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Home My WebLink AboutTR-7788 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 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 ¼ constructed Project complete, compliance inspection BOARD OF SOUTltOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7788& 7788C DATE: MAY 16, 2012 ISSUED TO: HOLIDAY HOUSE, LLC PROPERTY ADDRESS: FOX AVENUE, FISHERS ISLAND SCTM# 6-1-2 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter I 11 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on May 16, 2012, and in consideration of application fee in the sum of $500.00 paid by Holiday House, LLC and subject to the Terms and Conditions as stated in Ihe Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Pernfit to reconstruct approximately 50' of a storm damaged boulder/concrete seawall and to repoint as necessary; remove and dispose of existing concrete cap and provide approximately 52' of new concrete cap; fill voids landward of the wall with stone as necessary; place stones along the base of the wall at its northern terminus; and provide four 2-3 ton boulders to armor the wail; and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying & Architecture, PLLC last dated January 27, 2012 and stamped approved on May 16, 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 Pem~ittee tloliday House, LLC, residing at Fox Avenue, Fishers Island, New York as part of the consideration for the issuance of the Pemfit does understand and prescribe to the following: That the said Board of Trustees and thc 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 pe~xnit, 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 warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause trbr 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 Permittee of the completion of the work authorized. That the Permittee wilt 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 HallAnnex 54375MainRoad P.O. Box 1179 Southold, NewYork11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT #7788C Applicant/Agent: J.M.O. Environmental Consulting Permittee: Holiday House, LLC SCTM#: 6-1-2 Project Location: Fox Avenue, Fishers Island Date of Resolution/Issuance: May 16, 2012 Date of Expiration: May 16, 2014 Reviewed by: Board of Trustees DESCRIPTION OF ACTIVITY: To reconstruct approximately 50' of a storm damaged boulder/concrete seawall and to repoint as necessary; remove and dispose of existing concrete cap and provide approximately 52' of new concrete cap; fill voids landward of the wall with stone as necessary; place stones along the base of the wall at its northern terminus; and provide four 2-3 ton boulders to armor the wall; and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying & Architecture, PLLC last dated January 27, 2012 and stamped approved on May 16, 2012. INSPECTIONS: Final SPECIAL CONDITIONS: (apply if marked) In accordance with Chapter 111-15 Erosion Protection Structures: XX A maintenance agreement is attached hereto and is a necessary special condition of this permit. Ja~fies F. King, .~nt Board of Trustees 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE The owners of record of property at: 'FOe- ' SCTM#1000- ['")C~)(z~ [- ~ 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 s~ov,;n (in'he atla~-~ed lic~sed surv'~y 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 natural resource features. Notarized signature of owner of record LAURA I. DUNATHAN ' Notary Publio, State of New Yo~ No. 01DU5089167 Qualified In Suffolk Cou¢~ ~ Commission Exp: 12/08/..~=~ ~ 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. 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 May 16, 2012 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Glenn E. Just J.M.O. Environmental Consulting P.O. Box 447 Quogue, NY 11959 RE: HOLIDAY HOUSE, LLC FOX AVENUE, FISHERS ISLAND SCTM# 6-1-2 Dear Mr. Just: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 16, 2012 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting on behalf of HOLIDAY HOUSE, LLC applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, application dated March 23, 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, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 16, 2012, at which time all interested persons were given an opportunity to be heard, and, 2 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 and Chapter 111 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of HOLIDAY HOUSE, LLC to reconstruct approximately 50' of a storm damaged boulder/concrete seawall and to repoint as necessary; remove and dispose of existing concrete cap and provide approximately 52' of new concrete cap; fill voids landward of the wall with stone as necessary; place stones along the base of the wall at its northern terminus; and provide four 2-3 ton boulders to armor the wall; and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying & Architecture, PLLC last dated January 27, 2012 and stamped approved on May 16, 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 trulyyours, ~i,K~gar~of Trustees James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemcyer Michael J. Domino Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: HOLIDAY HOUSE, LLC Please be advised that your application dated March 23, 2012 has been reviewed by this Board at the regular meeting of May 16, 2012 and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project XX Property Owner to Sign and Notarize the enclosed 30-Year Maintenance Agreement Form and return original to the Board of Trustees Office __ 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 = $50.00r~ .~ff~.~<,vla"~,~l'"JJl°l' TOTAL FEES DUE: $ 50.00 rC)?~[ 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., April 11, 2012 the following recommendation was made: HOLIDAY HOUSE, LLC to reconstruct approx. 50' of a storm damaged boulder/concrete seawall and to repoint as necessary; remove and dispose of existing concrete cap and provide approx. 52' of new concrete cap; fill voids landward of the wall with stone as necessary; place stones along the base of the wall at its northern terminus; and provide four 2-3 ton boulders to armor the wall. Located: Fox Ave., Fishers Island. SCTM#6-1-2 The CAC did not make an inspection, therefore no recommendation was made. James F. King, President Bob Ghosio~ Jr., Vice-President Dave Belgen John Bredemeyer Michael J Domino PO. Box 1179 Southold, NY 11971 Telephone (631 765- [ 892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: /~,,]/9,/~ 5La -~, Z- ,)? I ~ ~" HOLIDAY HOUSE, LLC requests a Wetland Permit and Coastal Erosion Permit to reconstruct approx. 50' of a storm damaged boulder/concrete seawall and to repoint as necessary; remove and dispose of existing concrete cap and provide approx. 52' of new concrete cap; fill voids landward of the wall with stone as necessary; place stones along the base of the wall at its northern terminus; and provide four 2-3 ton boulders to armor the wall. Located: Fox Ave., Fishers Island. SCTM#6ol-2 Type of area to be impacted: ~--'S'altwater 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: L-'~Wetland ~C'Coastal Erosion __Amendment ~Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were "J. Kin B Ghosio ~""J Breder~ey~r_ ' ~gM-~a;I Domino Form filled out in the field by -" ,f, Mailed/Faxed to: Date: __ D. Bergen, D. Dzenkowski other Holiday House, LLC c/o Harry Parker Fox Avenue, no #, Fishers Island 29DEC' 11 1400HRS Holiday HOuse, LLC c/o Harry Parker Fox A~enue, nd #, Fishers Islan~l 29DEC' 11 1400HRS °1 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 To: From: LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM : ,3 MAY I 0 2012 Jim King, President Town of Southold Board of Trustees Principal Planner LWRP Coordinator Mark Terry, Date: May 10, 2012 Re: Proposed Wetland Permit for HOLIDAY HOUSE, LLC SCTM#1000-6-1-2 J.M.O. Environmental Consulting on behalf of HOLIDAY HOUSE, LLC requests a Wetland Permit and Coastal Erosion Permit to reconstruct approx. 50' of a storm damaged boulder/concrete seawall and to repoint as necessary; remove and dispose of existing concrete cap and provide approx. 52' of new concrete cap; fill voids landward of the wall with stone as necessary; place stones along the base of the wall at its northern terminus; and provide four 2-3 ton boulders to armor the wall. Located: Fox Ave., Fishers Island. SCTM#6-1-2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the rec6rds available to me, it is my recommendation that the action is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Office Use Only ~_Coastal Erosion Permit Application Wetland Permit Application Administrative Peri'nit A mendmenUTransfer/E~tension .~_Received A pplicat ion: f23/,~//~. ~ Received Fee:$'~'tQtD .~0mpleted A pp]Icafion Incomplete SEQRA Classification: Type l__Type II Unlisted Coordination:(date sent) ---'~L~WRP Consistency Assessment Form . --'~AC Referral Sent: ,'~ [,~(~[ --'~ate of Inspection: --~.ltftt,o __~Reeeipt of CAC Report: __Lead Agency Determination:__ Technical Review: ~lie Hearing Held: ~Resolution: MAR 2 3 2012 NameofApplicant Holiday ~touse,LLC c/o Harry Parker Address HC2 BOX 11320 Viequee, Puerto Rico 00765 Phone Number:( ) Suffolk County Tax Map Number: 1000 - 0 0 6 - 1 - 2 Property Location: ?ox ~venue, no ~ Wishers Island (provide LILCO Pole #, distance to cross streets, and location) AGENT: Glenn ~.. Just/JMO ~nvironmental Consultin9 (If applicable) Address: P.O. nox a47, C~uogue, N.Y. 11050-0447 Phone: 653-0607 Bo~ard of Trustees Application Land Area (in square feet): Area Zoning:. R- 8 0 Previous use of property: lntended use of property: GENERAL DATA 2.~6 acres Sinqle family dwellinq Single family dwelling Covenants and Restrictions: Yes x No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes x If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept. Yes x No Does the structure (s) on property have a valid Certificate of Occupancy x Yes __ Prior permits/approvals for site improvements: Unknown Agency Date No No x 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: PrQect Description (use attachm~ts if necessary): ~pplicant proposes to reconstruct approximately 50' of a storm damaged boulder/concrete seawall and to repoint as necessary, remove and dispose of existing concrete cap and provide approximately 52' of new concrete cap, to fill voids landward of the wall with stone as necessary, place stones along the base o~ the wail at xt's northern terminus and to provide four 2-3 ton boulders to armor the wall Bgrd of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Reconstruction of a storm damaged seawall Area of wetlands on lot: 1 , 500 .square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 2 feet Closest distance between nearest proposed structure and upland edge of wetlands: 2 feet Does the project involve excavation or filling? x No Yes If yes, how much material will be excavated? 0 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 0 Proposed slope throughout the area of operations: 1: 1 Manner in which material will be removed or deposited: Backhoe feet 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 as proposed should have no negative impacts upon any waters or areas of wetlands Bgrd of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: R~¢onstruction of a storm damaqed seawall 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? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts 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) Th~r~ is no anticipated environmental impacts including the increase of erosion or adverse effects on natural protected features on the subject property or adjacent propertie~ 6t7.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by ADplicant or Project Sponsor) 3. PROJECT LOCATION: Uun~pa~ity Fishers Island County Suffolk 4. PRECISE LOCATION (Street address and lOad interns, prominent landmarks, etc., or provide map) Fox Avenue, no # Location map enclosed 5. PROPOSED ACTION IS: [] New [] Expansion [] ModificalJon/a#eration 6. DESCRIBE PROJECT SRIEFLY: Applicant proposes to ~construct approximately 50' of a storm damaged boulder/concrete seawall and repoint as necessa~, remove and dispose of existing concrete cap and provide approximately 52' of new concrete cap, to fill voids l~ndward of the wall with stones as necessary, to place stones along the base of the wall at it's northern terminus and provide (4) 2-3 ton boulders to armor wall 7. AMOUNT OF LAND AFFECTED: In~aIly 0.01 acres Ultimately 0.01 ac*es 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? I~l Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial [] Commercial [] Agriculture [] Park/Forest/Open Space [] Other Describe: Single family dwellings 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ~.J Yes LJ No If Yes, list agency(s) name and permit/approvals: N.Y.S.D.E.C. & Southold Town Trustees 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? F"lYes [] No If Yes, list agency(s) name and permit/approvals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? DYes []No ICERT, ATTHEINFOR ATION R VlDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEOGE Applicant/sponsor naCmEe~l~Hl~!//~t E. JUl~Oa~t 1~I~:~ IIf the action is inXtlte Coast~fArea, and you are a state agency, complete the Coastal AssesSment-Form before proceeding with this assessment I OVER Reset PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) IA. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coof~iuate the review process and use the FULL EAF. E]Yes ~]No : B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED AC~IONS IN 6 NYCRR, PART 617.67 If No, a negagve declaration may be s~ed by arm{her involved agency. E]Yes r'~No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOU. OV~NG: (Answers may be handwriffefl, if legible) C1. F_.~sting air quaay, sudace or groundwater quality or quantity, nc(se levels, existing Iraffic paifem, se#d waste production er disposal, potential I~or erosion, drainage or flooding problems? Exp{ain bde~. C2. Aesthetic. agdoultural, archaeological, historic, or other natural or cultural resources: or community er uaighbeflxx~l cberac(ef? Explabt bdefly: C3. ~;'~u~b,[;~,,~ or fauna, fish, ~,%i, or wildlife species, significant habitats, or threatened er enclangemcl species? Explain briefly: C4 A commumty s ex~tmg p{ans or goa s as u ~,~ ~- adopted or a change m use or lalenslty of use of lend or olher'~'~tural resources? EX~ai~ briefly Growth, subsequent development, or related ac(w~ties likely to be induced by the proposed ac(iaa? Explain briefly: C6. Long term. shod term, cumulative, or other effec(s not identified in C14~57 Explai~ bflelly: C?. Other impacts ~ledudiag changes in use of either quantity or iype of enem}~? Explain Ix, felly: · WILL THE PROJI::C/HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL E. I$ THERE, OR IS THERE BKELY TO ~Et CONTROVERSy RELATED TO POTENTIAL ADVERSE ENVI RC,%*~.~,,'TAL IMPACTS? Il' t/es ~,f4a;~i. PART III - D~ I I=em~iNATiON OF 8iGiCiFiCANCE (To be completed by Agency) . INSTRUCTIONS: F~ead~adver~ee~e~;tidentifiedahove~determi~whotherittssubstantiaL~e~r~s~n~nt~ Each effeot should be assessed in co~nac~on with its (a) seWng (i.e. urban or rural); (b) pro~ of occurring; (c) duration: (d) irmvemibility; (e) ~mgmphte scope; and (0 magnitude. If neoessmy, add attachments or mtremn~e suppodlng m~edale. Ensure that explanaflcms ca~laln satfl(~nt detail to ~m:~w ff~t ell relevant edverse impa(:~s have been Henth~cl and edeq~y ~. If qu~ d of pad Il was checked yml, Ihe determination of rdgn#icance must evaluate the potenlial Impa~ of the peopemed acec~ eft the environmental characteristics of the CEA. EAF and/or prepare a positive decland'.3~. WILL NOT result ia any significanl adverse envlmnmentsl Impacts AND pmeide, aa altschmecffs as neoessaO,, fie reasaas supporting thl determination. 'rifle of Responsible Officer Slgnalure of Preparer (If different fi-om mspons/ble officer) 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 (63 I) 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 HOLIDAY HOUSE, LLC COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 1, (~[t~_~.~_ ~-'~,3,-~~'' , residing at /dba I~1 "'~e_~.~c4~23 bein d l;, o' &i ose and say: That on the~day of Of~ c~'~ ,201~personally posted the property known as by placing the Bc~a~ o~Tru~tee~ ~'(ficial~oster 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., May 16, 2012.. Dated:_ (si~~~ Sworn to b~efor,e me this/~ .~d~ay o f/~/ff~/20/C~ ~ rry-P~lic / JANET M. TOOKER Notap/Public.State of New York No. 01TO5051905 Qualified in Suffolk Count'/ ! ~ Commission Ex[lire$ November 13, 20~L.~ postage Certlged Fee Retum Receipt Fse (Endomement Required) Restricted Dellve~y Fee (Endorsement Required) Total Postage & Fees S $1'30.,r ' '0~). $ $6.60 Emtl¥ p. Ridgeway Peter Chrisp Maysles Gillian Walker MAILING OF NOTICE LTIFIED MAIL RECEIPTS Ad.ess: P.O. nox 831, Lake Wales, 3385g 2K0 Wartshorn Dr ghort Rills, N.J? 07078 The Dakota 21 W122nd ~tr~ New York, N.Y. 10027 FL STATE OFNEW YORK COUNTY OF SUFFOLK ~t~'). ('J01 t~. K Jo/ , being duly sworn, deposes an~ says that on the i~7~{~X~- d~yof/,~,! , 20 ~, deponent mailed a true copy ofthe Notice se/forth in the Board 8f Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Nolitm Office at ~tx OCt t,.a ~,J,&. , that said motifs CERTIFIED MAXI~/RE(rURN 'RECEIPT./ Sworn to before me this / ~ '~ Day of~ tt~ ,20 ~ mailed ile~. ~ at ~e Uni~ted States Post liersons by -- Notaw Public O / ALICE M. Bo~ard of Trustees Application County o~--'q{e-~¢% ~ State of~ P~I~..~ ~'D EI/t~l"~ ~. ~a~h~ BE~GDULY SWORN DEPO~S AND ~FIRMS THAT HE/S~ IS THE APPLICANT FOR ~E ABOVE DESCRIBED PE~IT(S) AND THAT ALL STA~NTS CONTA~D ~RE~ ~ TR~ TO ~ BEST OF HIS~R ~O~EDGE A~ BELIEF, AND T~T ALL WO~ WILL BE DONE ~ THE ~ER SET FOR~ ~ THIS APPLICATION AND AS ~Y BE APPROVED BY T~ SOUTHOLD TO~ BOA~ OF TRUSTEES. T~ APPLICANT AG~ES TO HOLD T~ TO~ OF SOUTHOLD AND THE TO~ TRUSSES HARMLESS A~ F~E FROM ~Y AND ALL D~GES AND CLAIMS ~S~G ~DER OR BY VIRTUE OF SAID PE~IT(S), IF G~D. ~ CO~LET~G ~IS ~PLICATION, I HE'BY AUTHO~ZE ~E TRUSSES, ~EIR AGENT(S) OR REP~SENTATI~S(S), TO E~R O~O MY PROPERTY TO ~SPECT ~ P~MISES ~ CONJ~CTION ~ ~VIEW OF TInS ~PLICATION. Signature ~0~;~ ME THIS. '~ DAY OF ~g~ J.M.O, Environmental Consui in Services To whom it may concern: Please be advised that we have authorized the firm of J.M.O. Environmental Consulting Services to act as our agent on our behalf in applying for certain approvals through your agency and others involved with this project. J.M,O. Consulting Services has b~n retained to coordinate all approvals necessary through your and other involved agencies, as well as our architect, engineer and contractors. We request that all communications, correspondences, notices, approvals and calls be addressed directly to the offices of J.M.O. Environmental Consulting Services. Bo~ard of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print owner of property) (mailing address) Glenn E. Just .7M~ ~nvlronmental Consulting do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethlcs orohibits conflicts of interest on the oart of town officers and cmolovees. The oumose of this form is to ta'ovide information which can alert thc town of vossiblc conflicts of interest and allow it to take whatever action is nocessarv to avoid same. (Last name, first name, middle initial, unless you are applying hi the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooting Exemption from plat or official map Planning Other (If"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO ~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicanffagnnffrepresent ativ e) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The towa officer or employee or his or her spouse, sibling, pm'mat, 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, direcWr, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics ~rohibits conflicts of interest on the Dart of town off[icom end employees. The Dumose of this form is to vrovide information which can alert the town ofvossible conflicts of interest end allow it to take whatever action is necessary to avoid same. YOURNAME: Justt C, lennt m (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Cheek all that apply.) Tax grievance Building Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Otheg', name the activity.) Do you personally (or through your company, spouse, sibling, patent, 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 sh m-es. YES NO X lfyou answered "YES", complete the balence of this form end date end 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 (cheek 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-coq~omte entity (when the applicent is not a corporation); C) an officer, director, paxtner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this O, cC. 200t~'~' /' PrintNam/~ C!~nn ~_~'f. Ju_~' Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM 1 0 0 0 - 0 0 ~ - 1 - 2 8TORM-WA'rER, SCO~OFWO~ - PRO~S~ CONb'I~CX'iON l'l'~ Yes No the S~e of W~ ~ P~ ~) ~.~.~) ~ ~m ~lll~lu~ a~ ~ ~ ~n ~v~ i~us su~,) Please see attached d~(1)or~; b~gdi~M~nme~ 7 ~a~m~pmp~aonon~ng~eSIm~ STA~ OF ~ YO~ co~ oF ..,..~I.~.o. kk ................... q~ i, .~ls~._E...._J~k .................................... ~g d~ sworn, 4e~s ~4 sam ~ ~she is ~e ~pUc~t f~ Pe~ ~d ~he is ~e .... A$.e~K ................................................................................................................................................ ,, ~ ~ ,~ c[~ed ................. ~.~..}~...~_~ d~yf~..~.~ ................ ~l.~ ~ hui~: ....... ~.~ ............................................ :~__L.._...~~ ~ ~.~ .......................... FORM - 06/10 GINA A LOCKE No 01 LO6057960 Notary Public, State of New York Project Discription for Holiday House, LLC c/o Harry Parker Fox Avenue, no # Fishers Island Applicant proposes to reconstruct approximately 50' a storm damaged boulder/concrete seawall and repoint as necessary, remove and dispose of concrete cap and provide approximately 52' of new concrete cap, to fill voids landward of the seawall with stones as necessary, to place stones along the base of the wall at its northern terminus and to provide four 2-3 ton boulders to armor the wall Town of Southoid LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). lfany question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 0 0 6 1 2 The Application has been submitted to (check appropriate response): TownBoard [] Planning Dept. ~ Building Dept. [] BoardofTrastees [] 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 ande~entofaction: ~pplicant DroDoses to reconstruct approximately 50' of a storm damaged boulder/concrete seawall and to repoint as necessary, m remove and dispose of existing concrete cap and provide approxima!~%~' 52' of new concrete cap, to ~i1£ VOl0S landward o~ the wall with stones as necessary, place stones along the base of the wall at it's northern terminus and to provide four 2-3 ton boulders to armor the wall kocationofaction: Vox Avenue, no ~, Wishers Island Site acreage: 2.1 6 acres Present land use: Single family dwelling 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) Name0fapplicant: Holiday ~ouse, LLC. c/o Harry Parker (b) Mailing address: HC2 Rox 11320 Viegues, Puerto Rico, 00765 (c) Telephone number: Area Code ( )_ (d) Application number, if any: linknown Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No[--] lfyes, which state or federal agency? ~.y.s.r).~.C. 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 The pro~ect does not involve "development" and will have no impac~ upon open space, the character of the community, etc. It is felt that this project is consistent with this policy 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 The project will have no impact upon any historic or archaeologic~/ resources. It is felt that this project is consistent with this policy 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 The project shall have no impact upon any scenic resources nor impact the visual quality of the Town. It is felt that this project is consistent with this policy Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. MinimiTe loss of fife, structures, and natural resources from flooding and erosion. See LWRP Section HI - Policies Pages 8 through 16 for evaluation criteria ~'~ Yes ~-~ No [] Not Applicable The project involves the reconstruction of a storm damaged boulder/concrete seawall. The project will not cause the accelerated erosion of adjacent properties, will notccreate any aesthetic impairments, there shall be no loss o~ ~a~ltat (marine or wetlands) and there shall be no loss of public recreational resources. It is felt that this project is consistent with this policy Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section HI - Policies Pages 16 through 21 for evaluation criteria ~'~ Yes ~ No [] Not Applicable The project will have no impact upon the quality or quantity of potable water. It is felt that this project is consistent with this policy Attach additional sheets if necessapy 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 HI - Policies; Pages 22 through 32 for evaluation criteria. [] Yes [] No ~-~ Not Applicable The project will have no impact upon thefuality or function of any wetlands, ecosystems or areas of ~ignificant Coastal Wish and Wildlife ~abitats. It is felt that this project is consistent with this p61icy 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 [] Not Applicable The project will have no imparts upon air quali~y. It is felt that this project is consistent with this policy 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 The project does not involve the use or disposal of hazardous b substances or wastes, The concrete from the proposed seawall p reconstruction(existinq concrete cap to beremoved) will be disDos~x~ of properly. It is felt that this project is consistent with this policy 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 The project will have no impact upon public access to, and the recreational use of, coastal waters, public lands or the public resources of the Town. It is felt that this proSect is consisten4- with this policy AUach additional sheets if necessar~ 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 IH - Policies; Pages 47 through 56 for evaluation criteria. [] Yes [] No [-~ Not Applicable The project will have no impact upon ~outhold's water-depcg0ent uses or the siting of new water-dependent uses in suitable locations. It is felt that this project is consistent with this policy Attach additional sheets if necessm3, 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 The project will have no impact upon the substainable use of living marine resources. It is felt that this project is consistent with this policy Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section HI - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No [] Not Applicable The project does not involve agricultural lands. It is felt that this policy is not applicable to this proSect 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 Tho- pr~jo-ct do~.q not involvo- ~he uso_ or the development of energy or mineral resources. It is felt that this project is consistent with this policy Created on 5/25/05 11:20 AM NAR 2 3 2012 OF COt~, Cap ~ PR(~IDE 330+ o~ CONC. CAP (SEE REBUlU) BOULDER / CO~C. WN.L - REPOINT Wall 6x6 W 2 9 x W 2 9 WWWF A~i NECESSARY ~.) -2" CLR. MiN (WP) ~Ol,-J~0~ O~ ~ -- ~ tRADE SHORE (TYP.) L 4 ~ 12 BOARD OF TRUSTEES J TO SCALE O CONCRETE SPECIEICATrONS SHALL COM'LY WII-H 2 TOWN OF SOUTHOLD J TABLE 1904 ~ OF TNE STATE BU,Lg:NC COBE ~'. ~L~v -' QUALITY CONTROL CERTIFICATION GROUP__ REVIEWED DATE STONE CROSS SECTION "A" HORIZONTAL SCALE 1'=10' VERTICAL SCALE 1"=4' HAY mo~ (~) 2-3 TON SHOR~ (TY~.) APPROXIMATE HIGH WATER FLOOD ZONE OF CONC. CAP (SE DETAIL) RrnL~D B~JLDER / ~C. ~ ~c~ ~,) DETERIORATED WALL SEE PHOTOS ~ (4) 2-3 T~ SHO~ ~.)~ ~ J~ELEVATION = O~ EXIS'T~NG OONC. C~ OYP.) IRON R~J P~O[ 52~ LF, (3~* ~, WALL ~.~__~C. ~ (S~ ~ / / 21.17' HARBOR CROSS SECTION "B" HORIZONTAL SCALE, VERTICAL SCALE' 1"=4' LOCATION MAP SCALE 1"=400' PHOTO "A" EXISTINC STONE SLOPE & ROCKY SHORE~ DATE: 01/27/2012 SCALE: 1"= 10' N/F NOW OR FORMERLY SF SQUARE FEET lB -- EXrSTINC CONTOURS SHEET ~ RETAININC WALL 1 OF 1 ~ BRUSH LINE ~ PHOTO NOT~ 0