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Home My WebLink AboutTR-7744 James F. King, President Bob Ghosio, Jr., Vice-President Dave Ber~n John Bredemeyer Michael J. Domino Town Hall Ann,,'- 64,376 M-i,, ~ P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0783C DateAugust 3. 2012 THIS CERTIFIES that the renair of the existina steps and landin~.~ down to b~ch. renlacement of handrails and riles, and the interroediate- de~k cut back by 12" to allevi~t,~ encroachment on neighbor's property At 1480 Paradise Point Rd., Southoid Suffolk County Tax Map #81-3-21 Conforms to the application for Trustees Permit heretofore flied in this office Dated 2/1/12 pursuant to which Trustees Wetland Permit #7744 was issued on 3/21/12 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 Thc renair of the existina steos and landln~ down to be~mh_ renlacemcnt of handrails and nil~. and the intermediate deck cut back by 12" to alleviate encroachment on nciehbor's property. The certificate is issued to ALIC~owner of the Aforesaid property. Jamea F. King, President Bob Ohosio, Jr., Vic~-Preaident Dav~ Bcrgc~ ' John Bredemoyer Michael J. Domino Town Hall, $~95 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ½ constructed Project complete, compliance inspection. INSPECTED BY: ~ COMMENTS: ~.~ CERTIFICATE OF COMPLIANCE: 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 1197l 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 '~ constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7744 DATE: MARCH 21~ 2012 1SSUED TO: ALICE MIGNEREY PROPERTY ADDRESS: 1480 PARADISE POINT ROAD~ SOUTHOLD SCTM# 81-3-21 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 21, 2012, and in consideration of application fee in the sum of $250.00 paid by Alice Mignere¥ and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to repair the existing steps and landings down to beach, replace handrails and piles, and the intermediate deck is to be cut back by 12" to alleviate encroachment on neighbor's property; and as depicted on the site plan prepared by Frank Uellendahl, Architect, last dated February 23, 2012, and stamped approved on March 21, 2012. 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. TERMS AND CONDITIONS The Permittee Alice Mignerey, residing at 1480 Paradise Point Road, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances wan'ant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Pennittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 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) 765-1692 Fax (631) 765-6641 March 21,2012 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Frank Uellendahl, Architect 123 Central Avenue P.O. Box 316 Greenport, NY 11944 RE: ALICE MIGNEREY 1480 PARADISE POINT ROAD, SOUTHOLD SCTM# 81-3-21 Dear Mr. Uellendahl: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 21,2012 regarding the above matter: WHEREAS, Frank Uellendahl, Architect on behalf of ALICE MIGNEREY applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southotd, 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 Hearing was held by the Town Trustees with respect to said application on February 22, 2012 and again on March 21, 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, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of ALICE MIGNEREY to repair the existing steps and landings down to beach, replace handrails and piles, and the intermediate deck to be cut back by 12" to alleviate encroachment on neighbor's property; and as depicted on the site plan prepared by Frank Uellendahi, Architect, last dated February 23, 2012, and stamped approved on March 21,2012. 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, j me~sF. KingC~' ~ President, Board of Trustees JFK/eac James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 TO: ALICE MIGNEREY BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated February 1,2012 has been reviewed by this Board at the regular meeting of March 21, 2012 and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ½ Constructed ($50.00) XX Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Final Inspection Fee = $50.00 L.,II ~,,~'1 TOTAL FEES DUE: $ 50.00 BY: James F. King, President Board of Trustees Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765 - 1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., February 15, 2012 the following recommendation was made: Moved by Jack McGreevy, seconded by William McDermott, it was RESOLVED to SUPPORT the Wetland Permit application of ALICE MIGNEREY to repair the existing steps and landings down to beach, replace handrails and piles. Located: 1480 Paradise Point Rd., Southold. SCTM#81-3-21 Inspected by: Jack McGreevy, William McDermott The CAC Supports the application with the Condition of a drainage plan to address the erosion problem in the Iow spot near the top of the stairs. Vote of Council: Ayes: All Motion Carried James F. King, President Bob Ghosio, Jr.. Vice-Presidcm Dave Bergen John Bredemeyer Michael J Domino P.O. Box 1179 Southold, NY 11971 Telephone(631 765-1892 Fax(631)765-6641 Date/Time: Southold Town Board of Trustees Field Inspection/Worksession Report ALICE MIGNEREY requests a Wetland Permit to repair the existing steps and landings down to beach, replace handrails and piles. Located: 1480 Paradise Point Rd., Southold. SCTM#81-3-21 Typ8 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: ~hapt.275 .Chapt. 11.1 other Type of Application: ~//Wetland Coastal Erosion __Administrative__Emergency __Pre-Submission __Amendment Violation Info needed: Modifications: Conditions: ,/ Present Were: ~'J. King B. Ghosio __ ¢/"J. Bredemeyer .-"Michael Dom no D. Bergen, D. Dzenkowski Form filled out in the field by ,,,,), t~, ) ~/~ Mailed/Faxed to: Date: other THE ~I~GNEREY RESIDENCE 1480 PARADISE POINT ROAD SOUTHOLD. NEW YORK PHOTO #i NORTH D)RECT]ON DATE: THE M~GNEREY RESIDENCE 4480 PARADISE POINT ROAD SOUTHOLD, NEW YORK PHOTO #2 NE D~RECT~ON DATE: 0~.28.20'~2 THE M~GNEREY RESIDENCE 4480 PAF~AD~SE POINT ROAD SOUTHOLD, NEW YORK PHOTO WEST D~RECT~ON DATE: 04 .:~(}~20'~ PT GOLDSMITH IN~ET )SMITHS PECONIC PARK OUTHOLD BAY E HOG NECK BAY LITTLE PECONIC BAY CED,aR BEACH PT NASSAU PT 5 0 2000 feet 8000 0 1/2 mile 1.0 1.5 I 6 7 SIqELTER ISLAI' I 8 N Frank Wolfgang Uellendahl Architect 123 Central Ave POB3:t6 Greenport, NY tt944 t: 631.477.8624 e:frank@frankuellendahl.com February 24, 2012 BOARD OF TOWN TRUSTEES Town of Southold 54375 Main Road POB 1179 Southold, NY 11971 Project: DECK REPAIR at the MIGNEREY Property at 1480 Paradise Point Rd Southold. NY 11971 SCTM# = 1000-81-03-21 WETLAND PERMIT APPLICATION - AMENDMENT Dear Board of Trustees, On behalf of Alice Mignerey, owner of the above referenced property, please accept the attached revised drawings as an amendment to my permit application, dated 02 01.12, which was tabled at the public hearing on 02.22.12 because of a disagreement relating to Ms. Mignerey's survey and the neighbor's survey (Steven and Andrea Kolyer, SCTM# 1000-81-03-23). My client's survey, prepared by Roderick van Tuyl on 11.03.1993, indicates that the existing steps and landings from the top of the bluff down to the beach were constructed on her property Ms. Kolyer's more recent survey, dated 0406.2010, however, shows an encroachment of 95 inches on her property at the intermediate landing Since no agreement was reached at the hearing board member Dave Bergen suggested to my client to have a new survey of her property done for comparison The application was tabled. To avoid further conflicts with her neighbors as well as to save time and money for a new survey Ms. Mignerey decided to go along with the alternate solution - discussed at the hearing - to cut the landing back 12 inches. She hopes that the amended plans will be approved by your board at next month's meeting. This would expedite the stair repair as it currently presents a hazard. Thank you very much for your help in this matter Frank Uellendahl RA OFFICE LOCATION: Town Hall 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: From: Jim King, President Town of Southold Board of Trustees Mark Terry, Principal Planner LWRP Coordinator FEB 1 7 2012 Date: February 16, 2011 Re: Proposed Wetland Permit for ALICE MIGNEREY SCTM#1000-81-3~21 Frank Uellendahl, Architect on behalf of ALICE MIGNEREY requests a Wetland Permit to repair the existing steps and landings down to beach, replace handrails and piles. Located: 1480 Paradise Point Rd., Southold. SCTM#81-3-21 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 EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "A" which states: A. Maintenance or repair involving no substantial changes in an existing structure or facility; 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 Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~oastal Erosion Permit Application __Wetland Permit Application Administrative Permit AmendmentJTransfer/Extension ~ece~vved Application: ~ ~ --~l~eceived Fee:$ ~-~ ~%.Z( ~-~ompleted Appli~htion ~1 I Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~/LwRP Consistency Assessment Fom~ --/~CAC Referral Sent: ~_.V'~! ['~ ' ./q)ate of Inspection: ~.[ ~' Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ~P~ublic Hearing Held: ~2~[ '~,~-~ Resolution: Name of Applicant /--\_Cl C~ Address ~v~0~, ~MO~ Phone Number:( Suffolk County Tax Map Number: (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: ~ t of Trustees Application Land Area (in square feet): Area Zoning: ~--~-'~ C') GENERAL DATA Previous use of property: ~---~r-~LL)~ ~ [ (.~'/L_ Intended use of property: ~ (I) ¢/,O-[ ~/~f {..~ Covenants and Restrictions: J Yes No {~i 12d/_~4T ~ [~'/2~tl/ If"Yes", please provide copy. ~ ~ I I,)~I4_/~'I~_D ~'K,J ,~C)~k/~' Does this project require a variance from the Zoning Board of Appeals __ Yes X// No If "Yes", please provide copy of decision. Will this project require any ~nolition as per Town Code or as determined by the Building Dept. Yes X,/ No Prior permits/approvals for site improvements: Agency Date / ~./ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or susp.en~l~d by a govemmental agency? V No Yes If yes, provide explanation: Project Description (use attachments if necessary):. / of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: [_1~¢ ~ '"~E ~'tTSt)~--~ Area ofwetl~ds on lot: d~ ~t~O0 squ~e feet Perc~t ~verage of lot: / ~ % Closest dist~ce between newest existing s~cture and upland edge ofwetl~ds: ~ feet Closest dist~ce be~een nearest proposed structure and upland ~ge of wetlands: ~ feet Does the project involve excavation or filling? ~ No Yes If yes, how much mat~al will be excavated? cubic yards How much matehal will be filled? ~ cubic yards D~ of which material will be removed or deposited: ~ feet Proposed slope ~rou~out the ~ea of operations: &~ [~, ~ ~ Ma~er in which material will be removed or d~osited: 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): Bo~d of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: ~_~7~l~ O~l'i~ &Xi~)/,.Y(.~ .~/~ Are wetlands present within 100 feet of the proposed activity? No X/// Yes Does the project involve excavation or filling? X~/ No Yes If Yes, how much material will be excavated? /{y~ (cubic yards) How much material will be filled? /~ytt~ (cubic yards) Manner in which material will be removed or deposited: 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) James F. King, President Bob Ghosio, Jr. , Vicc-Prcsidem Dave Bergen John Bredemeycr Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ALICE MIGNEREY COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, '~::1/~)~{;:~ (.~,~.[J,~,~jlag at/dba being duly sworn, depose and say: That on the/tP day of ~~, 20 ~ I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place ibr eight days prior to the date of the public heating. Date of heating noted thereon to be held Wed~ Feb uary 22~ 2012 on or about 6:00 PM. Dated: ature) Sworn to beibre me this ~ day ot~.201~ Nof~y Public LAUREN M. STAND!SH otary Pu.J,c, S,a~ o~ dow York No, 0!STi; Oualif!ed !n SU~%~k Cou t,, Commission Expires April 9, Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE I(We) ~ii¢~ The owners of record of property at: SCTM#1000- gl" ~-'~-- 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: as st~own on {he attached licensed survey and/or site plan for the approved structure. 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 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 a lien against the property upon a finding by the Board of Trustees that said lack of maintenance would risk life, property or important~,,qatural resource features. "Notarized signatur~ of own~ of record 1 !0 L. I~OI~tNIE J. DOROSKI l~]otary Public, State Of New York No. 01DOG095328, Suffolk County Te~m Expires Jul)' 7, 20 I ,~ 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. 617.20 SEQR PROJECT iD NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 1. APPLICANT / SPONSOR 2. PROJECT NAME 3.PROJECT LOCATION: Municipality County 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide mad 5. IS PROPOSED ACTION: [] New [] Expansion ~Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: 8. ~LL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? 9. WH IS PRESENT LAND USE IN VICINI~ OF PROJECT? (~ as many as apply.) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FedeX, State or Local) ~Yes ~No If yes. list agency name and permit / approval: 11.DOES ANYqY~['PECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~Yes ~No If yes, list agency name and permit / approval: 12. AS A RESET OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ~es~ No I~;E {~FY THaT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature 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 completed by Lead A~]ency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR. PART 617.4? If yes, cso~inete the review process a~d use the FULL FAF. F-1 Yes [~]No B. IMLL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNUSTED ACTIONS IN 6 NYCRFL PART 617.67 If No, a negative I-1[ZlNo COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED W~TH THE FOLLOWING: (A~swe~ may be hand'mllteo, if legible) C1. Existing air quality, surface or groundwater quati~y er quantity, noise levels, existing traffic paifem, solid waste preductina or disposal, potential for erosion, drainage or flooding problems? Explain briefly: I C2. Aesthetic, agdoultural, archaeological, htstodc, or other na~ursi or cuttural resources: or community or neighb~hsed character? Explain briefly: I C3, Vegetation Or fauna, tish, ~hellfish or wP, dlife species, significant habitats, or tts'eatered or endangered species? Exptsin bltefly: C4 A c~mmuntty'a existing pla~ls or gee s as officla {y adopted or a change m use or I~lensity of use of ~ or oti~r natural resoumes? Explain bdefly I I C5. Growth, subsequent develepmenL or related activities fikely to be induced by the proposed action? Explain bdetiy: C6. Long tefra, short tem~, c~mulafive, er olher effects not identified in C1 ~57 Explain briefly: I I C7. Other impacts (including changes in use of either quat~tily or tyge of energy/? Explain briefly O. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA~? Ill ~es, eXplain bdefi).: E. IS THERE, OR IS THE. RE LIKELY TO BEr CONTROVERSy RELATED TO POTENTIAL ADVERSE EN~RONMEtNTAL IMPACTS? It')~es PART III - Dc a ~IiIINA'IION OF SIGNIFICANCE (To be completed by Agency) . INSTRUGqlON$: F~rsechadversee~ectide~ddab~ve~detem1i~ew~etheritis$ubs~an~'~~r~s~nB~nL EaCh elfset should be assessed in oonse~ion wi~ its (a) setting (i,e. urban or tara0; (b) probability o~occuntng; (c) duratioR; (d) NTeversibility; (e) ~,eographic ssepe; and (t) magnitude. If necsesa~, add attachments or re~emnoe suppor~tg materials. Ensem Ihat explanations auflident deiall ~o ~ow that all relevan~ adverse Impa~ts have bee~ identified and adeq~y ~. If que~o~ d of part II was cheda~d WILL NOT resu~ I~ am/significant adverse envlmnme~si Impacts AND proVUe, ~ a~chments as ~e~easaty, ~he reaso~s euppoffi~ determination. Board of Trustees /~:,/~ ~ 2_g2 / ~_ Name of Lead Age~y Date Print or Type Name of Respons~e Offi~r ib Le~ Agen~ ~e of Res~n~ble O~r S~~b~ ~r ~ Lea~ge~ Signalure of Preparer (If different irom responsible offioer}~ Town of 1old Erosion, Sedimentation & storm-water Run-off ASSESSMENT FORM PROPERTY LOCAT)ON: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A O00a /o 21 STO---WA'ER.G E,NG.D A,NAGEANDEROS,O. CO.TROL. . Distdct ~t CEKTI~IED BY A DESIGN PROFESSION~ IN THE STATE OF N~ YOR~ SCOPEOFWO~ - PROPOS~ CON~U~ON 1'1'~ / WO~S~S~ I Yes No a. (Induoo~hat g thOTo~TotalAreaAreaof all°f Pamels ~ Pmj~l~i~Pa~?wRhin ~ Will this Proje~ Ro~in ~1 Stem-Water Run-~ ~ ~,~ ' Generated by a Two (2")In~ Rain~ll on SAe? the S~pe of Wo~ for Proposed Constm~n) b. What ~ the Total Area of La~ C~a~ng {s.F./~) (~is item will include all mnmff creat~ by si~ cleadng and/or constm~ion a~vifies as ~11 ~ all ancot Ground Distu~an~ ~r the proposed ~ Site Improvements and ~e ~anent maaon of constm~ion a~i~ imperious sudan.) (s.~., ,~) 2Does the Site Plan and/or Suwey Sh~ NI Pro~ PRO~E B~ PRO~ D~C~ON (~ ~., ~ ~) Drainage S~ur~ Indicating Size & Lo~tion? This item shall include all Pro~s~ Grade Chang~ and ~ ~ '~ /~E~ 3 DoestheSitePlanand/orSu.eyd~cd~thee~ion control site erosion and sto~ ~ter discharges. ~is -- item must be mainlined thr~ghout the Entire Construction Ped~. 4 Will lhis Pmje~ Require any Land Filling, Grading or Excavation where there is a change ~ ~e Natural Existing Grade Involving more ~an 2~ Cubic Ya~s~ __ of Material within any Pamel? ~ WHI this Appli~tion R~uim La~d Disturbi~o Activdies ~ ~ {5,000 S~F.) Square Feet of Ground Sugace? ~ Is there a Nalural ~ater ~u~e Running thmuoh ~e Site7 Is ~is Proje~ within the Trustees jurisdiction Su~ion of a SWPPP ~ ~ubed for all Cons~ction actMfies in~ing soil Beach? d~rbances of one (1) or mom a~es; indud~g dls~rbances of ~s ~an one acre that 7Will there be Site preparation on ~isfing Grade Slo~s SWPPP's Shall meet the Mt.imum Require~n~ of ~. SPDES Ge.eral Pe~it 8 Will Driveways, Parking ~eas or other imperious STA~ OF NEW YORK, ~ ~ coumx OF ...~.~...... SS qhat I, ...'~-:--~.~.~ing duly swdm, deposes ~d sa~ d~at he/she is ~e applic~t for Pe~t, ~d ~at h~she is ~e .... ~.~.~r ~.~ O~er ~or representative of ~e Om~er or O~ers, ~d is duly auffiodzed to peffom or have ~ffo~ed fl~e shd work m~e ~d file ~s application; ~at ~1 smtemenLs con~ed in ~is applicafiou ~e ~e o ~c best of his hmwlcdge ~d ~liefi md · at ~ework Mtl be peffo~ed in ~e m~ner set fo~ in ~c applicafioo filed hcreMt ~ / Sworn to before_~ me ~is; '~// ' / ~ FORM - 06110 Rotan/Public, State Of N~York tie. 01D06095328, Suffolk,C~u~ty Term ExpifesJulyT, 20 I,',.'> Bo~ of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at ~t~t~ & .~l~Ttdl3UUd (mailing address) ~)Li.~"[)~-.~E, MO ZOq40 do hereby authorize (Agent) ~9 ~l"Q/~C~, ~l.~ to apply for permit(s) fi.om the Southold Board of Town Trustees on my behalf. ~ (Owner's signature) d Bo~ of Trustees Application County of Suffolk State of New York \C.~. ' '~%~V BEING DULY SWORN DEPOSES AND APttIRMS TItAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS ic~ DAY OF (~?~6,20 t~"'- ~B'ONNI[ J. DOROSKI ~lotar~ Public, State Of New York I']o. 01D06095328, Suffolk Co_u n[7 'i'erm Expires Jul)' ?, 20 ~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Th~ Town of Southold's Code of Ethics omhibits conflicts of interest on the vart of town officers and emolovces. The ouranse of this form is to omvide infor~atinn which can ale~ the town of ~ossiblc conflicts of interost and allow it to take whatever action is necossarv to avoid same. YOUR NAME: .~L[~ ~. t~ tt ~'~(~'ff-- ~-~ ¥~ (Last name, fi~t name, middle initial, unless you are ap'plying in the name of someone else or other entity, such as a company, lfso, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooting Exemption from plat or official map Planning Other (lf"Otber", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO ~ lfyou answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title Or position of that person Describe the relationship between yourself (the applicanffagentgrepresentative} 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 groater than 5% oftbe shares of the corporate stock of the applicont (when tho 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) thc actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfxont Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt · minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its sj~.m~ifieant 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. Thns~ each answer must be explained in detail, listin~ both snooortin~, and non- suooortin~ facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION The Application has been submitted to (check appropriate response): Town.oard Pla.n g oar [] uildin Oept. oar o, Trustees 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: Location of action: Site acreage: Present land use: Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: (c) Telephone number: Area Code ( ) C/~;~/~) </t.~2~ _ ~62.,~L (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~--~ No [_~ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide ali proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. / ~ Yes ~-~ No ~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 -~ages 3 through 6 for evaluation criteria ~-] Yes ~] No[72/I vi Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [] Yes ~ No ~Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III -Policies Pages 8 through 16 for evaluation criteria [] Yes [] No [] Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LVOtP 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 Appl~e Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section HI - Policies Pages 32 through 34 for evaluation criteria. [--] Yes ~] NO [-'-~o' 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~1 ~ 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 Ill - 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 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. [-q 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 wa/~. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes ~ NoF~/I 'l 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 eva~ltation criteria. [] Yes ~ 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;~ges 65 through 68 for evaluation criteria. [-q Yes [] No~M Not Apphcable" PREPARED BY~----~L/~ ~LL~A.J~g~(_ TITLE ~(~]~1'-~_~"~ DATE EXT'C RESIDENCE I)O, Al~D OF TRUSTEES TO~ OF SOUTHOLD iF----1LOT AREA CA. SF 56,620 EXISTING STRUCTURE 270.00' EXT'G SHED ,J RESIDENCE SOUTHOLD, NY! 1480 PAP, ADiS£ PT ROE ARCH~¢ OWNE~R RIGHT OF WAY 402.00' USE OF EXISTING STEPS IS HAZARDOUS: TOP ~NDIN6 TO BE LEVELLED CA, 3 PILES TO BE STABILIZED ALL LOOSE HANDRAILS TO BE REPLACED SITE PLAN SCTU~{: 1000-81-0,3-21 T~N OF SOUIHOLD SUFFOLK COUNPF, Nm YORK THE NitGNEREY RESIDENCE - DECK REPAIR WETLAND PERMIT APPLICATION AMENDMENT SCALE: 1"= 30' SITE PLAN ~EXT'G DECKING TO BE RER~CED ~HAND~IL TO BE REP~CED w/(2) 2X 0 SUPPORT ~11 / UEN~ J~ ~ ~ , ' _ ~ m~m ~ $,~F--J.~L : - I : ~ RESIDENCE ~ I)'r ~ mm~ ~ ~l~m~J~ )~J ,~ ~ ~ , m m ~ - i m mm u I~ J. ~ , .. , j , ~ SOUTHOLC NY ~m ~ mJ ~F ~z; ~ , ~l~ P~ ~. · TO~~ ~ . TO~4 ~ ~k .... ~, ~' ~PROPER~LINE ] ~ 2X4 HANDRNL ~' Il ~ ] 2XlO ~2 CEDAR STEPS STAIR DDAIL - STAIR SECTION ) A-2 2XlO STRINGERS ~E: 1~ S~LE: 27u.00 EXT'G RESIDENCE EXT'G SHED 10' RIGHT OF WAY ~Oz,O0 USE OF EXISTING STEPS iS HAZARDOUS: TOP LANDING TO BE LEVELLED CA. 5 PILES TO BE STABILIZED ALL LOOSE HANDRAILS TO BE RLPLA~ED THE ® SITE PLAN ~ SCTM# = 1000-81-05-21 ,, TOWN OF SOUTHOLD SUFFOLK COUNt, NEW YORK MtGNEREY RESIDENCE - DECK REPAIR WETLAND PERMIT APPLICATION AMENDMENT SCALE: 1": ,50' REPAIR OF EX~ST,NG RESIDENCE SOUTHOLD NY 1480 PARADISE PT AR~HffEu~ FRANK UELLENOAHL 12~ CENTRAL AVENUE GREENPORT, ~ TEL: 63T-477 8624 OWNER 6906 DARTBOUTH AVE tEL: 3u!~779~234~ OATE: 02/25/2012 SCAK: f = 30' SiTE PLAN OWB. NA,~E A-~ DWG, NO ' · = I = ~ REPAIR --EXT6 DECKING JO BL REPLACED . HANDRAIL TO BE REPLACED ~j OF EXISTING L~ / / WITH 2X6 #2 CEDAR DECKING ~ ~ BEACH STEPS 3' 1!" ~ ,' 1~'_10" =-= 8'-10 1 T 1" ~ ~5"DIALOCUSTPOST ~ ~BENCH ~ ' - ~: ~ ~1 w/ (2)2X10 SUPPORT I!I ~ , ] ~ I ~ - ' WF =-~ ..... ~" ..... '-- ¢ ~' ~ _ ~ _~ RESIDENCE ~, ~ I~l ~ : ~ . ~, ' ~ SOUTHOLD, NY ~ ~ , II ~ , ~ 1480 PA~DISE PT, RD ~ ~ ~ =~ .... ~ I ~ ~ EXT'G 2X6 DECK JOIST - ~ ARCHITECT LOCUST POST / ~5,, DiA LOCUST POST (typ) -- PROP. (2) 2X6 TRT'D DECK JOIST I ~ F~NK UELLEN~L ~ 123 CE~ A~NUE TO BE ~SED 2'~ ~4X4 POST ~,, % W' STAIR P~N TO ~L SLOPING DECK ~ TO BE ~SED 4" ~- --~ '~ ~ L PROPERTY LINE ~ GREENPORT,~ 11944 1/4% f-0" TEL: 631-477 8624 --- ~IS~NG DECK TO BE SHOP,NED BY 12" ~ OWNER ~ '~6: ~ ff x~~ (S) LOCUST POSTS TO BE CUT orr A~ ~[ ~ EL: 301-779-2344 ~ - ~ ~ ~D~LS ~D POSTS TO BE REP~CED ~ J - (4) 2X4 ~ACI~G~ I ~ -: ~ ~ ~ FROM POST TO POST ~ I~ -' ext'g BULKHEAD ~ 8~2X4 HANDRAIL ~ : N j S~: ¥4" = f-O" MIDDLE RAIL ~T'D 6X6 PIZ TO BE BOZED TO - ~ EXISTING 2~I~TR~~AR STEPSSTAIR DETAIL -- STAIR SECTION A-2 / SURVEY OF PROPERTY SITUATE BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-81-03-23 SCALE 1 "--,30' APRIL 6, 2010 LOT AREA : 74,167 sq. ff. (TO TiE LINE) 1.705 ac, CERTIFIED TO: STEVEN T. KOLYER ANDREA KOLYER CHIOAGO TITLE INSURANOE COMPANY N.Y.S. Lic, No, 50467 Nathan Taft Corw,n III Land Surveyor PHONE (651)727-2090 Fax (651)727-1727 ANY, NOT SHOWN ARE NOT GUARANTEED, 61· 30--01