HomeMy WebLinkAboutTR-7730 1319 North Sea Road
Southampton, New York 11968
3-6136
AEN-CONSULTANTS
631-283-6360
Fax:www.enconsultants.com www.enconsultants.com
ENVIRONMENTAL CONSULTING
February 16, 2012 (C E 0 {1lI
Lauren Standish JUN - 2012
Board of Trustees
Town of Southold Southhold Town
P.O. Box 1179 Board of Trustees
Southold,NY 11971
Re: Hess Lifetime Otin Trust,Wetlands Permit No. 7730
Dear Ms. Standish:
In satisfaction of Term and Condition #8 of the captioned permit, the required Declaration of
Covenant was recorded in the Office of the Suffolk County Clerk on May 23, 2012. A copy of
the recorded document is enclosed for your files.
ResRec#iilly yours,
tephe s
Enclosure
cc: Hess Lifetime Qtip Trust
i
• o' CC# : C12-20960
OUNTY CLERK'S OFFICE
STATE OF NEW YORK } II JUN - 2012
COUNTY OF SUFFOLK
Southhold Town
Board of Trustees
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 05/23/2012 under Liber D00012694 and Page 112 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 05/23/2012
SUFFOLK COUNTY CLERK
(;7-064=1- Q. 44L.alc _.Q_LJ
JUDITH A.PASCALE
SEAL
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DECLARATION Recorded: 05/23/2012
Number of Pages : 4 At: 09 : 02 :46 AM
Receipt Number : 12-0058976
LIBER: D00012694
PAGE : 112
District: Section: Block: Lot:
1000 128 . 00 02 . 00 004 . 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 $60 . 00 NO
Fees Paid $125 . 00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
F1 2
Number of pages
CI 4
CLIEFT UF
This document will be public
'
Social Seh Numbers
prior to recording.
Deed/Mortgage Instrument Deed Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
EA-52 17 (County) Sub Total or
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit Mansion Tax
Certified-Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 Sub Total family dwelling only.
YES or NO
Other — Grand Total If NO, see appropriate tax clause on
page# of th'sTArumenY.
1000 12800 0200 004000
Tax Service 07-MAY-1
Agency CPF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
En-Consultants TID
1319 North Sea Road TD
Southampton,NY 11968
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Declaration nfCovenants made
by: ' (SPECIFY TYPE OFINSTRUMENT)
'
Hess Lifetime Qtii)Trust The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO |ntheTOVVNof Southold
Town of Southold |nthe)/|LLAGE
Board of Trustees orHAMLET of Laurel
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
DECLARATION OF COVENANTS
THIS DECLARATION made this'--I day of M"Ar., , 2012, by Hess Lifetime Qtip
Trust, with an address of 69 Berkshire Road, Rockville Centre, NY
"DECLARANT": D
J U N - 1 2012
WITNESSETH :
Southhold Town
WHEREAS, DECLARANT is the owner of certain real property 1 n r o7 Tr s
Laurel, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as
District 1000, Section 128, Block 2, Lot 4, 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 DECLARANT therefore made application to the Trustees for 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 an approximately fifteen-foot wide area landward of the retaining wall be replanted
with native vegetation and maintained as a"nonturf buffer,"
NOW, THEREFORE,the DECLARANT does hereby covenant and agree as follows:
1) Upon the substantial completion of the aforementioned permitted activities an approximately
fifteen-foot wide area landward of the retaining wall shall be revegetated, established and
subsequently maintained as a"nonturf buffer"as defined by Chapter 275 of the Town Code;and
2) These covenants shall run with the land and shall be binding on the DECLARANT, its heirs,
assigns, purchasers, or successors in interest and may be modified only upon resolution of the
Board of Trustees.
IN WITNESS WHEREOF, the owners have duly executed this instrument this 1-1 day of
MOS ,2012.
Bennet .Hess,Trustee
QLr�� A &"L-)
Barbara S.Hess,Trustee
STATE OF
ANNE M. MIEANd
ss:
Notary Public, State of New York
No. 30.2693705
COUNTY OF Qualified in Nassau C:)unt
Term Expires �.—
/I I3e 11.3
On the -day of �jdkC , in the year 2012, before me the undersigned, a Notary Public in
and for said State, personally appeared Bennet J. Hess and Barbara S. Hess personally known to me or proved to
me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument
and acknowledged to me that they executed the same in their capacity,and that by their signature on the instrument,
the individuals or the persons on behalf of which the individuals acted,executed the instrument.
Notary Public
2
SCHEDULE A
ALL that certain plot, piece or parcel of land situate, lying and being at Laurel in the Town of Southold,County
of Suffolk and State of New York, being bounded and described as follows:
BEGINNING at a point on the easterly line of lands of William Wasson, deceased, and the westerly line of
lands of Haley, which lies South 20 degrees 26 minutes 30 seconds East,as measured along the westerly line of
lands of Haley, 180.94 feet from the intersection of the south line of Peconic Bay Boulevard and the West line
of lands of Haley;
RUNNING THENCE South 20 degrees 26 minutes 30 seconds East along the West line of lands of Haley
226.57 feet to the bulkhead at ordinary high water mark of Great Peconic Bay;
THENCE South 41 degrees 44 minutes 50 seconds West along said high water mark 178.50 feet to lands of
Stalzer;
THENCE North 18 degrees 42 minutes 00 seconds West along lands of Stalzer 310.0 feet to a point(which
point lies South 18 degrees 42 minutes 00 seconds East 125.0 feet as measured along the east line of lands of
Stalzer where said line and the South line of Peconic Bay Boulevard intersect);
THENCE North 69 degrees 33 minutes 30 seconds East across lands of the estate of William Wasson, 148.47
feet to the point of BEGINNING.
3
T
MARTIN D.FINNEGAN SCOTT A. RUSSELL
TOWN ATTORNEY �QF SOU y Supervisor
fi
martin. nnegan@town.southold.ny.us j
JENNIFER ANDALORO
o.
JENNIFER Town Hall Annex, 54375 Route 25
ASSISTANT TOWN ATTORNEY P.O. Box 1179
jennifer.andaloro@town.southold.ny.us CA Southold, New York 11971-0959
LORI M.HULSE
® i0 Telephone(631) 765-1939
ASSISTANT TOWN ATTORNEY l'Y�'OU 5��v Facsimile(631) 765-6639
lori.hulse@town.southold.ny.us
OFFICE OF THE TOWN ATTORNEY
TOWN OF SOUTHOLD
Kim Stephens March 30, 2012
En-Consultants
1319 North Sea Road
Southampton, NY 11968
RE: Hess Lifetime Qtip Trust,Wetlands Permit No. 7730
Dear Ms. Stephens,
I have reviewed the Declaration of Covenants draft you submitted to this office with
respect to the above referenced applicants concerning the fifteen foot wide embankment
to be maintained as a fifteen foot wide non turf buffer as depicted on the project plan to
be established and subsequently maintained.
The covenants and restrictions document must be executed and filed with the County
pursuant to §275-10(K) of the Southold Town Code. Please note that a copy of this
document or, in the alternative, a sworn statement attesting to the filing is to be presented
to the Office of the Board of Trustees within 90 days of issuance of the permit.
Regards,
MAR 2 9 2012
Lori M. H e
Assistant Town Attorney
Cc: Board of Trustees
James F. King, President
Bob Ghosio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
Town Hall, 53095 Main Rd.
P.O. Box 1179
Southold, NY 11971
Telephone (631 ) 765-1892
Fax (631 ) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
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
½ constructed
v/Project complete, compliance inspection
BOARD OFSOUTHOLD TOWN TRUSTEES
SOUTHOrED;' NEW YORK ~
PERMIT NO, 7730
ISSUED TO: HESS LIFETIME OTIP TRUSI
PROPERTY ADDRESS: 6242 PECONIC BAY BLVD. LAUREL
AUT~OffiZATION
Pursuant to thc provis ohs 0~ c~pt~'27~ ~d C~ter i I 1 ~ To~ ~ 0f~ To~ of Sou~old
and in accordance with the Remlution of ~e Bo~d of T~tee~ad~e~ at ~ mee~g he~;0n: Fe~r
in comideration of application fee in the sum of $250~0 paid by Hess Lifetime QTIP Trust ~d subject to
Te~ and C*n&t~ons as stated m ~e Re~luflon, ~ ~ou~old To~ ~oar& of T~t~ authonz~~ and pem~ t
follo~ing:
Wetland Permit to remove and replace in-kind, in-place and 8" higher approx. 89 If.
of timber retaining wall; backfill with apprOx~ 15'cy, of~andy fill; and replant with~ative
vegetation approx. 15' wide embankment to be maintained as a 15' wide ~on~t~rf lniffer, and
as depicted on the project plan prepared by En-Consultants dated January 25, 2012
ap~t'0ved on February 22, 2012~
t~ :: ~N~V~TNESSWHERE~F~th~saidB~ar&~fTraat~esh~rebycausesitsC~rp~rate$ea~t~bea~xed~
and these presents ~o b6 subscribed by a rlllaJOglty oft/ho 8aid ]~oard a80~ this date.~ ~: , .
The Permittee, Hess. Lifo6me OT1P l'ru~ 6'242 P~conieBa¥~Blvd,, Laumlt NY as part of the
COnsideration for the issuance of theP, ~o~ait doe~ un.d.~rgalld an~d prescribe to the following:
That the said Board of Trustees and the Town of Southold are released from any and all
damages, or, clitil~ ~'or ~m~0ges, ofsgit~ arising directly or indirectly aC a result of ~agy~
operation per~rm6dpursti~.to tti~s perrmt, and the sa~d Penmttee wdt, at h~s or [~t own
expense, defend any and all such suits initiated by ~hird parties, and the said Perm, 'ttee
assumes full liability with respect thereto, t0~the c~hipli:te e~Elnaion of th{: Boat'd of
Trustees of the Town of Southold.
That this Permit is valid for a period of 24 months, which is considered to be the estimated
time required to complete the work involved, but should circumstances warrant, request for
an extension may be made to the Board at a later date.
That this Permit should be mtatned ~ndefimtefy, or as long as the said Penmttee wishes to
maintain the structure or project involved to provide evidence to anyone concerned that
authorization was originally obtained ,:
That the work involved will be subject to the inspectio!)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.
Thai there will be no unreasonable interference with navigation as a result of the work
herein .authorized :
That there shall be no interference with the fight of the public to pass and repass along the
beach between high and low water marks.
That if future operations of the Town of Southold require the removal and/or alterations in
the location of the work herein authorized~ or if, in the opinion of the BOard of Trustees,
the work shall cause unreasonable obstruction to free navigation, the said Permittee will be
required, upon due notice, to remove or alter this work project herein stated without
expenses to,,the Town of Southold.
The Permittee is muirea to provide evidence that a copy of 0~'s~'pe~t;l~as been
recorded with the Suffolk Cofinty Department of Real Prope~i~l~
covenan, t and deed rest~ctiol~ to the deed of the subject parc~k...~_"..t~e ~all be
provided Within ninety (90) calendar days of issuance of thiS:~e~
That the said Board will be notified by the Permittee of the compfetid~n~ofthe work
authorized.
I0.
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.
James F. King, President
Bob Ghosio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
February 22, 2012
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Mr. Robert E. Herrmann
En-Consultants
1319 North Sea Rd.
Southampton, NY 11968
RE:
HESS LIFETIME QTIP TRUST
6242 PECONIC BAY BLVD., LAUREL
SCTM#128-2-4
Dear Mr. Herrmann:
The Board of Town Trustees took the following action during its regular meeting held on
Wed., February 22, 2012 regarding the above matter:
WHEREAS, En-Consultants on behalf of HESS LIFETIME QTIP TRUST applied to the
Southold Town Trustees for a permit under the provisions of Chapter 275 of the
Southoid Town Code, the Wetland Ordinance of the Town of Southold, application
dated February 1, 2012, and,
WHEREAS, said application was referred to the Southold Town Conservation Advisory
Council and to the Local Waterfront Revitalization Program Coordinator for their findings
and recommendations, and,
WHEREAS, in accordance with Chapter 268, said application was found to be Exempt
from the Local Waterfront Revitalization Program policy standards, and,
WHEREAS, a Public Headng was held by the Town Trustees with respect to said
application on February 22, 2012, at which time all interested persons were given an
opportunity to be heard, and,
WHEREAS, the Board members have personally viewed and are familiar with the
premises in question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standards set forth in Chapter 275 of the
Southold Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees APPROVES the application of HESS
LIFETIME QTIP TRUST to remove and replace in-kind, in-place and 8" higher approx.
89 If. of timber retaining wall; backfill with approx. 15 cy. of sandy fill; and replant with
native vegetation approx. 15' wide embankment to be maintained as a-15' wide non-turf
buffer, and as depicted on the project plan prepared by En-Consultants dated January
25, 2012 and stamped approved on February 22, 2012.
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,
Jame F.~King, Presid~
Board of Trustees
JFK/Ims
Peter Young, Chairman
Lauren Standish, Secretary
Town Hall, 53095 Main Rd.
P.O. Box 1179
Southold, NY 11971
Telephone (631 ) 765-1892
Fax (63 I) 765-6641
Conservation Advisory Council
Town of Southold
At the meeting of the Southold Town Conservation Advisory Council held Wed., February
15, 2012 the following recommendation was made:
Moved by Derek Bossen, seconded by Jack McGreevy, it was
RESOLVED to SUPPORT the Wetland Permit application of HESS LIFETIME QTIP
TRUST to remove and replace in-kind, in-place and 8" higher approx. 89 If. of timber
retaining wall; backfill with approx. 15 cy. of sandy fill; and replant with native vegetation
approx. 15' wide embankment to be maintained as a 15' wide non-turf buffer.
Located: 6242 Peconic Bay Blvd., Laurel. SCTM#128-2-4
Inspected by: Derek Bossen, Doug Hardy
The CAC Supports the application with the Condition the backfilled area is planted with
native vegetation; the three (3) cedar trees at the top of the bluff are maintained; and the
non-functional groin is removed.
Vote of Council: Ayes: All
Motion Carried
James F. King, President
Bob Ghosio, Jr. Vice-Prcsidcnl
Dave Bergen
John Bredemeycr
Michael J Domino
PO. Box 1179
Southold, NY 11971
Telephone(631 765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection/Worksession Report
OateFl-ime: ¢c'¢6' I~, 2.~-C
HESS LIFETIME QTIP TRUST requests a Wetland Permit to remove and replace in-
kind, in-place and 8" higher approx. 89 If. of timber retaining wall; backfill with
approx. 15 cy. of sandy fill; and replant with native vegetation approx. 15' wide
embankment to be maintained as a 15' wide non-turf buffer. Located: 6242
Peconic Bay Blvd., Laurel. SCTM#128-2-4
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:
~--6hapt.275 Chapt. 111 other
Type of Application: Wetland __Coastal Erosion __Amendment
__Administrative__Emergency __Pre-Submission Violation
Info needed:
Modifications:
,,'~-~ ,~
Conditions:
/
Present Were: ~" J. King B. Ghosio
__J. Bredemeyer Michael Domino
__ D. Bergen,
D. Dzenkowski __.other
Form filled out in the field by j j,
Mailed/Faxed to:
Date:
HESS LIFETIME QT1P TRUST~ 6242 PECONIC BAY BOULEVARD, LAUREL
Figure I. Looking northeast at ex~ting section of timber retaining wail to be removed & replaced (in-kind/in-plnce).
Figure 2. Looking southwest at existing section of timber retaining wall to be removed & replaced (in-kind/in-place).
OFFICE LOCATION:
Town Hail Annex
54375 State Route 25
(cot. Main Rd. & Youngs Ave.)
Southold, NY 11971
MAILING ADDRESS:
P.O. Box 1179
Southold, NY 11971
Telephone: 631 765-1938
Fax: 631 765-3136
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM
To: Jim King, President
Town of Southold Board of Trustees
From: Mark Terry, Principal Planner
LWRP Coordinator
Date: February 22, 2011
Re: Proposed Wetland Permit for HESS LIFETIME QTIP TRUST
SCTM#1000-128-2-4
En-Consultants, Inc. on behalf of HESS LIFETIME QTIP TRUST requests a Wetland Permit to remove
and replace in-kind, in-place and 8" higher approx. 89 If. of timber retaining wall; backfill with approx. 15
cy. of sandy fill; and replant with native vegetation approx. 15' wide embankment to be maintained as a
15' wide non-turf buffer. Located: 6242 Peconic Bay Blvd., Laurel. SCTM#128-2-4
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
depadment, as well as the records available to me, it is my recommendation that the proposed action is
EXEMPT from LWRP review pursuant to:
§ 268-3. Definitions. MINOR ACTIONS item "B" which states:
B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site
(inplace), including upgrading buildings to meet building or fire codes, except for structures in areas
designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced,
rehabilitated or reconstructed without a permit and shoreline erosion control structures (including, but
not limited to, groins, jetties, bulkheads, filled piers) located within Great Peconic Bay, Cutchogue
Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, Southold Bay, Shelter Island Sound, Pipes
Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound
(excluding all creeks);
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
Jill M. Doherty, President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr.
Johr~ Brederneyer
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
_~.Coastal Erosion Permit Application
_JLWetland Permit Application
_t~, ~ ~--Amendment/Trans[er/~EXtens o~-- Administrative Permit
mece~ved Application:~
.~Received
J~_Completed Applica~
__Incomplete
__ SEQRA Classification:
Type l~Type II__Unlisted
__ Coordination: (date sent)
,.~WRP Consistency ASS~rm
~AC Referral Sent:~
~ ate o f Inspection :__~ }~
~Receipt of CAC
Lend Agenc,, D-' · -----'-----
~Technical Review:
~ublic Hearing Held: '~.__~--~-
___Resolution:
Name of Applicant HESS LIFETIME QTIP TRUST
C/O BENNET & BARBARA HESS, TRUSTEES
Address 6~i~ ~O~A~D~' ~OCHKEvS~S~LT~cU~TN~r~, NY 11570
_Phone Number: ~ 536-556l
Suffolk County Tax Map Number: 1000 - 128.~.~2-4
Property Location: 6242 PECONIc BAY BOULEVARD, LAUREL
(provide LILCO Pole #, distance to cross streets, and location)
AGENT: EN'CONSULTANTS
(If applicable)
Address: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968
--Phone:631-283-6360
Town Hall, 53095Main Rd.
P.O. Box 1179
Southold,NY 11971
Telephone (631) 765-1892
Fax (631) 765-6641
FEB - 1 2012
Board of Trustees Applicll~on
GENERAL DATA
Land Area (in square feet): 42,298
Area Zoning: R-40
Previous use of property: RESIDENTIAL, SINGLE-FAMILY DWELLING
Intended use of property: NO CHANGE
Covenants and Restrictions:
If "Yes", please provide copy.
Yes X No
Does this project require a variance from the Zoning Board of Appeals
If "Yes", please provide copy of decision.
Yes X
Prior permits/approvals for site improvements:
Agency
SOUTHOLD TRUSTEES PERMIT #4307
Date
12/23/92
SOUTHOLD TRUSTEES PERMIT #6232A 8/06/08
NYS DEC #1-4738-00614/00001 11/05/92
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
X No Yes
If yes, provide explanation:
No
Project Description (use attachments if necessary):
Remove & replace (in-kind, in-place and 8" higher) approximately 89 linear feet of timber retaining wall; backfill
with approximately 15 cubic yards of sandy fill; and replant with native vegetation approximately 15' wide
embankment to be maintained as a 15' wide nonturf buffer, all as depicted on the plan prepared by En-Consultants
dated January 25, 2012.
of Trustees ApplicOn
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
To maintain existing retaining wall and vegetated embankment behind it.
Area of wetlands on lot: 0 square feet
Percent coverage of lot: 0
Closest distance between nearest existing structure and upland
edge of wetlands: N/A feet
Closest distance between nearest proposed structure and upland
edge of wetlands: N/A feet
Does the project involve excavation or filling?
No X Yes
If yes, how much material will be excavated? N/A cubic yards
How much material will be filled? +/-15 cubic yards
Depth of which material will be removed or deposited: N/A feet
Proposed slope throughout the area of operations: N/A
Manner in which material will be removed or deposited:
Approximately 15 cubic yards sandy fill will be tracked in from an upland source and dumped and graded behind new
retaining wall and planted with native vegetation as part of process of restoring and maintaining slope behind bulkhead
as vegetated nonturfbuffer upon project completion.
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):
The project entails the ordinary and routine replacement of an existing retaining wall located landward of a primary bulkhead,
which retains and supports the naturally vegetated embankment behind it and between the upland lawn area and primary bulkhead.
The wall is located between a functional retaining wall on the adjacent property to the west and also a functional section of
retaining wall to the east on the subject property. Without replacement of this section of wall, the embankment would be allowed
to slough and in turn compromise the vegetated slopes located behind these adjacent functional walls. As part of the project, the
slope behind the new wall will be revegetated and maintained as an approximately 15' wide nonturfbuffer upon project completion.
Therefore, it is necessary to replace the wall, and doing so will have no significant adverse impacts on the adjacent tidal waters of
Great Peconic Bay.
PROJECT ID NUMBER
PART 1- PROJECT INFORMATION
h ~L~]~t S~Ol~ TRUST BY
EN-CONSULTANTS
3. PROJECT LOCATION:
Municipality LAUREL
617.20
APPENDIX C
STATE ENVIRONMENTAL QUALI2Y REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
( To be completed by flicant or Project Sponsor)
2. PROJECT NAME
County SUFFOLK
4. PRECISE LOCATION: Street Address and Road Intersections. Prominent landmarks etc - or provide map
6242 PECONIC BAY BOULEVARD, LAUREL TOWN OF SOUTHOLD, SCTM #1000-12g-2-4
5. ISPROPOSEDACTION: ~ New [~]Expansion [~Ivlac~icatictn/alteration
DESCRIBE PROJECT BRIEFLY:
SEQR
emove & replace (in-kind, in-place and 8" higher) approximately 89 linear feet of timber retaining wall; backfill with
~pproximately 15 cubic yards of sandy fill; and replant with native vegetation approximately 15' wide embankment to be
naintained as a 5' w de nonturf buffer, all as depicted on the plan prepared by Eh-Consultants dated January 25, 2012
7. AMOUNT OF LAND AFFECTED:
Ini~ily 42,298 S.F. acres Ultimately 42,298 S.F. acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
[]Yes [] No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
[~Residential [~lndustria, [~Commercial [~Agticolture [~ Park / Forest / Open Space ~]Other(describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local)
[~Yes [5~No If yes, list agency name and permit / approvah
DEC LETTER OF NON-JURISDICTION
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
[~Yes [~No If yes, list agency name and permit / approval:
INS A P,~LT OF PROPOSED ACTION WILL EXISTING PERMit/ APPROVAL REQUIRE MODIFICATION?
I CERTIFY THat THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant / Sponsor Na~?BERT E, HE~..RRMANN, COASTAL MANAGEMENT SPECIALISTSignature Date: January 30' 2012
If the action is a Coastal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
PART II - IMPACT ASSESSMENT ITo be cOmpleted by Lead Agency)
A. DOES ACTION EXCEED ANY TYPE l THRESHOLD IN 6 NYCRR, PART 617.47 If yes, cnao:ihmts the re~v Pro~ess and use the FULL EAF.
I--lYes I'~No
B. V~ILL ACTION RECEIVE COORDINATED RE-VIEW AS PROVIDED FOR UNUSTED ACTIONS IN 6 NYC~R, PART 617.6? if No, a negative
~6aratio~ may be supo~esded by enofber Involved agency.
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED W1TH THE FOLLOWING: (Aeswem may be handwritten, if leglbie)
C1. F_,dalJng ah'quality, s~face or groundwator quality or quantity, no~e invels, exist~g trelfl~ palfam, s~td waste preduc~en or disposal,
potential for erosion, dfaiuage or flo<~ing problems? Explain bdefly:
I
C2. Aesthetic, agricultural, archacotug~al, historic., o~ other natural or cultural resoemes: or commu~ or nelghbod~o~l sharacte~ Explain bdeliy:.
I I
C3. Vegefaben or fauna, fish, i~heitflsh or wildlife species, sigf~icent habitats, o~ thres<ened or e~langered species? Explain bdeity:.
C4. A communk'y's existing Iflar~s or goals as officia~ adopted, o~ a change h~ use or'lnteositv of use of la~ld ot othor'natuml resources? Exp(ain bdefly:
C5.
C6. Long term, stmrt tem~, cumslative, ~r other effects not identified in C1~:~57 Explain bdefly:
I
C7. Oitler impacts ~including changes in us~'~t~iiher quantih, or~yp~ 0f ene~? Explain
Growth, subsequent development, or relatud activities likely to be induced by the proposed acf~inn? Explain hdeity;
D. VVILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRON MENTAL AREA ICEAI? Ill ~:es, e X~lain bfie fl~.
E. I~ THERE. OR IS THERE UKELY TO BEI CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIROn, ENT.,ed. IMPACTS? If ~'es
PART III - Dt='t c~MINAT1ON OF SIGNIFICANCE (To be completed by/~]ef~-y) .
I~$'1~UC110~$: F~read1adverseof~ec~iden(~ed~b~ve~de~em1~new11ether~tlesu~tant~a~arge~mp~fta~r~the~se$ign~canL Eac~
effe<~ should be assessed in co~necUon with its (a) setting (i.e. urban or rural); ~) pr~ablflty of (xx~flng; (c) duralion; (ct) kTevers~lity; (e)
geographic s<x~e; and (f) magnitude. If necessap/, add attachments or reference sup~ng materials. Er*mum thor explarlatkms oontaln
suflk:ient detaff to show ff~at all releva~ adverse Impacts beve beefl ldenlified and ~y ~. ff qe~on d of part ~ wa~ c~hec~
Check thle box ff y~ have defamllned, based on Ihe k~fonnatio~ and analysis above and asy suppoglh19 doctanm~tlm~, ihat ihe proposed ac(ira
WILL NOT result In any slgnlfinant adverse environmental impacts ANO provide, m atfadnmerlts as he.asap/, the reaScos supporting thh
dofermirmiton.
Board of Trustees
Name of Lead Agency Date
President
Print or Tyl~e Name of Respoes~fe Office~ in Lead ,~ency Tffie of Responsible Officer
Signalure of Responsible Office*' in Lead ,Z~ency S~Jnature of Preparer (If different from responsibin officerI
Jamcs F. King, President
Bob Ghosio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
Town Hall, 53095 Main Rd.
P.O. Box 1179
Southold, NY 11971
Telephone (631 ) 765-1892
Fax (631 ) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
In the Matter of the Application of
HESS LIFETIME QTIP TRUST
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
I, Robert E. Hfil',',.ann
1319 North Sea Road, Boutharapton, NY
AFFIDAVIT OF POSTING
r.gfd~rRtia~/dba En-Consultants
11968
being duly sworn, depose and say:
That on the day of ,201 , 1 personally posted the property known as
6242 Peconic Bay Boulevard; Laurel
by placing the Board of Trustees otlicial poster where it can easily be seen, and that I have checked
to be sure the poster has remained in place tbr eight days mor to the date of the public hearing.
Date of hearing noted thereon to be held Wed~ FebruaU /2~ 2012 on or about 6:00 PM.
Dated:
(signat'
Sworn to betbre me this 22nd day of Feb. 20 12
KII H. STEPHENS
NOTARY PUBLIC
STATE OF NEW YORK
CO~4i'41SSION NO. 5015931
OUALIPIEO IN SUFFOLK COUNTY
EXP RES AUGUST 2, 20J_~
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
SCTM# 1000-128-2-4
HESS LIFETIME QTIP TRUST
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a Permit from the Board of
Trustees to:
Remove & replace (in-kind, in-place and 8" higher) approximately 89 linear feet of timber retaining wall;
backfill with approximately 15 cubic yards of sandy fill; and replant with native vegetation approximately
15' wide embankment to be maintained as a 15' wide nonturf buffer, all as depicted on the plan prepared by
En-Consultants dated January 25, 2012.
2. That the property which is the subject of Environmental Review is located
adjacent to your property and is described as follows:
6242 PECONIC BAY BOULEVARD, LAUREL, TOWN OF SOUTHOLD
3. That the project which is subject to Environmental Review under Chapters
96,111 and/or 275 of the Town Code is open to public comment on:
DATE: FEBRUARY 22ND, 2012 ~ 6:00 P.M.
You may contact the Trustees Office at 765-1892 or in writing.
The above-referenced proposal is under review of the Board of Trustees of the Town of
Southold and does not reference any other agency that might have to review same
proposal. HESS LIFETIME QT1P TRUST
PROPERTY OWNERS NAME:
MAILING ADDRESS:
PHONE#:
C/O BENNETH & BARBARA HESS, TRUSTEES
69 BERKSHIRE ROAD
ROCKVILLE CENTRE, NY 11570
516-536-5561
AGENT:
EN-CONSULTANTS
MAILING ADDRESS: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968
PHONE #: 631-283-6360
Enc: Copy of sketch or plan showing proposal for your convenience.
HELEN & WILLIAM COSTER
Address:
P.O. BOX 533
LAUREL, NY
11948
GERALDINE IPPOL1TO
ERNA LANGDON & JOHN STALZER
57-15 69TH LANI[
MASPETH, NY 11378
43577 JACKSON HOLE CIRCLE
LEESBURG, VA 20176
STATE OF NEXV YORK
COUNTY OF SUFFOLK
ROBERT E. HERRMANN
1319 NORTH SEA ROAD
SOUTHAMPTON, NY 11968
1 3th day of FEBRUARY
doing business at EN-CONSULTANTS
, being duly m deposes and says that on the
,20 12 , deponent mailed a true copy of the Notice
set forth in the Board of Trustees Application, directed to each of the above named
persons at the addresses set opposite their respective names; that the addresses set
opposite the names of said persons are the address of said persons as shown on the current
assessment roll of the Town of Southold; that said Notices were mailed at the United States Post
Office at SOUTHAMPTON , that said Notices were Mailed to each of said persons by
( c e r t iff e d ) (tO~jf~(0Ot) mail. ~
ROBERT E. HERRMANN
COASTAL MANAGEMENT SPECIALIST
Sworn to before me this
day~f/FEBRUARY ,20 12
-/ ~- Notary Pu~'lic
13th
KIN H. STEPHENS
NOTARY PUBLIC
COMNISSIO~ NO. 5015931
OUALIFIEO IN SUFFOLK COUNTY
EXPIRES AUGUST 2, 20..~_':~
$
Helen & William Coster ~ - --]
P O. Box 522 " "'-1
Laurel, NY 11948 ' "--1
ru son, To Geraldine Ippolito '-1
~t-~er-~-~,-t:'n 57-17 69 Lane
[ .............. Maspeth, NY 11378 .--~
so,~,ro Erna Lagdon & John ~talzer
-~er-~,'~b-r-aa:~' 43577 Jackson Hole Circle
_o_~_~.o_.~..~...~.o:... Leesburg, VA 20176
........................... Ilil
Board of Trustees Application
AUTHORIZATION
(where the applicant is not the owner)
(print Owner of property)
residing at ~,c~ .~6~k& ~,/e
(mailing address)
(Agent)
apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
~~-s Slb~hatur~~ ~
APPLICANT/AGENT£REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Sonthold'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.
(Last name, first name, middle initial, unless you are applying in the name of
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 Sonthotd? "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 &this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself (the applicant/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
Form TS I
Submitted. Il:lis d~y 9f . ~ ~200
Signature'-,~.a ,.__
PrmtNamer,, , t .. t ·
Board of Trustees Application
County of Suffolk
State of New York
~DDI~ .J0h~4 /-~5 BEING DULY SWORN
DEO(~S AND AFFIRMS *"XT 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 1N 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. 1N 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.
SWORN TO BEFORE ME T.tS /~'~ DAYOF )/~~ ,20 //
~/Nfitary Public
Town of Southold
A.
LWRP CONSISTENCY ASSESSMENT FORM
INSTRUCTIONS
1. Allapplicantsforpermits*inchdingTownofSoutholdage~cies, shallcompletethisCCAFfor
proposed actions that are sub)ct to the Town 0f S0uthold W aterfr0nt Consistency Review Law. This
assessmentisintendedt0supplement0therinf0rmati0nusedbyaT0wn0fSouth01dagencyin
m a k in g a d ete r m in a ti0 n 0 f c 0 n s is t e n c y. *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).
If any question in Section C on this form is answered "yes" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus, each answer must be explained in detail~ listing both supporting and non-
supt~ortinu facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions, it shall not be undertaken.
SCTM#
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 Departmentl all local
libraries and the Town Clerk's office.
DESCRIPTION OF SITE AND PROPOSED ACTION FEB - ] 2012
128 2 - 4
PROJECT NAME HESS LIFETIME QTIP TRUST
The Application has been submitted to (check appropriate response):
TownBoard [~ PlanningBoard[~ Building Dept. [-'-] BoardofTrustees[5~
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:
Remove & replace (in-kind, in-place and 8" higher) approximately 89 linear feet of timber retaining wall; backfill with approximately
15 cubic yards of sandy fill; and replant with native vegetation approximately 15' wide embankment to be maintained as a 15' wide
nonmrf buffer, all as depicted on the plan prepared by En-Consultants dated January 25, 2012.
Location of action: 6242 PECONIC BAY BOULEVARD, LAUREL
Site acreage: 42,298 S.F.
Present land use: RESIDENTIAL, SINGLE-FAMILY DWELLING
Present zoning classification: R-40
If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: HESS LIFETIME QTIP TRUST; C/O BENNET & BARBARA HESS, TRUSTEES
(b) Mailing address: 69 BERKSHIRE ROAD
ROCKVILLE CENTRE, NY 11570
(c) Telephone number: Area Code 516-536-5561
(d) Application number, if any:.
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes I [ N o[~ If yes, which state or federal agency~
C. Evaluate the project to the following policies by analyzing how the project will further support or not
support the policies. Provide all proposed Best Management Practices that will further each policy.
Incomplete answers will require that the form be returned for completion.
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southoid that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation
criteria.
~]Yes [--] No [~ Not Applicable
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
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
[~¥es ~ No ~
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
The project entails the ordinary and routine replacement of an existing retaining wall located landward of a primary bulkhead, which
retains and supports the naturally vegetated embankment behind it and between the upland lawn area and primary bulkhead.
The wall is located between a functional retaining wall on the adjacent property to the west and also a functional section of retaining
wall to the east on the subject property. Without replacement of this section of wall, the embankment would be allowed to slough and in
turn compromise the vegetated slopes located behind these adjacent functional walls. As part of the project, the slope behind the new
wall will be revegetated and maintained as an approximately I5' wide nonturf buffer upon project completion. Therefore, it is necessary
to replace the wall, and doing so will be consistent with Policy 4.
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III
- Policies Pages 16 through 21 for evaluation criteria
['--] Yes ~] No [~ Not Applicable
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22
through 32 for evaluation criteria.
Yes ~ No ~ Not Applicable
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies
Pages 32 through 34 for evaluation criteria.
[~] Yes [--'] No [5~] Not Applicable
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
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation
criteria.
~-~ Yes ~-~ No ~ Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold's ~..r-dependent uses and promote sit~l~of new water-dependent uses in
suitable locations. See LWRP Sectmn IH - Policies; Pages 47 through 56 for evaluation criteria.
[--] Yes [--] No [~ Not Applicable
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonic Estuary
and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria.
['--] Yes [~] No [~ Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62
through 65 for evaluation criteria.
[--] Yes 1~] No [~ Not Applicable
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
PREPARED BY ROBERT E.~RRMA~..~.~_
T I TLE COASTAL MGMT SPECIALIST DATE J~ua~y ~o, ~o~2
Amended on 8/1/05
EN-CONSULTANTS
1319 North Sea Road
Southampton, New York 11968
631-283-6360
Fax: 631-283-6136
www. enconsultants.com
ENVIRONMENTAL CONSULTING
January30,2012
Town of Southold
Board of Trustees
54375 Main Road
Post Office Box 1179
Southold, New York 11971
Attn.: Lauren Standish
FEB - 1 2012
Re:
Hess Lifetime QTIP Trust
6242 Peconic Bay Boulevard, Laurel
SCTM # 1000-128-2-4
Dear Ms. Standish:
In regard to the above referenced property, enclosed are the following for the Board of Trustees review:
Three (3) Wetland Permit Applications including:
a) Short Environmental Assessment Form;
b) Authorization & Disclosure Forms;
c) project plans; and
d) survey.
One (1) set of site photographs.
Application fee of $250.00 wetlands.
Three (3) LWRP Consistency Assessment Forms including:
a) project plan.
I trust this information shall allow you to process our permit request. Should any additional information
be required, please do not hesitate to contact our office.
S~ely,
Robe~ E. Herrmann~'~~
Coastal Management Specialist
/khs
Enc.
1"=50'
N
VIA ~
EN-CONSULTANTS
1319 NORTH SEA ROAD
SOUTHAMPTON, NY 11968
631-283.6360
Of: flMI~I~ I~f/~NIN~ WAI. L fOl~
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$'~ × ~" fOF CLAMP
(2)
?~OP. TIM~ RBI'AININ6 W,~b
APPROVED BY
BOARD OF TRUSTEES
TOWN OF SOUTHOLD
EN-CONSULTANTS
1319 NORTH SEA ROAD
SOUTHAMPTON, NY 11968
631-283-6360
PROPO~O IN-KINI2/PLAC~ t~FLACI~/V~NI'
OF flMl~-I~ ~fAININ~ WAL. L POl~ ~55
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SURVEY OF PROPERTY
A T LA UREL
TO'tN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
IO00-1PB-OP-04
SCALE: 1"=40'
JANUARY 17. 2012
FEe - 7 2012
ELEVATIONS ARE REFERENCED TO
AN ASSUMED DATUM.
AREA= 4P, PgB SOFT
to tie lines
~NY ALTERAllON OR ADDITION TO THIS SURVEY IS A 140LATION
OF SECTION 720~0F THE NEW YO~ STATE £DUCATION LA~
EXCepT AS PER SECTION 7209-SU~DIVI$10N 2. ALL CERTIFICATIONS
HEREON ARE VALID FO~ THIS MAP AND CO~I~S THEREOF ONLY IF
SAID MAP OR COPIES ~EAR TH£ IMP~D SEAL OF THE 51JRVEYOR
FIHOSE SIGNATURE APPEARS HEtBEQN.
49618
P.C.
(631) 765-$020 FAX (6,$I) 765-1797
P.O. BOX 909
1230 TRAVELER STREETI