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Home My WebLink AboutTR-7555 Jill M. Doherty, President Bob Ghosioi 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 November 18, 2011 David Worthington Olsen Attorney at Law Olsen & OIsen, L.L.P. P.O. Box 706 Cutchogue, NY 11935-0706 RE: VOEGEL/KOHN 1085 LAUREL WAY, MATTITUCK SCTM#121-4-24 Dear Mr. Olsen: The Southold Town Board of Trustees reviewed your application dated November 16, 2011 and APPROVES the request for a Transfer of Wetland Permit #7555 from Denise Voegel to Barbara J. Kohn, as issued on May 18, 2011 and Amended on October 19, 2011. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Jill IV~D'oherty Pres~ent, Board of TruStees JMD:lms , SEN ~x~ OLSEN, L.L.P. ATTORNEYS AT LAW GARY FLANNER OLSEN ATTORNEY AT LAW DAVID WORTHINGTON OLSEN ATTORNEY AT LAW 32495 MAIN ROAD · RO. BOX 706 · CUTCHOGUE, NEW YORK 11935-0706 PHONE 631 734-7666 FAX 631-734-7712 olsenlaw@optonline.net November 14, 2011 Re: Premises: 1085 Laurel Way Mattituck, NY SCTM - 1000-121-4-24 Dear Lauren: I am hereby requesting that you transfer the permit in re the above matter. Enclosed please find a check in the amount of $50.00 and a letter from Denise Voegel authorizing the transfer of the permit. Also enclosed is a copy of the Permit (No. 7555). Thank you. DWO:lmk Enclosures Lauren Town of Southold Trustees P. O. Box 1179 Southold, NY 11971 Very truly yours, ~OLSEN OLSEN (~34~ OLSEN~ L.L.E ^¥TORNEYS Ar GARY FLANNER OLSEN ATTORNEY AT LAW DAVID WORTHINGTON OLSEN ATTORNEY AT LAW 32495 MAIN ROAD · EO. BOX 706 · CUTCHOGUE, NEW YORK 11935-0706 PHONE 631-7-34-7666 FAX 631-734-7712 olsenlaw@optonline.net November 14, 2011 Re: Premises: 1085 Laurel Way Mattituck, NY SCTM 1000-121-4-24 ~o Whom !t May Concern: Let this confirm that I sold the property located at 1085 Laurel Way, Mattituck, New York, today November 14, 2011. I hereby authorize the transfer of permit number 7555 dated May 18,2011, and amended by letter on October 19, 2011, to Barbara J. Kohn. Very truly yours, Denise Voegel Town of Southold Trustees P. O. Box 1179 Southold, NY 11971 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT T_O_A_~VETLANDPEP~MIT DATE PHONE AGENT MI/¥ PHONE PROPERTY LOCATION TAX MAP NO. 1013(.9 request an Amendment to Permit Signed By: 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 October 19, 2011 Ms. Denise Voegel 1235 Westphalia Rd. Mattituck, NY 11952 RE: DENISE VOEGEL 1805 LAUREL WAY, MATTITUCK SCTM#121-4-24 Dear Ms. Voegel: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., October 19, 2011: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit #7555 to include a 4' wide path from the proposed dwelling to the water's edge, and as depicted on the survey prepared by Wallace T. Bryan last dated September 28, 2011. This is not a determination from any other agency. Since~'ely, Jill hetty, Board of Trustees JMD:lms Jill M. Doher~y, President Bob Ghosio, Jr.. Vice-President James F. King Dave Bergen John Bredemeyer P.O. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631 } 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: DENISE VOEGEL requests an Administrative Amendment to Wetland Permit #7555 to include a 4' wide path from the proposed dwelling to the water's edge. Located: 1805 Laurel Way, Mattituck. SCTM#121-4-24 ~area to be impacted.;,.- ater Wetland t,..."Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of~T. own Code proposed work falls under: ~..2rf~pt.275 Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Inf°needed~ I> 0 ~ Modifications: Conditions: Present Were: ~Doherty t~. Ghosio __ J. Bredemeyer__ D. Dzenkowski __ Form filled out in the field by J.D'~.~King ~/~Bergen, other Mailed/Faxed to: Date: 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 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 1 st day of construction '~ constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7555 DATE: MAy 18~ 2011 ISSUED TO: DENISE VOEGEL PROPERTY ADDRESS: 1805 LAUREL WAY~ MATTITUCK SCTM# 121-4-24 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 May 18, 2011, and in consideration of application fee in the sum of $250.00 paid by Denise Voegel and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a single-family dwelling, sanitary system, driveway and landscape improvements; with the condition that an 85' wide Non-Disturbance Buffer be maintained along the lake's edge, pervious materials are used for the driveway; and as depicted on the site plan prepared by Jeffery T. Butler, P.E., P.C., last dated September 21, 2007, and stamped approved on May lg, 2011. IN WITNESS WHEREOF, the said Board of Trustecs 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 Denise Voegel, residing at 1805 Laurel Way, Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third patties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice cov ~egant and deed restriction to the deed of the subject parcel. Such evidence shall be provided~ithin ~n~n. ety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completi0a 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 54375Main Road P.O. Box 1179 Southold, New York11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 MaF 18, 2011 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Melissa Butler/Jeffrey T. Butler, P.E. 206 Lincoln Street Riverhead, NY 11901 RE: DENISE VOEGEL 1805 LAUREL WAY, MATTITUCK SCTM# 121-4-24 Dear Ms. Butler & Mr. Butler: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 18, 2011 regarding the above matter: WHEREAS, Melissa Butler/Jeffrey T. Butler, P.E. on behalf of DENISE VOEGEL applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated Apdl 25, 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 Headng was held by the Town Trustees with respect to said application on May 18, 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 Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of DENISE VOEGEL to construct a single-family dwelling, sanitary system, driveway and landscape improvements; with the condition that an 85' wide Non-Disturbance Buffer be maintained along the lake's edge, pervious materials are used for the driveway; and as depicted on the site plan prepared by Jeffery T. Butler, P.E., P.C., last dated September 21,2007, and stamped approved on May 18, 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: $100.00 Very truly yours, Jill~"~.'Doherty ~ President, Board of Trustees JMD/eac Jill M. Doherty, Pr~ident Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: DENISE VOEGEL Please be advised that your application dated April 25, 2011 has been reviewed by this Board at the regular meeting of May 18, 2011 and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project XX Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ~ Constructed ($50.00) XX 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: Pre-Construction Hay Bale Line Inspection Fee = $50.00 Final Inspection Fee = $50.00 '/ TOTAL FEES DUE: $100.00q BY: Jill M. Doherty, President Board of Trustees Michael E. Gorman 1875 Crescent Way, PO Box 1445 Mattituck, NY 11952-0989 May 17, 2011 Town of Southold Board of Trustees Town Hall, 53095 Main Road PO Box 1179 Southold, NY 11971 Re: Denise Voegel - Proposed single-family residence (SCTM: 1000-121-04-24) Dear Members of the Board, I am the adjacent homeowner at the northwest side of the applicant's property. I have the following concerns regarding the above application: 1. The improvements as sited are located too close to the high water mark. The southeast comer of the proposed residence and deck extend past the 100' wetland botmdary offset by up to 9' and 19', respectively. 2. Are there road improvement requirements for new construction? Crescent Way is a private, narrow dirt road which is maintained by the property owners. What guarantee is provided that prompt action will be taken by the applicant to repair any damage caused by construction vehicles to prevent runoff? Hopefully your board's requirements for this new construction will minimize any potential runoff from flowing into Laurel Lake. Laurel Lake is a future Town of Southold aquifer and it's preservation is critical for the future of Southold Town. Very truly yours, Michael E. Gorman Board of Trustees Town of Southold PO Box 1179 Southold, NY 11971 Topic: SCTM: 1000-121-04-24 Request to construct a single family residence. To the Trustees, Regarding the proposed application to construct a single family residence at 1805 Laurel Way in Mattituck. As the owner of an adjacent property at 1755 Laurel Way, I have an opinion to express to the Board. Ifa building permit is to be issued, there is no reason why the wetlands setback to the structure should be less than the 100 foot standard distance. This specific area is obviously a very delicate ecosystem, that will not sustain more environmental pressure than otherwise necessary. It should also be noted that the proposed septic system should be located at a minimum distance of 150 feet to the nearest water well, which would be on my adjacent property. This minimum distance should be confirmed. Sincerely, 1755 Laurel Way Mattituck, NY Board of Trustees Town of Southold PO Box 1179 Southold, NY 11971 Topic: SCTM: 1000-121-04-24 Request to construct a single family residence. To the Trustees, Regarding the proposed application to construct a single family residence at 1805 Laurel Way in Mattituck. As the owners of a nearby property located at 2280 Laurel Way, we would wish to express an opinion to the Board. Ifa building permit is to be issued, there is no mason why the wetlands setback to the structure should be less than the 100 foot standard distance. This specific area is obviously a very delicate ecosystem, that will not sustain more environmental pressure than otherwise necessary. All things considered, any structure at this location should be more not less than a 100 foot setback. Sincerely, ,~ Lowell and Joan Ryan 2280 Laurel Way Mattituck, NY Page 1 of 2 Standish, Lauren From: Jill Doherty [jilld927@optonline.net] Sent: Tuesday, May 17, 2011 10:47 AM To: Standish, Lauren Subject: FW: RE: environmental review please put in file ........ Begin forwarded message ........ Subject: RE: environmental review Date: 5/17/11 9:23:03 AM From: "mike ryan" To: "Jill Doherty" Yes, it's on the docket for Weds. I will try to be there. Topic: SUM: 1000-121-04-24 Request to construct a single family residence. To the Trustees, Regarding the proposed application to construct a single family residence at 1805 Laurel Way in Mattituck. As the owner of an adjacent property at 1755 Laurel Way, ! have an opinion to express to the Board. If a building permit is to be issued, there is no reason why the wetlands setback to the structure should be less than the 100 foot standard distance. This specific area is obviously a very delicate ecosystem, that will not sustain more environmental pressure than otherwise necessary. !t should also be noted that the proposed septic system should be located at a minimum distance of 150 feet to the nearest water well, which would be on my adjacent property. This minimum distance should be confirmed. Sincerely, Michael Ryan 1755 Laurel Way Mattituck, NY --- On Tue, 5/17/11, Jill Doherty <jilld927@optonline. net> wrote: 5/17/2011 Page 2 of 2 From: Jill Doherty <jilld927@optonline.net> Subject: RE: environmental review To: mike@northforkbeachvolleyball.com Date: Tuesday, May 17, 2011, 9:10 AM Hi Mike, I cannot open the attachment. Is it something we are reviewing at our monthly meeting tomorrow night? what is the name on the parcel? On Tue, May 17, 2011 at 8:13 AM, mike ryan wrote: Hi Jill, I'd like to pass on this letter directly to you regarding a planned environmental review on a parcel located adjacent to my home in Mattituck. I've sent a hard copy to the TOS Board of Trustees today. Please review it at your convenience, thanks. Nike Ryan 298-4910 5/17/2011 Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 1107I Telephone (631 ) 765-1892 Fax (63 I) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 11, 2011, the following recommendation was made: Moved by Audrey Horton, seconded by Derek Bossen, it was RESOLVED to SUPPORT the Wetland Permit application of DENISE VOEGEL to construct a single-family dwelling, sanitary system, driveway and landscape improvements. Located: 1805 Laurel Way, Mattituck. SCTM#121-4-24 Inspected by: Audrey Horton The CAC Supports the application with the Condition there is proper drainage for the site and the driveway is pervious. Vote of Council: Ayes: All Motion Carried Jill M Dohmly, P~esident Bob Ghosio. Jr, Vice-President James F Krug Dave Bergen John Bredemeyer PO Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: DENISE VOEGEL requests a Wetland Permit to construct a single-family dwelling, sanitary system, driveway and landscape improvements. Located: 1805 Laurel Way, Mattituck. SCTM#121-4-24 Type of area to be impa. ct/ed: __Saltwater Wetland //' Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland P/,~Chaf Town Code work falls under: proposed pt.275 Chapt. 11,1 other ~yype of Application: ~' Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: P~res/ent Were: ~3'~Doherty ~ Ghosio J. King__ ~ Bergen, '~' J. BredemeyeE D. Dzenkowski other Form filled out in the field by, Mailed/Faxed to: Date: ~2{ Fi~ Edit yiew ~oolba~ Wii",dow OFFICE LOCATION: Town Hail 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 To: Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator MEMORANDUM Date: May 13, 2011 Re: Proposed Wetland Permit for DENISE VOEGEL SCTM#1000-121-4-24 Meiissa Butler/Jeffrey T. Butler, P.E. on behalf of DENISE VOEGEL requests a Wetland Permit to construct a single-family dwelling, sanitary system, driveway and landscape improvements. Located: 1805 Laurel Way, Mattituck. SCTM#121-4-24 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 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen $ohn Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~Wetland Permit Application Administrative Permit Ame ndment/Tr ans fer/~.~f?si o n _~Rece~ved Application: ~ff~ ff ~_Received Fee:SonDe.)c~ __Completed Application __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordination:(date sent). ~--~LWRP Consistency Ass~ssme, nt Form ,~CAC Referral Sent:q/Aql ~-~Date of Inspection: ~,ltlfit __Receipt of CAC Report: ' __Lead Agency Determination:__ Technical Review: ~M~ublic Hearing Held: Resolution: Name of Applicant ~]~ k~,,~ ~- Iiq%2_ ehoneNumber:( ) Suffolk County Tax Map Number: 1000- I ~- I -- ~,Oq ~ 2.t~. (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: 20~ APR 2 5 2011 !rd of Trustees Applicati Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA / Covenants and Restrictions: Yes ~/ No If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date ( 10-o6- oo> V/No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): of Trustees Applicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose oftheproposed operations:,~/g~'.~. ,~--_~.~_~, ,~'.~/tg~_/~ / -/ / Area of wetlands on lot: ~) square feet Percent coverage of lot: ~) % Closest distance between nearest existing structure and upland edge o f wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? How much material will be filled? (~ ~ cubic yards cubic yards Depth of which material will be removed or deposited: .~ feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: .A/O /~]')~,~L 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): ~rd of Trustees Applicati~ COASTAL EROSION APPLICATION DATA 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? I ~) (cubic yards) How much material will be filled? (~) (cubic yards) Manner in which material will be removed or deposited:/~:> Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM SCOPE OF WORK - PROPOSED CONffFRUCq'iON ITEM # / WORK ASSESSMENT t Yes No the Scope of Work fo, Proposed Construction)~ Generated by a Two (2~) ~nch Rainfall on Site? ,~' r'-"! U / -" · 3 Does lhe Site Plan and/or Sur~ey describe the erosioi1 ~.~' r'~ /~/,~d .,,~4,O .~'/A,'Z2~/'.4~2~ 4 W~ll this Project Require any Land Fi,ling, GraO,ng or s']wrE oF NtW Yorm, <'5 ~--~/// COUNTY OF ....~,..t~., .,.t_ ./,, ...~ (,. (.,~, ............ (~ner, ~or, ~, ~ ~;;~ ................................................................ O~er ~t~or representative o[ the Ore,er or Owners, mzd is duly aud~omcd to pedbrm o' Imve ~db ~ ed Ihe ~d work ~d to m~e mzd fde ~s application; O~at all statemen[s cont~md in this application ~'e u~e to the best o[his ~owledg~ and ~lie[; that the work ~11 be perforated in ~e manner set Foffi~ m thc application filed hereM~h. FORM - 06/10 PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicanl or Project Sponsor) 2. PROJ~T SEQR 3.PROJECT LOCATION: County PRECISE LOCATION: Street Addass and Road Intersections. Prominent lapema~8 elc - or ~ovlde mad PRO.DeED ACT,ON :' [] N,w [] $. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres UlPmately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR O~'IER RESTRICTIONS? ~es [] No If no, describe briefly: 9. WHAT iS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as rnenyasapply.) J~_Rasl~le~lital Dlr~dustrial []C~mmerclal [~]Agricult[~ •Park;Fore$1[lOpenSpace E~o~er 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [~s [] NO # yes. list agency name a~l permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~Yes E~No It yes, Iisi agency name and permit / approval: 12 AS A RES~JLT OF PR(~POSEO ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? 'i~'CERTiFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Dale/~ If the action i$ a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT ~o be completed by ' A. ~q~A~in.~q EXC~ED,N4YTYPEI'I~ N6NYCRR~PART61747 Ifyes, eog4,dlltat, e fire re~,lewlxo~essanclusethe FULLEAF. FlY- [Z].o · · ' ° I O O C7'. ~ cts~ dnangeslnuseofellher uanti{yor of ' 1 Board of Trustees ' Name of Lead Agency ~"' ,Jill IL, t~ Doherb/ ' President P~I ar Ty~e Name of Responsible Officer In Lead Agency /~.~ /~~ '['lfle of Respo~il~le Office, --. ~ure Stgea(ure of F',~=p,~,~-~. (1~ different f~om resportslble officer) Jill M Doherty, President Bob Ghosio, Jr. , Vicc-President James F. King Dave Bergen John Bredemcyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of DENISE VOEGEL COUNTY OF SUFFOLK) STATE OF NEW YORK) being duly s~om, depose and say: 8r'_,rl of trustees AFFIDAVIT OF POSTING ~, residing at/dba~-~-,f-,tt'r,14 '~. ~ ~,~. ~.t~. ~9/9 L,{~. I '/ I / I That on the q~day of ~ , 201L I personally posted the property known as 19.z I tM,V_ t_ IN/h4 £f:t..m4 moo }zl-oq--z,-0 by placing the Board of Trustees o~ti~ial ~os~r~here it c~ ealily be seen, and that I have checked' to be sure the poster has remained in place for ei~t days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed~ May 18~ 2011 on or about 6:00 PM. Dated: Sworn to before me this day o f~:L~ (}/'/ . ~ota~ Public, State of New %r~ No. 01TOq~51905 Qualified in Su f0 k Coun~ 20,~ Commission Expires November 13, Certified Fee EndorSement Required) ~ ~r~';t;Thr~ SCTM: 1000-121-04-26 or,OBox~= Ryan Joan Family Trust P.O. Box 823 · Mattituck, NY 11952 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: " MAY 13 z01 '" ~ 0 7 20, )5/07/201! ~ A4d I }C/D I , being duly Sworn, dq[oses and says that on the '7 ~'~ day of/r)Ogl~. ' , 201 I , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ~Olff-~_~r~V[ , that sai~to ~ by (certified) (registered) mail. Swom to bp~re n)e this ¢ Day of ,//[t~ ~ ,20.~ 7/' - l~!c~tar~ Public' JANET M. TOOKER Notary Public.State of New York No. 01'¢O.~051905 Qualified in Suffolk County Commission Expires November 13, 20._~ SCTM: 1000-121-04-25 Michael Ryan P.O. Box 1686 Mattituck, NY 11952 SCTM: 1000-121-04-26 Ryan Joan Family Trust P.O. Box 823 Mattimck, NY 11952 SCTM: 1000-121-04-23 Michael Gorman P.O. Box 1445 Mattimck, NY 11952 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE..' SCTM# 1000-i ?--j -0~ -2-el/ 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the pr0pe~ whigh is the subject of Environmenta Review is located adjacent to your prope~y and is desc~bed as follows: 3. That the project which is subject'to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public cOmment on: DATE:/~)')~V/~ 2Oll o~J O~ ~11' ~,'00~,~ You may contact the Trustees Office at 765-1892 or in wdting. 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 review same proposal. : PROPER'FY OWNERS NAME MAILING ADDRESS: ~0~ ~I~F~ PHONE ~: - AGENT: MA UNG ADDRESS: PHONE #: ~'~,~I~ Enc: Copy of sketch or plan showing proposal for your convenience. Board of Trustees Application County of Suffolk State of New York ~-~m<~ ~ L ]~ D.-5 h~Z_~ BEINGDULY SWORN DEPOSES AND AFFIRMS THAT HF_TSHE 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 HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CL~dMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE 'PREMISES IN CONIUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS DAY OF ~(7~ ~ ,20 ~/_ Notary Public VICK~ TOTH Notmy Public.State of New York No. 01T06190696 Qualified in Suffo k Count~ Commission Exoires July Board of Trustees Application County of Suffolk State of New York 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 HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. signature SWORN TO BEFORE ME THIS Notary Public ~ard of Trustees ApF AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at~ ~~ (mailing address) //~'~-/"~'r~:.~., ,/,vl,.~ ..//~.~2_ do hereby authorize~.~4~f~/ ( Agent ) ~~ ~, ~, ~,~.,~.~, to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner ' s signat~e) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of intorest on the oart of town officers and emolovees. The nurpos¢ of this form is to nrovide information which can alert the town of ~ossible conflicts ofintorest and allow it to take whatever action is neenssurv to avoid same. (Last ~m~,~)r~t n~n~e, middle initial, unless you are applying in tho name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Co~slal Erosion Approval of plat Mooting Exemption from plat or official map Planning Other (If "Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" ineludas by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO L~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of SOUthold Title or position of that person Describe the relationship between yourself (the applicant/agenffrepresantafive) and the town oflienr or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (cheek all that apply): A) the owner of greater than 5% of the shares of ~he corporato stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporatioo); ___C) an officer, director, partner, or employee of the applicant; or __D) the acttml applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this ~day of ~ ~ ~20~ L Signature L/..~/~/'////d~ ~. b/'~'~_.~ . Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION PROJECT NAME ~//Og ~'$C ~-~] D~ The Application has been submitted to (check appropriate response): TownBoard [~ Planning Board [~ Building Dept. ~ Board of Trustees J~ 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: ? Site acreage: Present land use: Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: ~A~//~ ~ (b) Mailingaddress: !2..?>._~ .]A]6,~ T !'"~ I4 /I- L [ ~ ~, ~ , . .~. ,'TI~ ~J~ A)t I lfl L (c) Telephone number: Area Code ( ) ~,~>~. 7(after. -~;j (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No~ If yes, which state or federal agency?. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ~]Yes [] No ~NotApplicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Poliffjes Pages 3 through 6 for evaluation criteria [ ] Yes La No I 'l Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [] Yes [] No ~Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes [] No I~[ Not Applicable 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 throu~21 for evaluation criteria I I Yesl ] No I I Not Applicable 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 Ap ble 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 ~ot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes./~gee LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. U Yes I I No I "l Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [] Yes~ No~Notnpplicable Attach additional sheets if necessary WORKING COAST POLICIE Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See/DWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. --I I Yes [] Nor--I/l~4, Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town wa/~ers. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~l ] Yes [] No[~L--I Not Applicable 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 t~l[Y~Not Applicable At~ach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Polices 65 through 68 for evaluation criteria. [] Yes [~ No~IM Not Apphcable" THiS STATE. OR OF ANY C~Tr, COUNTY, TOWN OR ~ALLAGE THEREIN, CHARGED ~TH THE ENFORCEMENT OF LAWS, ORDINANCES OR R~GULA~ONS SHALL FOR ~HOM mE ~R~Y IS PREPARED, AND ON HIS BEHALF lO mE TIlE C~PANY, GO~RNMENTAL A~NCY AND LENDING ~NS~IU11~ LISTED HORE~ TOTAL PLOT AREA: 19,537~ S.F. -- 0.45~ ACRES / / · -__ / / ~ ___~ .. ~ ~- ........... ~ '"- .8' ./ ~ ~ ~ ~ LAUREL F'I~OPOSED SEPTIC ~OARD OF TRLJaT~E., '~OWN OF SOUTHOL~ / LAND ~ / ~RTH ~IN~LE FAHILY / LANg~ ~I~AN / ~IDENGE / 25.2 ~ s 04°2-roo" E ~.2,~ ' I ~/ ?-Y- ; ~.// / I/ / SOPHS REF.~ RIO-05-OIO0 ~PROVED AS PER TERMS AND CONIxl IC. ~ OF 12' ~IOE oEXISTINO SEPTIC SI-F AND C.WJi it--R.5 TO BE PIPED TO Dt~¥1,,IELL AREA OF SITE = Iq,5~-/.-/.5 5F (.44q ACRES) AREA OF EKJlLDIN¢ = 2,0.55.44 5P LOT COMEF~,A®E = 10.5% ®P-.APHID ~C. ALE / / EXI~TIN¢ 0 INELL P'ROVI[2E HAY BALES AND SILT FENCE AS SHOP, IN FOR ERO¢ION C. ONTt~OL LAND N/F HOPONALD SINE'~LE FAI,41L'r' F;RE--~ I DEl, ICE THE N.¥.S. P4EC'-,ULATED FRESHINATER I, IETLAND BOUNE)AR'"r' AS DELINEATED (FLA~ED) BY R. HAR...~4 AND P. LEI,IlS ON 2/2~/0-1 EL.=2q~' O E~ROINN SANITY LOAH OL PALE E~I~OINN FINE TO (X2ARSE ~AND NITH IO~ ~RAVEL PALE [SROMN FINE TO f"IEDIUH 5AN[:;:' fl' NO I,,IATE~ ENGC~NTEI:;~E~ BY'~ I'4cDONALE;' OE~IENC. E 4-/¢1/O2 ..~,.,~ ~,~ ~..-~.o ¢0,,.~-~ -.~,,¢.,.^~.,, .-,~-_~,~ ~5T HOLE DATA LE1 1~ DA~O, q-14 I~'/O~ ~l~O ~R N~EC ~Ts - ~~~~% NOT TO 5GALE ';~ .L ; PROPOSED NOE · :' C E ENT O BOX L..;[L,~- oF SUFFOLK,,,* ~ ~,*'*? ........ G.G.T.M.~ 1000-121-04-24TOH~F ~UTHOLP b~I TEL.: &DI.b21.SDDO FAX: 6DI.821.728~ Z HI®HHATEt~, LINE PROPERTY' lINE PROPERTY ~E'T'~AC_.K. PROPERT'r' LINE q/21/O-'/ I/~1/O-'/ REVISEE; PER Nh'SPEC COF4I'4ENTS - LETTER IDATEI2: q-18-O'-f t;~.'EVISEO Pt=R N¥SI2EC.. (..OMPib-NTS - 1~?4~VISE[D PEt~. E],OARO OF TRUSTEES A~ F'.LF, VATION ' ,,O~NCE :1~~ I)~EREY T. BUTLER.~P.E- S.C,.T.h4.# IOOO-121-O4-2.4 ~ TEL¢ 6~1.g21.~50 PAX: 6~l.g21.q2~q GOUN~ OF ~FFOLK TOHN OF SOUTHOLD [