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HomeMy WebLinkAboutTR-7599 0 • rjf John M. Bredemeyer III,President tiO§' so(/ryOlO Town Hall Annex Michael J. Domino,Vice-President 54375 Main RoadP.O.Box 1179 James F. King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q �� Telephone (631) 765-1892 Charles J. Sanders,Trustee Fax(631) 765-6641 DUNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 18, 2014 Mr. Garrett A. Strang PO Box 1412 Southold, NY 11971 RE: THOMAS MALONEY 1475 SMITH DRIVE SOUTH, SOUTHOLD SCTM# 76-2-3.2 Dear Mr. Strang: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 18, 2014: RESOLVED that the Southold Town Board of Trustees grants the Last One-Year Extension to Wetland Permit#7599, as issued on July 20, 2011. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, dwA- John M. Bredemeyer III President, Board of Trustees JMB/amn John Bredemeyer, President ��gyFFO(�c Town Hall Annex Michael J. Domino, Vice-President °° °oy 54375 Route 25 James F. King P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen y�oi ,� ya°� Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: Garrett A. Strang on behalf of THOMAS MALONEY requests the Last One-Year Extension to Wetland Permit#7599, as issued on July 20, 2011. Located: 1475 Smith Drive South, Southold. SCTM# 76-2-3.2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were: J. Bredemeyer M. Domino J. King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: Garrett A. 5tran • Architect 1230'Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Frix (631) 765-5490 May 22, 2014 r� MAY 2 2 2014 Mr. John Bredemeyer, President Southold Town Board of Trustees POB 1179 .��. Southold, NY 11971 Re: Proposed Alterations and Additions to the Maloney residence 1475 Smith Drive North, Southold, NY SCTM# 1000-76-02-03.2 Permit# 7599 Dear Mr. Bredemeyer and Members of the Board: We respectfully request that the Board grant a final one year extension to your permit 7599 which is due to expire in July The work has yet to begin due to the severity of this past winter but is expected to start and be completed prior to the expiration of the one year extension. I have also enclosed a check in the amount of$50.00 in payment of the fee. Thank you for your consideration in this matter. Very truly yours, c, Garrett A. Strang, Architect Encs. James F. King, President 0g soyo Town Hall Annex Bob Ghosio,Jr.,Vice-President �� lQ 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer G Q ,O Telephone(631) 765-1892 Michael J. DominoO Fax(631) 765-6641 �'YOOUNT�,Nc� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 17, 2013 Mr. Garrett A. Strang, Architect PO Box 1412 Southold, NY 11971 RE: THOMAS MALONEY 1475 SMITH DRIVE NORTH, SOUTHOLD SCTM# 76-2-3.2 Dear Mr. Strang: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, July 17, 2013: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit#7599, as issued on July 20, 2011. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincer ely, Cz� James F. King President, Board of Trustees JFK:amn �3 FQtK lames F-Iain.-. President �� CpG P.O.Box 1179 Bob Ghosio. Ir- Vice-President .j d� Southold.NY 11971 Dave Bergen ,Qp Telephone(631 765-1892 John Bredeme%er Fax(63 1)765-6641 Michael I Domino CP 'le Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: Jy l /� 2-01 3 H, Garrett A. Strang, Architect on behalf of THOMAS MALONEY requests a One- Year Extension to Wetland Permit #7599, as issued on July 20, 2011. Located: 1475 Smith Drive North, Southold. SCTM# 76-2-3.2 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 _other Type of Application: _Wetland _Coastal Erosion _Amendment —Administrative—Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: C�`JJ. King _B. Ghosio "D. Bergen, i--J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by / L Mailed/Faxed to: Date: Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 'Telephone. (631) 765-5455 Fax (631) 765-5490 June 12, 2013 ECEIV 't JUN 13 2013 Mr. James King, President Southold Town Board of Trustees Southold Town POB 1179 r T Southold, NY 11971 Re: Proposed Alterations and Additions to the Maloney residence 1475 Smith Drive North, Southold, NY SCTM# 1000-76-02-03.2 Permit# 7599 Dear Mr. King and Members of the Board: We respectfully request that the Board grant an extension to your permit # 7599 which is due to expire next month. The work has yet to begin but is expected to start latter this fall be completed prior to the one year extension date. 1 have also enclosed a check in the amount of$50.00 in payment of the fee. Thank you for your consideration in this matter. Very truly yours, ci V Garrett A. Strang, Architect Encs. Jill M.Doherty, President ��OF SOUTy� Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O.Box 1179 James F.King T Southold, New York 11971-0959 Dave Bergen CA John Bredemeyer i� Telephone(631)765-1892 l`C0 ' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction '/2 constructed X Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD;NEW YORK PERMIT NO. 7599 DATE: JULY 20,2011 ISSUED TO: THOMAS MALONEY PROPERTY ADDRESS: 1475 SMITH DRIVE NORTH,SOUTHOLD SCTM#76-2-3.2 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 July 20,2011,and in consideration of application fee in the sum of$250.00 paid by Thomas Maloney 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 elevate house 2'+/-; construct additions on north and south sides; construct deck on northeast side with stairs to grade; install new sanitary system; new drywells; and construct garage with breezeway; with the condition of a Non- Disturbance buffer area beginning 42' seaward of existing dwelling; and as depicted on the site plan prepared by Garrett A. Strang,Architect,last dated August 3,2011, and stamped approved on August 5,2011. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. I O��FFI►(,1.� I 214 ejel� 1 , Nzw TERMS AND CONDITIONS The Permittee Thomas Maloney, residing at 1475 Smith Drive North, Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. 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. 3. 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. 4. 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. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. 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. 7. 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. 8. 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 covenant and deed-restriction to the deed of the subject parcel. Such evidence shall be provided V thin niiiety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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 O��oF sooTyo Town Hall Annex Bob Ghosio,Jr.,Vice-President p 54375 Main Road �f l�f P.O. Box 1179 James F. King Southold,New York 11971-0959 Dave Bergen G Q John BredemeyerO • �� Telephone(631) 765-1892 �yCOUNTY Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 20, 2011 Mr. Garrett A. Strang, Architect P.O. Box 1412 Southold, NY 11971 RE: THOMAS MALONEY 1475 SMITH DRIVE NORTH, SOUTHOLD SCTM# 76-2-3.2 Dear Mr. Strang: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 20, 2011 regarding the above matter: WHEREAS, Garrett A. Strang, Architect on behalf of THOMAS MALONEY 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 June 24, 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 July 20, 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, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of THOMAS MALONEY to elevate house 2'+/-; construct additions on north and south sides; construct deck on northeast side with stairs to grade; install new sanitary system; new drywells; and construct garage with breezeway; with the condition of a Non-Disturbance buffer area beginning 42' seaward of existing dwelling; and as depicted on the site plan prepared by Garrett A. Strang, Architect, last dated August 3, 2011, and stamped approved on August 5, 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, bV "J Jill h . Doherty President, Board of Trustees JMD/eac • OgpFFD(,� a�O� COGy Jill M. Doherty,President ti 'Down Hall Annex Bob Ghosio.Jr.,Vice-President �„ ,� 54375 Route 25. P.O. Box 1179 .lames F. King 'Z`' Southold.NY 11971 Dave Bergen 'telephone(63 1)765-1892 John Bredemeyer �f �'� Fax(63 1)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: THOMAS MALONEY Please be advised that your application dated June 24, 2011 has been reviewed by this Board at the regular meeting of July 20, 2011 and your application has been approved pending the completion of the following items checked off below. XX Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/2 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: Final Inspection Fee - $50.00 TOTAL FEES DUE: $ 50.00 Cj�' BY: Jill M. Doherty, President Board of Trustees F04.t` Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary q. P.O.Box 1179 O Southold,NY 11971 A� �p� 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., July 13, 2011, the following recommendation was made: Moved by Derek Bossen, seconded by Audrey Horton, it was RESOLVED to SUPPORT the Wetland Permit application of THOMAS MALONEY to elevate house 2'+/-; construct additions on north and south sides; construct deck on northeast side with stairs to grade; install new sanitary system; new drywells; and construct garage with breezeway. Located: 1475 Smith Drive North, Southold. SCTM#76-2-3.2 Inspected by Derek Bossen, Audrey Horton The CAC Supports the application with the Condition the located of the proposed garage is moved landward of the 10' contour line in an effort to save the large oak trees. Vote of Council: Ayes: All Motion Carried Jill M.Doherty,President o o%UfFO(,p�o P.O.Box 1179 Bob Ghosio,Jr.,Vice-President G'l� Southold,NY 11971 James F.King y Telephone(631 765-1892 Dave Bergen Fax(63 1)765-6641 John Bredemeyer ap !'g Southold Town Board of Trustees Field InspectionMorksession Report Date/Time: ,7 l 3– THOMAS MALONEY requests a Wetland Permit to elevate house 2'+/-; construct additions on north and south sides; construct deck on northeast side with stairs to grade; install new sanitary system; new drywells; and construct garage with breezeway. Located: 1475 Smith Drive North, Southold. SCTM#76-2-3.2 Type -f area to be impacted: altwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Pa"f Town Code proposed work falls under: Chapt.275 _Chapt. 11 _other Type of Application: _Wetland Coastal Erosion _Amendment _Administrative_Emergency —Pre-Submission Violation Info needed: Modifications: Conditions: ) rn'fop Aecv � �A•aj-1locwe 'I)VA '.S&CCUG f Prese Were: V J. Doherty �. Ghosio J King Z'6. Bergen, J. Bredemeyer D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: � 'u L - 1 2011 �• F1_OAT L � L Southhold town Q _ Board at Trustees d �vQ_ cr_A� c— H (- IE L t�.1E 128. 2a — E-d4EaF F_SP — I\ m E_ Y,% .6 —it-44 U G1z1`j�S PJ.7 L— TO 1 �rU to W �' \. bL Al ` 13 X fl J•/ IL Vl N y� Q r --• 1% -' //t�A c.o N �= Y A PP L t C.q too N 147s Pe. N• xrj4. :�c T.•, +a ! - 7 ,r - o i _ .r. z L t wSCTM#76-2-3.2 7/13/2011 IF s. " t , •� r !►. to „�'I j i lot 4 t 3 w K vP ` . .. .� _ � P' .wr�'sflit � E,i d'� °� - � •.t' � •'' .i�j 1 �. - ,Y� 'T�.' ;f ` _ J•.,�.., ... .. Y �• � Yom • �i .f. !.. �..�. �( - `..t •�f ��'� f � 1 yam) ! Y I — Illfff � l 1 _I •.,1 �t�.� �yl 4/ 4 N L s � x3 � x tia ' a , MALONEY11 1475 SMITH DRlV`E NORTH SOUTHOLD SCTM 41000-76-02-03,% •y... 513111111:00 AM PHOTO TAKEN LOOKING NORTHWEST 1 . MALONEY RESIDENCE 1475 SMITH DRIVE NORTH SOUTHOLD SCTM#1000-76-02-031 5/31/1111:00 AM PHOTO / / ,i . a `ark �► _ "�'t. r t .,q F T - SOUTHWEST ^ �o ,L rx MALONEYI I DRIVE1475 SMITH NORTH - SOUTHOLD 111 I 1 -' � 5/31/11 11:00 AM PHOTO TAKEN LOOKING SOUTHEAST MALONEY1 1475 SMITH DRIVE NORTH SOUTHOLD SCTM#1000-76-02-03,t. 5/31/1111:00 AM PHOTO TAKEN LOOKING NORTHEAST a. i • #5 MALONEY RESIDENCE 1475 SMITH DRIVE NORTH r _ - SOUTHOLD SCTM 01000-76-02-03.1, 5/3111111:00 AM PHOTO TAKEN LOOKING NORTH #6 MALONEY RESIDENCE 1475 SMITH DRIVE NORTH SOUTHOLD SCTM#1000-76-02-031 5/31/1111:00 AM PHOTO TAKEN LOOKING SOUTH N P It uuuqu���t. 1 Y � arl..l wlrw i. t / / ` t r / \ I a GPO . e1 xonce COUNiY OF SUFFOLK © E: SOUTHOLD SKI.Pro i ... av — — .W — .. °R Retl Proper}Y i0x Service p9eMY + O 76 T 1000 PflOFExIY MOP ...,.­. Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax(631) 765-5490 August 3, 2011 Ms. Jill Doherty, President � ' AUG - 3 [oil Southold Town Trustees POB 1179 Southold,NY 11971 Southhold Town Board of Trustees Re: Proposed Alterations and Additions to Maloney Residence 1475 Smith Drive North, Southold,NY SCTM#1000- 76-02-3.2 Dear Ms. Doherty and Members of the Board: Pursuant to the outcome of the public hearing of July 20"'and the Boards Resolution,enclosed please find three copies of an amended Site Plan. The nature of the amendment is the relocation of the future garage toward the road so as not to require removal of an existing tree that fell within the original footprint of said garage. If you have any questions or require any additional documentation, please feel free to contact my office. Very truly yours, Garrett A. Strang, R.A. Architect Encs. Garrett A. Strang • Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765.5490 July 14, 2011 i ' Ms. Jill Doherty, President Southold Town Trustees POB 1179 Southold, NY 11971 Re: Proposed Alterations and Additions to Maloney Residence 1475 Smith Drive North, Southold, NY SCTM#1000- 76-02-3.2 Dear Ms. Doherty and Members of the Board: Pursuant to the outcome of the Board's field inspection of the above referenced property on July 13, 2011, enclosed please find three copies of an amended Site Plan. The nature of the amendment is the addition of a demarcation line establishing a non- disturbance buffer area seaward of a point 40' out from the proposed 2' porch shown on the site plan. If you have any questions or require any additional documentation, please feel free to contact my office. Very truly yours, i Garrett A. Strang, R.A. Architect Encs. Garrett A. Strang • • Architect 1230 Traveler St., Box 1412 Southold, New York 11971 6� Telephone (631) 765-5455 July 29, 2011 apP"A Fax(631) 765-5490 Ms. Jill Doherty, President Southold Town Trustees POB 1179 Southold,NY 11971 Re: Proposed Alterations and Additions to Maloney Residence 1475 Smith Drive North, Southold,NY SCTM #1000- 76-02-3.2 Dear Ms. Doherty and Members of the Board: Subsequent to the conclusion of the public hearing of July 200% at which my client agreed to relocate the future garage at the suggestion of the CAC so as to save an oak tree; my client and I have further assessed the site as well as the subject tree. We have found that the subject tree, although in seemingly good health, is quite mature with some dead limbs on it. We also noticed that if this tree were to remain it could pose a serious threat to the existing house, as it presently does, in addition to the future garage were there to be a severs storm. Further, we discovered that if the garage were to be relocated as suggested,two other younger but sizable oak trees in very good health would have to be removed to accommodate such a move. Both myself and my client being sensitive to keeping as many trees as possible were sensitive to the CAC's suggestion but upon further consideration find it would be more beneficial to save the two younger trees in lieu of the older one at the proposed garage location. Accordingly we which to rescind the agreement to relocate the Garage and ask the Board to reconsider our application as originally applied for and as shown on the submitted Site Plan. Thank you for your consideration in this matter, Very truly yours, Garrett A. Strang, R.A. Architect OFFICE LOCATION: �QF SO(/ry MAILING ADDRESS: Town Hall Annexh�� Ol0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 (n Telephone: 631 765-1938 Fax: 631765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, President Town of Southold Board of Trustees sntn eid Towe 5o9fd of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: July 18, 2011 Re: Proposed Wetland Permit for THOMAS MALONEY SCTM#1000-76-2-3.2 The "edge of wetlands" as depicted on the Site Plan titled "Proposed Alterations to the Maloney Residence" SP-1 appears to be incorrect. Garrett A. Strang, Architect on behalf of THOMAS MALONEY requests a Wetland Permit to elevate house 2'+/-; construct additions on north and south sides; construct deck on northeast side with stairs to grade; install new sanitary system; new drywells; and construct garage with breezeway. Located: 1475 Smith Drive North, Southold. SCTM#76-2-3.2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the denoted following Policy Standards and therefore is CONSISTENT with the LWRP provided the following: If the action is approved to further Policy 5: Protect and Improve Water Quality in the Town of Southold and Policy 6; Protect and Restore the Quality and Function of the Town of Southold Ecosystem it is recommended that a landscaped buffer be required landward of the wetland. LANDSCAPED BUFFER -- A land area of a certain length and width which is planted with indigenous, drought-tolerant vegetation similar to that found within the immediate proximity of the parcel. Vegetation shall be installed in sufficient densities to achieve 95% ground cover within two years of installation. Survival of planted vegetation shall be 90% for a period of three years. Maintenance activities within the buffer are limited to removing vegetation which is hazardous to life and property, trimming tree limbs up to a height of 15 feet to maintain viewsheds, replanting of vegetation and establishing a four-foot-wide access path constructed of pervious material for access to the water body. [Added 12-15-2009 by L.L. No. 15-2009] 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 Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Vw 116 U LS _Amendment/Tramf /Extension D _r Received Application: It I RRr L, Received Fee:$l� L. JUN 2 4 2011 ✓Completed Application Incomplete _SEQRA Classification: Southhold Town Type[_Type 11 Unlisted Board of Trustees Coordination:(date sent) I/LWRP Consistency Ass ss ent Form 'CAC Referral Sent: 1( ate of Inspection: Receipt of CAC Report: _Lead Agency Determination:__ Technical Review: :2r,blic Hearing Held:_ 1 Resolution: Name of Applicant_ //o 4-o le / Address 17 9 T-C E DE:c/Ce 4k4--)"6- 4 vE-. )"E41 x icLl, n 1 //S-d0 PhoneNumber:(S/4 i 712 Suffolk County Tax Map Number: 1000 - Property 000 -Property Location: 1�7s �i/ i;N D a ✓E No a SD (provide LILCO Pole #, distance to cross streets, and location) AGENT: �;Acc477- A . Srt ,. �jc Accu „,—E �7 (If applicable) Address: �0 8 / �/ 2- 11,9 7 //97 / Phone: Bo�drd of Trustees Applications GENERAL DATA Land Area(in square feet): ZZ 7/5- Area Zoning: 7 Previous use of property: S/"✓6LE F� Y Intended use of property: Si AicLE ro n i�y w�Ga aGr Covenants and Restrictions: Yes ✓ No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes '� No If"Yes",please provide copy of decision. Prior permits/approvals for site improvements: Agency Date 5b-"RiocD l.G✓ST6E5 /l/� °Y C .r/c�� titS No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? --� No Yes If yes,provide explanation: Project Description (use attachments if necessary): (.EVP 1-e- /fjly✓sE Z ± ADD �7D.�s O,J Nd4.TH JDV� S�De� DECE! �iJ (��'o.e77lEnsr ,pion c.�/ .S;-zi�es C tA45 -Jc J S7Ey w D�.yLaELLs �Ii _q - Ad of Trustees Application* WETLAND/TRUSTEE LANDS APPLICATION(DATA Purpose of the proposed operations: �C E✓a {}O✓SE Z / taD �o�s Q � p ow/ It1o�LT}i `� SOt�H J/DES ��k Gam/ /�/oc�E,ss– Ji�c w/✓/n/2S ro C.� hnOE- �Fw JE��c Sys�6n t 1J2�/�LLJ r�{J 7�(J�L E l�a4AGE .../ Ak.EE ZE�✓�y Area of wetlands on lot: s square feet Percent coverage of lot: –S % Closest distance between nearest existing structure and upland edge of wetlands: ko feet Closest distance between nearest proposed structure and upland edge of wetlands: 114 feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? Z�b cubic yards How much material will be filled? U cubic yards Depth of which material will be removed or deposited:_�/ feet Proposed slope throughout the area of operations: /D /• Manner in which material will be removed or deposited: `fAlacc f-Qo —E"9 � noe�/�n 9 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,.le. 26ri / �rE J7//-��A C. // /VE .JAN /7-4 Q / �yST$47 f J/zifc�ELCS NS (r7�20✓ErrE�T To PROJECT ID NUMBER 61720 SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1-PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.P OJECT NAMETff OhaS d (_z'jE 000li$E �AT/cvJSr OD177D-S /d 3.PROJECT LOCATION: Municipa5ty, �� 0�-D County Su FFoL 1L 4.PRECISE LOCATION: Street Addess and Road LIn'tersections. Prominent llandmaAs etc -or provide raw T /.� SI-rITN 1�M'_1✓E Onje-T1-I So , " j000_ 76 07 -3.Z 5.IS PROPOSED ACTION: ❑ NewExpansion �Modification I atieration 6.DESCRIBE PROJECT BRIEFLY: r f C.L6✓cT-4- 006e ZI _ HDD/Ti n.iS t�%J MJan —, t ✓til S/SES P0N No 4Ti�EsSi lD& _S-A./ Q5 G2 A7 Af'sw S'eP SySi f i-7 A)�c'"' �Q`'f wE L.c.s ✓T✓�6 7.AMOUNT OF LAND AFFECTED: / Initially .-rU acres ,S-L6 Ultenately acres 8.WILL P OPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? es ❑ No It no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as marry as apply.) aResidential 1:1 Industrial /1: Commercial ❑Agncubura E]Park/Forest/Open Space Other (describe) C, D - / 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, Slate or Local) P1Yes FNo If yes, list agency name and pemM / approval: \ Sur-rOLIG Cry H��t I H . JE-Ir 1 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes F_Ao It yes, list agency narne and permit / approval: 12. AS A RESuJ OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? LJYes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Appgcant / Sponsor Name C4 A tior d.sj7t,m^45, kee-91lEGDate: bl---I/(/ Signatu a // If the action 13 a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART It- IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. Ej Yes Q No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. ❑ Yes ❑✓ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) Cl. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or Intensity of use of land or other natural resources?Explain bdefly: 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 C1-05? 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 CRITICAL ENVIRONMENTAL AREA CEA? If yes,explain briefly: Yes ❑✓ No E. IS THERE,OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: Yes 2N, F--- I PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether itissubstantial,large,important orotherwisesignificant. 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 it was checked yes,the determination of significance mustevaluate the potential impact of the proposed action on the environmental characteristics of the CFA. Check this box ff you have itlentified one or more potentially large or significant adverse Impacts which MAY occur.Then proceed directly to the FUL 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 actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thI determination. Board of Trustees Name of Lead Agency plate Jill M. Doherty President riot or Type erne�espsible in Lead Agency Title of Responsible Officer ignature of Kesponsaile M7 in Lead Agency Signature of Preparer(if different from responsible officer) Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LWATM: SX–T.11.40: THE FOLLOWING ACTIONS MAY REQUIRE TM SUBMISSION OF A 1 r'oo0 /2 F OZ -3.y- STORM-WATER.ORADN#%DRAINAGE AND EROSION CONTROL PLAN CEWn FED RYA 111111111111161141 PROFESSIONAL D THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of(he Project Parcels? - I Will this Project Retain An Storm-Water Run-Off (Include Total Area of all Parcels located witidn . Generated by a Two(2')Inch Rainfall on Sitio? the Scapa of Work for Proposed Construction) .rA�) (This Mont will include all run-off created by site � a b. What is the Total Area of Land(Rearing clearing and/or construction activities as well as all andfor Ground Disturbance for the proposed Lb SF Site Improvements aril the permanent creation of constructionconsction activity? nT impervious surfaces.) 1s.F.rAves) 2 Does the Site Plan and/or Survey show All Proposed PROVIDE BRIEF PROJECT DESCRIPITON IliwaeAwmwW Peawan Neemem Drainage Structures Indicating Size&Location?This ✓ 1 Nem shall include all Proposed Grade Changes and — — �c4vATE f�✓SE Zr± �DDtT7aA5 4L'l-1 Slopes CorAnDft Surface Water Flow. (l 3 Does the Site Plan and/or Survey describe the erosion a ND n.i rF So✓TN J rAE 5� DEc L O.J and sediment control practices that will be used to control site erosion and storm water discharges. This NV.t_TFt Eaa 5 r.�v JE w� .7i a i A-S 1p Nem must be maintained throughout Me Entire 1111!! Construction Period. Jn lSr,,- 4 Will this P Project Ire any Land Filling,Grading a Excavation where there is a dnarga to the ❑ Nassau ✓/ N n esJELes �iiT✓A-6 - Existing Grade Involving more than 200 Cubic Yards of Maw within arty Parcel? `. A IL A G E w Q r E 2E*r'^f 5 Will this Application Require tend Disturbing Activides Encompassing an Area in Excess of Five Thousand ❑ (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the / Site? Is this Project within the Trustees)wisdkMon F-1 ✓ General DEC StNPPP Realdreds m.r : or within One Hundred(100')feet of a Wetland or Submission oft,SWPPP Is required for all Constructim adiNdes nvdvkg epi Beach? dlsturbarxes et ore(i)or mare acres: ndudmg dWmrbslces of lase dmn oro ave mar 7 Will there be Site preparation on Existing Grade Slopes ❑ are Pan of a miter war non plan that will uamwl*aisWb um ormam eves of mrx1: which Exceed Fifteen(15)feet of Vertical Rise to indu&Ig Construction activities invorohg sea dstudaums of teas than oro(t)acre where One Hundred(I W)of Horizontal Distance? �L the DEC Ions determined that a SPDFS permit IS required for storm water discharges. (SWPPP's Shalt meet the Maintain n Requireme is of the SPDES General Pa mut 8 Will Driveways.ParWrg Areas or other lmperWous ❑ for Sbm Ylanr Discharges bora Construction activity-Penet Na.GP4-10.a01.) Surfaces be Sloped to Direct Stomn-Water Run-Off rSubmittedde, ✓ 1.The SWPPP shoal be prepared prior to the SubtlNOS.The Not shell be Into and/or In the direction of a Town(ight-pf-way? Submitted to the DWalmmnt prior to me wrrnmrheentaht of combudion acmky- 2.The SWPPP shell desama the emsim and Sediment oontrot practices and where Q Will this Project Require the Placement of Material, F-1 — r"drad,posts storm water management practices mat will be used aMlor Removal of Vegetation and/or the Construction of any du constructed to rew me pom lunts hstorm wemrdisdmgas and to assure Item Within the Town Right-of-Wary or Road Shoulder cerllplanw with the terns and conditions of this pamdL In addition,the SWPPP shall /urea?(IW nem we mor Nauta we estaes aodw - Aprons.) Identity potential sources of polutiw which met,reasonably be expected to erred ma qualityofsmanwamrdtrdmryes. NOTE: NAny Armes WCC dons Omdx hNimkAnsrend WmaCheck Mak 3.N SWPPPs that require the postmrnhktion storm water management prepico n a Sax and lin construction Sim Smdrmamm is termor,5,000 SF.&I Acre in area, wmpamnt shall be prepared by a qusli®ed Design Professional Lkxrsad n New dice a ammivev.Gmdn%O dierge S Emahm Control M.is Required by me Tam of that o knowledgeable n the principles apons of Storm water himag { ea— NOTE: d and Mad be anemlaed br newtew Prior So Issuance ex Any Building Permit.Permit.NOTE: AQiedc hLM1(!)aMbr Nawar toreaa CkmWar,6rieWkr4baCnr9laa MMlorOaa) STATE OF NEW YORK, S L, COUNTY OF......n.....................................SS That I......... being duly swon,deposes and says that he/she is the applicant for Permit, (Naim d aeawhkml siprwg nmramN) And drat he/she is the ............................._._...._-....... .Q G H / K i 6P ti T - (owner.Cwtrsdor,Aged, olfirer.ewe) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have perforated the said work and to make and file this application;that all statements cone fined in this application are true uD the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application fled herewith. Swoon to before nit this; .....-....._tet-�.S.T..................day of...Z ................._... 20E Notary Public ---------------- -.......... ...-. ....._ ---- - (9igeeaexeNAppWae) FORM - 06110 No 4730095 Qualified in Suffolk County Comm.Expires July 31, �o�OgpfFO(,l cOG Jill M. Doherty, President w Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President y. P.O. Box 1 179 James F. King Southold,NY 11971 Dave Bergen �Ol Telephone(63 1)765-1892 John Brulemeyer # �' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of THOMAS MALONEY COUNTY OF SUFFOLK) STATE OF NEW YORK) �fAFFIDAVIT OF POSTING -5%n4'��, residing at/dba /,730 1/174 V-f( £ z sj �cu-T'WC4 it' ;' 1/q7/ being duly sworn, depose and say: sH That on the I ) day of =fa c. 2011, I personally posted the property known as /�7f /� ,a e o'v y /c �51-e r= 1471— FC `/iCK.Ti�, So�'y��g ,rte' by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed, July 20, 2011 on or about 6:00 PM. Dated: (si ature) Sworn to before me this day of 1��/20& No y Public Barbara A.Strang Notary Public,New York No 4730096 Qualltled in Suffolk county comm.Expires July 31, ;= / i a i Postal r MAILING OF NOTICE C3CERTIFIED c Mail OnIY;No Insurance coverag Provided) RTIFIED MAIL RECEIPTS Cc llJ NY� 1�¢9 s ' Xmas Maloney SCTM #1000-76-02-3.2 Co Postage $ f1.28 097 a j r Certified Fee $2.85 OL C N� ! O Return Receipt Fee Postmark j O (Endorsement Required) fZ.� Q Here r9 o � ) � Address: RestrictedntDelivery Fee Jul. - 1 0 1 The MNC Residence Trust Q .(Endorsement Required) �,� i mTotal Postage&Fees $ $6.43 0 1/ 36 Riverview Ct. Sant o S / Oakdale, NY 11769 C3Ihan y .v. Gnat /Zrs �cl✓ri 0 Sheet APR No-------------------------------------------- _ M1 or P08ox No.- 36 �(�✓f� 1/ /Yx ""'"" 1325 Smith Dr. N. crfy,stars,-ZiP+a----•--- -v--.G/..........• •----•---- Southold, NY 11971 OAKDgi,c Al //76y r, August rr '0 155 Emory Rd. Sent To o- 4,4 / Mineola NY 11501 C3 w/nDY C'r/A----._nJ/J ar P08ox No. /3 I JQz_,�, 1325 Smith Dr. N. Ciry,Stare,ZIP+4 -----------"--- Southold, NY 11971 PS Form 3800,August 2006 See Reverse for lr.frwum� C` Sen,To S°PO Apt No.; r arPO Box No. city Sfefe,ZIP+C-itiEOGD--- -��j-, �---------•-- - 0 Traveler Street, Southold, New York, being duly PS Form 3800,August 2006 See Reverse for Instructions en o o° fis-�f^-- ; --9 � [J5/-.. ��``/ day;----- riled a true copy of the Notice set forth in the Board of fr .--. eeq APf.No.; -- orPOSoxNo. �3 z -------•----- CrtySlate, 7J� y he above named persons at the addresses set opposite , ZIP+ Y�/vc D .rJ y y 7 4 opposite the name of each person is the address of said PS Form :rr August 2006 t roll of the Town of Southold; that said Notices were mailed at the Unite tates ost rce at Southold, NY, that said Notices were mailed to each of said persons by (certified) mail. Signature Sworn to before me this 1st day of July 2011 (Notary Public) 5f f Q�k (/J LAUREN M.STANDISN Notary Public,State of New`ork No.01ST6164008 Qualified in Suffolk Count Commission Expires April 9,2 1 s Ard of Trustees Application* County of Suffolk State of New York _7 A0 7,,S kA Co 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 T14E 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. Si a ure ` SWORN TO BEFORE ME THIS Z ( Si DAY OF 20 It No Public Borbofs A.Strang Notary Public,New York No 4730095 Qualified in Suffolk CobMy Comm. Expires July 31, LETTER OF AUTHORIZATION RE: Premises, 1475 Smith Drive North, Southold, NY SCTM #1000-126-02-3.2 I, THOMAS MALONEY HEREBY AUTHORIZE GARRETT A. STRANG, ARCHITECT TO ACT ON MY BEHALF WHEN MAKING APPLICATION TO THE UNITED STATES OF AMERICA, STATE OF NEW YORK, COUNTY OF SUFFOLK, TOWN OF SOUTHOLD OR ANY OTHER GOVERNMENTAL AGENCY IN CONNECTION WITH THE ABOVE REFERENCED PROJECT. CHARLES W KING TH MAS MALQNEY Notary Public, Slato of Now York Registration#01K14966231 Qualified In New York County Commission Expires July 24,2014 Sworn to before me this 3 Day of Jv,- 2011 Notary Public State of New York APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM 'Che Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. /� ,1 YOUR NAME: C-�.4 kI—, N - S7''iu.a'JG (Last name,first name,middle initial,unless you are applying in the time 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 Coastal Erosion Approval of plat Mooring 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"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO ✓ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applieant/agent/representative)and the town officer 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(check all that apply): ___A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this Z/S1 du of TO^J6 2119r/ Signature Print Nam G+ t E a A- s7xn i✓c Form TS I APPLICANVAGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Dart of town officers and employees.The purpose of this form is to Viovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: / HbM ce (Last time,first name,middle initial,unless you are applying in the 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 Coastal Erosion Approval of plat Mooring 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"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated- Name ndicatedName of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/representative)and the town officer 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(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 2 day of T �� 2001 Signature - PrintName -7"414S 17 ACOr✓e Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency_ *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the 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#— 7� - 07– - 3, 2 The Application has been submitted to(check appropriate response): Town Board © Planning Dept. 11 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: Ec L�a7-1-' rx157-1 0 s fav Agl1vc%t e't wi�� /3tiit-7- ru �y Location ofaction: 14 75' 51-11 T?f -fes / UejL\�cf Site acreage: /J Z G ( Z Z (S SQ. rl-- 7— Present Present land use Present zoning classification: / ` �G ��5/l2N T! o C-- 2. 2. 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: r (b) Mailing address: 1 7 g�`/ (c) Telephone number: Area Code 6/ (d) Application number, if any: Will the ac ion be directly undertaken, require funding, �approvaly astate or federal agency? Yes LJ No❑ If yes, which state or federal agency? JP C,c-- DEVELOPED 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 Z Not Applicable Fk-cS7-/A>s Sinr� G � r-W.�,i $7 c f ��c L�.siS ir�� /Jo�JiT/a� 41, 'Yc�./J 7�id-As s /ir ��h � �r-c�. d/�� 5d�r c c, /s+✓Gc.� � r-,c.uz ry�c-� ��s rsc Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—ZApplicable Pages 3 through 6 for evaluation criteria Yes 0 No 1fiF2 AA-.'_ /V6 l5Tde ���✓ G, m.t iteL1 �Lo � !GoL F.al77f • A 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 R Yes No Z Not Applicable " 'iV a L it z5 /l7 ZJ c %� / etcSsdci - S i9Lc isr� � T/-�� >6 Gr [ G 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 Page through 16 for evaluation criteria © Yes © No Not Applicable c—7- 1_2 2 �//f�7/�� iJ�� Tlor15 ©cT4�� Tio S 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 0 Yes 0 No u Not Applicable /Uo 7— mit/ tv,47 r4—z -�c),z- y a,'- � cv 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 IH—Policies; Pages 22 through 32 for evalu7Appiicable riteria. Yes [] No /4,7 uld/�� io T �r x iiv� -'Q�r "e-4c /� o ✓ ocsv7- Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 hrough 34 for evaluation criteria. Yes ❑ No❑ Not Applicable / 2;21- A 5 0:5 !F-- 7 �L�/JSI� 04d5I✓( 4V e' > �£5 /amu 77�13 GLo ® s- �yA G Z3 e, is✓ 5 /l7/f7`i2 moo( S !i/� f L1955 /f( f Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. a LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable �ff f2 r-- 2�,- /Va , 7--,r- Y�'Gc1 C(L�/ yL1 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. ❑ YeID No U Not Applicable T-�/ s / -Z-�J c-7- / 7-2- P zw/rft A,94 r'�;6 u r- Aces s Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable Gy�lGi-f / 5 �r��i SI /�,�e�������•va�aT r�sem. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Tow ln�wateys. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No — Not Applicable -,,V5 GL�O LK5 gzd 2 o /L m G' Gy/GL /S A d 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 evalu 'an criteria E] Yes ❑ No Not Applicable 1Cl4irel , ,t �— /Z�'o Il LSA-was O/[7 �� L�%�t1✓ T/� �iL I fes% i i Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Sectio —Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No ❑ Not Applicable C2IL,9 'm2r'�.oc i/ G� 5 i^4f�.t.EJG2 055 -,fs Created on 512510511:20 AM Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax(631) 765-5490 June 23, 2011 .i JUN 2 4 2011 Ms. Jill Doherty, President Sauthhaid Town Southold Town Trustees Board of Trustees POB 1179 Southold,NY 11971 Re: Proposed Alterations and Additions to Maloney Residence 1475 Smith Drive North, Southold,NY SCTM#1000- 76-02-3.2 Dear Ms. Doherty and Members of the Board: Enclosed please find the following in connection with the above referenced application: Original and two (2) copies of completed application Short EAS Permission to Enter Property Transactional Disclosure Form—Homeowner Transactional Disclosure Form—Architect Letter of Authorization Storm Water Runoff Assessment Form LWRP Consistency Assessment Form Photos Three (3) copies Site Plan and Survey Fee in the amount of$250.00 If you have any questions regarding this application, please feel free to contact my office. Very truly yours, Garrett A. Strang, R.A. Architect Encs. SURVEY OF PROPERTY N 51TUATE: BAYVIEw TOWN: 5MTH0LD (9 LPII \1 1s SUFFOLK COUNTY, NY {!` (��—' D w E SURVEYED JANUARY 15, 2010 '� ` 2 d S SUFFOLK COUNTY TAX u 1000 - Tb - 2 - 3.2 Southhoid Town Board of Trustees CIERT=TO: CATHERINE MALONEY& THOMAS D.MALONEY TEST HOLE BY SURVEYOR COOK- 12-Ib-2010 EL=12.1' •• "aT f FIpAT BROWN SILTY ryQ ,�yRam+ I' SAND 5M N81°31'13"S A "t or+b -- - TIE LII AL PALE GROWN FINE —`rte of TO MEDIUM SAND SP ND I L 1'� WATER — Q rn , 5 WATER IN IXTI PALE BROWN FINE TO MEDIUM SAND 5P �; d I6.T ® n X pip w O a GP o " m EII L � m ry O � L 10 ' N a o o I Story o f U- 00 z Frame - House O 6 -_ 5q,4, ry ® O L _ O / 32.1' 0 �Y'� -jc t � _, 33 4 ""-X O - O w UZI TEST �J Q HOLe O �j J �F �N U j — IS - i 360:11' 8o ,M � 12 w tER MAIN N _-- NORTH A5Pha1t R00L NOTES: O PIPE FOUND # WETLAND FLA65 SHOWN THUS WERE 5ET BY SURVEYOR U51NG THE BAGARUS BUSH A5 IDENTIFIN6 SPEGIES pp NE CONTOURS REFERENCE NAVD 'bb DATUM ��NN c EHE,shpt FEMA FLOOD ZONE LINES A5 SHOWN ON FIRM No. 36103GOIbbH `, \ AREA = 22,915 5. F. OR 0.5261 Acres �l f,•3w`►r ;� LOT NUMBERS REFERENCE "MAP OF 6005E NECK" ��� ;�' FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY JOHN EHLERS LAND SURVEYOR NOV. 22, 1948 A5 FILE NO. 1663 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202 &RAPHIG SCALE 1"= 30RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 RERC:\Documents and Settings\Owner\My Documents\My Dropbox\10\10-193 A.pro ' F e ' STQRM DRAINAGE CAI:CU,-,2[TIONS r � O �I System °A.,, Roof Area - 662 sq.H. I D _ VoWme - 562X ,197 • 02 cu.ff. 1, F AUG — 3 201'1 L Provide 1.9'dia.X 3'-5"deep inorm drainage ring I t,16 cu.2 I With slab and piping. ,I- _ / ' System "8 K : - S Roof Area - 616 sq,f4 - - -� ' Boardoard of 01 Tm6teTown m KJ � �A!. am- Vohnne - 11 .11/. • 103cu.fL - � - � ' ° r •/ hLE-N 1 2-9 , a En Provide - 1-r dim.A 3'-9"deep storm dnlnage ring (140.N.)Wim slab and piping. - ITS \� • _ / % �1'M-_'I�'h- -���A'<- - _ , i' a " �C, __ _ -y- /� `r/ 3-� � - YErl,iaNd� � 1 J � -_/P- _-'! _ f`T l..•,'H 4 o.uu • EXI '�YIN4 (D•' :; - y '-,., � , • / 07 / \ • A / ! l EL. 12,1' `-^` Com: J m2 \ Y b44 1 Y' V I . 00: AUC - >/� b ' • ,•` / �� Z IJ-'�+OIhTUGDn NLG �- X i 2. I n:1 / N W + � �;\ « A • `.Y vu F�uz_ • � 3 `>` I' I =0 Q •le ,, ••� 7'• ,�' PRo��.Lr I PTLD. TUQ. � /« .`•i JI'TE 1 4 ° - - - -- - — d - x : N Ai SITE DATA 01 _7 SITE AREA ,929 ACRES - 22,916 SO.FT. to W V nrV Q^tee- 6Y JOHN G. SHL �¢S, L. S- TAX MAP 1000.76-02-3.2 Q 9 n+T E.✓ 3 <F } 7V FILED MAP DATA MAP OF GOOSE NECK 10 r r% u y 'y /J.3, -I- - ` - I T FLED NOVEMBER22,1W Is zn, /�" _2j,w�l �s`�'`" ;ii. z. n l) AS O 1603, I SOUINOLD,TOWN l 7 7-1-1 r - t, i -1" l COUNTY,NEW YORK u = _ �`./, N i '�' --I Z PROPOSED SANITARY SYSTEM ELEVATIONSOF SOUTHi SUFFOLK I` „\ I L_ (,..' - ; q } \ O REPLACEMENT SANITARY SYSTEM DESIGN ~ •`4 FOR RECONSTRUCTED RESIDENCE F NET FLOOR ELEVATION 14.00 ZONING R•4WRESIDENT'U1L , Z }, _ — )3X EASTNGGRADEATI UILINNG 12,50 BUILDING AREA OR UNO WATER U.'10 FLOOD ZONE E.Wum x00 N.R FIN.ILLINE AT6.LTDING 111.20 .60 "AE-9» . TOP F S. . 12 ep 11WATER SUPPLY SUFFOLK COUNTY i 'r YG.ST ej < NUMBER OF BEDROOMS ST INL ,50 WATER AUTHORITY E,:ad, 1 .T.OUT 11.00 VI P'.' o.M 1 BOTTOMO ET T.50 USE N WATER SUPPLY T POF EATMP. 1].x0114.50 EXISTING EINGLEFAMILYowELUNc •� \ / EvR SU SUFFOLK COUNTY LP.1 LET 10.50 PROPOSED SINGLE FAMILY DWELLING /n WATER AUTHORITY BOTTOM OF LP. 4,1p V¢I E 7 Propo..d SAME rkP,le.l - �• � ?1,�- - � Le Y Q LEGEND 'OWNER CATHERINE MALONEY N \ >�¢r✓.Yo ♦ I �., m SANITARY SYSTEM "S.T." Septic Tank THOMAS J,MALONEY 140 i FE/n,4-1 r-{ I 1. I i e - Pr°poaatl ONE(2)I' DIAMEHEN SEPTIC TANK -LR^ laecMrp Pool MERRICDERIOK AVE. -1 E TWO DIAMETER%6'DEEP YERRK:K,NY 119N I Q LEACHING POOLS NO ISSERVEDELLSWITH KNOWN WATER BYSCWA 1 y. I S 1 �- LEX16T- we�T c.Ct EXISTING PORCH AREA _ NO PRIVATE WELLS NNUNM TD EXIST WITHIN HOUSE 900 SO.FT. ' 150'OF SUBJECT PROPERTY. ENTRY PORCH 70 S0.FT. Ya47L1A/n5 Rep FIXED DOCK 1,240$0.FT. TYPICAL R 7ANCUI AR EL EXISTPROPOSED BUILDING AREA + NG HOUSIE 900 SQ.FT. ADDIT ONS •b' \vA+ W � IS •--� /�_W W— 1 5 /' / W u/ f+--- _.�EPJ�_inNK' ..n� nncu ,cou,c roci /E 3..s . w — / 6 DECK IIDOCK O HOUS414 E 2,014 30.F7. 1 STEPS 108 240 L. I�- r�Ii.S FUTURE BUILDING AREA „ ,••'---� la •� _ '4."'.'R• B « 5 EXISTING HOUSE WITH ADDITIONS L _ L `� r L :,J. . s . ^s y' 6 < EXISTING FIXED DOCK 1,404 SG.FT. • .- N O TZ- T F--} F IGam. ,�.o.,• ` UoOo® I d h ' 0�006rn1 l FUTURE GARAGE 676 SQ. MO SO.FT. 4 u cL ��- -_� ^""• 0000f ?YI , O��C] l I� FUTURE BREEZEWAY 10680 FT J Y » q y // J o 2.729 SO.FT. R w- w ' r ' yk LOT COVERAGE - j1 -�^,� 94 LEACHING ] �'n,. LEACHING dR I EXISTING P➢TI--I- J EL. r l au, 05.1% ` A c�, 1 1 �T W::...K.. SECTIONS 1 i SECTIONS PROPOSED eyes 1 /� s' 4 I t'- EL, 1 f .», Oe.a% ✓ /y III{l a J' w 4.a' +"�_ LI_. 4.3 _ ' I FUTURE 11A% SGzL_E�' I' L —--_---� 1 g Y w r r— / LOT ARE22,005 S°.FT. = ZOO 1_ A - UPLAND + EL. o.+o•y• + 4...a=,.w.,w« ,,,w««�,�,�,•,", LOT COVERAGE A IMPERVIOUS LOT COVERAGE- UPLAND APPROVED ., _ <_ .'A. u• �� Ac 4,I,J(, TN EXISTING 06.6% BY NOTE : PROPOSED ".3%FUTURE PROPOSED 12.4% PLANBOARD OF TRUSTEES TITLE THISSITESRVE WAS PREPARED YJOHN C.WITH INFORMATION TAKEN GARRETT A. STRANG T� rF, �E� IZ ATIc� IJ6 FROM ABURNEY YOR BY JOHN C.JAGUAR,LA,2010 , ErtM,' PATE OF SOUTHOLD Q�,G�s�E'(i n NrTFr . RNEeHEAp,NEW YORK DATED: JANUARY 16,2016 . EaED aRc //� A 1,...c> TJ C..—{ �,�5'1 p � IJ � � architect `°°""°" H THE EDGE OF WETLANDS WAS DETERMINED BY JOHN C.EHLERS, PAIL' VP°' RN 147 t 4/f/L 1 T k-f _ t/ 1 i--J, Of-T LAND SURVEYOR,RIVERHEAD,NEW YORK,USINO,BACARUS BUSH --JE, AS THE IOENTIFINc EPECIES. DATED: JANUARY%;2x10 :> s 1230 Traveler Street, P.O.EIOX 1412 SCALE A6 FJ T r ED DRAwOa No. ALL ELEVATION AND COUNTOUR LINES ARE REFERENCED TO N.G.V.D.' - . - 5.31- I 1 1 Sall Tv v G. — Southold, New York 11971 1 S Z.5- 11 7--4-11 01p I FLOOD ZONES FROM FIRM 361OW41KH SEPTEMBER 26,Mft "-'-'----� ph. 631 - 765 - 5455, fx, 831 - 765- 5490 DRAWN SY /`P p N P PE R T L lJb T. f ' STATE OF NEW � architect9quixnet.net PROJECT NO. • 16117 I OF I - -