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HomeMy WebLinkAboutTR-7654 John M. Bredemeyer III,President �'�XOf SDUly� Town Hall Annex Michael J. Domino,Vice-President '`� l0 54375 Main Road P.O. Box 1179 James F. King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q Charles J.Sanders,Trustee Telephone(631) 765-1892 Telephone Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1050C Date: October 1, 2014 THIS CERTIFIES that the replacement of 125' of existing timber bulkhead using vinyl sheathing and 2' higher than existing; installation of rip-rail/2 to 1 ton stone armor in front of the bulkhead; construction of 4'x8' beach stairs with a 4' platform; replenishment of beach with approx.400cy. of sand; installation of fence no closer than 10' of the bulkhead; 10' wide non- turf buffer along landward side of the bulkhead At 1890 Arshamomaque Avenue, Southold,New York Suffolk County Tax Map#66-2-46 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 6, 2011 pursuant to which Trustees Wetland Permit#7654 Dated September 21, 2011,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the replacement of 125' of existing timber bulkhead using vinyl sheathing and 2' higher than existing; installation of rip-rap %2 to 1 ton stone armor in front of the bulkhead; construction of 4'x8' beach stairs with a 4' platform; replenishment of beach with approx. 400cy. of sand; installation of fence no closer than 10' of the bulkhead; 10' wide non-turf buffer along landward side of the bulkhead. The certificate is issued to THOMAS &BARBARA BALL owners of the aforesaid property. Authorized Signature . John M. Bredemeyer III, President 0,14fF0(,S-c Town Hall,53095 Main Rd. Michael J. Domino,Vice-President ��� �Gy P.O.Box 1179 a James F. King y Southold,NY 11971 Dave Bergen �� Telephone(631)765-1892 Charles J.Sanders l J* a0 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DAT OF INSPECTION: 7Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction constructed Project complete, compliance inspection. INSPECTED BY: 'Dryt COMMENTS: CERTIFICATE OF COMPLIANCE: PO Box 1708 Southold, NY 11971E SEP 2 6 %n14 September 21, 2014 Board of Southold Town Trustees PO Box 1179 Southold,NY 11971 A Dear Board of Trustees: The work on the Wetlands Permit# 7654 for 1890 Arshamomaque Ave.in Southold (SCTM#66-2-46) was completed. Sincerely, Z� Thomas J. Ball Barbara J. Ball f. • James F. King, President S0~/jtrO Town Hall Annex Bob Ghosio, Jr., Vice-President ,~O 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. Domino Ol',CDU~ _.e1~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 21, 2013 Thomas & Barbara Ball PO Box 1708 Southold, NY 11971 RE: THOMAS & BARBARA BALL 7890 ARSHAMOMAQUE AVENUE, SOUTHOLD SCTM# 86-2-46 Dear Mr. & Mrs. Ball: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 21, 2013: RESOLVED that the Southold Town Board of Trustees grants aOne-Year Extension to Wetland Permit #7654, as issued on September 21, 2011. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincere~ly'~'`' v James F. King President, Board of Trustees JFK:amn suFFOt~. James E King, President p~ C P.O. Box 1179 bob Ghosio. Jr_ Vice-President ~ Southold, NY 11971 Dave Bergen ~ ~ Telephone (631 765-1892 John Brodemcycr G ~ Fax (631)765-6641 Michael J. Domino Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: /~dL / H ZO /3 ~ i N ~ 'foul f / THOMAS & BARBARA BALL requests aOne-Year Extension to Wetland Permit #7654, as issued on September 21, 2011. Located: 1890 Arshamomaque Avenue, Southold. SCTM# 66-2-46 Type of area to be impacted: Saltwater Wetland -Freshwater Wetland -Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 -other Type of Application: _ Wetland -Coastal Erosion -Amendment Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: ~ J. King Ghosio ~D. Bergen, ~J. Bredemeyer Gael Domino D. Dzenkowski other Form filled out in the field by ~ ~ I~~IJIr Mailed/Faxed to: Date: PO Box 1708 Southold, NY 11971 631-765-4354 D 2 ~a 2 ' 6 ~A IS Board of Town Trustees J U L 2 6 2013 Town of Southold PO Box 1179 Southold Tcwn Southold, NY 11971 Tr RE: Trustee's permit # 7654 Dear Town Trustees: We are requesting a 1 year extension to Permit # 7654 issued on September 21, 2011. Enclosed is a check for the $50.00 fee. Sind / ~~a~Ji3 Thomas J. Ball Barbara J. Ball • • CC # : C12-842 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 01/09/2012 under Liber D00012681 and Page 660 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 01/09/2012 - SUFFOLK COUNT/Y~ CLERK JAN Z O 2O1' JUDITH A. PASCALE SEAL I IIIIIII IIII VIII VIII VIII VIII VIII VIII VIII IIII IIII IIIIIII (IIII (IIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 01/09/2012 Number of Pages: 4 At: 01:25:55 PM Receipt Number 12-0002566 LIBER: D00012681 PAGE: 660 District: Section: Block: Lot: 1000 066.00 02.00 046.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $5.00 NO RPT $30.00 NO Fees Paid $95.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALS County Clerk, Suffolk County ' 2 • Number of pages f1. i iRb~'- r~~tia a ti._,;,__ This document will be public _r r, , , record. Please remove all _ ~ ~c~ . _ zr,;=, Social Security Numbers - prior to recording. Deed /Mortgage Instrument Deed /Mortgage Tax Stamp Recording /Filing Stamps 3 FEES ~ Mort a e Amt. Page /Filing Fee v g g 1. Basic Tax Handling 20. 00 - 2. Additional Tax _ TP-584 Sub Total Notation Spec./Assit. or EA-52 17 (County) Sub Total Spec. /Add. EA-5217 (State) TOT. MTG. TAX Dual Town Dual County R.P.T.S.A. ~.ts~ C>7 ~ ~ Held for Appointment Comm. of Ed. 5. 00 ~ Transfer Tax ~ ' Mansion Tax Affidavit ~@y~" The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surchazge 15. 00 Sub Total ' family dwelling only. YES or NO Other L ~ C` Grand Total ~ L~ If NO, see appropriate tax clause on ` page # of this instrument. C~ ur- ~ 4 Dist. iooo oseoo ozoo oaeooo 5 Community Preservation F1xnd Real Proper P T S Consideration Amount $ Tax Servic R LPA A Agency 09-,IAN-1 CPF Tax Due $ Verificatio Improved 6 Satisfactions/Dischazges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land Thomas -1 v~ ~xlrbara ~4 ~ 0 TD ~out~-,oil , Ny 1197 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Comnanv Information 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.govlclerk Title # g Suffolk Count Recordin &~((Endorsement Pa e This page forms part of the attached ~IQrLI ~DYI ®T COV enQn~ made by: (SPECIFY TYPE OF INSTRUMENT) 1 The premises herein is situated in LJEC `Ltir~l~~ ire ~ ~L1r b/a rd J L(~) SUFFOLK COUNTY, NEW JJYORK. TO Tn the TOWN of ~Ol.~rhDl In the VILLAGE ff~ tt I or HAMLET of Cl ncl7'T1 D I Q BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0109..10/OBkk (over) DECLARATION OF COVENANTS THIS DECLARATION made this 9t" day of January,2012, by Thomas J. Ball & Barbara J. Ball residing at 1890 Arshamomaque Avenue, PO Box 1708, Southold, hereinafter referred to as "DECLARANT (S)": W I T N E S S E T H WHEREAS, DECLARANT (S) is/are the owner(s) of certain real property located on 1890 Arshamomaque Avenue, Southold, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 66, Block 2, Lot 46 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANTS) therefore made application to the Trustees fir a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 10 foot "nonturf buffer" is installed along the landward side of the bulkhead. NOW, THEREFORE, the DECLARANTS) do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained a 10 foot non-turf buffer installed along the landward side of the bulkhead, as defined by Chapter 275 of the Town Code; and as depicted on survey prepared by Nathan Taft Corwin III last revised October 25 2011 and stamped approved on October 31,2011; and 2) These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNES11S~ WHEREOF, the owner(s) has/have duly executed this instrument this day of ~~r'1 r 20(Z . i WNER'S SIGNATURE OWNER' IGNATURE ~l STATE OF ss: COUNTY OF S ~d~,.~_'.~..~.. L~ On the " l day of R L~L~; a in the year 20 ~ Z , before me the _ undersigned, a Notary Pub}'- is in and for said State, personally appeared h_"~~'~~ ~ . f~.tl d~~l ~ personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature(s) on the instrument, the individual or the persons on behalf of which the individual(s) acted, executed the instrument. p ~.I A- ~ plc ~--~JCI~-k--, Notar ,Public ~OZANNE ~,ll~c,n /3 ~x~~ ia~,~` ~o, ac ~ 3 2 Exhibit "A" Town of Southold, County of Suffolk and State of New York, known and designated as Lot Number 4 in Block 7 as shown on a certain map entitled, "Map of Beixedon Estates;' and filed in the Office of the Clerk of the County of Suffolk on March 16, 1946 as Map No. 1472. SUBJECT TO an easement or right of way over the above described premises in favor of Lots 5 and 6 as shown on said filed map for purposes of ingress and egress. Said easement or right of way being shown and designated on said filed map. The northerly boundary of said right of way is the southerly line of Lot 3 on said map. TOGETHER WITH a right of way over Arshamomaque Avenue, as shown on said filed map, to Main Roard (N.Y.S Route 25). More commonly known as 1890 ARSHAMOMAQUE AVE, SOUTHOLD, NY 11971 Jill M. Doherty, President ~~OF ~OVly~ Town Hal] Annex Bob Ghosio, Jr., Vice-President ~ 54375 Main Road P.O. Box 1179 James F. King Southold, New York 11971-0959 Dave Bergen John Bredemeyer '~0 ~ Telephone (631) 765-1892 I,YCOU~ N~ 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 APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 151 day of construction / constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT N0.7654 DATE: SEPTEMBER 21.2011 ISSUED TO: THOMAS & BARBARA BALL PROPERTY ADDRESS: 1890 ARSHAMOMAOUE AVE.. SOUTHOLD SCTM#66-2-46 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordanc with the Resolution of the Board of Trustees adopted at the meeting held on September 21.2011 in consideratio of application fee in the sum of $250.00 paid by Thomas & Bazbara Ball and subject to the Temis and Conditio as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to replace 125' of existing timber bulkhead using vinyl sheathin and 2' higher than existing, install rip-rap'/: to 1 ton stone armor in front of the bulkhead, construct 4'X 8' beach stairs with a 4' platform, replenish the beach with approx. 400 cy. of sand, install a fence no closer than 10' of the bulkhead, with the Condition a 10' non-turf buffer is installed along the landward side of the bulkhead, an as depicted on the survey prepared by Nathan Taft Corwin III last revised October 25, 2011. i 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 i V o r1 y9y01 `1~0l ~ ~ e TERMS AND CONDITIONS The Permittee, Thomas & Barbara Ball. residine at 1890 Arshamomaaue Ave.. Southold. NY 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 aze 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 Boazd 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 Boazd 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 Pemvttee 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 cov~tattt and deed restriction to the deed of the subject parcel. Such evidence shall be provided within surety (90) calendaz 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 Pemrittee will obtain all other permits and consents that may be requved supplemental to this pernrit, which maybe subject to revoke upon failure to obtain same. Jill M. Doherty, President ~~Of S~UlyO Town Hall Annex Bob Ghosio, Jr., Vice-President h~ lQ 5437b Main Road .IL P.O. Box 1179 James F. King T Southold, New York 11971-0959 Dave Bergen G Q _ John Bredemeyer ~ Telephone (631) 765-1892 lifCOU~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 21, 2011 Mr. & Mrs. Thomas Ball P.O. Box 1708 Southold, NY 11971 RE: 1890 ARSHAMOMAQUE AVE., SOUTHOLD SCTM#66-2-46 Dear Mr. & Mrs. Ball: The Board of Town Trustees took the following action during its regular meeting held on Wed., September 21, 2011 regarding the above matter: WHEREAS, THOMAS 8~ BARBARA BALL applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance, application dated September 6, 2011, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Watertront 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 Watertront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 21, 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, 2 ~ • WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVES the application of THOMAS & BARBARA BALL to replace 125' of existing timber bulkhead using vinyl sheathing and 2' higher than existing, install rip-rap''/z to 1 ton stone armor in front of the bulkhead, construct 4'X 8' beach stairs with a 4' platform, replenish the beach with approx. 400 cy. of sand, install a fence no closer than 10' of the bulkhead, with the Condition a 10' non- turf buffer is installed along the landward side of the bulkhead, and as depicted on the survey prepared by Nathan Taft Corwin III last revised October 25, 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: None Very truly yours, Jill .Doherty, Preside Board of Trustees JMD/Ims - • Sept. 21, 2011 Town Trustees Town of Southold PO Box 1179 Southold, NY 11971 Dear Town Trustees: The Officers and the Board of Directors are in favor and voted to replace the community bulkhead damaged by Hurricane Irene. We strongly support the Beixedon bay front bulkhead owners (Ball, Ilibassi and Kuchner)efforts to replace their damaged bulkhead. The stone armor wilt help to minimize toe erosion and help stabilize the shoreline immediately in front of the bulkheads. The Board of Directors and Officers of Beixedon Estates Association, Inc. are working very closely with the bulkhead owners to reestablish our shoreline and beach. The bulkhead owner's sand permit will help restore our shoreline to the 2008 levels. We hope to come to a Fong-term solution to the shoreline erosion problem through careful application and monitoring of the sand while working with the regulating agencies. 1 recently addressed the community informing the Beixedon community of the Trustees meeting tonight and the meeting in October for the community bulkhead. We strongly support the one -two foot height increase of the bulkhead because it will add stability and a safe access point to the beach for all community residents. This access helps preserve a significant asset our community has, and it would be a shame to lose. In my recent fetter to the community,) also addressed correspondence and communication with government agencies. I would like to state that only I and members of our Board have the, authority to communicate and make decisions on behalf of our Association. I understand every member is entitled to their own opinion (and vote withsn our Association), but one individual cannot make representations to the thoughts of the community. Please retain my wntact information for future reference should you need any clarity or have any questions relating to Beixedon. I appreciate your help and consideration given to our current situations. Sincere , 4- ~ Michael Warlan, President Beixedon Estates Association, Inc. 917-282<t395 mwarlan[amsn.com • O~g~FfO(,~~ ti~ Jill M. Doherty, President ~ Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President ys ; P.O. Box 1179 James F. King v Southold, NY 11971 Dave Bergen ~ aa~1' Telephone (631) 765-1892 John Bredemeyer 1 # Fax (b31) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: THOMAS & BARBARA BALL Please be advised that your application dated 916111 has been reviewed by this Board at the regular meeting of 9/21/11 and your application has been approved pending the completion of the following items checked off below. XX Revised plan for proposed project -Increase in the height of bulkhead by 2', 10' non-turf buffer along the landward side of the bulkhead, fence along landward side of buffer, rip-rap and fill. Pre-Construction Hay Bale Line Inspection Fee ($50.00) 151 Day of Construction ($50.00) '/z Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Mooring/Duck Blind Permit Fee ($25.00) 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 90days or re-application fees will be necessary. You will receive your permit upon completion of the above. TOTAL FEES DUE: 00 BY: Jill M. Doherty, President Board of Trustees ~°~~uFFntx~O~s Peter Young, Chairman ~ ~ Town Hall, 53095 Main Rd. Lauren Standish, Secretary ~ ~ P.O. Box 1179 Southold, NY 11971 ,'/..y', Telephone (631)765-1892 ` # '1' Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 14, 2011, the following recommendation was made: Moved by Doug Hardy, seconded by Derek Bossen, it was RESOLVED to RELUCTANTLY SUPPORT the Wetland Permit application of THOMAS & BARBARA BALL to replace 125' of existing timber bulkhead using vinyl sheathing and 1' higher than existing, construct a 30' return on the east side, and construct 4'X 8' beach stairs with a 4' platform. Located: 1890 Arshamomaque Ave., Southold. SCTM#66-2-46 Inspected by: Doug Hardy The CAC Reluctantly Supports the application, however, recommends the applicant consider a rock revetment with a 3:1 slope to absorb the wave energy and cut it back into the property. The CAC has sympathy for the applicant, however, replacing the bulkhead will not solve the problem. Furthermore, there is a concern with the illegal fence on the property. Vote of Council: Ayes: All Motion Carried ~gUFFO( Jill M. Doherty, President QV ~CQ P.U. Box 1179 Bob Ghosio, Jr., Vice-President ~ Gl~ Southold, NY 11971 James F. King y Telephone (631 765-1892 Dave Bergen T Fax (631) 765-6641 John Bredemeyet~ y ''r` ~YQ! # ,~ao Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: l ' THOMAS & BARBARA BALL request a Wetland Permit to replace 125' of existing timber bulkhead using vinyl sheathing and 1' higher than existing, construct a 30' return on the east side, and construct 4'X 8' beach stairs with a 4' platform. Located: 1890 Arshamomaque Ave., Southold. SCTM#86- 2-46 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: ~ R~~s~ , Lq~Lbr ~ • ~escl's ern; - w'wl,or c-~I S-I~rt~- Modifications: Conditions: ~N" ~ ~ Y Pres~Were: _J. Doherty B. Ghosio King's D. Bergen, J. Bredemeyer D. 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R T }N rv~ J O -0~ ~^e p R A a~f R 9~ 4 ~ r r~' Ri =y _ ~ _ m xonce COUNTY OF SUFFOLK © s eye sscrrox xa ~ ~ ~ ..o o. ~ Real ProPMY~as Semce F9enq~r ~ ~s OFFICE LOCATION: ~QF SO(/j MAILING ADDRESS: Town Hall Annex y~lO P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. & Youngs AveJ Southold, NY 11971 v+ ~ Telephone: 631 765-1935 ~ ~p~ Fax: 631766-3136 ~1~00UNT1,0c~ LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, President j Town of Southold Board of Trustees ! ~ _ c j L--_.__. _ I I,r From: Mark Terry, Principal Planner sow;hhols T~,-,~~ 4' LWRP Coordinator ~ soars o, l~~~sle~s , Date: September 8, 2011 Re: Proposed Wetland Permit for Thomas and Barbara Ball SCTM# 1000-66-2-46 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP review provided the following best management practices are required if the action is approved: 1. Require a landscaped buffer landward of the bulkhead. 2. Minimize the use of CCA materials in the proposed stair. The diagram indicates that all wood would be CCA treated. 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 the Board require a silt boom during construction. § 275-11. Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: (2) Erosion control. Installation of an erosion control structure is necessary during any building, grading, landscaping or site work activity within Trustee jurisdiction. This structure may include, but is not limited to, installation of a silt fence, hay bales, wood chip berm and silt booms. The placement of the erosion control structure(s) shall be determined by the Trustees or their designee. All intertidal construction and excavation requires the installation of a silt boom that will retain all suspended sediments within the immediate oroiect area r _ • 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 ` Sept. 12, 2011 Board of Town Trustees Town of Southold PO Box 1179 Southold, NY 11971 Dear Town Trustees: We wish to change some specifications on the Ball permit that was submitted. The adjoining property to the east, Beixedon Estates Association, Inc., is now also applying for a replacement bulkhead permit to replace the storm damaged existing bulkhead. The 30 ft. return on the east side and the additional 25 ft. on the south facing bay side, which were on the Ball half of the right of way, will no longer be necessary to be included on our permit. The additional work was part of the 1988 Beixedon Estates Association permit. Thank you for your consideration. ~ ~ 1' ~ r,-~ i ~ ,~a~-- ~ ~ ~ ' ~ , Thomas & Barbara Ball . i ~ i Sept. 13, 2011 Board of Town Trustees Town of Southold PO Box 1179 Southold, NY 11971 Dear Town Trustees: We have submitted an application for replacing our bulkhead because of the damage incurred from Hurricane Irene on August 28, 2011. After several years of effort, we recently obtained amendments to our DEC permit and Trustees permit #469 for rip- rap and sand replenishment. The Town Trustees permit for sand replenishment was issued on July 20, 2011. The Beixedon Estates Association (SO homeowners) requested that the work for the sand replenishment and rip rap project start after Labor Day to avoid disrupting the beach during the summer. Unfortunately, the damage from Hurricane Irene happened before we were able to start this project. We are requesting that the amendments to permit # 469 to install rip-rap X to 1 ton stone armor in front of the existing bulkhead and to replenish the beach with approx. 400 cy. of sand, as depicted on the site plan prepared by Dru Associates, Inc. be included in this application. Since ly, Thomas & Barbara Ball ~ ' ~ / r----- ~ ~ ~I ; lg9o ~TV~h4h~lowic~ ~ ~u~ ! ~ ~ ~ l~ ~ ~ou-~-ho f c~, 1U l I R `11 ~ ~ ~ ~ - s: , Ji11 M. Doherty, President ~~0~ SU(/ry0 ~ Town Hall Annex Bob Ghosio, Jr., Vice-President lQ 54375 Main Road P.O. Box 1179 James F. King ~ ~ Southold, New York 11971-0959 ~ N ~C Dave Ber n ~ ~ ~qQ Teleghone (631) 765-1592 John Bredemeyer OI~C~U~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application _ Administrative Permit _AmendmendTcans r tension _ ReceivedApplication: 9 ( ~ i IS ~ Received Fee: ~ l~ h I' ~ ~ J~ompleted Application ( ~ ~ r~~ ~Y _lncomplete ~ j _SEQRA Classification: I ~ - ' Type I Type II~Unlisted_ _Coordination:(date sent) ~ ~n ~ 1 i ~ Consistency ss ent F~ Tj NS ~ ~ ~ ~ ` CAC Referral Sent " r. .ilSate of Inspection:- 1 y Receipt of CAC Report: ~ f !Lead Agency Determination: ~echnical Review: -Public Hearing Held:_ ~~i (1 1 Resolution: ' ' ~j Name of Applicant C1YYIQS 'C~CAt~i~r'~ AA ~~0~~70~ {d Address I g9 o flrsha ~a maG u P ~-Il ~P n ~ o ~~/c, ,/o Phone Number:( ) 6~ ~'-I 7~ ~~7'.~.JY' Suffolk County Tax Map NumberA: 1000 - ~ (P ' Z. "'7 I'_ Property Location: ~ 0 ~ A vvl o vn Qq, t,{ e ~ U 2 ~u'Y'?) b (provide LILCO Pole distance to cross streets, and location) AGENT: (If applicable) Address: Phone: cy q~~1~1 ~ . c~aiu vi aruscees applicacloa • GENERAL DATA 1 Land Area (in square feet): e 5 ~ ~L' r2 (ZO 0/~ Std. Area Zoning:__~ `tV Previous use of property: /~C 5 K-leh T'lQ J Intended use ofproperty: j(,~~~' f Q I Covenants and Restrictions: Yes ~No If "Yes", please provide copy. Does this project require a variance from the Zoning Boazd of Appeals Yes _J~No If "Yes", please provide copy of decision. Prior permits/approvals forsji~te improvements: _ l Agency 1"et'y71 ~ Date N ~e )acern En 7~ To-?.~~ Tr~as~-Pew ~gQ31-~~ ~ P ~ r• ~7ow~ /zl d~' n uc~' bulk hea 1' r~~ /(~y pEG' ~ rrnr~ `y73g Do ~S oov3 ~1 4 ir{u~e ~~~k reve~rr?en~ ~ ~ /~~~m y~ ~'ectch re p lenlsh men-~- /VY ~No prior"p~imifs~appro~~s fo'r~e iin"pr~ ~ ents S7 (',p»rj-~-y~~- 6U ~kh bpd Has any permit/approval ever been revoked or suspend, by a governmental agency? fit// No Yes If yes, provide explanation: Project Descr_Iiption (use attachments if necessary): ~fa~/Q(,+[a C.~Q~4~~ ,~_Al~ 45 ct reSU ~6~ ~1rYi'cGn~ ~res~ form ~arna~~ -fin kind i~ ~/ace ret~l4C/gym e rl?'l dq vY14 ~ 25~ y~? TJ ~u1~~?P~~ ~ r'll b q~~ra r~,~ ~a~ h ~ h er '7~ ~r~ve~ ~7~Dl~m ~,va v,~ ~uv~ ~rom breQ chi ~ _ ~ ~u l~~ e~~ 3oj re.~m ®n E,ci Sf" -s i d~e of bulk~a Bo~ of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~~o D{~ Ce~~ n'~' [Z'~' d(, ?~?ra~PC~ ~u I ~ e4 ~ c~e~u H- CL~ ~~a tma9 G ~'o m rr/~~ vl r~ P SaU~o~ B4~1 J S SP~(:.vard o~,L !00 Area of wetlands on lot: square feet UU r k ~ ~ Percent coverage of lot: /(7~~ Closest distance between neazest existing s cture and land / ~ Cl D edge of wetlands: feet ~ Ikh~~ i5 QO~Q certf Closest distance between neazest proposed structure and upland edge of wetlands: feet ~QrYI ~ A S a b~ Does the project involve excavation or filling? Nom Yes czppro~ , e~rGa Jaffe f%~ `~~`"'"s If yes, how much material will be excavated?cubic yazds apProxi'maf-e/y ~,rracl?~ l.~J~- lYas How much material will be filled? /O ~3 cubic yards ~ac~~-, ero,de~ -~am Depth of which material will be removed or deposited: /-3 feet j I Proposed slope throughout the area of operations: ~e ve~ ~ s/l~ ~T ~~n~~++~~~ nie a~`~; '!'roY>'1 6UQ Manner in which material will be removed or deposited: r;n~e ~ 6a6~~- GfG Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of/su~c~h,~proposed operations (use attachments if appropriate): Boar~of TiusteeS Application . COASTAL ER/O'SION APPLICATION DATA Purposes of proposed activity: ~ I t~CY - 1 i7 .CJ KJC~. Y'L' n lQee~'~~ 6~ e.xis~i.-xr bulkhead Are wetlands present within 100 feet of the proposed activity? ~ u~O ~dJace~`~ a~ No~~ Yes Does the project involve excavation or filling? No~Yes ap ra~~ If Yes, how much material will be excavated?_~(cubic yards) How much material will be filled? (cubic yard/s) __//JJ Manner in which material will be removed or deposited: ~/Yl~ eQ Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) lllo a y~,~r~c~~a~-ec~ ct~Verse_ ~~ec~s ' ce r 4'r~. ~ ~~n r .e heir ~m ~~Q4~ hulkh~dfi and Jill M. Doherty, President • O~~~F S~UryO • Town Hall Annex Bob Ghosio, Jr., Vice-President ti Rp 543 5 Main Road P.O. Box 1179 James F. King ~ ~ Southold, New York 11971-0959 Dave Bergen Gi • Q John Bredemeyer Q ~ Telephone (631) 765-1892 liyCO~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE I (We) ~Y~fxtYZt ~ ~ ~ I ~I- ( hOnY~,Y,~1,G~ ~ ~Gl 1 ( ~ I r _ The owners of record of p/roperty at: ~ ~ tT? yYi on'tG~(j LC e ~'Itle ~Ct-1't~ SCTM#1000- ~~0_~~-~Z - yb in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: ~a ~,~~raad ~ S s~wn ran SU r11E~/ b~/ll~tfhan C'orruin~ ,~o~ ~ ~~~,~,Jf ~ as shown on the attached licensed survey and/or site plan for the approved structure.~~u~+~~ Ey~,~s It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure. Any d f maintenance which involves more than 50% of the length of this structure requires approval of the Board of Trustees. We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as alien against the property upon a finding by the Board of Trustees that said lack of maintenance would risk life, property or important natural resource features. Notarized signature owner of record ry Public PENNY ttEDElf. ryN 0~1[3E6099 It~~ Qualified in SuffolN County fbianlfaion Expires Sept. 29, ~Q j This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to ' show the final approval of the administrator. o~gl?FFO~A' h~ Jill M. Doherty, President ~ - Town Hall, 53095 Main Rd. Bob Ghosio,lr. , V icc-President ~ P.O. Box 1179 James F. King ~ Southold, NY 11971 Dave Bergen ~ Telephone (631)765-189? John Bredemeyer 1 # Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD { L~`I f~ ~ ~ _ - r~ ~ r i ccp 7 J, ~ i BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ~ r - THOMAS & BARBARA BALL COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~Cl~~ (p V'0.- Ci ~'esiding at /dba ~$q 0 ~y~ ?1Q vno~'+4qu o~ ~e. ~u~-ho Id I N being duly sworn, depose and say: That on the ~ ~ dayAof Se~-I'. , 2011 I personally posted the property known as f q0 m-shctrvlomc~4 ue. ~Ve by placing the Board of Trustees o cial 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, Seutember 21, 2011 on or about 6:00 PM. Dated: ~ - I p 1 (signature) Sworn to before me this - day of ~20 Corv Nrni Notary Public, State of New York No. 01-NG 60413x3 Q Oualilietl in Sutfolk Cou Commission F~cpires May otary lic m ~ I • ~ • .a • ~ ~ i N fn Postage $ 0 80.44 ~ ~ r n~(~ cemrea Fee f L; IS ~ U 52.85 -~0 OS D ~ l5 ~ Return Receipt Fee ~ rmerk •.r ~ s•. OO (Enaorsemem gepulretl)'~ t2,~ ~-ere ~ - Restrlged Oellvery Fea l r~7 ~ ~ ~ .2011 p (EmiorsememRaqulred) =p,ap ~ INGOFNOTICE `I r-l Y p o rerai Ros[ege a Fees $ _ D 11'IAII. RECEIP S ~ ~ it O t ~ S'rearo~-r--nro . - 1 ~ ~ ~ .d_.B?' Quo ~ 7 d~ ees~ ~ or Po Box No. - - ---/1 t A~ 1 - - 4JJ LLII VV / CIN. Slefe. ZIP+4 -D N Address: . 11471------ . ~o ~ lDI7 ~u-Fhold, ~y ll9y/ a 9c-rM ~O~O- 3-t3 -z-'F7 ,,,-Fhol~ ~ ill ~ I ! 9'y! Grtace 1-e~ut S ~fio $1~ SLIM %~-3`~`~ '}gyp t~3o~$77 ~u'~-h©I~~ Ny 1197f ~dhn Nicle{eg scTM 2-~S ~D ~ox3~o~ New Nyde ~a.rk Ny ~runo°~ f~lma 21. bass! / ~ Sc-r-M lob- z-3~ Mena ~as~lkzn~'~6 k~or~ ~8~{Jov~~-ho~d ~ !~1 ~ '1117! STATE OF NEW YORK COU fNTY OF SUFFOLK ~Cir ID4V'a ~a ,residing at ~ ~ gR0 ~Sha wlorn Cl 4 Ue. YtV C. ~.bu-('h~lcj /J ~ ,being duly sworn, deposes and says that on the 13 ~ day of__~~ 20~, deponent mailed a Prue copy of the Notice set forth in the Boazd of rustees 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 khe current assessment oil of the Town of Southold; that said Notices were mailed at the United States Post ' Office at ~ G 2 O E N ,that said Notices were mailed to each of said persons by (certified) (register: mail. ¢-t~l9LeC_~ - Sworn to jf(ore~m- e~ this ~ coTV Nca( Day of 20 Notary Public, Slate of New work No. 01-Nr 6041337 Qualifi;d in Suflolk Coun?!(, r/t Canmission Expires May 8r~p ! ~ I+ P is noara or ~rruszees e?ppiicazion • County of Suffolk State of New York BEING DULY SWORN r 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 REPRESENTATTVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS ~ DAY OF Notary Public PENN1r { OuaV'~d An~ tt~ M Moth Co~uion F~iies S[pt.c~.l ~ i APPLICANT/AGENT/REPRESEN'I'ATI VE TRANSACTIONAL DISCLOSURE FORM The Town of Soutlwld's Code of Ethics tuohibits conflicts of interest on the part of wwn officers attd emplovees. The otuvose 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 to avo e. YOUR NAME• I r~ oma S °f ~G rd a vzi name, fast name, griddle initial, unless you are applying in the name of someone clx or other entity, such as a company. If x, indicate theodter person's or company's name.) - - NAME OF APPLICATION: (Ch«k all thaz apply.) Tax grievance Building ~ i Variance Trvst« Change of Zone Coastal Erosion - Approval of plat Mooring ~ I. Exemption from plat or official map Planning - - - i Other (lf "Other, name the activity.) i i Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any offi«r or employ« of the Town of Southold? "Relationship" includes by blood, marriage, or business interest "Business interest" means a business, including a partnership, in which [he town offi«r or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employ« 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 perxn I', Dexribe the relationship between yourself (the applicanUagendreprexntative)end the town officer or employ«. Either check the appropriate line A) through D) and/or dexribe in the space provided. ~j The town officer or employ« or his or her spoux, 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-corpornte entity (when the ~ I applicant isnot a corporat3on); - - - C) an officer, director, partner or employ« of the applicant; or D) the actual applicant. ~ DESCRIPTION OF RELATIONSHIP Submitted this ~ of .~P~~20B'/ .Signature ~~i1 i/fQ(~' Prin[Name a.n[~ 55 r3~ Form TS I st7.2o SEAR PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY IEW i SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only j PART 1 -PROJECT INFORMATION (To be completed by Applignt or Project Sponsor) 1. APPLICANT /SPONSOR 2. PROJECT NAME h s~-~a~ra ~a. l I h~ r I evwevl-~- 3.PROJECT LOCATION: I' Municipality ~?]O Cwnb ~(.I 1 1 U ~ 4. PRECISE LOCATION: beet Addess and Road Intersections, Prominen ~buarks ~ ~ q Drovide maD ! lg9r~ ~v5lxtvy~ovr)a~U~ ~2• T1I/7 LJ/ 5. IS PROPOSED ACTION : ~ New ~ Expansion ~ Modification /alteration ~ 6. DESCRIBE PROJECT BRIEFLY: ~ k,~,~~/ ~i n ~~ce re~lac~e me-~ f { e~Ci~~~G. ~ bu.lkhec~~ ~ep~.tc~ ~~Orvn c~ol.vY?c1~e.Ct S~a~l'S , )Z5 u1~y I bu I k heed w~ 1 I b~ ap~rox~ rna+e~y -~oo~ higher-b ~r~ev~.n-~ S~r~?~? wau~e surc~le q o X bra ,h'?n -I-hµ~g ~ 1 hea ors w~ ~ 1 be cz n ea~+ s ida 7. AMOUNT OF LA D AFFECTED: ! Q hU I alt ' Initially ~ acres ultimately s ~07 acres ~L PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yas ? No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY 1JF PROJECT? (Choose as many as appy.) Residential ~ Intlustdat ~ Commercial ?Agdwlture ~ Park /Forest /Open Space ~ Olher (describe) 10. DO)=S ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Fede21, State or Locaq Ves ~No If yes, list-agenq name and permit /approval: 17. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes ~NO If yes, list agency name and permit /approval: 12. AeSA R?ES~T OF pR POSED ACTIO ~ ILL EXISile1 PERM)T/ APPf3~VAL R~iylRh ea Y~ICATION? I CERTIFYI THAT THE INFORMATION PR,,O,,VID D ABOVE IS-~TRUE TO THKE BESTaOF MY KNOWLEDGE Applicant /Sponsor Name ~ pDate: Signature ~G~pL!/1 /2 If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment ~ ~ PART II - IMPACT ASSESSMENT To be com leted b Lead A enc A. DOES ACTION F~CCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? I(yes, coordinate the review process and use the FULL FAF. Yes ~ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.8? It No, a negative dedaretion may be superseded by another Involved agency. Yes ~ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwdtten, d legible) C1. Exlatlrg air quaflly, surtace or groundwater quality or quantity, noise levels, existkrg traffic pattern, solkl waste produdlon or disposal, potential for erosion, drainage or hooding problems? Explain brieay: C2. Aestfredc, agricWturel, archaedogkal, histodc, or other natural or cutlurel resources; or community or nefghbofiood chareder7 Explain briefly: C3. Vagetatlon or fauna, ash, shellfish or wildlife spades, slgnificem habaats, or tluealerred or endargered spades? Explain briefly: C4. A community's existing plans or goals es olrzdaly adopted, a a change in use or Intensay of use of land or other natural resouroes? Explain bdely: C5. Growth, subsequent devebpmenL or related adivaies likely to be irMucetl by the proposed action? Expain briefly: C6. Long term, shon lertn, cumulative. or other etfeds not klerdlaed in Ct-057 Explain brefly: C7. Other im acts Indudi cha es in use of either uanti or t of e ? E lain bdefl D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CFA ? Ii es, a lain briefl Yes ~ No E. IS THERE, OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ff s e lain: Yes a No PART III -DETERMINATION OF SIGNIFICANCE (TO be completed by Agenq) INSTRUCTIONS: For each adverseetfedidentiaedabove,determinewhetheraissubstantial,large,impcrtantorolhervuisesign'fiicanL F~ch effect should be assessed in connection with its (a) settlng (i.e. urban or rureq; (b) probability of ocwrring; (c) duration, (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanatans contain sufadent detail to show that all relevant adverse impede have been identified and adequately addressed. ff question d d part ii was cher*ed yes, the deterrninatan of sgnificance mustevaluate the potential impadof the proposed action on the environmental characteristics dthe CEA Chock this boxflyou have identlfled one or more potentlally large or significant adverse NnParts wMch MAYOCar. Then proceed diredlyMtlre FUI FAF and/or prepare a positive dedaretlon. Check this box a you have delemrined, based on the intonnatian and analysis above arM arty supporting documentation, that the proposed adio WILL NOT resufl in any signitlcent adverse environmental impacts AND proNde, on attachmems as necessary, the reasons supporting fld determination. Board of Trustees Name of Lead Agenq Date Jill M. Dohety President Pnnt or Type time of Responsib Officer in Lead Agency Title of Responsible Officer Signature of Responsib e O Icer n sad Agency Ignature d Preparer (If different m respon b officer OG~Kr Town of Sou ofd Erosion, Sedimentation 8a Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: s.GtMS THE FOLLOWING ACTIONS MAY REgU1RETHE SUBMISSNIN OF A '4( yin" L~r~ STORM-WATERr INGs DRAINAGE AND EROSION CONTROL PLAM s-(`~t CERTIFIED BY A DES GN PROF~10 IN THE STATE OF NEW YO SCOPE OF WORK -PROPOSED CONSTRUCTION ITEM # J WORK ASSESSMEN'C Yes No a. What is the Total Area of the Project Parcels? j (Indutle Total Area of aA Parcels located within C/~ VAa this Project Retain Aa Storm-WaterRUri-OtF the Swpe of Work for Proposed Construction) a c3Jrr(j'G'/~$ Generated by a Two (27 Inch Rainfall on Site? (SF i AL~ro) (This item WR IrtClUde all Nrl-Otf Created by Sfte ~ b. What is the Total Area of Land Clearing clearing and/or consWCtion actrviaes as well as atl 1! and/or Ground Disturbance for Me proposed d~ Site Improvements and the permanent raeation of + catswgion adhdyl f QCY-PS impervious surfaces.) f 2 Does Me Si[e Plan arM/or PROVLDE BRffif PROJECT DESCRIPTION (Praddr adMairPaasoN.rad) Survey SFlWx Aa PPDpOSed ~ Drainage SWtiures Indicating Size 8 Locetion? Thts V II-II JJ Item shall include all Proposed Grade Charges and ~~119G1 -lh P/4cU° rPtJ.GlCP_mt°/1~ SlopesControtlingSurtaceWaterFbw. -T ~ 3 Does the Site Plan and/or Stavey desatbe the erosion / ? /1'I and sediment control practrces that will be used m JCL/ 1L~ mntrol site erosion and storm water discharges. This ' ~ I, C'~ rrl YYl Lo S-IKI~ , item must be maintained tlvouglqut the Entire ' Yl~ (A_1 i. ~ ConsWCtion Period. . Q Wdl this Pmjed Require arty Land Rllifg, Grading ar ? / ~/l Fxcevaaon where there is a change m ate Nature) _V/ Q1~ h YA1~1 m°~'I-i-- ~ IcA, / er Elrisling Grade Involving rrrore than 200 Cubic Yards T" - r " ~ nl ~ J _ m ~ Q U~' of Material within arty Parcel? ` ~'~'(x' f rj Will this Applidtlon Require land Disturbing Acavities C__-_ _ _ _ I ' ~ ~f„~ ~ 1 I _ f_ _ Encompassing an Area in Excess of Five Thousand ? -~"z nT! ~Fl Z r 1 L IC f W (((YYK1 (5,000 S.F.) Square Feet of Ground Surfaw? '•ply5 ~ ~ ~ be 'fl $ ~ j¢h ~ ~ 1-~0)-w~- 3b ~ ~ Is there a Nature) Water Course Running through the ~-y/ Site? Is atis Project within the Trustees jurisdicaon ' , n General Oec SWPPP Regwmmenb- or within One Hundred (100') feet of a Wetland or 1 ~ 1 Sutanluion a e SWPPP tt requked for a0 tanStlnCtlIX1 aetieities crvoNMg sob BeaCtt? disaabances d Oro (f )or mve eves; inchrdkat d'amrberlces Mims than one xre that 7 Will there be Site preparation on Existing Grade Sktpes / are pan or a Larger mrnnrorr pan mat wa uNrrmtey dWurb one ar mom avm M land: which Exceed Fifteen (i5) feet of Verapl Rise to ? / intlud'ag Construgton adNities kn'oMn9 aoi d'amrtances of less man one (1) acre where IILL the DEC has Oelermined mat a SPDES pemst is inquired for storm water discharges. One Hundred (100') Ot Horizontal Distance? (SWPPPS Shall meet Una Minimum Raquiremenb M the SPDES General Permit $ Wla Driveways, Parking Areas or other Impervious ? mr Stonn Wafer Discheraes from ConaWclion xtlvlry - Pamdl No. GP-0-70-001-) Surtace5 be Sbped t0 Direct Storm-Water RUn-Off 1- The SWPPP sflag Da pmpared prior m the submiaal M me NOI. The f101 shat ba into and/or in the direction of a TOwn right-0t-Way? ' suDafmad b me OepeMrent pmr m the mmrencement M mrsiruUion activity. z- The SWPPP sting descfie the ermiorr and aedmen[ control praGN.es arM where 9 Will miS Project Require Ore PW[xmeM W Material, required. postconsm¢tion slpm water management precacea thatwa be used and(or Removal of Vegetatron and/or ate Constrtretion of arty , mratmcted m reduce the polumnis in scam water disdmrgm aM m amrrre Item WNhin the Town Rlghtot-Way or Road Shoulder - ; compbnce wkh thetmreaM COndBtom Mlhh permt. madddion, me SWPPP shat Area?frw-auaad ear arwaa.mswlaw,donvmryrna.u.sl identify potemial soumm M polrtian vdddt mrey mssonagy pa expected m eaev me ' grraMy Mslmrl vramrdadmrges. NOTE: HArryAmwerm Orresdons One mmugh Nbeb Answped wlmaCheek Mark 3. Afl SWPPPS mat mgrdre the pnssNnrmxMdr stormwater management pracM.a in a aoa and dr. wmtrueaan sib dlatwbenee 4 tremean sow 3F. a t Aae m sea, cmppMfemsha4 he prepamd by a qua6fNd ilaslgn Proktsaloncd Ilcensed N New Vark a smirn-WaM. Gndin4 aramaga a Erocbn Comrol PM b Wrry1W by tln Town M mat is knoniadgeeble h tlb pkrciplm eml pmpkm M Sbrtn Wader Manegertlent SoumoM and Muat M submiead for ReHew Pilaf m bauarru MAry tirlgrarrg Pvrrrk. I{. (NOTE: AcTed ktark (.f) antllaamwwibaxhQMtlmbFbglusd fora COnlalaa 0ppgduq S1A7'EOFNEWYORK, rJk '~'~y COUN'17 OF SS ~ I i 1-hat I, ......~CL raga......: being duly sworn, deposes and says that he/she is the applicant Cor Permit, (I~I (tinne olnWldlW SigNrg q I Md that he/she is the ..........01~s,tlk°l:."..--••-- - - I` i ....fowrrer. Cantraclor, Agml, Corporate blfrcer, de.l I f Owner and/or representative o(the Owner or Owners, and is drily authorized to perform or have performed the said work and to r' make and file this application; that all statements cGntained in this appbation aze bite to the best of his lufowledge and belief; and - that the work will be performed in the manner set forth in the application filed herewith. { Sworn to before me thi ; ...........,fin. .........~ay~~llr~....~.-.,`z.ep~:' .20..1.1 Notary Public:.... U .-...~.?~..d.-....--. lVY [ImEll lsylahre MAppimm) FORM - 06/10 ryNe;p IT ~j EIq#I'K Sept ~ ty~ ~ S ~ . l own oI Joutnota - LWRP~ONSISTENCY ASSESSMENT FOIL A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in ! making a det . ~n 'on of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not Tocated within the Coastal Erosion Hazard Area. ~ 2. Before answering the questions in Section C, the preparer of this form should review the exempt I ~ minor action list, policies and explanations of each policy wntained in the. Town of Southold Local i ~ Waterfrorn Revitalization Program. A proposed action will be evaluated as to its significant I ! beneficial and adverse effects upon the coastal area (which includes all of Southold Townl. i 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will ~ i affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thns, each answer mast be ezolained in detail. listine both suunortin¢ and non- ! I sugnortine facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. ' i 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, ail local libraries and the Town Clerk's office. ! B. DESCRIPTION OF SITE AND PROPOSED ACTION ~ . ! PROJECT NAME ~ a/1? 8S 91- IJLI ?~DQ r-q ~I ~ta ~ /1'~r'l tr D,QCC MCi1 / ! 1 The Application has been submitted to (check appropriate response): 1 Town Board ? Planning Board ? Building Dept. ? Board of Trustees ~ i. 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) I ; (c) Permit, approval, license, certification: I: Nature and extent of acp'on: 1 -~J K~i'vlr~ ~i~ D~4c~2 f YP~~RC~/ei~v?2~7`~ 61~1~f~l~~~a~ ~~P~l ~f1.lt~'rr' ~ ~c ae S~r ~v?1ta ors . Vin ~ bu I k h,eQG~ ~~?S~) w; 11 he a~prox~ma'I-~~"~ I `Poc~-I' h iC~her ~t-o ~r-.evev~" Slvrm ~~va v~ s u ~ -~'irom bl~ec1cG1 i ~j ~-~-h j ~'1~.t1~4,;?~~ 5~t+~~ ta,'iCl b~ Q~P Dit~>?fumon~e side abt~? ~ . Location of action: Site acreage: . ~ A GYM ~ - Present land use: ,~~P S I ~Py~ ~ I G(~ - - it n Present zoning classification: /C - 7 ~ 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: ~j / (a) Name of applicant: ! /1 DYYIA S oL- ~Y~AYR ~Gl 1 / (b) Mailing address: ~ d ~D X J ~ d ~-6 ~~o id~ /U y l~ ~7~ (c) Telephone number: Area Code ( '~~D ~ - ~ J~ / (d) Application number, if any: Will the action be directly undertaken, require funding, or approAvral by a state or federal agency? Yes ~ No ? If yes, which state or federal agency? / V ~ S ~ ~ C. Evaluate the project to the following policies by analyzing how the project wi{I 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 COA5T 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 ,car-i~(teria. I Y I Yes ? No ? Not Applicable ' '~`C' I i Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III -Policies Pages 3 through 6 for evaluation criteria ? Yes ? No ~ Not Applicable i i I Attach additional sheets if necessary f 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 I I j~ Attach additional sheets if necessary NATURAL. COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III -Policies Pages 8 through 16 for evaluation criteria Yes ? No ? Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and suppty in the Town of Southold. See LWRP Section III j -Policies Pages 16 through 21 for evaluation criteria ? Yes ? No Not Applicable I i I 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 LW1iP Section III -Policies; Pages 22 thr~oryugh 32 for evaluation criteria. J ? ? Yes No Not Appli~e . I i i Attach additional sheets if necessary i Policy 7. Protect and improve air quality in the Town of Southold. See LWItP Section III -Policies Pages 32 through 34 for evaluation criteria. I' I Yes ~ No~ Not Applicable i i I Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III -Policies; Pages 34 through 38 for evaluation criteria. ? Yes ? No ~ Not Applicable j PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public I j resources of the Town of Southold. See LWRP Section III -Policies; Pages 38 through 46 for evaluation criteria. f l: Ye~ No ? Not Applicable i I, Attach additional sheets if necessary WORHING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. Yes ? No ? Not Applicable I Attach additional sheezs if necessary Policy 11. Promote sustainable use of living marine resources in Long Island,Sound, the Peconic Estuary and Town waters. See LWRP Section III -Policies; Pages 57 through 62 for evaluation criteria. ? Yes ? No ~ Not Applicable i I 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. ` I ? Yes ? No~ Not Applicable i I. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III -Policies; Pages 65 through 68 for evaluation criteria. ? Yes ? No ~ Not Applicable I I i PREPARED BY ~,ria J' /r )cd TITLE O w ~e r DATE q/ /ice ~ ~RIQE 1/2Lto 1 TON STONES RIPORAP ~g,0~ s ~ 8 LOT 4 Jr MAP OF ~IYpp .~•,o. ~ BEIXEDON ESTATES BLOCK 7 ` = SITUATE sQ ~o F. f~l~,~sf~ otida,°y sA SOUTHOLD e~~p ~ e ~pSE~j' ,~T~~°1 SUFFOLK NCOUNTYO,U NEW DYORK I' A5 F S.C. TAX No. 1000-66-02-46 SCALE 1"=40' j- - MAY 14, 2010 OO7ONER-25r 2011.. pMCC PLW _ - _ "y, S '9 AREA = 49.'284-'sq. -ft:- 2 S ~(TO BULKHEAD) 0.443 OC. 9 NOTES: s S3. `~p~ ; ; f ; d.: ' 1. ELEVATIONS ARE REFERENCED TO HIGH WATER BEING ELEVATION 0.0' 4OO0e ~Q~ 3~ I! EXISTING ELEVATIONS ARE SHOWN THUS: ~ O F ~ / e - TOP OF BULKHEAD y0'L Q ~ _9 - BOTTOM OF BULKHEAD ~`Q '{f~~`/J`/J_ 2. 4OO C - TOP OF JETTY 89 ~3 u. yds. OF FILL TO BE USED FOR BEACH REPLENTISHMENT. ~ ~ t-=--/ - UNAUfNORDEO Al1FRAlXM1 OR ADOIIIDN LOT O ~ SECTION 6'STE N~Ew YpM STALE EouaTaN uw. Qe f 'm TI~iAND°FRSiNxm SF~AL O~'R ~ ~~2 ~ dDO55ED SEN. SHVl NDT DE LONSIOERED y G (I, ' TO BE A VALD TRUE COFT. ~ ~ ~ ~ ~~.D. ~j CERwi1GTxR15 INgGIED HEREON SWLL RUN ~ * ONLY 10 1NE FfASON FOR YI11011 THE SURVEY PROPOSED CROSS SECTION OF '•°y ~`,~o ,~D r ~ OJ~~F~ nroillo i cTq s V~aE N~'oT ~iRM1~WERIBIE. RIP -RAP & BULKHEAD PLACEMENT s m. nor o , wa,~ THE EKISTENCE OF RIGM Of WATS 'W, 0. ,g`1~i AND/OR FASEYEN73 OF RECORD. IF W ANY, NOT SHOWN ARE NOT GUARANTEED. PROPOSED 10' NON-TURF t~~ ~ ge Y;~ PENGE BUPF>=R ~ `Oe~ ~ ' Q ~ ::~:~:::~yQe~ i h PREPARED ~ w1E YNWUY TOP PROPOSED BULKHEAD 2' HIGHER ~ ~ ~ ~A" THAN TOP EXISTING BULKHEAD ~0gy 99 ~1 ~{1FT O~TE w,D TOP EXISTING BULKHEAD ~ , * Q' 2 PROPOSED RIP RAP t~6o :i" 'P~" e `1~ ~ I Z _ ~ (I/2 TO I TON ROGK) HIGH WATER e~°::st~N ; $g0 Y - a ~E ~ ~ ' 0 N 1.OW WATER ~3'%'i 9 60 "Pj < Y - _ /M1'0 iJ' N.Y.S. Lit. No. 50467 EXISTING BULKHEAD tl' Nathan afi~ Corwin III TO BE REPLACED WITH NEW VINYL BULKHEAD CONSTRUCTED WITH HOT-DIPPED ~ 40 FILL POR ~ P~~ Land Surve Or GALVANIZED HARDWARE AND 20' TIE RODS B~AGH REPLENTISHMENT ~ y TO DEADMEN AS SHOWN ON ATTACHED BULKHEAD PLANS ~Ph4- ,,,...444 ) r1b sR„wye - subdivisions - Slte PAms - consWCtion LRyoul ~~a0~ ~ ~ v/ PHONE (631)727-2090 Fax (631)727-1727 YQ- OFFICES LOCATED A7 MOUNG ADDRESS '$e 1566 Main ROOA P.O. Box 16 JamesDOrt, New York 11947 Jomesport. New York 71947