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Home My WebLink AboutTR-7829 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Mare 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 I st day of construction ~ constructed __ Project complete, compliance inspection BOA~ OF SOUTHOUD TOWN TRUSTEES SOUTHOLD, NEW YORK PE~T NO. 7829 ISSUED TO: NICHOLAs Y, UI~LE$ PROPERTY ADDRESS: 56005 COUNTY RD. 48~ SOUTHOLD SCi~lglgt44.1-19 DATE: JUNE 201 20112 AUTHORIZATION Pursuant to the provisions of Chapter 275 and Chapter 111 of the Town Code~of.the rrowa of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting h~ld tm Jun~ ;10, 2012 in consideration of application fee in the sum of $250,00 paid by Nicholas Yuelys and subject to the Terms and Conditions as §tal~d in ~he ReSOlution, the S0uthold Town Board of Trustees authofi~s and Wetland Permit to rePlace the existing sanitary sySt~ni with aew system in the front }i~r, d, ~ith the Condition the existing sanitary system is abandoned, pumped and f'dled w~th sand, and as deplctt~d on the Survey prepared by John T' 'Me~zger last dated May 17, 2012 and stamped approved on June 20, 2012. IN WITNESS WHEREOF, thc smd Board of Tmstecs hereby causes d3 Corporate Seal to Be affixed, and these prc§ents to be subscribed by a majority of the said Board as of this date. The Permittee, Nichota~ 'iraelys~ resldiia~ at 56005 County Rd. 48 8rmthot~ NY 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 su~t~ arising directly or indirectly as a result of any operation performed 15ursuant to this pefinit, and the said Permittee will}:~his orhe~' ~ expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the com~lg'te e~x61ffsiofl~df~ 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 wanant, re~l~} 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 ev!dence to anyone concerned that authorization was originally obtained. 4. That the work i~volved~will be subject to the inspection and approval of the B. oard or its agents, and non-compliance with the provisions of the originating application may be cause for r~vo~ation ot~this l~mit by resolution of the said Board. . 5.. That there will be no unreasonable interference with navigation ~s a result 0fth¢ work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between higl~, and low water marks. 7. That if future operations of the Town of Southold reqmre the removal and/or alterations in lhe lo, cation of the work herein~uthorized, or if, in the opinion of the Board of Trustees, :~ .~.he~ Work shall cause unreasollable obstruction to free navigation, the, said Permittee will be required, upon d~lloti.ce,.to remove or alter this work project herein~stated ~ithout expenses to the Town of Sofithold. 8. That the said B~{ will be notified by the Permittee of tho comll~l~ ~ authorized. ~ : '; ~ 9. That the Penmttee will obtam ail Other permits and consents thaetliay, ,)~ r~luired supplemental to this permit, which may be subject to revoke upofi~f'ail~ td obtain same. James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. BOx 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 20,2012 Patdcia C. Moore, Esq. 51020 Main Rd. Southold, NY 11971 RE: NICHOLAS YUELYS 56005 COUNTY RD. 48, SOUTHOLD SCTM#44-1-19 Dear Ms. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wed., June 20, 2012 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of NICHOLAS YUELYS 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, completed application dated May 18, 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 Headng was held by the Town Trustees with respect to said application on June 20, 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 conceming this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, 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, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVES the application of NICHOLAS YUELYS to replace the existing sanitary system with new system in the front yard, with the Condition the existing sanitary system is abandoned, pumped and filled with sand, and as depicted on the survey prepared by John T. Metzger last dated May 17, 2012 and stamped approved on June 20, 2012. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very trulyyours, Board of Trustees JFK/Ims Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631 ) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., June 13, 2012 the following recommendation was made: Moved by Doug Hardy, seconded by Audrey Horton, it was RESOLVED to NOT SUPPORT the Wetland Permit application of NICHOLAS YUELYS to replace the existing sanitary system with new system in the front yard. Located: 56005 County Rd. 48, Southold. SCTM~4-1-19 Inspected by: William McDermott, John Stein, Peter Young The CAC does Not Support the applications because the proposed activities are not in the long term interest of the community and abutting property owners and requires an engineered plan. Vote of Council: Ayes: All Motion Carried James F. King, President Bob Ghosio, Jr, Vice-President John Bredemeyer Michael J Domino PO Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: NICHOLAS YUELYS requests a Wetland Permit to replace the existing sanitary system with new system in the front yard. Located: 56005 County Rd. 48, Southold. SCTM#44.1-19 Ty,~of area to be impacted: __Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland ,P~chOf Town Code proposed work falls under: apt.275 Chapt. 111 other Type of Application: /Wetland __Coastal Erosion ~Amendment ~Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: ,""-J. King, ~"B. Ghosio ~ Bredemeyer /'M'~chael Domino Form filled out int~e field by Mailed/Faxed to: Date: /'~'. D. Bergen, /' D. Dzenkowski other Nicholas Yueiys 56005 County Rd. 48, Southold SCTM# 6/13/20~2 N OFFICE LOCATION: Town Hail Annex 54375 State Route 25 (cor. 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,LwRpPrincipaIcoordinatoPlanner r~ JuN S0ulbh0ld Town Board of Trustees i Date: June 12, 2012 Re: Proposed Wetland Permit for NICHOLAS YUELYS SCTM#1000-44-1-19 Note: The distance from the septic tank to the top of bank has not been provided? Patricia C. Moore, Esq. on behalf of NICHOLAS YUELYS requests a Wetland Permit to replace the existing sanitary system with new system in the front yard. Located: 56005 County Rd. 48, Southold. SCTM#44-1-19 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 Office Use Only Coastal Erosion Permit Application ~Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Rece~vved Application: ,5-]1 Received Fee:$ o~ h-D w'~ ' Completed Application __Incomplete __SEQRA Classification: Type I Type Il Unlisted Coordination :(date sent) ~LWRP Consistency Assessment Form :~'-CAC Referral Sent: ~ -.-~q2)ate of Inspection: ~ Receipt of CAC Report: Lead Agency Determination: Technical Review: ~-Public Hearing Held: ~ ,~0-731! Resolution: ~ MAY 1 8 2012 Name of Applicant Address Phone Number:( ) Suffolk County Tax Map Number: 1000- /-/~/~ ,/- Property Location: Id A,; 1/77/ (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: 4,, K, Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions: If"Yes", please provide copy. Yes ~ No 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 ')~ Yes __ No Prior permits/approvals for site improvements: Agency Date __ 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): ~ t Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose oftheproposedoperations: & LCtlCjL,Q. Area of wetlands on lot: t ,-~ ~o~. c~- square feet Percent coverage of lot: ~0 % Closest distance between nearest existing structure and upland edge of wetlands: _a:3 feet Closest distance between nearest proposed structure and upland edge of wetlands: ,o~O _-E feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? .... cubic yards much material will be filled? S"o' '~ SE~ ' cubic yards How Depth of which material will be removed or deposited: l E) 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): BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK In the Matter of the Application of NICHOLAS YUELYS AFFIDAVIT OF SIGN POSTING Regarding Posting of Sign Upon Applicant's Land Identified as 1000-44-1-19 COUNTY OF SUFFOLK) STATE OF NEW YORK) I, PATRICIA C. MOORE, residing at 370 Terry Lane, Southold, New York being duly sworn, depose and say that: On the~~) day of June, 2012 I personally posted the property known as 56005 County Road, 48, Southold, 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, June 20, 2012, on or about 6:00 p.m. Sworn to before me this ~) dayofJune, 2012 BETSY A. PERKINS NOWy Public, State of Ne~ Yo~ No. 01PE6130636 Oualifled in Suffolk C.~ ~ t % Comm~n Ex,reaM l& ~ ~ Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) /~lE-Wt~t~..9 ~ ~ residing at ~.7-5/0 '~,~'f~'dv~-- (print owner of property) (mailing address) 7 [Ot~?''~ do hereby authorize ~)tqT'~[Co4- (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) Board of Trustees Application County of Suffolk State of New York ~ ~i C~q O [O ~. !~.~ ~'/(.JC-~ xt ~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT I~/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PEP, MIT(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 AR/SING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHOPdZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO EN'I ER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJLrNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS DAY OF Notary Public DENNIS N. YUELYS Notary Public, State of New York No. 01-4764357 Qualified in Bronx County Commission Expires Nov. 30, 20 lc/ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Sou~otd's Code of Ethics t~rohibits conflicts of interest on the hart of town officom and emnlovees. The ouroose of this form is to t~rovide information which can alert the town of oossible conflicts of interest and allow it Io take whatever action necossarv to avoid same~ (Last name, first name, middle initial, unless you a~e applying in ~h~: name of someone else or other entity, soeh as a company. If so, indicate the other NAME OF APPLICATION: (Check all that apply.) 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 yom' company, spouse, sibling, parent, or child) have a relationship with any oflicor or employee ofthe Town of Southold? Ralatl~nsh~p~m~ludasbyb~d~maniage~rbusineasinterost.``Buslnassmterest~meansabus~ness~ including a partnership, in which the town officor or employee has even a partial ownemhlp 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 parson employed by the Town of Southdld Title or position of that person Describe the relationship b~tween 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 groater than 5% of the shares of the corporate stock of the applicant (when the applieant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __C) an officer, director, partner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this _~_.~day of Signature t~J~. C)~C [ Okc.2~L~r.~.,/~ 5~ -- S17.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by Applicant or Project sponsor) Murticipality ~(~ [~ County 4. PRECISE LOCATION (Stree{ address and road intersections, prominent landmarks, etc., o~ provide n~p}~ - I 5. PROPOSED ACTION IS: [] New [] E~panskm 6. DESCRISE PROJECT BRIEFLY: ,~ Modir'~catk~/ai~eration ~ ~ 7. AMOUNT OF LAND AFFECTED: 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~. Yes [] No If No, describe briefly 9. WHAT,IS PRESENT LAND USE IN VICINITY OF PROJECT? De~:Reslde~lai [] Industria~ [] Ccmmer~l [] Agriculture [] Park/Fo~estJOpen Space [] Other 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 permit/approvals: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] yes ~No If Yes, I~t agency(s) name and permit/approvals: 12. AS A RESULT OF PR~OPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? I-lYes l No A ,, J ORMAT'O"PROV'DEOASOVEISTRUETOT"ESESTOFMY%,W,L, DG 9/ ..7, . If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with is assessment OVER 1 PART II - IMPACT ASSESSMENT (To be completed by Lead Atlency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 61 ?.47 il' yes, coordinate the mvfaw process and use the FULL EAF. ~lYes [~]No B. W1LL ACTION e~cL~_J~E COORC)[NATED REVIIEW AS PROVIDED FOR UNUSTED ACllONS IN 6 NYCRR, PART 6t7.67 If No, a nega6ve d~ may be sup~ by ano~:hor inv~,~d agency. f--lYes 171No C. COULO ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Aaswers may be han<hwitten, If legibte) Cl. Existing air qua~y, surface or groundwater quality or quantity, noise levels, ~ traffic pattern, solid waste IXOduc~es (x disposal. potential for erosion, drainage or flooding problems? F_x~l I~. C2. Aesthetic, agricultural, arches~,:~;, ~ka k~ er ott~er natural or cultural resources; or eommunity or aeighbefiqoocl ~7.3. ',;~a,~;= ~u. en fauna, fish, ~ ,~'~,'~ or wildafe s~ectes, slgnifi<~e{ h~idb., or Ihresfaned or endan~ored species? Explain bdefly:. C4. A ~,~,~,~.niys e~[k,t~ plans or goals ~ u~T~=;;),&~l,;~.~ or a chaageln use or intenstty of use of land orothernaterst resources? Ex, sin ixtefly: J C5. Growth, subsequent de~iopmenL or related ac~ivitlas likely i(~ be'i~'d~ced by Ihe proposed action? Ex~ai~'~riefly: C7. Other Impacts (including cflanges in Use of either quantity or type of eneng~ Explain bdefly: D. IN1LL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSEO THE ESTABLISHMENT OF A CRITICAl ElflviRONMENTAL AREA (CEAI? ~lf ~es eXplain PART Iff - D~= ~ i.i~{ATION OF SIGNIFICANCE (To be <3ompleted by Agency} . INSTRUCTIONS: Forea~hadverseef~e~tidenti~edabeve~de{erminew~e~her~tis~ubs~1~ia~a~ge~mper~a~r~e~$~ Each effeot should be aSsesoed In conne<:~on with its (a) setting (i.e. ~Faphic soope; and (f) magnitude, urban or rural); (b) prol~el~ of oocufflng; (c) duralla~ (~) Inm, ersibl~ (e) If nex~ssarY, add altadanents er reference aq)l~ matedal~ Ensue Ihet e~q~lanatlens eee~ln sufl~dent derail to show tirol all relevattt adverse impa~s have been iden~ed and adequaleiy addressed, if ~ d ~f i~rt il was checked WILL NOT reso~ in a.y slg.;~cant adve~e or~,~ro.menfa! Impacts AND pro,/~de, o. ~achme~ts a~ .e(~somy. ~ masof~ suppoffing thL< Board of Tru$iee~ -,//~/~ ~' / 7__ Name of Lead Agency - Date N'me 72in Lea ~/~lgflature of Responsible O fl'~cer in Le/~Agency Signa~e of Preparer (It different from responsible officerJ BOARD Of TRUSTEES TOWN OF SOUTHOLD: NEW YORK In the Matter of the Application of NICHOLAS YUELYS Applicant's Land Identified as 1000-44-1 - 19 COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF MAILING I, Betsy Perkins, residing at Mattituck, New York, being duly sworn, depose and say that: On the(:~ day of June, 2012 I personally mailed at the United States Post Office in Southo-'ld, 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 )ost-marked by the Southold Post Office on said date. ~etsy Perkins// (Signature) Sworn to before me this/ day of June, 2012 '( (l~tary PM~Rbi~ET C..UTKOWSKI Notary Public, State of New York No. 4982528 Qualified in Suffolk County _ Commission ExpireS June 3, 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. ° YUELYS NEIGHBOR LIST SCTM: 1000-44-1-19 HIRANT CANDAN 88-30 51sT AVE ELMHURST NY 11373 SCTM: 1000-44-1-18 ALPHONSE ATWAN 50 WIMBELDON LANE GREAT NECK NY 11023 SCTM: 1000-44-1-19 · DOROTHY SNYDER 18 SKIPPS LANE BELL TAIRE NY 11777 SCTM: 1000-44-3-4.2 RECEIPT 7192 6463 31 lO o001 1818 FROM: Moore Law Offices RECEIPT 7192646331100001 1825 FROM: Moore Law Offices RE RECEIPT 7192 6463 3110 0001 1832 FROM: Moore Law Offices SEND TO: HIRANT CANDAN 88-30 51ST AVE ELMHURST NY 11373 FEES: Postage . ] 045 $ 5.75 P~MARK~:~)R DATEc'~/ SEND TO: ALPHONSE ATWAN 50 W1MBELOON LANE GREAT NECK NY 11023 FEES: ReyrJC~ed TOT~,~' "$ 5.75 PC~]'MARK ,L~R DATE SEND TO: DOROTHY SNYDER 18 SKIPPS LANE BELL TAIRE NY 11777 FEES: Postaoe ~3. %~ 0.45 4 Retur ceipt 35 POS~K PATRICIA C. MOORE, AT'~NEY AT LAW 51020 Main Road · Southold, NY 11971 (631) 'z65-4330 emaIl: pcmoorel @optonline.net M=-....',/IO LETTER 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. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). lfany question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LVv~P 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# qq O( ~c~ The Application has been submitted to (check appropriate response): Town Board [] Planning Dept. [] Building Dept. [~ Board of Trustees 7 Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital [] construction, planning activity, agency regulation, land transaction) [] (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Location ofaction: Site acreage: Present land use: Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant: ~£C~o 10.~ 'X~, / (b) Mailing address: .-~22~-~C) -'T~t~o-e~r- ~ ? (c) Telephone number: Area Code (). (d) Application number, if any:_ Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No'I~ 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 ora coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes [] No ~ (Not Applicable - please explain) 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 lx~ (Not Applicable - please explain) Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [] Yes [] No ~ (Not Applicable - please explain) Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes No (Not Applicable - please explain) Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~Yes No (Not Applicable - please explain) Anach 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- please explain) 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. See Section III - Policies Pages; 34 through 38 for evaluation criteria. [-~ Yes [] No [~ (Not Applicable - please explain) 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. YesNo (Not Applicable - please explain) 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]X~ (Not Applicable - please explain) Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. Yes [] No ~ (Not Applicable- please explain) Atiach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~Yes No Not Applicable - please explain Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No ~ Not Applicable- please explain Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section II1 - Policies; Pages 65 through 68 for evaluation criteria. Yes [] No [~ Not Applicable - please explain PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, NewYork 11971 Tel: (631) 765-4330 Fax:: (631) 765-4643 May 17, 2012 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 Re: Nicholas Yuelys Premises:56005 County Road, 48, Southold SCTM: 1000-44-1-19 Dear President King and members: With reference to the above, enclosed please find an original and two copies of an Wetlands permit application together with my check for the filing fee. Thank you. ~g~t~icia C. Moore PCM/bp encls. TEST HOLE DATA 12/20//11 NOTE' SUBSURFACE SEWAGE DISPOSAL SYSTEM DESIGN BY' JOSEPH FISCHETTI, P.E. HOBART ROAD SOUTHOLD N.Y. 11971 (631) 76.5 2954 DARK BROWN LOAM 0~. BROWN SILTY ~AND SM 10.6' WATER IN BROt~ SILTY SAND SM 12' NEw SEPTIC SYSTEM r z $~DROOMS, I'1000 G,4L PREC, aST ,~'PTIC TaN~ Z'8'e "6' DEeP LE~C~ POOLS 3' ABOVE 1'8'e "6' DEEP ~XPAN~N LEA~G POOL, EXISTING SEPTIC SYSTEM EXPOSED BY EROSION t TO BE ROMOV~D PER SCDHS. SPECS. WATER IN BRORN FINE TO COARSE SAND SW COASTAL E~O~IO~ t'I~ZARD UNE F'ROM COASTAL EROSION HAZARD MAP PNOTO 55-5~-83 ELEVATIONS ARE REFERENCED TO NAVD. I om fOmlTior with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FO/? SINGLE FAMILY RESIDENCES ond w/ii ob/de by the cond/Uons set forth therein and on the perm;t to construct. The location of we/is ond cesspools shown hereon are from field observoUons ond or from doto obto/ned from others. ANY ALTERAITON OR ADDITION TO THIS SURVEY I$ A WOLATION OF SECTION 7209 OF THE NEW YORK STAT'~ EOUCATION LAW.. EXCEPT AS PER SECTION 7209-SUBDIVISION 2, ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES 8EAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE S/CNA TURE APPEARS HEREON. AREA= 4, ?$0 SO. FT. vAcANT TO TIE LINES SURVEY OF PROPERTY A T ARSHAMOMOOUE TOFN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-44-01-19 SCALE: 1 DECEMBER 20, 2011 JAN, 20, SOl2 (new ~eptic) MARCH 5, ;~012 (revisions) MAY 17~ 2012 ~COASTAL EROSION HAZARD LINET' · MAY 1 8 2012 ,-'ROVEL ~ ARD OF 'I'RUbTEES TOWN OF $OUTHOLD DATE " ~.s: SiC. NO. (6Jl) 765-5020 FAX (6Jl) 765-1797 P.O. BOX 909