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Home My WebLink AboutTR-7500 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 September 19, 2012 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Matt D. Ivans Suffolk Environmental Consulting, Inc. PO Box 2003 Bridgehampton, NY 11932-2003 RE: CARLA STARCIC 205 PRIVATE ROAD #3, SOUTHOLD SCTM# 70-6-9 Dear Mr. Ivans: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, September 19, 2012: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit #7500 to include the installation of a 4'x4' drywell to handle run-off from the approved deck; and as depicted on the revised survey prepared by John T. Metzger, last dated August 17, 2012 and stamped approved on September 19, 2012. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, James F. King President, Board of Trustees JFK:amn James F King, President Bob Ghosio, .ir, Vice-President Dave Bergen John Bredemeyer Michael .I. Domino PO Box 1179 Southold, NY 11971 I'elephone (631 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Suffolk Environmental Consulting, Inc. on behalf of CARLA STARCIC requests an Administrative Amendment to Wetland Permit #7500 for the installation of a 4'x4' drywell to handle run-off from the approved deck. Located: 205 Private Road #3, Southold. SCTM# 70-6-9 Ty~ 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: L-,--'j. King B. Ghosio ~. Bergen, ~,'~J. Bredemeyer ¢,,,~l-~ael Domino D. Dzenkowski Form filled out in the field by j, Mailed/Faxed to: Date: other Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street. P.O. Box 2003, Bridgehampton, New York 11932-2003 (631 ) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President September 4, ~01~ Mrs. James King, President Board of' Trustees Town Hall P.O. Box 1179 Southold, NY ~ 1971 SE? -4 2012 Re: Situate: SCTM #: Pemit #: Starcic Property ~05 Private Road #3; Town of Southold, NY 1000 -- 70-6-9 7500 Dear Mr. King, Please find enclosed three [~] copies ofthe revised survey prepared by Peconic Surveyors P.C. last dated August 17th showing the updated position ofthe drywells on the property. Thank you in advance tbr your speedy attention to this matter, and as always please do not hesitate to contact this office if you have any questions or concerns about this matter. Sincerely,/ JameS' F. Laird Encl; Cc: Mr. Starcic Suffo9 Environmental Consultin nc. Newman Village, Suite E, 2322 Main Street, P.O. Box 200% Bridgehmnpton, New York II 932-2003 (631) 53%5160 Bruce Anderson. M.S., President August 15, 6201c2 Ms. Jill Doherty, President Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Fax: (631) 537-5291 Re: Situate: SCTM #: Permit #: St~wcic Property 305 Private Road #s; Town of Southold, NY 1000 - 70-6-9 7500 Dear Ms. Doherty, I hereby request an amendment to the issued permit No. 7500, for the property referenced above for the installation of a 40' X {' drywell to handle run-off from the approved deck. Therefore, please find enclosed: Project Description depicting proposed drywell [~2 copies']; and Check in the amount of $50.00 to cover requisite fee. By way of this correspondence, please schedule this matter for the Southold Board of Trustees next available meeting. Thank you in advance for your cooperation and assistance in this matter. Sincerely, Diane K. Wassick Encl; Cc: Mr. Starcic SCDH$ Re/. # R~0-05-0~08 joGF,£¥ DoCK N/(~ y H. & R' idUR'¢HY -U: 3i 05 N 85'54'40' E 97.37" N/O/F N 74 S. . .#, 5525 Oak/awn A CHARLES O. HARD Y /o/eo/97 ~/ /~ . A 'A =-9,0165q. ft to tl~ line LOT COVERAGE ' ~,~ ~no ~ocafio~s ol ~olls an~ cosspools s3ow~ ~oroo~ oro [rom fioM obsorvafio~x o~d or from d~/a obtained [rom olhers. BY APPROVED BOARD OF TRUSTEES TOWN OF ,~::)UTHOLD LOT COVERAGE AREA OF UPLANDS -- B~818 sq,ff. EXISTING BZ4 ~ft. 924/8818 = 10.5"~ PROPOSED ~ 1~30 ¢q. fl. IZ3018818 ' 13.9% 116.§6 BUR VE Y OF PROPERTY HUMUS , ~A,~ B~o~, LOAM O' A T SOUT Ot-LQ_~D, ~o~, ~No, LOAM sc TOWN OF SOUTHOLD _~,o.~ . o~ PALE ~O~ CO~R$[ 1000-70-06-09 ~ ~,~ ¢¢.,' SCALE, I%30' C~SE SAND s~ I om familiar with /he STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ~nd wi// ~J~ide l)~ lhe conditlons sel forlh thereln ~nd oi~ 1t~ permit to con~lrucL ¢~./o5 cc.,/C.~: G 5/ ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7Z09 - SUBDIVISION ~. ALL CERTIFICATIONS HF~EON ARE VALID FOR THiS MAP AND COPIES THEREOF ONLY IF SA~ MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. ~ADDITIONALLY TO 'COMPLY WITH. SAID..~LAW.TERM ' ALTERED BY ' ~jI,,,ItCST BE USED BY ANY .AND ALL.SrJRVEYORS. UTIUZIN6 A COPY OF A~I, OTHER SURVEYORS M.&9'". TERMS 8U~3H INSPECTED ' AND ·BROUSHT - TO - DATE ~.A~E NOT IN COMPLIANCE WITH THE LAW. - 4 2012 Seuthhold 7ewn 8oar~ of Trustees MAY /2, ZO0~ APRIL I1~ NOV. 29, 2006 f W~LL AUG. 27, 2008 ¢loun~tion~ MA Y 8, MA Y ~0~ ~009 (UTIL. EASEMENT) . dAN. 2~ ~010 (BASEMENT ELEVATION~ SEPTIC SYSTEM CROS~C~ON,. · -' STAKE JUNE I?, ZOlO tll~l~Wtl~ ~ SEPT. ES, ROlO (PROF. DECK JAN. I0~ 2011 (LO~ COVERAGE JAN. ~0, ~0t! (REVLON) Aug. 17, 201Z (dr~weH) PECONIC SURVEYORS, P.C. (631) 765 - 5020 FAX (651)~765 - 1797 P. O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375MainRoad 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. 7500 DATE: MARCH 23~ 2011 ISSUED TO: CARLA STARCIC PROPERTY ADDRESS: 205 PRIVATE RD. #3~ SOUTHOLD SCTM#70-6-9 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 adopted at the meeting held on March 23,201! in consideration of application fee in the sum of $250.00 paid by Carla Starcic and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and following: Wetland Permit to construct a second-story deck measuring 401 sf., as depicted the survey prepared by John T. Metzger last revised January 20, 2011 and stamped approved on March 23, 2011. 1N WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be alTmed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee, Carla Starcic, residing at 243 Momingside Ave., Cliffside Park, NJ, 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 Perm/flee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the pt;blic to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remo' ,: or alter this work project herein stated without expenses to the Town of Southold. That the said Board w ?! 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 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: CARLA STARCIC 205 PRIVATE RD. #3, SOUTHOLD SCTM#70-6-9 Dear Mr. Ivans: The Board of Town Trustees took the following action dudng its regular meeting held on Wed., March 23, 2011 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of CARLA STARClC applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance, application dated February 16, 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, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing 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, 2 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, and, 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, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVES the application of CARLA STARClC to construct a second-story deck measuring 401 sf., as depicted on the survey prepared by John T. Metzger last revised January 20, 2011 and stamped approved on March 23, 2011. 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 Mtf)Doherty, PresiderS/ Boar(~ 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 ~ ] ~(: has been reviewed by this Board at the regular meeting of ~ I~.:-~1 and your application has been approved pending the compietlo~ 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) Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ ~--/.~, (~/.~ BY: Jill M. Doherty, President Board of Trustees Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (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 Audrey Horton, seconded by Meaghan Burke, it was RESOLVED to SUPPORT the Wetland Permit application of CARLA STARCIC to construct a second-story deck measuring 401 sq.ft. Located: 205 Private Rd. #3, Southold. SCTM#70-6-9 Inspected by: Audrey Horton, Meaghan Burke, Jack McGreevy The CAC Supports the application with the Condition there is adequate drainage for the deck. Vote of Council: Ayes: All Motion Carried Jill M. Dohelly. President Bob Ghosio, Jr.. Vice-Presidenl P.O Box 1179 Southold, NY 11971 Telephone(631 765-1892 Fax(631)765-6641 Date/Time: Southold Town Board of Trustees Field Inspection/Worksession Report CARLA STARCIC requests a Wetland Permit to construct a second-story deck mea/saring 401 sq.ft. Located: 205 Private Rd. #3, Southold. SCTM#70- §'~9p o~f area t T o be impacted: j/Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Cha~ other Type of Application: Wetland Coastal Erosion ~Administrative__Emergency __ '70 f __Amendment Pre-Submission Violation Info needed: Modifications: ¥//~resent Were: __&King __J.Doherty __J. Bredemeyer __ .Ghosio, D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: D. Bergen__ STARCIC Property Situate: n/s Road # $ (Right-of-Way); Southold, New York SCTM #: 1000 - 070 - 06 - 009 Photograph indicating the existing single-family dwelling and a graphic rendering of the e"'~-Story Deck. Photograph taken from the central portion of the property, facing south. STARCIC Property Situate: n/s Road # $ (Right-of-;Vay); Southold, New York SCTM #: 1000 - 070 - 06 - 009 Photograph indicating current conditions along the shoreline of subject property and Jockey Creek. Photograph taken from the northerly half of the property, thcing north. STARCIC Property Situate: n/s Road # $ (Right-of-Way); Southold, New York SCTM #: 1000 - 070 - 06 - 009 (Photo l~d(e~ o, December ,% '2ol0) Photograph indicating current conditions along the shoreline of subject property and Jockey Creek. Photograph taken from the northerly half of the property, facing northeast. STARCIC Property Situate: n/s Road # 3 (Right-of-Way); Southold, New York SCTM #: 1000 - 070 - 06 - 009 F~ROPOS~D CONSTRUCTION / Ba~ .~' , i.~ ' ' , , ~ ~ ~ ~ ~ ',,- ,~~~ ~ '~~~~ .............................................. NOTICE ~ COUNTY OF SUFFOLK ~ .~ ~' SOUTflOLD 070 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY11971 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 CARLA STARCIC SCTM#1000-70-6-9 CARLA STARCIC requests a Wetland Permit to construct a second-story deck measuring 401 sq.ft. Located: 205 Private Rd. #3, Southold. SCTM#70-6-9 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 Policy Standards and therefore is CONSISTENT with the LWRP. 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 Type I __ Coastal Erosion Permit Application X Wetland Permit Application __ Amendment/Transfer/Extension Received Application: .0~[[l~ I {[ f Received Fee:$ ~ / Cmnpleted Application: r.'~!l __Incomplete: __SEQRA Classification: Type Il Unlisted_ __ Coordination(date sent) __ LWRP Consistency Assessment Form: ~ CAC Referral Sent: ~ Date of lnspeclion: .'~'] II Receipt of CAC ReptTrt{ ' __ Lead Agency Determination __ Technical Review: ~.// Public Hearing Held: Resolution: t · -,, __Administrative Permit 2011 Name of Applicant Address CARLA STARCIC Suffolk County Tax Map Number: Property Location: 243 Morningside Avenue; Cli,ff. qide Park, NI 07010 Phone Number: (201) 376 - 7429 1000 - 070 - 06 - 009 205 Private Road #3; Southold, New York (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: MATT D. IVANS ¢~ Suffolk Environmental Consulting, Inc. P.O. Box 2003; Bridgehampton, NY 11932 Phone: (631) 537 - 5160 Board of Trustees Applicatio~ GENERAL DATA Land Area (in square feet): 9, 016 square feet ± Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions: Residential. Same with Decking. Yes X No If "Yes", please provide a copy. Prior permits/approvals for site improvements: Agency Southold Board of Trustees Permit No. 6327 Date March 22, 2006 __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Permit No. 6327 was issued on May 22, 2006, for construction o£ a single family and deck, gravel driveway, septic system and waterline. Project Description (use attachments if necessary): Applicant proposes to construct a 2nd-Story Deck measuring 401 square feet _+. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed activity: Applicant proposes to construct a 2nd-Story Deck measuring 401 square feet _+. Area of wetlands on lot: 225 _+ square feet Percent coverage of lot: 2.5 _+ % Closest distance between nearest existing structures and upland edge of wetlands: 0.0 feet (existing dock) Closest distance between nearest proposed structures and upland edge of wetlands: 72.0 + feet (proposed 2~a-Story Deck) Does the project involve excavation or filling? X No Yes If Yes, how much material will be excavated? N/A How much material will be filled? N/A Manner in which material will be removed or deposited: N/A (cubic yards) .(cubic yards) N/A 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 wetlands are anticipated due to the project being substantially setback from the on-site wetlands. Review of the immediate neighborhood reflects properties improved with similar structures located much closer to the edge of wetlands without any form of resultant negative impact to the proximate wetlands. Additionally, the potential disturbance associated with the proposed 2"d-Story Decking is negligible compared with the current disturbance associated with the lawfully existing Right-Of-Way located 27.0' _+ from the wetlands boundary.. Consequently, we do not believe that the granting of this permit will result in any form of negative impact to the surrounding wetlands. Board of Trustees Application N/A COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? 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 reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 14-16-4 (9/95)-Text 12 PROJECT I.D. NUMBER 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEQR PART 1- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) APPLiCANT/SPONSOR 2. PROJECT NAME Suffolk Environmental Consulting, Inc. STARCIC 3. PROJECT LOCATION: Municipality Town of Southold County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc. or provide map) 205 Road # 3 (Right-of-Way); Southold, New York (SCTM #: 1000 - 070 - 06 - 009) 5. IS PROPOSED ACTION; [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to construct a 2nd-Story Deck off the northern side of the existing single-family dwelling containing 401.0 square feet -+. 7. AMOUNT OF LAND EFFECTED: Initially/ < 0.1 acres Ultimately < 0.1 acres 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 r-]Industrial Elcommercial [-]Agriculture [--]Park/Forest/Open space [-'~Other Describe: Private single family residences with related appurtenances. 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENT AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes r--INo If yes, list agency(s) and permit/approvals New York State Department of Environmental Conservation approval. Il. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If yes, list agency(s) and permit/approvals ] 2. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes [] No I CERTtFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor nam~vans - Suffolk Environmental Consulting, Inc. Date: 2/15/11 Signature: /~,,3~ Assessment Form before proceeding with this assessment If the action is in the Coastal Area, and you are a state agency, complete the Coastal 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 If yes, coordinate the review process and use the FULL EAF. [] Yes [] NO 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 COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Cl. Existing air quality, sun"ace 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 bdefly: 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? []Yes []No 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 Signature of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Preparer (if different From responsible officer) 2 PART II- IMPACT ASSESSMENT (To be completed by Lead AgenCy)- I-1Y- 171.o B. ~ ACTION RECrcJVE OOORDINATED REVIEWAS PROVIDED FOR UNUSTED A~ IN 6 NYCRR, PART 617.67 If No, a nega~ve ded~mm~ may be m~ by ar.~her kw~ed ~. * E~TM r~"l "0 INS'IRUCTION$: Fereachadversee~ec~ident~edabeve~determ~nev/~ether~t~ubstantiaL~arge'~m~x~1a~r~n~ Each ~ sh~uf~ be assessed In oonnec~on with its (a) setting (i.e. Urban ~ rural); (b) ~ of occur~ng; (e) duration; (d) kreve~aalty; (e) ~eogral~osoope;and(f)magnltude. IfneceasmY, addattachmen~orrefemnoesupportlng~ls. Ensumlhatexplanatlanseonlaln the,determination o~signlficance mustevaluate the pote~al Imp~t of the proposed ac~n off the envkomnm~l cha ~,,~__r~cs o~ the CF_". EAF and/or pre,are a positive.declaration. WILL NOT result In any algnll~ast adverse en,dronmental Impacts AND provide, an attad~nents as neoessaly, the masons euppo~ ~ ,Beard of Trustees Name of Lead Agency Jill M. Dohen~/ F~t or Type Narae of Resp~nsiffie Officer in Lead Agency President Title of Responsible Officer S gna[ure of Preparer (If different from responsible officer) 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 THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES 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 HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(SO, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS ~/~-r't~' DAY OF ~h.t~l~ ,20 I{ otary Public 2011-0~-23 1~:20 PRODESK 1516377'~05 >> 7656641 P 3/3 Suffolk Environmental Consulting, Inc. Newmm~ Village. Suite E~ 2322 Main Street, P.O. Box 2003, Bridgchampton, New York 11932-200~3 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S. Pr~idem Vi~ Cerliltetl MJilla~ Maxch 15,2011 John F. Russel & Miohelc Dove 15 Fatragut PI Amiwville, NY 11701 Re-' Styrene Property m/s Road #3 (rJ~lat-of-way) Town of Southoid, New York 1000-070-06-09 Dear Nelghbot(s), This Firm represents the owners of the above tef~-enced property. This property will be the subject of a Public Heating bofore the Southold Bennl of Trustees, at Town HaH located at 53095 M*,d,, Road, Southold on Wednesday, March 23,2011, nt approximately 6:00 p.m. Ae~rdHgly, please find eaclosed herewith: ~ No, lee concerning subjeet application; and Copy of reduced Survey of subj,~-'t propcxty, prepared by Peconb: Surwyors, P.C., lsat dnted Janumy 20, 2011. Please feel flee to c, ont~'t this office should you have any questions pegnrding ~his matter. Thank you in advance for your attrition and courtesy. Diane K. Was$ick enCl. Cc: Mr. Starcic 20~1-03-23 I~:20 PRODESK 151~377~05 >> ?~56~ P NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES. TOWN OF SOI.ITI'JQLD In the matter of applicant: CARLA STARC!C SCTM~ 1000-70-6-9 YOU ARE HEREBY GIVEN NOTICE: 1. That is the intention of the undersigned to request a Permit from the Board of Trustees to: To construct a second storv de,cb measurin~ 401 seuare feet. 2. That the property which is the subject of Envimnmentel Review Is located adjacent to your property and is described as follows: 100 Bav Road:Greenoo~t. NY 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to mv=~-.v same proposal. OWNERS NAME: Carla S~rcic MAILING ADDRESS: 243 Momin~side Avenue .... Cliffside Park. NJ 07010 .... PHONE #: 201-376-7429 Encl: Copy of sketch or plan showing proposal for your convenience. OBoard of Trustees Application0 CARLA STARCIC AUTHORIZATION (where the applicant is not the owner) (print owner of property) Cliffside Park, New Jersey residing at 243 Morningside Avenue; (mailing address) do hereby authorize Sl~ffolk Environmental (Agent) Consultinq, Inc. Southold Board of Town Trustees on my behalf. (Owner's signature) to apply for permit(s) from the Jill M. Dohexty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredcmeyer Town Hall, 53095 Main Rtl. P.O. Box [ 179 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 CARLA STARCIC COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~_xO.,,a . !~ /?/'~.~Cg- , residing at/dba 51~l,d.i~r~l ,( _/:..X/ C/,I/-M,~l~tt~.~,va /_ being duly sworn, depose and say: ' · - That on the/~-~day of ,Md-'~(3/4 ,201 t, I personally posted the property known as by placing 'th~ Board of Trustees ~{'fi~iai ~os~er {vhere it can easily be seen, and that 1 have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed~ March 23~ 2011 on or about 6:00 PM. Dated: /~I (~ign~a~hre) ~e~om to betbre me this day offal/sat/20/~ Not r~y ~u2 li//~ ~- Matthew D. Ivans Notary ?dbic of New York No 0iP/6053859 Qualified in Suffolk County . ~ Commission Expires January 22, 201"t Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003. Bridgehampton. New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President March 21,2011 Ms. Lauren Standish Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Situate: SCTM #: STARCIC Property 860 Lake View Terrace; East Marion; Town of Southold, NY 1OOO -- O$1 -09 -- 01~ Dear Ms. Standish, As you know this Firm represents the owner of the property referenced above who is seeking to imprave thereon. As per the hearing requirements of the Southold Board of Trustees I enclose herewith: Affidavits of Mailing dated March 1,5, 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: Mr. Starcic Name: PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: John F. Russell/Michele Dove 1000-70-6-7 Maria Vampore- Giocoli 1000-70-6-11 Thomas & Jennifer Smith 1000-70-6-10 Charles Hardy 1000-70-6-37.1 Majorie & Peter Stevens 15 Faragut PI; Amityville, NY 11701 2169 47th Street; Astoria, NY 11105 42 Old Meadow Bend; Westhampton Beach, NY 11978 P.O. 8ox 1143; Southold, NY 11971 335 Private Road #3; Southold, NY 11971 STATE OF NEW YORK COUNTY OF NEW YORK Diane K. Wassick c/o Suffolk Environmental Consulting! Inc., residing at 2322 Main St.; Newman Village Suite E; P.O. Box 2003; Brid~eham~tont NY 11932 tbeing duly sworn deposes and says that on the/~/~ day of ~ , 2011, deponent mailed a true copy of the Notice' sst forth 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 Bridgehampton , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to/before me this day of//~/~_/~ .~ , 2011 M~tthm, v O lvans NOLo, ~ ,,i: ~'l"~*,,York Commiss~oh ExpiJ~s January 22, 20~ ~a~l~ ~ A L U S E $ m Certified Fee E23 (Endor~eme.t Required) r--I (Endorsemenl Required) r-i Total Postage & Fees $ ~. ~.~ ;¢F?~ .......................... ;¢¢~,-~,~; -Q-~----~ ............................. Town of Southold Erosion, Sedimentation & Stool,i-Water Run-off ASSESSMENT FORM : ~oe~TY LOC~TtO~: S£.TM, · THE FOUAW~#G A~TION~ MAY R~QUIII~ THE SUBMlUlON OF A 1000-070 - 06 - 009 A SCOPEOFWO~ - PRO~S~ CON~U~ON ~ / WO~~ ~ Y~ No (~T~l~ofM~~ 9,016 sq. ft. ~ ~W~ f~ P~~) ~~~e b. ~I~T~~ {s;;~} ~~~ 0.0 ~MI~~ ~~of Applicant proposes to construct a e"~-Story Deck off ~~w~ the northern side of the dwelling containing 401.0 square feet + ~ P~ E~ (5,~ S.F.) 6 Is ~ a Na~ Wal~ ~ ~ ~ ~ ~? Is~~T~~ ~ ~ ~~: ~H~(I~)~aW~ ~(1)~;~~~ 7 V ~~~~~(~}~ ~ H~ (1~)~ ~? ~AIZ OF N~ YOR~ SOFFO[K COU~ OF ........................................... SS BRUCE A. ANDERSON ~ SUFFOLK 1~.., ENVIRONMENTAL CONSULTING, INC. · -~, ................................................................................. ~ d~y s~m, de~ ~d ~ ~t ~s~ is ~c applic~t for Pe~t, AGENT ~d flint h~she is ~e ............................................ (~;~'~;~i ................................................................ ~er ~or ~p~sen~five of ~e O~er or O~em, ~d is duly au~o~ to ~ffo~ ~e ~d file ~s applicon; ~l ~1 sat~eut~ con.ned ~ ~[~ appli~ ~ ~e to &e ~ d his ~o~ed~ ~d ~[ief; and lhat ~e ~rk ~11 ~ ~dormed in fl~e mmmer ~ fo~ in ~e ~pli~fion FORM - 06110 Comn,ss,(i; E~pi (;s a~,~L:ar~' 22, 20 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", 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.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 SCTM# 070 06 009 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 construct a ~2"d-Story Deck measuring +01.0 square feet +. Please refbr to the attached Survey for all project specifications. Location of action: Site acreage: 205 Private Road # 3; Town of Southold, NY 0.21 acre -+ Present land use: Single family dwelling with related appurtenances Present zoning classification: R - 40 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: CARLA STARCIC (b) Mailing address: 243 Morningside Avenue~ Cliffside Park~ NJ 07010 (c) Telephone number: Area Code ( 201 ) 376 - 7429 (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 As indicated within Policy 1, "Development that does not reinforce the traditional land use pattern of the Town of Southold would result in a loss of the community and landscape character of Southold.", this proposal is to construct decking to the existing dwelling, all of which are common appurtenances in the Town. The proposal, as designed, will not result in adverse effects to the surrounding environment in that the project has been desiqned in such a way as to maximize the extent of all required regulatory conditions associated with this activity on a lot situated in proximity to the surface waters surroundinq the Town of Southold. Accordingly, we believe that this project is consistent with this policy. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southoid. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No [] Not Applicable Policy 2 is not apDlicable in that subject lot and the surrounding neiqhborhood cannot be deemed a substantial historic and/or archaeological resources. 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 Subject proposal will not adversely impact the visual quality of the surrounding area in that the I~roposed activities will be lower in height than the existing improvements thereon. No current visual resources will impacted by these activities. Therefore, we feel that this proposal is consistent with this policy. 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 Subject proposal will fully comply with Policy 4 in that the location of the improvement within subject property is to be situated 72.0' landward from Jockey Creek, and be elevated well above grade (i.e., 2~d-Ston/Deckinq), which will reduce/eliminate the chances of any loss of life or structures. Therefore, we feel that the proposal is consistent with this policy. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the proposal is simply construct incidental improvements which historically do not result in any form of adverse effects to air quality. Accordincllv, this proposal is not applicable with this policy. 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 Subject proposal will comply with Policy 6 in that proposed activity is designed to meet the environmentalguidelines and requirements of both the Town of Southold Board of Trustees and the New York State Department of Environmental Conservation, and consequently, will maintain the integrity of the surroundinq ecosystem. Therefore. we feel that the proposal is consistent with this policy. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria [] Yes [] No [] Not Applicable Subiect proposal is not applicable in that the proposal is simply construct incidental improvements which historically do not result in any form of adverse effects to air quality. Accordingly, this proposal is not aoplicable with this policy. 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 Subiect orooosal is not applicable in that the proposal does not involve disposal and/or transportation of solid waste, hazardous waste, toxic pollutants, petroleum products. 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 policy is not applicable to the proposal in that subject parcel is a private lot. Furthermore, as the proposed construction is occurrinq well landward of the creek, this proposal could in no way impede the use of the creek's shoreline for traffic. 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 Subject proposal is not applicable in that the proposal does not involve a water-dependent use (i.e. marina, aquaculture, etc...). 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 Subject proposal is not applicable in that the proposal does not involve any form of marine resource manaoement [i.e. commercial fisheries, recreational fisheries, aouaculture, etc...). 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 Subject proposal is not applicable in that the proposal does not involve a§ricultural lands (i.e. the conversion of farmland, the establishment and/or maintenance of new coastal a§ricultural production, etc...) 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 Subject orooosal is not applicable in that the proposal does not involve the conservation of energy resources on a commercial level and/or the promotion of alternative energy sources, proper maintenance of fuel storage facilities and/or the extraction of mineral extraction. Attach additional sheets if necessary Created on 3-29-2006 @ IO:OOAM Suffolk Environmental Consulting, Inc. Newman Village~ Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537 5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President February 15, 2011 Ms. Jill Doherty, Chairwoman Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Situate: SGTM #: Dear Ms. Doherty, Hand Delivered STARCIC Property 205 Private Road #3; Town of Southold, NY 1000 - 070 - 06 - 009 This Firm represents the owner of the above referenced property, who is seeking approval to construct a 2nd-Story Deck off the north side of the existing dwelling thereon. In that the property is situated along Jockey Creek, 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 & 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/ (7) Survey of subject property, prepared by £ECONICSURVEYORS, last dated January 20, 2011, indicating the conditions thereon (three [3] prints); (8) Map of Neighboring Structural Setbacks, prepared by PECONIC SURVEYORS, last dated October 6, 2010 (three [3] prints); (9) Aerial Map of Neighborhood Conditions, prepared by SUFFOLK ENVIRONMENTAL CONSUL TIN~, lNG, dated January 27, 2011 (three [3] prints); and (10) 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: R. Starcic SCDHS Ret # R10-05-0208 MURPHY Ni¢~iF H. & R. RIGHT OF wAY ~o~ LOT COVERAGE AREA QF UPLANDS = 8~818 sq,ft. EXISTiH6 9=24 sq. fL 92418818 10.5% PROPOSED = 1230 ~q. ll. 123018818 = 13.9% N 85~54'40'' E hi 97.57' _ $. pRiVATE ROA' ~ -------- . .#, 5325 N/O/F O~klawn Ave. CHARLES O. HARDY TEST 0 PINE NECK ROAD /.5 AREA '-' 9,016 sq. ft. to tie line e.a' LOT COVERAGE clX.4 17' , lie locations of wells end cesspools shown hereon are from f/eld observations ' and or from d~#o eh/a/ned from o/hers, SUR VE Y OF SF-.~To 25~ ~OJO IFf~O?. DECK JAN* I0~ ZOII fLOi COVERAGE JAN. ~0, -P011 (REVISION] ,o,~o,8~ ,, ,, . . PROPER T Y r~HUMUS , , . F__t__DA"K 8~O,,N ~ OAM O~ A T S O U T Ot-I~D~, ,, ~__/~O~N ~o~ ~o~ ~. TO WN OF SOUTHOLD ~o,~ ~o~ ~c ~ ~ "~O by McDONALD GEOS, i'/':Tv.:: : NOV. ~UC, 27, ZOO8 (Iounda,ic, a~ MA Y 8~ ~009 (FINAL 8~ ' MA Y ~0~ gO09 (UT/L. EASEMENT) dAN. 27~ ~010 (BASEMENT ELEVATION) I am faro#fur w/lh /he SFANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES arid v/Ill a~ide by lhe conditions scl brth therein ~d o~ 1~ ~ ~L~ ~ perml, lo construe,. ~~/~ ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF T~ NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209 - SUBDIVISION ~. ALL CERTIFICATIONS ' HEREON ARE VALD FOR THIS MAP AND COPIES T~REOF ONLY IF { ,SAi~ MAP OR COPIES BE*E THE iMPRESSED SEAL OF THE ~RVEYOR WHOSE SI6NATURE APPEARS HE"EON. ADDITIONALLY TO'COMPLY WITH SAI~LAW.TERM' ALTERED BY' MUST BE USED BY ANY AND ALL~RVEYORS UTILEN6 A COPY dl] (b'D - 5020 ' ~EOU~HT - ~0 - ~[ 5.~[ NOT ~ CO~UANC[ ~TH T~[ L~. ~ - S~K[ I~0 TR~ VELE~ ' / I 00~'?0~06~07 50 pRIVATE .1000-70-06-37'1 MAP MADE FROM OFF~EtlVF'ORMA~ON AND ACTUAL FIELD SURVEYS I 000' i000" 1000,7 ~000-70 ROAD 1000~70-06'38 1000-70-06'5J MAP SHOWING SETBACKS A T SOUTHOLD -rO~VN o~ SOU-rHO~ su~o~ cou~T~ ~. ~,. I000 - 70 - 06-- ,.,,~9 SCALE~ I" = 50' Sept. 27~ 2010 Oct. 6~ 2010 (revisions) /I~ECONIC Sb~YORS, P.C (65H 765-50~0 F,~X (651] P.O. BOX 909 $ou~,~OLO, ~. ~. , ~, ~? 7,866