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HomeMy WebLinkAboutTR-7740John M. Bredemeyer III, President _w` of soar yOl Michael J. Domino, Vice -President hoV�� James F. King, Trustee Cn Dave Bergen, Trustee Charles J. Sanders, Trustee �yQU01 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 CERTIFICATE OF COMPLIANCE Telephone (631) 765-1892 Fax (631) 765-6641 # 1093C Date: January 30, 2015 THIS CERTIFIhS that the construction of single-family dwelling, driveway, sanitm system; gutters, leaders to drywells; trees greater than 8" in diameter outside the building envelope remaining At 2870 Henry's Lane, Peconic, New York Suffolk County Tax Map # 74-1-1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 31, 2012 pursuant to which Trustees Wetland Permit #7740 Dated February 22, 2012, was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of single-family dwelling, driveway, sanitary system; gutters, leaders to drywells; trees greater than 8" in diameter outside the buildingenvelope nvelope remaining. The certificate is issued to KEITH & BARBARA RADICH owners of the aforesaid property. Authorized Signature John M. Bredemeyer 111, President gUEF014-c Town Hall, 53095 Main Rd. Michael J_ Domino, Vice -President ,��� �Gy P.O. Box l 179 James F. King ��„ Southold, NY 11971 Dave Bergen ! y�01 Telephone (63 I) 765-1892 Fax Charles J. Sanders � (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DAT 'V7F INSPECTION: �. Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre -construction, hay bale line/silt boom/silt curtain 1st day of construction %2 constructed Project complete, compliance inspection. INSPECTED BY: J� COMMENTS: CERTIFICATE OF COMPLIANCE: James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino August 21, 2013 Of SOUIy� CA l'YCOI1Mr4.n" BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: 2870 HENRY'S LANE, PECONIC SCTM# 74-1-1 Dear Ms. Moore: n LJ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, August 21, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #7740 from Seven Cats Investments LLC to Keith Radich & Barbara Radich, as issued on February 22, 2012. If you have any questions, please contact our office at (631) 765-1892. Sincerely, )Xx-� 0.�5r James F. King President, Board of Trustees JFK:amn 0 6 Date/Time: *1� 1, / 9 Zn ( 3 / P) M Patricia C. Moore, Esq. on behalf of KEITH RADICH AND BARBARA RADICH request a Transfer of Wetland Permit #7740 from Seven Cats Investments LLC to Keith Radich and Barbara Radich, as issued on February 22, 2012. Located: 2870 Henry's Lane, Peconic. SCTM# 74-1-1 Type of area to be impacted! _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 _other Type of Application: Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre -Submission Violation Info needed: Modifications: Conditions: O (G d,o -1",V f F,4 (L Present Were: "). King `"6. Ghosio �--J. Bredemeyer Gael Domino Form filled out in the field by Mailed/Faxed to: Date: D. Bergen, D. Dzenkowski other BUFFO( James P. King. President,G�p� =QG P.O. Box 1179 Bob Ghosio, Ir.. Vice -President a S� Southold. NY 11971 Dave Bergen oy Telephone (631 765-1892 John Bredemeyer � Fax (63 1) 765-6641 Michael J. Domino G A'1jp1 Southold Town Board of Trustees Field Inspection/Work Session Report yfA ",k/1F1^) Date/Time: *1� 1, / 9 Zn ( 3 / P) M Patricia C. Moore, Esq. on behalf of KEITH RADICH AND BARBARA RADICH request a Transfer of Wetland Permit #7740 from Seven Cats Investments LLC to Keith Radich and Barbara Radich, as issued on February 22, 2012. Located: 2870 Henry's Lane, Peconic. SCTM# 74-1-1 Type of area to be impacted! _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 _other Type of Application: Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre -Submission Violation Info needed: Modifications: Conditions: O (G d,o -1",V f F,4 (L Present Were: "). King `"6. Ghosio �--J. Bredemeyer Gael Domino Form filled out in the field by Mailed/Faxed to: Date: D. Bergen, D. Dzenkowski other PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 Board of Trustees Town of Southold PO Box 1179 Southold NY 11971 0 July 26, 2013 RE: SEVEN CATS INVESTMENTS LLC SCTM: 1000-74-1-1 PERMIT #7740 Dear Elizabeth: With reference to the above, please let this serve as a request to transfer this permit to the new owners, Keith Radich and Barbara Radich. Their check for $50.00 is enclosed. Thank you and please do not hesitate to call should you have any questions. Very truly yours, Patricia C. Moore By Betsy Perkins LA by encls. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK NO. 7740 DATE: FEBRUARY 22, 2012 ISSUED TO: SEVEN CATS INVESTMENTS LLC PROPERTY ADDRESS: 2870 HENRY'S LANE, PECONIC SCTM# 74-1-1 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 February 22, 2012, and in consideration of application fee in the sum of $250.00 paid by Seven Cats Investments LLC and subject to the Terns and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a single-family dwelling, driveway and sanitary system; with the conditions of a fine of staked hay bales along the 13' contour line and along the 100' to wetlands boundary line; the installation of gutters to leaders to drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code - Storm Water Runoff; any trees greater than 8" in diameter outside the building envelope are to remain; and as depicted on the survey prepared by John C. Ehlers Land Surveyor, last dated February 29, 2008, and stamped approved on June 15, 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 Seven Cats Investments LLC c/o Gregory Johnson residing at 2870 Henry's Lane, Peconic, 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 Pennittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and noncompliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unseasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9: That the Permittee will obtain all other permits and consents that may be required supplemental to this pen -nit, 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD E 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 % constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK NO. 7740 DATE: FEBRUARY 22, 2012 ISSUED TO: SEVEN CATS INVESTMENTS LLC PROPERTY ADDRESS: 2870 HENRY'S LANE, PECONIC SCTM# 74-1-1 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 February 22, 2012, and in consideration of application fee in the sum of $250.00 paid by Seven Cats Investments LLC 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 construct a single-family dwelling, driveway and sanitary system; with the conditions of a line of staked hay bales along the 13' contour line and along the 100' to wetlands boundary line; the installation of gutters to leaders to drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code - Storm Water Runoff; any trees greater than 8" in diameter outside the building envelope are to remain; and as depicted on the survey prepared by John C. Ehlers Land Surveyor, last dated February 29, 2008, and stamped approved on June 15, 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 Seven Cats Investments LLC c/o Gregory Johnson residing at 2870 Henry's Lane, Peconic, 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. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. 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 February 22, 2012 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 0 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: SEVEN CATS INVESTMENTS LLC 2870 HENRY'S LANE, PECONIC SCTM# 74-1-1 Dear Ms. Moore: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 22, 2012 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of SEVEN CATS INVESTMENTS 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, application dated January 31, 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 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 have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of SEVEN CATS INVESTMENTS LLC to construct a single-family dwelling, driveway and sanitary system; with the conditions of a line of staked hay bales along the 13' contour line and along the 100' to wetlands boundary line; the installation of gutters to leaders to drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code -Storm Water Runoff; any trees greater than 8" in diameter outside the building envelope are to remain; and as depicted on the survey prepared by John C. Ehlers Land Surveyor, last dated February 29, 2008, and stamped approved on June 15, 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: $100.00 Very truly yours, o� James F. King President, Board of Trustees JFK/eac James F. King, PresidentgyogyPFU(��o Town Hall Annex Bob Ghosio, Jr., Vice -President �� l� 54375 Route 25, P.O. Box 1179 Dave Bergen Southold, NY 11971 W John Bredemeyer �1 Telephone (631) 765-1892 Michael J. Domino l �a0� Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: SEVEN CATS INVESTMENTS LLC Please be advised that your application dated January 31. 2012 has been reviewed by this Board at the regular meeting of February 22, 2012 and your application has been approved pending the completion of the following items checked off below. XX Revised Plans for proposed project — The latest survey prepared by John C. Ehlers Land Surveyor (last revised on 2-29-08 or later) XX Pre -Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) '/z Constructed ($50.00) 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: Hay Bale Inspection Fee - $50.00 Final Inspection Fee — paid 3/24/2008 TOTAL FEES DUE: $50 00 /� li , BY: James F. King, President (� Board of Trustees 5URVEY OF PROPERTY 51TUATE: PECI IC N SF�cO TOWN: 5OUTHOLD SUFFOLK COUNTY, NY w E / SURVEYED: 06-01-200"1 HD 5MM155ION: 12-I1-2001 REVI5ED. 2-29-2008 r ( r SUFFOLK COUNTY TAX e 1000-14-1-1 '`JI II GfltEOORY rollrlsoN JUN 1 5 2012 Test Hole McDonald (5eo5cience 02-21-200-7 OL PAW BFOYN LIATEY LOAM f Gx FRpYI CLAY 1.8' .w IN EMPI LLAY AND SANpY CLAY 48' NAT IN ERX,MN PRE TO I$ONM SA p 54' Trustees APPROVID BY BOARD OF TRUSTEES TOWN OF SOUTHOLE DATE 6- 0 O `tic A,r O O � d \O OQ Q�Q) %L� O H'4y9.°.LES 5% SLOPE MAX 1W=30.5 4-8 DA PX Y DEEP I 1_1' GIA X 3' OEEP .ADE 8M16 LEACHING D0. .'ETNW1XGR M. SC) /9 �F '�o �\0 " FCO l 6O tiF » W NOTE -51 ■ MONUMENT FOUND O PIPE FOUND 0 .. lA>£TLAND FLAG A5 DELINEATED BY R. FOX �F OF SEA LEVEL MAPPING ON FEB. 20, 2001 rNG TOPOGRAPHIC DATA REFERENCED TO NGVD 'I DATUM PROPERTY ZONE R 40 PTIE RETAIN TREES LARGER THAN 8" DIT6METER O OUT5IDE BUILDING ENVELOPE DRAINAGE 6ALCULATION5: WELL WETLANV� N l fltl � H IB' N ^7 FLOOD ZONE X A5 5HONW ON FIRM 5810360161 6 ROOF (DIAELLING) DAELLING ROOF AREA 1620 5.F. Sy \ AREA = 42,440 5.F, or OA'143 ACRE 2 50 42 24 X 0.11 = GSI V F REGri11RED �<<T (5RAPHIG SGALE I"= 50' PROVIDE �G 2 8'-0" DIA. X 4'-0" DEPTH DRAINAGE POOLS 8 V.L.F. PROVIDED F.-• 6.9 �3. MADE EL -91.9 SEPTC TANK 000 GALL. 10 DIA • 4DEEP SOLID RING IbTEs. . PE}AININ$ WALL yVyl QE WAt)3tWq'1Pfp pl INSIDE �. G01GRF1E TO EE 9LpJ ,51 MIX 3. FNTHS i0 ¢ (/YFiIgGIED ON 11p15TLRBED 501E 4N0 P5F 6. E[}GTg 1£a}ALLATIpI LF LEIGNINS N.^LS TIE AILFI. 51W.1. [E ENLAVwTEp TO flEVAnOH -'J53 TO REttlIE 1.4ElIrtAIXL 50115 AHp BPGKPILLED lilnl GLE/.N y.1m A10 5gAv6. nE ENLM1vwTICN AREq 511wLL i40VIDE A 9 PST Lg1AR Ai0.lp µl Ct,yxIKS FOLLS SEPTIG DESIGN -------------------------------- MIGHAEL D. MARES N.Y.5.F.E. LIG. ><10-501 / / gsstio ,l� c 6� 6Sv JN �pPo E GRADE M w OF WALL EL NOTED Ban 13• G,C. GRADE 14 Bare E' OC. EW. W E j4 Dowels O 1r Oc. TYPICAL RETAINING WALL CROSS SECTION °i-�i no.- To JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF. \\CaTmmnp.,AQvrA 7_i)1 rorn • . Standish, Lauren From: Rick & Linda Kedenburg [kedenbird@optonline.net] Sent: Wednesday, February 15, 2012 11:28 AM To: Standish, Lauren Subject: PUBLIC MEETING Feb., 22nd 2012 2870 Henry's Lane, Peconic NY 11958 SOUTHOLD BOARD of TRUSTEES 54375 Route 25 Southold NY 11971 - 2012 Page 1 of 2 RE: PUBLIC MEETING Feb., 22nd 2012- Application to construct a single family home and new sanitary system at 2870 Henry's Lane, Peconic NY 11958 Dear Members of the Board, We are writing to you about the above mentioned project. We are not against this project as we always knew someone would build there eventually. We just want to know that the project is conducted with respect for the wetlands and the nearby Autumn Pond. We attended the last public meeting of this property a few years ago for the express purpose of protecting Autumn Pond from silt and to protect the larger trees outside the building envelope. Looking at the site plan we received by certified mail from Patricia Moore we notice there are no required hay bales and project limiting fence in the North Corner of the property. At the last Public meeting the Board required this. That area is directly between the building envelope and Autumn Pond. We hope that the Board will again make this protection a part of the plan. The fresh water stream that runs under Henry's Lane and flows through the South, Southeast just outside of the property and drains directly into Autumn Pond after passing through other properties. The protection of the stream in the site plan is good and we would like to see the same in the North, Northeast area. Furthermore, we are concerned about the amount of "fill" that will be required to raise the property so a building can be constructed. Now it is mostly boggy land there. In addition, at the last Public Meeting Trustee Bredemeyer called for the protection of the larger diameter trees out side the Building Envelope. We believe the trees protected were those over eight inches in diameter. We would like to see this same protection afforded the larger trees in this project as well. We would have liked to attend the meeting for this application as we did last time. However, one of us is having a serious medical procedure at the Don Monte Cancer Center on February 22nd and we cannot attend. We hope the Trustees will take into account our feelings about protection for this property and for Autumn Pond. Respectfully yours, 2/15/2012 Page 2 of 2 • Frederick R. Kedenburg - Linda Vardy-Kedenburg 3080 Henry's Lane, Peconic, NY 11968-1118 TEL 734-7144 2/15/2012 0 F014.c 0 Peter Young, Chairman Town Hall, 79 Main Rd. Lauren Standish, Secretary � 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: SEVEN CATS INVESTMENTS LLC to construct a single-family dwelling, driveway and sanitary system. Located: 2870 Henry's Lane, Peconic. SCTM#74-1-1 The CAC could not make a recommendation because the project was not staked as of February 14tH 0 0 James E King, President Bob Ghosio, Jr_, Vice -President Dave Bergen e John Brcdemeyer x ,y Michael J. Domino Southold Town Board of Trustees Field Inspection/Worksession Report /rz,5 Date/Time: P.O. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax(631)765-6641 SEVEN CATS INVESTMENTS LLC requests a Wetland Permit to construct a single-family dwelling, driveway and sanitary system. Located: 2870 Henry's Lane, Peconic. SCTM#74-1-1 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: � hapt.275 _Chapt. 111 _other Type of Application: Wetland _Coastal Erosion _Amendment _Administrative_Emergency Pre -Submission Violation Info needed: Modifications: Conditions: i) ACC A? 7Pres nt Were: L/ J. King/—B. Ghosio ✓ D. Bergen, . Bredemeyer I/ Michael Domino D. Dzenkowski other Form filled out in the field by J<� Mailed/Faxed to: Date: I • h'� Y �� ....---�-sti,.. 5,'r �.r.�.. � / `A\y,15 13+y'q I� IIli _i f A" y ;i Y. L,_. 7' r '1 d p xwln b � i tl � Ile le '# � d V O O m J •rvg a r� l� ,i� � • R �� d ��Pu RP A'd Aq •3 O •� I' •� P \ A� ww.� wa L� r• ,wma.xvrtr�cao ,p� c 4P ,J d 5 �f� O I '°3 •a Hann P9 .M1d r. ury 10 u a xm K•xJ. sEE Ss M. wv. rq@c�r0 msmms �m Ll � Op � w m atom xxxx ���icx COI1Ntt OF SOFFOLK A 6 rare RealrapeEly T. r a ]4 ..... o..m.e.ar...,.n.s.,. �Pgen�y a amu. .r. OFFICE LOCATION: 0� souTyo • MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 .IL .If. Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) T T Telephone: 631 765.1935 Southold, NY 11971 � � Fax: 631 765-3136 29�OOUMV 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 17, 2012 Re: Proposed Wetland Permit for SEVEN CATS INVESTMENTS LLC SCTM#1 000-74-1 -1 The Board of Trustees issued a wetland permit TR -6826 (attached) in 2008 for the action. Patricia C. Moore, Esq. on behalf of SEVEN CATS INVESTMENTS LLC requests a Wetland Permit to construct a single-family dwelling, driveway and sanitary system. Located: 2870 Henry's Lane, Peconic. SCTM#74-1-1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that that the Board considers the following additional best management practice: The parcel is located within the Autumn Pond/Goldsmith Inlet watershed; to further Policy 5: Protect and Improve Water Quality in the Town of Southold and Policy 6; Protect and Restore the Quality and Function of the Town of Southold Ecosystem. 1 Require storm water controls (pervious driveway) pursuant to Chapter 236 Stormwater Management of the Southold Town Code. Gutters leaders and drywells were referenced in the 2008 permit. 2 If the action is approved, it is recommended that the existing vegetation 50' landward of the wetland line be incorporated and preserved as a perpetual non -disturbance buffer. 3 The area is not served by public water -the application of synthetic fertilizer and pesticide within the buffer should be prohibited. An example definition of a natural vegetated buffer is included for your use: NATURAL VEGETATED BUFFER -- A land area of a certain length and width where existing vegetation occurs prior to the commencement of any grading or clearing activity. Vegetation shall be maintained to achieve a minimum percentage of ground cover of 95%. To achieve the percentage of ground cover, indigenous, drought -tolerant vegetation shall be planted. Survival of planted vegetation shall be 90% for a period of three years. Maintenance activities within the buffer are limited to removing vegetation which is hazardous to life and property, trimming tree limbs up to a height of 15 feet to maintain viewsheds, replanting of vegetation and establishing a four -foot -wide access path constructed of pervious material for access to the water -body. [Added 12-15-2009 by L.L. No. 15-2009] Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney 0 0 Office Use Only Coastal Erosion Permit Application XWetland Permit Application Administrative Permit Amendment/Tran er Extension /Received Application' /Received Fee:$ —Co-mpleted Application _Incomplete _SEQRA Classification: Type I Type II Unlisted _Coordination:(date sent) �LWRPConsistencyAssessmentForm ci-I311ei� -'CAC Referral Sent =Rate of Inspection: _Receipt of CAC Report: Lead Agency Determination: Technical Review: �blic Hearing Held: Resolution: Name ofAlpplicant�C�l-.Q C \S \N��StiM�sy�t \SL�C Address C l� G • pNl`1 S)oo 3 1 Ave, t ` bj1-neo T?�,eR e-- ( \ Phone Number:( ) Suffolk County Tax Map Number: 1000 - -1 L,\ — \ — \ Property Location: CS?'p 1 O \ L !J e S L 1 c ��CUQ,L (provide LILCO Pole #, distance to cross streets, and location) AGENT: `r(A \ (2 C (If applicable) Address: S \ C> a Vtpr l, K) C S-_QS31_� Ord of Trustees Application GENERAL DATA Land Area (in square feet): t `4 D Area Zoning: � - `� Previous use of property:N I C ;k�T Intended use of property: LbQ) S -M,<< c-1 O P bG St N folk= FAH lu-1 U"A pet �A-I-L_ / 1 Fbh 1 Covenants and Restrictions: Yes - If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes _-�_No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept. Yes —_No Does the structure (s) on property have a valid Certificate of Occupancy Prior permits/approvals for site improvements: Agency �US's"C-LS S.0 44-\ ate \may OT, - P41 re,,d ,-A 1L1\l7c( - No prior permits/approvals for site improvements. Yes h No Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): C LY1 %-" c -'(13Y1 CST 5 �o ; � S Or Ord of Trustees Application• WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Ccs i3sUCnU� af- Ji IJ Gtr LN C -C- o� ,e ee k arc Area of wetlands on lot: C) square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: l Q�3 feet Closest distance between nearest proposed structure and upland edge of wetlands: N C�,� feet Does the pro 'ect involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 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): Ni�50V7= Erosio 19wn of Southo Sedimentation & Storm -Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.CXXI: 0161 -� IS Block _Jt_ --------------------------- tram Number: (NOTE: A Check Mark (d) for each Question Is Required for a Complete Application) Yes No ---------------------------------------------------- 'i WIII this Project Retain All Storm -Water Run -Off Generated by a Two (2") Inch Rainfall on Site? F-1(This Item will Include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of Impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? JC This Item shall Include all Proposed Grade Changes and Slopes Controlling Su(faoe WataFlowl — Will thls.Ptoject Require any Land Filling, Grading or Excavation where (here Is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Malarial within any Parcel? 4 WIII this Application Require Land Disturbing Activities Encompassing an Area In Excess of , Five Thousand (5,000) Square Feet of Ground Surface? ❑ 5 Is there a Natural Water Course Running through the Site? (his Project within the Trustees jurisdiction or within One Hundred (100') feet of a Welland or Beach? ElIs 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? El 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm -Water Run -Off and/or in the direction El of a Town right-of-way? 8 Will this Project Require the Placement o(Ma(erial, Removal of Vegetation and/or the Construction of any Item Within the Town Right ❑ -of -Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? ❑ .� /' NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm -Water, Grading, --- Drainage & Erosion Control Plan is Required and Must be Submitted for Review Priorto Issuance of Any Building Pennitl — — — — — — — — — — — — — — — — — — — EXEMPTION: CYes No Does this project meet the minimum standards for classification as an Agricullural Project? N'4'1 Note: If You Answered Yes to this Question, aStorm-Water, Grading, Drainage & Erosion Control Pla Is NOT Required! ---------------------------------------------------- STATE OF NDY PORK, COUNTY OF ... F��.�....: 6666.. SS That ( 6666. - 'T :(..( (✓ L I%—e f' izu)g duly sworn, deposes and says that he/she is the applicant for Pen)11t, (Name of individual signing Documeno And that he/she is die iz__14- - Qq. .. 6666. __. ......... +_ ........-6666.. ..._....... .............. ............ (Ovvner, Conlrado,, Ag✓ient, Corporate Oif¢er, e1cJ Owner and/or represcn(auve of die Owner of O) Tel's, and is duly authorized to perforn) or have performed the said work and to make and File 11115 application; (hat all statements contained in flus application are ti-ue to the best of Itis knowledge and belief; and dial die work mli be performed in die manner set ford) in die application filed herewd(h. S11'Orn to before nle this; 3►� da,- Notary Public:.../�`�—� /// t3-pEMN3....................a............................. Notert,Public State Of (signature of Applicant FORM _ na/n7 No. 01PEa1srlaaa Qualified in Suffolk Co u Commission Expires July 18, 61720 _� , • Appendix C • State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by Applicant or Projectsponsor) 1. PPLICANT/SPONSOR 2. PROJECT NAME (:� (z I, C ( A Cb -t 0c�-2 L �_�l =`ILJ C cj 3. PROJECT LOCATION: N, 0 /� Municipality C jj i County Su ` r0 L -4c- 4. PRECISE LOCATION (Street address and road Intersections, prominent etc., or provide map) ��landmarks, C- 5. 5. PROPOSED ACTION IS: aNew [] Expansion 0 ModificatiNValteratm 6. DESCRIBE PROJECT BRIEFLY: CJ10�T2uC-r 1 6Li \A PCO 7. AMOUNT F AFFECTED: '"1 �l "1-� In'tally acres Ultimately r acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ciryes n No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? -Residential ❑ Industrial El Commercial Agriculture ❑ Park/Forest/Open Space I] Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ®. Yes No If Yes, list agency(s) name and permittapprovals: i2u J tt-U--s C Pp- t azt s: ,r--(nAAL. CO-) ©- ) FS o9 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALIC)qaiRMIT OR APPROVAL? ❑ Yes P�rNo If Yes, Nat agency(s) name and permit/approvals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑ Yes o I CE THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor I na Dale: .� Signature: If th action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with is assessment OVER 1 be A DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. M Yes n No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negalhe declaration may be superseded by another Involved agency. F-1 Yes M No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, a legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, C2. Aesthetic, agdoulhaal, archaeological, htstodc, or other natural or cultural resources; or C3. Vegetation or fauna, fish, sheNsh or wildlife species, significant habitats, a C4. A community's existing plans or goals as olfidany adopted, or a change in use or Intensity of use of land a C5. Growth, subsequent development. or C6. Long term, short term, cumulative, or other effects not identified in C1-05? Explain C7. Other Impacts (including chances in use D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A ❑ Yes 0 No E. IS THERE, OR IS TH Q Yes 0 N • � .VIV�VG t {Y Ofi Wlllpre[EO nY' OP'• •�J� INSTRUCTIONS: Foraachadverseelfedldentifiedabove,detemtinnewhelherkIssubstantial,[Me,knportantorotWrvAse significant F_adx effect should be assessed in connection with its (a) setting (.e. urban or rural): (b) probabiAhrof oocurdng: (c) duration: (d) kteverefixifity, (e) geographic scope: and (f) magnitude. If necessary, add attachments or reference supporting materiels. Ensure drat explanations contain sutfident delafi to show that al relevant adverse krtpacts have been identified and adequately addressed. Ifquesdon d of part g was dxecked yes, the detemdnabon of significancemustevaluats cite potential Impact oflheproposed action on the envkonmerltel cl aredeftft oftheCFA ChaekOft box YyouhmIdetWedone ormore Potentially largoorslgnsicantadverseknpaetswNdrMAYooarc ThenproceeddirecgytoIN - EAF ardfor prepare a positive dedaratian. Check glia box H YOUhave defemhpxed, based an tine klramation and analysis &be* and any suppor ft dogmlectallm that the proposed e Pclar ALL NOT result in any sfgnificard adverse environmental Impacts. AND provide, on attadxnarts as necessary, (he reasons supporting Iii determination. Board of Trustees Name of Lead Agency Print or Type Name of Responsible Officer to Lead Agency Signature of Responsible Officer in Lead Agency President Idle of Responsible Officer Signature of Preparer (If amerent from responsible officer) PATRICIA C. MOORE, ATTSEY AT LAW 51020 Main Road Southold, NY 11971 (631)765-4330 email: pcmoorel @optonline.net To } /v S%t7 E MrWO LETTER DATE SUBJECT E ✓E'N C4+T--5 SNV EST- /`TENT S L- LC SIGNED v �I Please reply E] No reply necessary l 0 BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of SEVEN CATS INVESTMENTS LLC Regarding Posting of Sign Upon Applicant's Land Identified as 1000-74-1-1 COUNTY OF SUFFOLK) STATE OF NEW YORK) 0 AFFIDAVIT OF SIGN POSTING I, PATRICIA C. MOORE, residing a 370 Terry Lane, Southold, New York 11971 being duly sworn, depose and say that: ly On the \19day of February, 2012, I personally posted the property known as 2870 Henry's Lane, Peconic, New York by placing the board of Trustees official Poster where it can easily be seen, and that I have checked to be sure the post has remained in place for eight (8) days prior to the date of the public hearing. Date of Hearing to be held on Wednesday, February 22, 2012, on or about 6:00 p.m. i Patric) Moore Sworn to before me this 1 sTday of February, 2012 Notary Public MARGARET C. RUTKOWSKI Notary Public, State of New York No. 4982528 Qualified in Suffolk County Commission Expires June 3, S FEB 2 1 2012 PRODUCT 186 ® • 0 • ! . •.0 NO CARBON PAPER REQUIRED. Just type (or write) on ongi 01 impression will automatically appear on copies beneath &Fold at (>) to fit 771 DU-O-VUE Envelope PATRICIA C. MOORE. ATTORNEY AT LAW A-1 /IT. _ LETTER (631) 765.4330 email: pcmoore@mooreattys.com _ Date �c.— \\ I� �+ /1 T To "' J L.�-�'�J..'T"_'� _... _._......... Subject J L... Y L= L� \ f4 I ❑ Please reply ❑ No reply necessary 0 0 BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK In the Matter of the Application of AFFIDAVIT OF SEVEN CATS INVESTMENTS LLC MAILING Applicant's Land Identified a 1000-74-1-1 COUNTY OF SUFFOLK) STATE OF NEW YORK) I, Betsy Perkins, residing at Mattituck, New York, being duly sworn, depose and say that: On the day of February, 2012, 1 personally mailed at the United States Post Office in Southold, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of the attached Legal Notice in prepaid envelopes addressed to the neighbors on the attached list. Attached hereto is the white receipt post -marked by the Southold Post Office on said date. Sworn to before me this d�a off February, 2012 ( otary PYWWARET C. RUTKOWSKI Notary Public, State of New York No. 4982528 Oualified in Suffolk Coun Commission Expires June 3, S PLEASE list, on the back of this Affidavit or on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. 0 Frederick R. Keedenburg Linda Vardi-Keedenburg 3080 Henry's Lane Peconic NY 11958 SCTM: 1000-74-1-44.8 Michael Bendick PO Box 648 Greenport NY 11944 SCTM: 1000-74-1-44.6 Seven Cats Investments LLC c/o Gregory K. Johnson 3007 Ave. F. Holmes Beach, FL 34217 SCTM: 1000-74-1-2 RECEIPT 7192 6463 3110 0001 0712 FROM. Moore Law Office RE. Seven Cats(johnson) SEND TO: ..SO Frederick R. Keedenburg 4ntla Vardi-Keedenburg �)C: 3080 Henry's Lane - Pece't NY 11958 FEES: Postage- 045- Certified Fee 2.95 Return Receipt 2.35 Restricted TOTAL $ 5.75 POSTMARK OR DATE 0 SEVEN CATS INVESTMENTS LLC NEIGHBOR LIST SCTM: 1000-74-1-1 RECEIPT 7192 6463 3110 0001 0729 FROM: Moore Law Office RE'. Seven Cats Qohnson) SENDITD: '4irhael Bendlck Box 648 .neenpon NY 11944 FEES Postage 045 Certified Fee 2.95 Return Receipt 235 Restricted TOTAL $ 5.75 POSTMARK OR DATE RECEIPT 7192 6463 3110 0001 0736 FROM: Moore Law Office RE. Seven Cats (Johnson) SEND TO: Seven Cats Investments LLC do Gregory K,Johnaon 3007 Ave, F Holmes,Beac4FL 34217 FEES: , Poktagd 045 Certified Fee 2.95 Realm Receipt 2.35 Rest}icted`, TOTAL $ 5.75 POSTMARK OR DATE PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 email: p<anooie@mooxCt-tys.com February 8, 2012 CERTIFIED MAIL RETURN RECEIPT REQUESTED RE: SEVEN CATS INVESTMENTS LLC PREMISES: 2870 HENRY'S LANE, PECONIC SCTM # 1000-74-1-1 Dear Neighbor: I represent the above with regard to property located on 2870 Henry's Lane, Peconic, New York. They have submitted an application to construct a single family dwelling, driveway and new sanitary system. A copy of the Hearing Notice is enclosed together with a copy of a survey. The hearing on this matter has been scheduled for WEDNESDAY, FEBRUARY 22, 2012, on or about 6:00 p.m. at Southold Town Hall. If you have any questions, or you wish to support this application, please do not hesitate to contact me. Thank you. -Very truly yours, J ----Patricia C. Moore PCM/bp enc1S. C: Greg Johnson of Seven Cats Investments LLC (via email) SURVEY OF PROPERTY 51TUATE: PEGONIC, TOWN: 50UTHOLD SUFFOLK COUNTY, NY sI,RVEYEv: ov-o,-nom HD SUBMISSION: 12 -1i -200i SLFFOLK COUNTY TAX 1000 -,4 - I - I CERIUM TO. ORJAI G JOHNSON Test Hole McDonald 6eo5cience 02-21-2001 eB" WELL 9 WE�O �... /FM4.0 /.y�. ♦�A, �pSEPiIG DE516N z O y O r�C g f/ /P ■ MONA-1ENT FOUND O PIPE FOUND ph, .. N DLEVEL SEA MAPPING ON HER 20 ]OOT TOPOGRAPHIC DATA REFERENCED TO NOVD '29 DATUM PROPERTY ZONE R 40 WELL x, 9 FLOOD ZONE X A5 SHONN ON FIRM 3610300161 6 AREA = 42,440 S.F. or 0.9743 ACRE GRAPHIC 51 -ALE P, 50' / rC MICHAEL V MAPF�"R,ycS E. LIL. aIOYJI O / C / ,} 6BCir h0 TYPICAL RETAINING WALL CROSS SECTION JOHN C. EHLERS LAND SURVEYOR r�C 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVHRHEAD, N.Y. 11901 369-5255 Pu 369-5287 REF.-C:IDaci®e U and SeWnpVdminienarar\Deslos NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. ! OWNER(S) OF RECORD:60th llC SUBJECT OF a SVg-�;4d �,drw��VaS TIME & DATE OF PUBLIC HEARING: ���, lei�tbnw4 Sa, a m & . �' o ftu '` 10 If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of a.m and.4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 0 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Dear Ms. Moore: Greg Johnson 3007 Avenue F Holmes Beach FL 34217 January 26, 2007 V I, Greg Johnson owner of properties 145 Dickerson Street, Peconic (SCTM: 1000-67 3-11) and 2780 Henry's Lane, Peconic, (SCTM: 1000-74-1-1) and 2730 Henry's Lane, Peconic (SCTM 1000-74-1-2), hereby authorize you to make any and all applications to the Building Department of the Town of Southold and Suffolk County Department of Health, and any other necessary agencies on my behalf and on my behalf regarding my above referenced property. Very trul yours, .+ GREG JO ON. µ C- N b G Z Sctik::-� u C4T5 1 u�,!,= and of Trustees Application• County of Suffolk State of New York n�L1Ji 7 (4 C k'L c-Z2BEINGULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICAN 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. Signature SWORN TO BEFORE ME THIS 31 DAY OFJ Nld, 20 HE I SY A. PERKINS Notary Public, State of Now Yb* No.01PE6130636 Qualified in Suffolk Coin '\ C—mission Expires July 18,1�S.1�S 0 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 Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000-74-1-1 ( Gregory K. Johnson) AGENT: Patricia C. Moore Esq. 51020 Main Road, Southold NY 11971 631-765-4330 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees X Zoning Board of Appeals 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: ❑ Type: Trustees Permit Town of Southold LWPP Consistency Assessment Form 0 0 Nature and extent of action: Proposed construction of single family residence and sanitary complying with all energy and environmental standards. more than 100 feet from edge of freshwater wetlands. Private drinking well within 100 feet due to Health Department regulations of separation of well from sanitary , drvwells and utters added to new house Location of action: 2870 Henry's Lane, Peconic Site acreage: 42,440 sq.ft. Present land use: residential Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Gregory K. Johnson (b) Mailing address: 3007 Avenue F, Holmes Beach Florida 34217 (c) Telephone number: (_) c/o Pat Moore 765-4330 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No X If yes, which state or federal agency: 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 111- Policies; Page 2 for evaluation criteria. Yes X No ❑ Not Applicable ❑ Discussion (if appropriate): The proposed construction of the single family dwelling will comply with 100 foot setback. The private well must comply with Health Department standards and is closer to edge of wetlands. Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III- Policies Pages 3 through 6for evaluation criteria Yes ❑ No ❑ Not Applicable X Town of Southold LWRP Consistency Assessment Form 0 0 Discussion (if appropriate): The site is not identified as area of archeological sensitivity or on the National Register on the map produced by NYS Dept. Of State, Division of Coastal Resources. Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section 111- Policies Pages 6 through 7 for evaluation criteria Yes X No ❑ Not Applicable ❑ Discussion (if appropriate): The construction of a new house provides for gutters and leaders which control drainage and provides for proper sedimant control. 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 X No ❑ Not Applicable ❑ Discussion (if appropriate): The construction of a new residence will meet flood standards and hurricane code compliance. Freshwater wetlands created by man made dikes and clay soils. 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 X No ❑ Not Applicable ❑ Discussion (if appropriate): The proposed house is designed to prevent discharge of runoff into surface waters through use of drywells and leaders. After construction the property will be landscaped with native and low -fertilizer dependent plant species which will reduce nitrogen loading from the site. 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 X No ❑ Not Applicable ❑ Discussion (if appropriate): The distance of the house and sanitary to the wetlands meets stated LWRP policies and is more than 100 feet from edge of wetlands. Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section 771 - Policies Pages 32 through 34 for evaluation criteria. See Section III - Policies Pages; 34 through 38 for evaluation criteria. Town of Southold LWRP Consistency Assessment Form 0 9 Yes ❑ No ❑ Not Applicable X Discussion (if appropriate):No impact is anticipated to air quality by construction of a single family dwelling_ 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 X No ❑ Not Applicable ❑ Discussion (if appropriate): The proposed construction of a home will meet environmental requirements since 100 foot setbacks are maintained. 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 111- Policies; Pages 38 through 46for evaluation criteria. Yes X No ❑ Not Applicable ❑ Discussion (if appropriate): The parcel is private. 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. Yes X No ❑ Not Applicable ❑ Discussion (if appropriate): Residential Homes are the primary use in the Town of Southold. Southold has limited commercial development and the taxes that new single family homes pay is disproportionate to the services they demand. The construction of the single family house is an appropriate and recognized permitted use in the Town of Southold.. Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section Ill - Policies; Pages 57 through 62 for evaluation criteria. Yes X No ❑ Not Applicable ❑ Town of Southold LWRP Consistency Assessment Form 0 0 Discussion (if appropriate): The construction of new home promote and enhance marine resources because new construction is environmentally friendly and all the regulatory agencies control the project to prevent degredation of the environment. Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): The area is not a designated agricultural district. The neighborhood consist of single family homes on existing parcels 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 X No ❑ Not Applicable ❑ Discussion (if appropriate):As stated before, the house will be constructed with energy efficient materials and safety standards. Residential development is a recognized permitted and encouraged use in the Town of Southold. *copy of Town form created on 2/11/06 Town of Southold LWRP Consistency Assessment Form 0 0 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM YOUR NAME: �C— V L Q (ATS I M f --t L (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: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) Building Trustee Coastal Erosion Mooring Planning 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, manage, 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 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 Ja Submitted thi J/ day J CV 200 --/ Signature Print Name ,Sect -I C�. ! N✓�� ice'-[c:'Wt-J t,t.c. �Lx_-L_rL 6 0 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 hand delivered Board of Trustees Town of Southold Main Road Southold NY 11971 January 31, 2012 RE: SEVEN CATS INVESTMENTS LLC PREMISES: 2870 HENRY'S LANE, PECONIC SCTM: 1000- 87-6-4 Dear President King and Board members: With reference to the above, enclosed please find an original and copy of a Wetlands permit application, together with photos. My client's check in the amount of $250.00 is also enclosed. Please note that this project may be out of your jurisdiction since we originally applied and if it is, please issue your Letter of Non -Jurisdiction. Thank you and please do not hesitate to call should you have any questions. Very, yours, �— Patricia C. Moore PCM/bp encls. C: Mr. Greg Johnson