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Home My WebLink AboutTR-7803 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line __ Ist day of construction ~ constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7803 DATE: MAY 16~ 2012 ISSUED TO: TRUST U/W OF R.C. KOPF F/B/O KRISTEN POWERS PROPERTY ADDRESS: 220 PARKAVENUE EXTENSION~ MATTITUCK SCTM# 123-8-26.1 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 May 16, 2012, and in consideration of application fee in the sum of $250.00 paid by Trust U/W of R.C. Kopf F/B/O Kristen Powers 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 +/- 30' landward extension of the existing +/-66' low-profile vinyl groin; and as depicted on the site plan prepared by En-Consultants, last dated April 17, 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 Permittee Trust U/W of R.C. Kopf F/B/O Kristen Powers, residing at 220 Park Avenue Extension, Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances 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 for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Beuthold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 May 16, 2012 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Robert E. Herrmann Eh-COnsultants 1319 North Sea Road Southampton, NY 11968 RE: TRUST U/VV OF R.C. KOPF F/BIO KRISTEN POWERS 220 PARK AVENUE EXTENTION, MATTITUCK SCTM# 123-8-26.1 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 16, 2012 regarding the above matter: WHEREAS, Eh-Consultants on behalf of TRUST U/W OF R.C. KOPF F/BIO KRISTEN POWERS 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 April 19, 2012, and, WHEREAS, said application was referred to the SouthOld Town Conservatio_ n 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, 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 TRUST U/W OF R.C. KOPF F/BIO KRISTEN POWERS to construct +/- 30' landward extension of the existing +/-66' Iow-profile vinyl groin; and as depicted on the site plan prepared by En- Consultants, last dated April 17, 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 truly yours, President, Board of Trustees JFK/eac 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., May 9, 2012 the following recommendation was made: Moved by Jack McGreevy seconded by William McDermott, it was RESOLVED to SUPPORT the Wetland Permit application of TRUST U/W OF R.C. KOPF F/BIO KRISTEN POWERS to construct +/-30' landward extension of the existing +1-66' Iow-profile vinyl groin. Located: 220 Park Ave. Ext., Mattituck. SCTM#123-8-26.1 Inspected by: William McDermott, Jack McGreevy The CAC Supports the application, however, recommends the Trustees limit the landward extensions of groins. Vote of Council: Ayes: All Motion Carried James F King. Presidem Bob Ghosio, Ji, Vice-President Dave Bergen John Bredcmeyer Michael J. Domino P.O. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: TRUST U/W OF R.C. KOPF F/BIO KRISTEN POWERS requests a Wetland Permit to construct +~-30' landward extension of the existing +~-66' Iow- profile vinyl groin. Located: 220 Park Ave. Ext., Mattituck. SCTM#123~ .-~o, Type of area to be impacted: ~itwater Wetland Freshwater Wetland Sound Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ~/-'~hapt.275 .Chap~£ other Type of Application: Wetland Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: ~o~' '-- Conditions: Present Were: ~ J. King B. Ghosio __ __J. Bredemeyer__ Michael Domino Form filled out in the field by Mailed/Faxed to: Date: D. Bergen, D. Dzenkowski other TRUST U/W OF R.C. KOPF F/B/O KRISTEN POWERS~ 220 PARK AVE. EXTENSION~ MATTITUCK Figure l. Lookbtg southeast at low-prR[ile vinyl groin to be extended farther landward. Figure 2, Looking west at location oJ'proposed landward extenshm o flow-profile groin adjacent to dwelling. TRUST U/W OF ILC. KOPF F~/O KRISTEN POWERS~ 220 PARK AVE. EXTENSION, MATTITUCK Figure L Looking southeast at low-profile vinyl groin to be extended farther landward. Figure 2. Looking west at location af proposed landward extension o flow-profile groin adjacent to dwellbtg. TRUST U/W OF R.C. KOPF F/B/O KR1STEN POWERS~ 220 PARK AVE. EXTENSION~ MATTI[TUCK Figure L Looking southea,~t at low-prrbtTle vinyl groin to be extended f~*rther landward~ Figure 2. Looking west at location of proposed landward e.r~tension i9~'low-profile groin adjacent to dwelling. IIF OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NYl1971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: May 14, 2012 Re: Proposed Wetland Permit for TRUST UNV OF R.C. KOPF F/BIO KRISTEN POWERS SCTM#1000-123-8-26.1 En-Consultants on behalf of TRUST U/VV OF R.C. KOPF F/BIO KRISTEN POWERS requests a Wetland Permit to construct +/-30' landward extension of the existing +~-66' Iow-profile vinyl groin. Located: 220 Park Ave. Ext., Mattituck. SCTM#123-8-26.1 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. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Jill M. Doherty, President James F. King, Vice-President Dave Bergen [lob Ghosio, Jr. John Brederneyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold,NY 11971 Telephone (63 I) 765-I 892 Fax (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~7'Wctland Permit Application __ Administrative Permit Amendment/Transfer/Extension ~--~'~Rece~ved Application::~ ~ompleted Application Incomplete SEQRA Classification: Type I Type Il Unlisted Coordination: (date sent) ~'LWRP Consistency Assessment Form 14 J~AC Referral Sent: ~\~} __Receipt of CAC Report: __Lead Agency Determination: Technical Review: ~ublic Hearing Held: ~ Resolution: Name of Applicant TRUST U/W OF R.C. KOPF F/B/O KRISTEN POWERS Address c/o MICHAEL INSEL, TRUSTEE, 101 PARK AVENUE, NEW YORK, NY 10178 Phone Number: (212) 808-7933 Suffolk County Tax Map Number: 10007~-1-14 Property Location: 220 PARK AVENUE EXTENSION, MATTITUCK (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS, INC. (If applicable) Address: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone:631-283-6360 Board of Trustees Applimion GENERAL DATA Land Area (in square feet): 13,417 SQ. FT. Area Zoning: R-40 Previous use of property: DEVELOPED-RESIDENTIAL Intended use of property: NO CHANGE Covenants and Restrictions: X No Yes If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date DEC #1-4738-01791/00001 12/15/97 DEC #1-4738-01791/00008 5/24/10 SOUTHOLD TRUSTEES g4855 1/28/98 SOUTHOLD TRUSTEES #7278 4/21/10 __No prior permits/approvals for site improvements. 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): Construct +/-30'landward extension of the existing, +/-66' low-profile vinyl groin, as depicted on the project plan prepared by En-Consultants, last dated April 17, 2012. Board of Trustees Applic~on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To extend the existing low profile groin landward in order to stem the erosion of the beach landward of the existing groin. Area of wetlands on lot: 0 .square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? X NO Yes If yes, how much material will be excavated?N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: feet N/A 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 consists of the additional landward extension of the recently reconstructed low-profile vinyl groin for the purpose of stabilizing the eroding sandy, unvegetated, bay beach located immediately landward of the groin, as the recently completed landward extension of that groin proved after the +/-1-foot drop in beach elevation caused by Tropical Storm Irene to be insufficient for that purpose. The currently proposed extension would locate the landward end of the groin at the current 4' contour, landward of spring high water. Although the groin extension is intended to stabilize the beach in fi'ont of the dwelling structure, it will not trap any additional littorally transported sand below high tide end will therefore not have any adverse impacts on the adjacent properties or tidal waters of the Town. PROJECT ID NUMBER PART 1 - PROJECT INFORMATION T~R~SPJ"~T ~i~.~.O~OPF F/B/O KRISTEN POWERS 2. PROJECT NAME BY EN-CONSULTANTS, ]NC. 3 PROJECT LOCATION: Municipality MATTITUCK County SUFFOLK 4. PRECISE LOCATION: Street Address and Road Intersections. Prominent ~andmarks etc - or provide map 220 PARK AVENUE EXTENSION, MATTITUCK, TOWN OF SOUTHOLD, SCTM #1000-123-8-26.1 5. IS PROPOSED ACTION: [] New OExpansion [~[Medificat,on/alteration 6. DESCRIBE PROJECT BRIEFLY: 617.20 ~ APPENDIX C W STATE ENVIRONMENTAL QUALTTY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTEB ACTIONS Only ( To be completed by Applicant or Project Sponsor) SEQR Construct +/-30 landward extension of the ex~sttng, +/-66' low-profile vinyl grom, as deptcted on the project plan prepared by En-Consultants, last dated April 17, 2012. 7. AMOUNT OF LAND AFFECTED: Initially 0.308 acres Ultimately 0.308 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~]Yes r~ No if no, describe briefly: 9. WHAT IS PRESENT LAND USE iN VICINITY OF PROJECT? (Choose as many as apply.) [~Residential r~lndustria, r~commercial [~Agriculture r-'-]Park/Forest/OpenSpaca [~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 name and permit / approval: DEC, COE, DOS 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? I'~Yes ~]No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? I'"~ Yes [~] No I CERTIFY T/HAT THE INFORMATION PROVIDED ABOVE iS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Na~OBERT E. HERRMANN, COASTAL MANAGEMENT SPECIALIST Date: APRIL 18, 2012 Signature )"%~--,~ , If the action is a Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT {To be completed by Lead A~lency) A. DOES ACTION EX~t., ANy TYPE I THRESHOLD IN 0 NYCRR. PART 6t 7.4? If yes, coordinate the review process and use the FULL EAF. 'I--lYes [~].o WILL ACTION RECEIVE COORDINAIED REVIEVVAS PROVIDED FOR UNUSTED ACTIONS tN 6 NYCRR. PART 617.67 If No. a negalJve ~K~taratio~l ma, y be superseded by soelJlor involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Anawors may be haadva, iffefl, if legible) C1. Extaf~ng air quality, sudace or groundwater quality or quantity, noise levels, existing Iralt~ paOem, solid waste preductlefl or disposal, potential for erosion, drainage or floedieg problems? Explain ~ C2. A~a~;.~;;c, egrlcultuml, arctmc--,~.ak~, hlsthdc, or o~hor natural or cultural msoumes; or mmmunlty or neighlx;dmod character? ~=~!a!n b~efly: C3. Vegetation or fauna, fish, ~;,~';;'~, or wildlife species, f,~,;;,~,i~ ;~;L~ia, or threa[eaed or et~an~ored ~_? F_,xpfafa bdeflF C5. Growth. subsequent develepment, or related ac~Jvities likely"io be induced by (he Ixopese~ action? Explain bela'fly. C?. ages ~'1 use of e thor quantity or type of ene~]¥? Explain bdeft~. INILL THE PROJECT HAVE AN IMPACT ON 'EIE ENVIRONMENTAL CHARACTERISTICS 'rl-~T CAUGED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL ARE3% ICEAI? (If ~'es. ex~(aln briefly.: Board of Trustees Name of Lead Agency /ype Hame of Responsible OffiCer ia Lead Agency Si~lature of Respoasible ~;'fficer in Lead Ager~cy 0'-~/~/~ a/reZ~- President T'ff(e of Responsible Ofcer Signafare of Preparer (If different from responsible officer) Jamcs F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Fown Hall, 53095 Main Rd. P,O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of TRUST U/W OF R.C. KOPF F/B/O KR1STEN POWERS COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING Robert E. Herrmann , residing at/dba En-Consultants 1319 North Sea Road, Southamton, NY 11968 being duly sworn, depose and say: That on the'~'~day of ~-.li~"{' ,201 , I personally posted the property known as 220 Park Avenue Ext.: Mattituck by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place tbr eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed.~ May IC 2012.f", Dated: (signature) Sworn to bdbre me this 18thday of May 20 12 ' °t yAbllc. NOIARY PUI]L lC STATE OF NEW YORK COMMISSION NO, 5015931 OUALIFIED IN SUFFOLK COUNTY EXPIRES A' EP,~T NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEESt TOWN OF SOUTHOLD In the matter of applicant: TRUST U/~V OF R.C. KOPF F/B/O KR/STEN POWERS SCTM#1000-123-8-26.1 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Construct +/-30 landward extension of the existing, +/-66' low-profile vinyl groin, as depicted on the project plan prepared by En-Consultants, last dated April 17, 2012. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 220 PARK AVENUE EXTENTION, MATTITUCK 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: MAY 16th, 2012 ~ 6:00 P.M. You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: TRUST U/W OF R.C. KOPF F/B/O KRISTEN POWERS MAI LIN G AD DRESS: c/o MICHAEL [NSEL, TRUSTEE, 101 PARK AVENUE, NEW YORK, NY 10178 PHONE#: AGENT: EN-CONSULTANTS, INC. MAILING ADDRESS: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. David Arthur Ross 68 Dubois Street Darien, CT 06820 Paul Carey ~ 125 Patience Place Mooresville, NY 28117 Postmark ru [so.t To Town of Southold ~ [~'~t;~,'ci P.O. Box 1179 ~, Southold, NY 11971 Name: DAVID ARTHUR ROSS A~C ]P OF MAILING OF NOTICE ~ H CERTIFIED I~-AIL ~.ECEIP~'~ Address: 68 DUBOIS STREET DARIEN, CT 06820 PAUL CAREY TOWN OFSOUTHOLD 125 PATIENCE PLACE MOORESVILLE, NY 28117 P.O. BOX 1179 SOUTHOLD, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT E. HERRMANN doing business atEN-CONSULTANTS, INC. 1319NORTH SEA ROAD SOU~iHAMPTON, N~Y 11968 , being duly sworn, deposes and says that on the 27th day o fA PR/L ,20 12 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at SOUTHAMPTON , that said Notices were/Mailed to each of said persons by {certified]{re§istered) mail. ROBERT E. HERRMANN COASTAL MANAGEMENT SPECIALIST Sworn to before me this day of APR/L ,20 12 ~ --~ Not'lc 27th '11.i H, SIEPHENS ND]AR¥ PUBLIC AlE OF NEVI YDRK ~;~,i~fSSIDN NB. 5D15!]3'1 JALIFIED IN SIJFFDI. K CO.tI.)I'I'Y E PIRES A!Gt~,S]' ?. zoL.~ Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print Owner of property) ~ ~ (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalfi (Ow~}~r's sig~ure) ~oard of Trustees Application County of Suffolk State of New York /~e'c~"~ / ~ ~ -~'~ / BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, l 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. Notal~/~ublic ~..~.~ ~ml~ ~ May 20, ~014 APPLICANT/AGENTfREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Tovm of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The t>uroose of this form is to t)rovide information which can alert the town oft>ossible conflicts of interest and allow it to lake whatever action necessary to avoid same. (Last name. first name, midd e nitial, unless you are applying in thc 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 plal Mooring Exemption from plat or official map Planning Other (If"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of 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% oftbe shares. YES NO ~ you answered YES , complete the balance ofth~s form and date and s,gn where Indmated. 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) tim owner of greater than 5% of the shams 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 (',','hen the applicant is not a corporation); C) an officer, director, parmer, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Town of Southold A. LWRP CONSISTENCY ASSESSMENT FORM INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard ,4rea. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listing both supporting and non- SUl}l}ortin~ facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. SCTM# A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. DESCRIPTION OF SITE AND PROPOSED ACTION 123 8 - 26.1 PROJECT NAME TRUST U/W OF R.C. KOPF F/B/O KRISTEN POWERS The Application has been submitted to (check appropriate response): TownBoard ~--] Planning Board[--] BuildingDep,.~] Board of Trustees [~ Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Construct +/-30 landward extans~on of the ex~stmg, +/-66' low-profile wnyl groin, as depicted on the project plan prepared by En-Consultants, last dated April 17, 2012. Location of action: 220 PARK AVENUE EXTENSION, MATTITUCK Site acreage: 0.308 ACRE Present land use: DEVELOPED - RESIDENTIAL. Present zoning classification: R40 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: TRUST U/W OF R.C. KOPF F/B/O KRISTEN POWERS (b) Mailing address: c/o MICHAEL INSEL, TRUSTEE 101 PARK AVENUE, NEW YORK, NY 10178 (c) Telephone number: Area Code 212-808-7933 (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [~ No [~ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide aH proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section Ill - Policies; Page 2 for evaluation criteria. ~]Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [~] Yes [~ No [~ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southoid. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~-] Yes ~ No ~ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria X Yes No Not Applicable The project is consistent with Policy 4 because only a hard structural erosion protection measure such as the proposed landward extension of the groin will adequately stabilize the eroding sandy, unvegetated, bay beach located immediately landward of the intertidal zone. Pursuant to Policies 4.1(A), (B), and (C), respectively, the existing dwelling was already relocated landward more than 10 years ago; it would not be possible to stabilize the beach immediately landward of the intertidal zone with vegetative plantings due to the fetch at this location and the associated wave energy on the beach; and there are no elevated dune areas or other natural protective features that can be enhanced other than the beach, whose elevation and width would be enhanced via the proposed groin extension. Specifically, while the recently reconstructed and landward relocated low profile groin continues to stabilize the foreshore, it remains too short on its landward end to stabilize the beach behind it. As was previously the case, in general, this is a consequence of the chronic erosion and ultimately the landward migration of this stretch of shoreline, but shortly atter the completion of the construction of the recently landward-extended groin, Tropical Storm Irene caused an avulsive drop in beach elevation of approximately a foot or more, which caused the reconstructed groin to become immediately in need of further extension landward. Below are the previous findings of the LWRP Coordinator, which remain applicable to the current proposal: "Policy Standards 4.1 Minimize losses of human life and structures from flooding and erosion hazards. The following management measures to minimize losses of human life and stmctares from flooding and erosion hazards are suggested: D. Use hard structural erosion protection measures for control of erosion only where: The principal use is residential. The fetch and exposure of the location warrant the use ora hardened control structure to slow and trap the west-east migrating sand and re-nourish the beaches. Note that field inspection indicates that the recent Nor-easter which occurred over the weekend of March 13, 2010 has shifted sand that once comprised the beach, northward under the residence. In addition drainage patterns indicate that during wave actions and high tide periods, water flows around the northern end of the groin eroding sand back into the bay. 5. The proposed hard structural erosion protection measures are: a. limited to the minimum scale necessary b. based on sound engineering practices 6. Practical vegetative methods have been included in the project design and implementation. Due to the elevation of the grade (beach) and tidal exposure, the use of vegetation within this area is not a practical erosion control method." Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria Yes No Not A@o.cablc The project will be consistent with Policy 5 insofar as the proposed groin extension would be constructed with untreated vinyl sheathing rather than treated timber. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. [--] Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~ Yes [--] No[~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~ Yes ~ No ~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ Yes ~-~ No ~ Not Applicable The proposed landward groin extension will not interfere with nor otherwise impact public access to or recreational use of coastal waters or public lands. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's w~-dependent uses and promote siti~f new water-dependent suitable locations. See LWRP Section IH - Policies; Pages 47 through 56 for evaluation criteria. ~-] Yes [--] No [~ Not Applicable uses in Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [--] Yes [--] No [~ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands ia the Town of Southold. See LWRP Section III - Policies; Pages 62 throogh 65 for evaluation criteria. ~] Yes [--] No [~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~] Yes ~] No [~ Not Applicable PREPARED BY }~;~x~-. ~ ROB~Elkq' E. HERRMANN TITLEcoAsTAL MGMT SPECIALIST DATEAp~I 18, 2012 Amended on 8/1/05 EN-CONSULTANTS 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTING April 18, 2012 Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish Re: Trust U/W of R.C. Kopf F/B/O Kristen Powers 220 Park Avenue Extension, Mattituck SCTM #1000-57-1-14 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Three (3) Wetland Permit Applications including: a) Short Environmental Assessment Form; b) Authorization & Disclosure Forms; and c) project plans. 2. One (1) set of site photographs. 3. Application fee of $250.00 wetlands. 4. Three (3) LWRP Consistency Assessment Forms including: a) project plan. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Robert E. Hen'mann Coastal Management Specialist /khs Enc. DEEp APPROVED b ,' ~)ARD OF TRUSTEES TOWN OF SOUTHOLD DATE ~,~? /~. z-~/z_ HOLE CREEK I 7// AIRPORT oka Pt 1 "= 40' ~J~Cf F~OF~L~Ff? I STORY FRAM[ HOUSE ON pILINGS EX. ROAO o--- WOO0 GROIN GREAT PECONIC BAY PREVIOUSLY EXISTING EXTENT NOW REMOVEO TIMBER GROIN SHW E N- CONSULTANTS 1319 NORTH SEA RD, SOUTHAMPTON, NY 11968 631-283-6360 ~50' LANDWARD EXTENSION OF ~ ~ EO~-PROFIL~ROIN TO PREVENT CONTINUED LA~OWA~OFLANKING OF EX. GROIN ANO / ~ ,.~O~101'~ O~ ~EACH ADJACENT TO DWELLING FROFOfI~P I.~ARP P. X1~NStON I~XI511N~i ~OIN FOR 11~L~f U/W KOFF P/PI O ~151~N MAffll!JCK, ~L~FOI. K COLN1Y, ~W YO~ f:~l' I Off 2 2/2/lO, 9/ 5BCTION THRL~ PROPQSU~2 I. ANI2VVARI2 ~X~NSlON QP UY, STINd I. OW-FROPII~U~ VINYL ~ROIN SC:Abe: I" - IQ' -~ PROP ~0' tAN~W~ ~×I~NSlON Of I. OW-FROfflI. e VINYL ~ROI~ ~ BX ee' bow-P~OfltB VIN~ ~ROIN PROF'OS~P L.ANPWARD I~XI'CN~ON I~XIF1'IN~ ~OIN FOR flaJCf U/W KOPF i¢/1~/O Kid.SI'ON MAffI11JC'K, .SLiCiCOL.K COLINI'Y, NI~W YOlk, ~ 2 OF 2 2/2/IO, E N- CONSULTANTS 1319 NORTH $O~X;-~A~?TON, NY 11968 631-283-6360 ~ENU£ RI~NT OF ~,~¥ OVER DIRT LOT(~ (o 1 STORY FRAME HouSE ON pILINGS 5B3' Jt*j j x~ x~ '~ pECoNIC GREAT × HAY SURVEY OF /: LOT 3 MAP OF MARRATOOKA ~OINT FILE No. 331 FILED MARCH 19, 1927 SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-12~-08-26.1 SCALE 1':20' OCTOBER 6, 1997 NOVEMBER 20, 1997 PLOT PLAN FEBRUARY 5, 1998 ADDED PROPOSED SEPTIC SYSTEM MAY 19, 1999 REVISE PLOT PLAN JULY 50, 1999 REVISED ROW LOCATION AUGUST 1, 2000 LOCATION & FINAL SURVEY AUGUST 23, 2000 REVISED DIMENSIONS TO SEPTIC SYSTEM FEBRUARY 23, 2001 UPDATE SURVEY JANUARY 20, 2009 ADDED TOPOGRAPHICAL SURVEY APRIL 11, 2012 UPDATE SURVEY AREA : 12,322 sq. ft. (TO TIE LINES) 0.283 S.C.D.H.S. REFERENCE No, R10-98-51 CERTIFIED TO' STEVE POWERS NOTES' 1. THIS PROPERTY IS IN FLOOD ZONE VE (EL 8) AS SHOWN ON FLOOD INSURANCE RATE MAP No. 36103C0482 G ZONE VE: COADTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION), BASE FLOOD ELEVATIONS DETERMINED 2. ELEVATIONS ARE REFERENCED EXISTING ELEVATIONS ARE EXISTING CONTOUR LINES TO N.G.V.D. 1929 DATUM SHOWN THUS:~ ARE SHOWN THUS: THE EXISTENCE OF RIGHTS OF WAY S Lic No 50467 Nathan Taft Corwin III Land Surveyor PHONE (631)727 2090 Fax (631)727-1727 97-414