run-Off Assessment Form (original and two [2] copies); (5) Location Map for reference (three [3] copies); (6) Photographs of the property (three [3] sets); Hammarth/ 2 (7) Sttrvey of subject property, prepared by JOHN C El-TLERS, L.S., last dated November 20, 2010, indicating the conditions thereon (three [3] prints); (8) Check made payable to the Town of Southold in the amount of $250.00 covering the requisite application fee. Kindly commence the review of this application and schedule before the next available Town of Southold Board of Trustees meeting. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you in advance for your cooperation. Sincerely, Matt D. Ivans attachment cc: S. Magrino-Dunning · MONUMENT FOUND o PIPE FOUND 74.08, S64~59'00"E 82.72' N48°~ 7,00,,W PARCEL AL50 5HONN ON c'...,UR"v'EY OF THE "CEDARS" PROPERTY OF HARY H. 5TEPHENSON FILED ,JULY II, IClO~, FILE No. 421 Ak PART OF PLOT E ,t PART OF PLOT X. ELEVATION5 f~EFERENCE N~VD'2q FLOOD ZONE ANNOTATED FROH FIPJ'4 HAP NUHBER B610~,~0064 H kEPT. 2.5, 200q COASTAL EROSION HAZAt~:) LINE ANNOTATED FROH COASTAL EROSION HAZAP-D AP-~A HAP PHOTO No. 4-/-6.51-6~ ~HEET 16 OF 4q ®RAPHIC SCALE I"= AREA = Y~,40.5 5.F. or 0.6.56-/ ACRE 0 40 80 120 296.91 SURVEY OF PROPERTY SITUATE.. ORIENT TOHN: SOUTHOLD SUFFOLK COUNTY, NY SURVEYEP 11-20-2010 SUFFOLK COUNTY TAX # 1000-1-I-I-2.1 CE~Ti[F~D TO: SUS~ ~G~O D~G JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 R1VERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-C:\Documents and Settings\OwnerkMy DocumentshMy Dropbox\05\05\05-105 magrino\05-105 all in one.pro