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HomeMy WebLinkAboutTR-7833 James F. King, President ~~OF SOU)yO Town Hall Annex Bob Ghosio, Jr., Vice-President h~ lQ 54375 Main Road yy P.O. Box 1179 Dave Bergen T ~ Southold, New York 11971-0959 John Bredemeyer G Q Michael J. Domino ~ ~O Telephone (631) 765-1892 ~yCO~'`~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0884C Date: Aucust 14, 2013 THIS CERTIFIES that the construction of a 13'x13' screen porch over existine deck landward of bulkhead; patio, existing deck; split-rail fence; and drywell At 1665 Shore Road, Greenport, New York Suffolk County Tax Map # 47-2-30 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 30, 2012 pursuant to which Trustees Wetland Permit #7833 Dated June 20, 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 a 13'x13' screet~orch over existing deck landward of bulkhead: patio, existing deck; split-rail fence; and drvwell. The certificate is issued to ELIZABETH GARDNER owner of the aforesaid property. rT"-~ Authorized S?gnature James F. King, President ~SOFFO(A' Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President ~@~ P.O. Box 1179 Dave Bergen ~ ~ Southold, NY 11971 John Bredemeyer ~ ~ Telephone (631) 765-1892 Michael J. Domino y~Ol ~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE F INSPECTION: b ~ Z 1 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boomisilt curtain 1St day of construction '/z constructed Project complete, compliance inspection. INSPECTED BY: y Jc~ COMMENTS: CERTIFICATE OF COMPLIANCE: D sufFOC,~ James F. King, President ,10~ CO Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President ~ ~ P.O. Bax 1179 Dave Bergen ~ Southold, NY 11971 John Bredemeyer ~ Telephone (631) 765-1892 Michael J. Domino 'y0j # ~a 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 APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 15Y day of construction '/2 constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT N0.7833 DATE: JUNE 20.2012 ISSUED TO: ELIZABETH GARDNER PROPERTY ADDRESS: 1665 SHORE ROAD, GREENPORT SCTM# 47-2-30 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 1 l 1 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 June 20. 2012, and in consideration of application fee in the sum of $250.00 paid by Elizabeth Gazdner and subject [o 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 13'x13' screen porch over existing deck landward of bulkhead; patio; existing deck; split-rail fence; and drywell; and as depicted on the site plan prepared by Mark K. Schwartz, AIA, last dated May 7, 2012, and stamped approved on June 20, 2012. IN WITNESS WHEREOF, [he 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. cro OggFFO(,~ co~~ / 7F, ~y~~l ~ ~a~~ J ~~,h ~e ~Yh~.`~er TERMS AND CONDITIONS The Permittee Elizabeth Gardner residing at 1665 Shore Road Greennort New York as part of the consideration for the issuance of the Permit does understand and prescnbe to the following: 1. 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 Petmittee 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-cotnpliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That [here 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. 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 Boazd of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Pennittee 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 maybe required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President ~~OF SOUr~o Town Hall Annex Bob Ghosio, Jr., Vice-President ~O ~Q 54375 Main Road P.O. Box 1179 Dave Bergen # l~[ Southold, New York 11971-0959 John Bredemeyer u~ ac Michael J. Domino ~ ~ Telephone (631) 765-1592 OIyC~UI~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 20, 2012 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: ELIZABETH GARDNER 1665 SHORE ROAD, GREENPORT SCTM# 47-2-30 Dear Ms. Moore: - The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 20, 2012 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of ELIZABETH GARDNER 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 May 30, 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 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, z • • 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 Watertront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of ELIZABETH GARDNER to construct a 13'x13' screen porch over existing deck landward of bulkhead; patio; existing deck; split-rail fence; and drywell; and as depicted on the site plan prepared by Mark K. Schwartz, AIA, last dated May 7, 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 truly yours, James F. King President, Board of Trustees JFK/eac James F. King, President q~gOfFO(,~co Town Hall Mnex Bob Ghosio, Jr., Vice-President ,`y~ G~ 54375 Route 25, P.O. Box 1179 Dave Bergen ~ ~ Southold, NY 11971 John Bredemeyer '~,y ~ Telephone (631) 765-1892 Michael J. Domino ~ 1~a Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ELIZABETH GARDNER Please be advised that your application dated Mav 30, 2012 has been reviewed by this Board at the regular meeting of June 20, 2012 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) Yz Constructed ($50.00) XX Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Final Inspection Fee = $50.00 TOTAL FEES DUE: $ 50.00 O ~a BY: James F. King, President Board of Trustees ,,,~ri~ 7/a~l~ • a~g11FF~(,r~ • ti ~i Peter Young, Chairman ~ ~ Town Hall, 53095 Main Rd. Lauren Standish, Secretary ya ~ P.O. Box 1179 'F Southold, NY 11971 ~ Telephone (631) 765-1892 01 * 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 William McDermott, seconded by John Stein, it was RESOLVED to SUPPORT the Wetland Permit application of ELIZABETH GARDNER requests a Wetland Permit to construct a 13'X 13' screen porch over existing deck landward of bulkhead; patio; existing deck; split-rail fence; and drywell. Located: 1665 Shore Rd., Greenport. SCTM#47-2-30 Inspected by: William McDermott, John Stein, Peter Young The CAC Supports the application with the Condition gutters, leaders and drywells are installed to contain roof run-off and a 15' non-turf buffer. Vote of Council: Ayes: All Motion Carried osuFFa,t James F. King, President QV CO P.O. Box 1179 Bob Ghosio, Jr_, Vice-President p~ Gd Southold, NY 11971 Dave Bergen (lgli y ~ Telephone (631 765-1892 John Bredemeycr ~ ~ Fax (631) 765-6641 Michael L Domino y~'0! # '~a°~ Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time:~/3/~ / 3~F ELIZABETH GARDNER requests a Wetland Permit to construct a 13'X 13' screen porch over existing deck landward of bulkhead; patio; existing deck; split-rail fence; and drywell. Located: 1665 Shore Rd., Greenport. SCTM#47-2-30 Type of area to be impacted: ~/S`altwater Wetland -Freshwater Wetland -Sound -Bay Distance of proposed work to edge of wetland PPar~ 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: ~~/r~~~ tic-ut.?'h ? /~-?`y/oil ~+~%U Pres Were: Kin B Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: ' BOARD MEMBERS • ~OF SOUT • Southold Town Hall Leslie Kanes Weisman, Chairperson ~ y0 53095 Main Road • P.O. Box 1179 l0 Southold, NY 11971-0959 James Dinizio, Jc # * Office Location: Gerard P. Goehringer w ac Town Annex /First Floor, Capital One Bank George Horning G~iO ~ i~ 54375 Main Road (at Youngs Avenue) Ken Schneider lyCO~ Southold, NY 11971 http://southoldtown. northfork. net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 • Fax (631) 765-9064 FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF MAY 17, 2012 ZBA FILE: 6560 NAME OF APPLICANT: Elizabeth A. Gardner PROPERTY LOCATION: 1665 Shore Road (adj. to Pipes Cove), Greenport, NY CTM 1000-47-2-30 SEORA DETERMINATION: The Zoning Boazd of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated March 29, 2012, stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. PROPERTY FACTS/DESCRIPTION: The Applicant's property is a 12,700 sq. fr. waterfront parcel in the R-40 Zone. The northerly lot line measures 100 feet along Shore Drive. The easterly lot line measures 127 feet along an adjacent parcel. The southerly lot line measures 100 feet along Pipes Cove. The westerly lot line measures 127 feet along another adjacent parcel. The property is improved with a single family dwelling with an attached deck, breezeway and attached garage as shown on the survey prepared by William R. Simmons, III, LSPC dated 1/8/2012. BASIS OF APPLICATION: Request for a variance from Article XXII Code Section 280-116(B) based on an application for building permit and the Building Inspector's March 8, 2012 Notice of Disapproval concerning screen porch with outside shower over existing deck to a single family dwelling, at; 1) less than the code required bulkhead setback of 75 feet. RELIEF REQUESTED: The applicant requests a vaziance to construct a 13ft x 13 ft screen porch over a portion of an existing deck, and an outside shower adjacent to the proposed porch, with a bulkhead setback of 45.5 feet rather than the code required setback of 75 feet. AMENDED APPLICATION: The applicant's agent on May 7, 2012 submitted a revised plan, prepared by Mark Schwartz, Architect, dated May 7, 2012, that shows a new proposed roof alteration, as well as the location of all new drywells to be installed to contain all storm water run off on site, as required by Code, bringing the plan into more conformity with the codes. ADDITIONAL INFORMATION: The Applicant received variance #4053, dated Sept. 26, 1991, for construction of the deck with a setback from the bulkhead of not less than 40 feet. A condition of the variance granted stated Page 2 of 3 -May 17, 2012 ZBA FileU6560 -Gardner • CTM: 1000-47-230 that the "proposed deck shall remain open and unroofed, as applied". The Applicant is now proposing some degree of relief from the condition imposed when that variance was granted in 1991. At the public hearing the Board requested that the applicant submit documentation regarding other non-conforming bulkhead setbacks in the neighborhood. On May 9, 2012, the Board received extensive documentation of previous variances granted with similar non-conforming bulkhead setbacks neaz the subject property. FINDINGS OF FACT/ REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on May 3, 2012, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property and surrounding neighborhood, and other evidence, the Zoning Board finds the following facts to be true and relevant and makes the following fmdings: 1. Town Law &267-b(3)(b)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Non-conforming bulkhead setbacks of less than 75 feet are quite common within the waterfront properties of the neighborhood. The Applicant is not requesting to reduce the setback already established through grant of a variance in 1991. 2. Town Law &267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The existing nonconforming deck setback from the bulkhead was established by the grant of a variance in 1991, and the proposed screen porch over a portion of the deck requires variance relief from a stated condition that the entire deck remain unroofed. The proposed screen porch is within the 75 foot setback required by code. However, the screen porch will cover a portion of the existing deck and will not be closer to the bulkhead. Additionally, the outside shower is located further from the bulkhead than the screen porch. 3. Town Law &267-b(3)(b)(3). The variance granted herein is mathematically substantial, representing 39% relief, however, it is mitigated by the fact the screen porch is within the previously granted setback. Additionally, it represents the removal of a condition stated in the variance granted in 1991, when the existing nonconforming bulkhead setback was established. That condition specified that the entire deck remain open and unroofed. There is no reduction to the established bulkhead setback. 4. Town Law &267-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The Applicant will install roof gutters and drywells to contain all stone water runoff on site as required by Code. 5. Town Law &267-b(3)(b)(5). The difficulty has been self-created. The Applicant could conceivably construct a similar sized screen porch in a more conforming location on the property, possibly without requiring any variance. However, the dwelling was constructed prior to zoning and is located within the 75 foot bulkhead setback, so any additions to the rear of the dwelling will require a variance. 6. Town Law &267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a 13x13 ft. screen porch with a nonconforming setback from a bulkhead, while preserving and protecting the character of the neighborhood and the health, safety and welfaze of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Horning, seconded by Member Weisman (Chairperson), and duly carried, to GRANT the variance as applied for, and shown on the site plan dated May 7, 2012 by Mark Schwartz, Architect sheet number S-I and elevations labeled A-I . Subject to the following condition, Page 3 of 3 -May U, 2012 ZBA Filetl6560 -Gardner " Ci'M: 1000-07-230 CONDITION: 1. The remaining portion of the existing deck shall remain open to the sky. That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s) granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when imohing nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other ' feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature jor an alteration that does not increase the degree of nonconformity. Vote ajthe Board: Ayes: Members Weisman (Chairperson), Goehringer, Schneider, Horning. Nays: Member Dinizio. This Resolution was duly adopted (4-/). Leslie Kanes Weisman, Chairperson Approved for filing ~ /d3 /2012 i i 'p ` r - - - ' j ..~4 ~ - ~ 4 'Elizabeth Gardner 1665 Shore Road, Greenport s ~ - ~ r r ~ ~t ' ~ SCTM# 47-2-30 ~`r'~ ~ . ~ 6!13!2012 . n ~ 1 t _ ~ ; Yzl K ~ - i'- :aF:.- N is _ ,fir,.. i~ ~ . _ 1: ~ ~ - ~ . -s _ . ...~,t - - - _ _ ~ c. e ~~..r- - 4 w. A ~ . t ~ ' ~t±13%'~{ Elizabeth Gardner + • ~ 1665 Shore Road, Greenport 1 ~~~111 SCTM# 47-2-30 t 6!13!2012 . *r y. _ ~ 1 ~f y` 0 1.• ~ „ ' ' M yy ~ T. v 1 - t ~ y'~. - Y ~ _ ~ i.l r_ t . ..a ?lit 'r'~ - ~;~~~-fie ~~J ~ * ~k . ~ r is d, { r, M` ~ a " ff ~ y~ M1 a:.. N " ~ ! ~W rti Tv ' ~ ~ '~'f i ~ ~ YY _ S~ ~ r jri { ~ ~ x ~ ~ ~ {may ~ J~'r'"~¢~ _r ~~yj~ u~' GARDNER; 1665 SHORE DRIVL . GREENPORT ~ SCTM: 1000-47-2-30 ~„t9u". ~ i991 . I ~ 'h• • C J < L~' t. ;?r~ ~ f N. 4 ~ y _ z t art ~ t~ ~-~~r~it xy~~, a ° ~ . f ,7 4 4 :.ill ,,C N i gyn.: ~ { n.a.` .u^.!`kGbJ6L~lk~:..~• ia".aC: +~'a~'C~tE*+•+t.rAw4. ~ ~ - _a«° tea. ,s~w..~rFw...n... • - : , `~"~a'..Gti?!r+~~at~.~``gq~y°p. ~er~sr - _ ~ r x'~ t s Nw4 M i tiS.4 "y~6Y ...'ti ~~yy,,"~`~a! t ~~IIIh': ~ r:l~~~'R' Lwn r M n - ~ ~ , . ~ . , _ 4 w ilARDNER, 1665 SHORE DRIVE. ~~,{~t''y}5..~~' ' a;'~ ~ .,~ywx~ ~t".r , ! ..r. "^sn s. _w ~ fi•.1..- _ - K~, ; ~ - ~~M ~ ,.k, GREENPORT .~¢fv~+~ 'a'O~S.~~ 'i..~,4,, ems. 1 ~,;sni ;~,a+? t,r ~'a~+;`t~ `e5 ny`~, ~ ~ _ ~ ~ Y,.~,~, ,r. c t 4~ ? rn,~;~., ~ SCTM: 1000-47-2-10 _ ~ ~'+t 1, tT ~ r t X!f?~R' , i a ~ , . ~ ~ r N i i~ a ,rK, o ~ ~ , , a ~ _ ~ 'r _ py. ~ of y'~ /.j M1'F A E S 6 ' 9 B. P/ O JI ~ g Q~ xa H P _ COUNtt OF SUFFOLK © ° O1°° ~ - w o µ y,:, O- evw_-~-_ ~ RealPmpe &Tav Servim P9encY ~ m.....o, a~~ Wes. EL47 • OFFICE LOCATION: ~~OF SO~ MAILING ADDRESS: Town Hall Annex ti0 lQ P.O. Box 1179 54375 State Route 25 ~ * Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 ~ Q Telephone: 631 765-1938 ~ Fax: 631765-3136 o~y~0UNT1 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD ~ ~~C~~o~ D J Lip JUN 1 8 2012 MEMORANDUM Southhold Town Board of Trustees To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: June 19, 2012 Re: Proposed Wetland Permit for ELIZABETH GARDNER SCTM#1000-47-2-30 Patricia C. Moore, Esq. on behalf of ELIZABETH GARDNER requests a Wetland Permit to construct a 13'X 13' screen porch over existing deck landward of bulkhead; patio; existing deck; split-rail fence; and drywell. Located: 1665 Shore Rd., Greenport. SCTM#47-2-30 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Watertront 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 denoted following Policy Standards and therefore is CONSISTENT with the LWRP provided the following: 1. If the action is approved 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 it is recommended a 15' landscaped buffer is required landward from the top of bulkhead. LANDSCAPED BUFFER --Aland area of a certain length and width which is planted with indigenous, drought-tolerant vegetation similar to that found within the immediate proximity of the parcel. Vegetation shall be installed in sufficient densities to achieve 95% ground cover within two years of installation. 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 afour- 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 orrce use only Coastal Erosion Permit Application _?Wetland Permit Application Administrative Permit A mend ment/Transfer/Extension /IFeceived Application:. II1 r deceived Fee:$ ~ ~ j•,e_~~`~1 ~1nL'*1-t ,~e6ple[ed Application 7tiY Incomplete _SEQRA Classification: Type IType IIUnlisted , Coordination:(date sent) `~W RP Consistency Assessment Form t~•(1 (1 ~C'AC Referral Sent: ~ ate of Inspection: (f_, i l:)' Receipt of CAC Report: Lead Agency Determination: Technical Review: ~lic Hearing Held:8- Resolution: Name of Applicant ~ ~i ~~/)o~l-h y~~f Address ~ (.0105 ~5,,-~ ,rP (Q c(,~ ~ c ~,•1'-- Cd~, Phone Number:( ) 5 l ~ - 5~~ - y ~-I Suffolk County Tax Map Number: 1000 - ~ .1 ' ' ATV Property Location: (lo (o ~ -j- (provide LILCO Pole distance to cross streets, and location) AGENT: "r Ci.'tV CGt a ~ M O(r)Y`e._ (If applicable) nn Address: ~ UZ.~ M A 1 Yl ~C~C~~TC~~ t Trt~tn ~ r~ ''II _ ~G • ~ ~ 7 ~ Phone: ~ ~S ~t 3 17y /a Cl~~ ~~ly ~ard of Trustees Applicatio• GENERAL DATA Land Area (in square feet): ~ 2.1 7 0 O s y ~r- Area Zoning: ~ ~1}O Previous use of property: r-tpy ~ iu~ j~p~[c_ Intended use of property: p~),~e u~~~ CC_ ~ SC~^v~~tszclc ~p~-~1~ ~ Cu~1.a Covenants and Restrictions: Yes X No If"Yes", please provide copy. f1~~~,v~ upP~,r Does this project require a variance from the Zoning Board of Appeals X Yes No I~ Z [f "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 Dock_ o2O I 1 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): ( 3~x L3 ~ ~G ~rGe-n Do-r< <n ~'S-,ier?' Inc c S~s-,`,nce rl~Tit~ ~c~dw aid w ~ ~ `~~es~c~_~c~~+ > ~J`~ l`~cMG ,~L k,.r ~-l~ C' - O o~v-~rs~i T l:~ a-~.~\ ~r_,d1,eR ~ d~~ ~ ~ard of Trustees Applicatio• WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: SQ~'eP~/~2c{ ~r~'1 D ~ cs{-Unc~ dick - 13' x 13 L ec~ ~ ~ ~ C,k- ~YYKi. [ h S ~ d-~--c~ ~ t ti~ (,c -o) avuJ~ Pc~,1-t o ~ ~C-v~c~ > P~ ~r p °~`a'~ Area of wetlands on lot`: ~ square feet Percent coverage of lot: ~ Closest distance between nearest existing structure and upland edge of wetlands: tIS•S feet Closest distance between nearest proposed structure and upland edge of wetlands: t}5. 5 feet Does the project involve excavation or filling? No X Yes ~zx~Samc3s c"'~ If yes, how much material will be excavated? M ny . cubic yards How much material will be filled? ~ cubic yards Depth of which material will be removed or deposited: N feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 17os~ ~_~c~~ 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): ~tyz-- ~Ybrfle~~l r~P~~, o r ~cs~c-~ W ~`~in ~t t? kR crl ,Q~ c5h~inC', d-e,eak _ Dash ~i ~o.~~ , ~.,r ~ ~ vn~ ~ S~ ~-e~l,Zu-~~C S~ 6~.~ r~.oa J Z 1~ c2x5 c ti.-~ ~ Cc~-v~ cn,~-~.J. ~ U • Board of Trustees Application County of Suffolk State of New York ~(i j1Lba~ ~ra-r-~/~ er BEING DULY S WORN 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, 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. Signa e SWORN TO BEFORE ME THIS DAY OF~,20 r Z o ary lic BETSY A. PERKINS Notary Publ~, State of NewYotk No.01PE613p636 Qualified in Suffolk County„ Commission Expires July 18, GVV Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, ~~i~Ltl,(7e7~~ t7-urc~rler residing at d%~~ /~~i//~S fi`~ ~ceu,7s;~(e~ /U~ /Li7L (print owner of property) (mailing address) do hereby authorize (Agent) ~A. ~`~Crw MBnY`~ to apply for permit(s) from the Southold Boar'd~ojf'Town Truste/es on my behalf. ~7/~n ~~G~//2-Gti (O ~ er's signatur PROJECT ID NUMBER 617.20 SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME 3.PROJECT LOCATION: I ~ K I ~ Municipality I tP tP$- 5• )t~'E County 4. PRECISE LOCATION: Street Addess and Road Intersect ns. Prominent landmark etc - or provide moo I (oto5 L~h~ ~Q ((~r~~ t . 5. IS PROPOSED ACTION : ? New ? Expansion ®Modification /alteration 6. DESCRIBE PROJECT BRIEFLY: ~f'~ Pnc < S f-~M~` Vl ~`u IJe-"Q, 1'~ G 1 ~vl ~W Gad' ~'Ut'/f- `QtNC~ 7.AMOUNT OF LAND AFFECTED: Initially ~7 acres 12yDC Ultimately ~ acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes ? No If no, describe briefly: ~'"'R CE„ c,4,t~c,c~ 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential ? Industrial ? Commercial ?Agriculture Park /Forest / O en S ace ? P P ?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: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? I1Yes ?No If yes, list agency name and permit /approval: '-~Q ~1 1FI~2~A"~S A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ A~PPILR~O`VtAL REQUIRE MODIFICATION? LJTes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / S o P rlsef"1Vame C.f.~UT~c~~ //(Cr7}~ Date: Signature 'J~ 2'~" If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment • PART II - IMPACT ASSESSMENT To be com leted b Lead A enc A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? Ii yes, coordinate the review process and use the FULL EAF. Yes ~ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative deUaration may be superseded by another involvetl agency. Yes ~ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwdtten, it legible) Ci. Existing air quality, surtace or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain bdefly: C2. Aesthetic, agdcultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife spedes, significant habitats, or threatened or endangered spedes? Explain briefly: C4. A wmmunity's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or relaletl activities likely to be induced by the proposed action? Explain briefly: C6. Long tens, short term, cumulative, or other effects not identified in Ci-C5? Explain briefly: C7. Other im acts indudin than es in use of either uanfit or t e of ener ? Ex lain briefl D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA ? If es, ex lain briefl Yes ~ Na E. IS THERE, OR IS THERE LIKELY TO BE CONTROVERSY RELATED 70 POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es ex lain: Yes ~ No PART III -DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Foreachadverseeffectidentifiedabove,determinewhetheritissubstantial,large,importantorotherwisesignificant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic swpe; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of sign~cence must evaluate the potential impact of the proposed action on the environmental characteristics ofthe CEA. Chedcthis boxifyou have identified one or more potentially large orsignificant atlverse impacts which MAY occur. Then proceed direcfly to the FUL EAF and/or prepare a positive tleclaraflon. Check this box if you have determined, based on the information and analysis above and any supporting dowmentafion, that the proposed aGio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Board of Trustees o lh/~ ~ J Name of Lead Agency Date J H ~ Cf F. ~~~dtJ President p Pdn r Type Name of Responsible Officed Agency Title of Responsible Officer gnature of Responsible Officer in Le Agency Signature of Preparer (If different from responsible officer) • •~~n~ ~bo~k Town of Southold Erosion, Sedimentation 8r Storm-Water Run-off ASSESSMENT FORM ~ ~ ~ PROPERTT LnCATWN: s.c.TAA. a: THE FOLLOWING ACTIONS MAY ItEgU1RE THE SUBMISSION OF A. ~ STORM-WATERr GRADING DRAINAGE AND EROSION CONTROL PLAN s~TFITc 'S~ -61" cr' ~ CERTIFIED BY A DESIGN PROFESSIONAL N THE STATE OF NEW YORK. SCOPE OF WORK -PROPOSED CONSTRUCTION ITEM # /WORK ASSESSMENT Yes No a. What is the Total Area of the Projed Parceis7 ~ Will this Projed Retain All Storm-Water Run-0ff (Indude Total Area of all Parcels boated within ) Z ~ 1 3 Generated by a Two (2') Inch Rainfall on Site? the Scope of Work for Proposed ConsWdion) (s F (This Item will Indude all runoff created by site X b. What Is the Total Area of Land Cieadng deadng andlor txmstructlon adivitles as well as all and/or Ground Disturbance for the proposed ~ Site Improvements and the permanent creatlon of rxNtstrudion adlvity? impervious surfaces.) (S.F. / Avas) PROVIDE BRIEF PROJECT' DFSCRIPI'ION c~+a. AEEltland rea.e.. Nerieii 2 Does the Site Plan and/or Survey Shaw All Proposed ~ ? Dreinage SWdures IrWicetlng Size & Location? This Item shall Include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. ~-are~Me~~ rm,rr~ /y~~~ 3 Does the Site Plan and/or Survey descdbe the erosion ? V V'V\ fZX t S and sediment control prectices that will be used b control site erosion and stone water discharges. This J ~ ~,vr-~ ~ Item must be maintained throughout the Entire Construdion Pedod. 4 Will this Projed Require any Land Filling, Grading or Excavation where there is a charge to the Natural ? p~ n Existing Grade Involving more itian 200 Cubic Yards ~~1 of Material within any Parcel? fj Will this Application Require Land Disturbing Adivities ? Encompassing an Area in Excess of Five Thousand N (5,000 S.F.) Square Feet of Ground Surface? s Is there a Natural Water Course Running through the SHe7 Is this Projed within the Trustees judsdidion Generel DEC SWPPP ReaulremenN: or within One Hundred (100')feet ofa Wetland or Submissbn of a SWPPP N required for all Consiroction activities invdving soil Beach? distur0ances or one (t) or more acres; Including dNturbences of less Nan one acre that 7 Will there be Site preparation on Existing Grade Slopes ? , , are part of a Niger cermmmmon plan that wit ultimately d'sNrb ane or more aces of land; which Exceed Fifteen (15) feet Ot Vertical Rise to r~tv~ ).1.~\ Nduding ConsWdbn aotN0les Involving sogdisturbences of less than one (1) acre where pee Hundred (100') of Horizontal DistanceT the DEC has debrmNed ihaE a SPDES permN is required for alarm water disMarges. (SWPPPY Shall mea! gre Minimum Raqulremenb of the SPDES General Permit $ WIII Driveways, Perking Areas or other Impervious ? . ,1, for Storm Wabr Discharges iron Conabuetlon acfiWry - Parmlt No. GP-0-00-001 J Surfaces be Sloped to Direct Storm-Water Run-Off Ih l l\" K(~ 1. The SWPPP shell ce prepared prbr Eo the submittal of Me NOT. The NOI sheA tie Info andlor In the dlfeCfion d a Town dghtof-Way? submitted to gie DepaNrent prbr to the commencement of censWCtbn actlviry. 2. The SWPPP shell desaiba the erosion ell sediment centrd pactces ane where 9 VV(II this Projed Require the Placement of Material, ? required, poetconsWNon storm water management practices that wPo be used and/or Removal d Vegetatlon and/or the ConsWdion d any consbucNd N reduce the poWNnb N storm water dNChargea and to assure Item Within the Town Right-of-Way w Road Shoulder oomplNnce wtth the terrru ell condDons of this permtt. In additton, the SWPPP ehal idenllry poNMNi souroea of poputbn whkh may reasonahy be expected N aRect the Area? (mb teem wen Not raewa the 1mbNNOn Monvewey Apone.) qua0ty of slam rater dlxharges. NOTE: H Any Answer b Ouutlons One tlrreuph Nina is Mawaretl wNh a Cheek Mark 3. N SWPPPe that require the post-conatructbn sNrm water management Dradka in a Box and Me anctruNOn alb dislwbsnco p Iwhvaeh 5,000 S.F.6 7 Ace in area, component sheA ba prepared by a qua00ed Design Pmbsslonel Licensed N New York a Stone-WaW, Grading, Dralnapa 8 Eroabn Control Plan N Requkad by Ma Town M That N knowtedgeabN N the principles 0nd Prectkes at Slortn Water ManegemanL Soumold arW Nusl be 9ubmgbd far Review Prtorto bsuanea aAny auilding Parmk (NOTE ACheck Mwk(~)andlorAmwx for earA Oueat(anh Regdnq bra eompleb Appfxatlon) STATE OF NEW YORK, nn COU\N1'Y OF <.`~'11.`-:..~Y.-...... SS That I, . ~t r~tY.t..Sh,.h, C.....~vv .Q.eS)!'e............ being duly sworn, depGSes and says that he/she is the applicant for Permit, (Name of Ndividuel aigNng Doamem) And that he/she is the ~er, Canaaclor, Agent, Carpaale fx5cer, etc.) Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Swom to before me this; - Notary Public:. (y St6t8 ~ NeYY Ybrk 1~~• Y 1 rGV 1 J17GJV (Signature or Applimnq FORM - 0 /70 Cixnmi8ebn Expires July 18, BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF SIGN ELIZABETH GARDNER POSTING Regarding Posting of Sign Upon Applicant's Land Identified as 1000-47-2-30 ---------------------------------------------------------------x 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 th day of June, 2012 I personally posted the property known as 1665 Shore Road, reenport, 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 day of June, 2012 i ' N u lic BETSYA. PERKINS Nota?y Publlc, State of New York Qual fled n Suffolk C only Commission Expires July tf3,.._„_ BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF ELIZABETH GARDNER MAILING Applicant's Land Identified as 1000-47-2-30 ---------------------------------------------------------------x 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 June, 2012 I 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 t Southold Post Office on said date. tsy erki s ( ignature Sworn to before me this ~371f day of June, 2012 (N ary MRRCRAET C. RUTKOWSKI Notary Public, State of New York No. 4982528 Qualified in Suffolk County Commission Expires June 3, ~r ~-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. # . • • r~ ~'F GARDNER ~ SCTM: 1000-47-2-30 s NEIGHBOR MAILING LIST s~ ROBERT D. EICHER j 11 HILLCREST DRIVE o 3. Service TYPe j a. Restricted Delivery CERTIFIED I j _ Dr_i - Yes ~ MOORE LAW OFFSCES (Extra Fee) ? j j 5yp2p MAIN ROAD NY 11971 2. Article Number pppl 1771 j j SOUTNOLD 7y92 6463 311p j j IIII IIIIIIIIIIIIIIIIII IIII'll j!I ~Ij j ~ ssee or Agenr j 1 a IIIIIIIIIII A, ~ not r ~ a. ?pp1 1771 j j i Pri t clearly) 7192 6463 3110 I (Plea j ' B. Re ive Y~ j j I j t, Article Addressed o: j j I of Deli rv EICHER ~ (p ~ 2- ROBERT D• 11 HILLCREST DRIiOgp3 D. Addresse sAe ass inpirterenrPmmnaanssu:eebys.na.tl MANOR NY PELHAM . ' - ' _'~[-I Flour-(Flnese Print CleerlYl ~ "AdEreas 1 Suite I P - i Secondary ~pellvery Addmss _ 1 ZIP a~4 COde Slate - - - Llry RECEIPT RECEIPT 719z 6463 3110 0001 n96 ]192 6463 3110 0001 1786 FROM'. RECEIPT Moore Law Offices FROM. olrws RE'. Gardner Trustees hearing 7192 6463 31100001 1771 Moore Law FROM: RE~. Gardner Trustees hearing Moore Law Ofriws RE. Gartlner Trustees hearing SEND TD: SEND TO: TowN of souTHOi.D MICHAEL BEHRINGER PO BO% 1179 25 CAT ROCK ROAD SOUTHOLD NY 11971 SEND TO'. cos coe cT osam ROBERT D. EICHER 11 HILLCREST DRIVE FEES. PELHAM MANOR NY 10803 postage O C1Y 7 7 ` FEES: _ _ p~y5 ~i Cenitied Postage 5 Retur ~ Ipt 235 GerC4ied @ 1' 2 3 1 Rest/ ~ FEES: d45: Rewr g'oelpt ~ ' Postage 1 ~ Res TOTA O certlfi ~~''7 5.75 ~ Ret eceiPt ey TOT t= ~ PO MAR DATE R t ed O TO q ~ $ 5.75 p01~{MARK = DATE a ~ l J USQ p~'~I~MARIS~R DATE<`~'_'~ t`\``~s~~ _ O ~ O LETTER ~PATRICIA C. MOORE, ATTORNEY AT LAW 51020 Main Roed Southold, NY 11971 (631)765-4330 email: pcmoorel ~optonline.net DATE / 2 ~ J O"~ . TO SUBJE J 2 SIGNED Please reply ~ No repy necessary APPLICANT/AGENT/REPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM e o 0 0 0 o~ thi f 's to rov'de in ti n whirls Wnt[icts of into ton the of town office neces to avoid can alert a [own of ible conflicts f interest and allow i o take wha ever acti nis YOUR NAME: EIr~Z u.Gt f. /9- ~r ar~n t{' (Last name, first name, middle initial, someone else or other rn6 u°l~ YOU are aPPlYing in the name of person's or com ty, such as a company. [f so, indicate the other PanY's name.) NAME OF APPLICATION: (Check all that apP1Y~) Tax grievance Variance Building Change of Zone Tmstee Approval ofplat Coastal Erosion Exemption from plat or official map Mooring Other Planning (If"Other", name the activity.) Do you personally (or through your company, spouse sibling, parent, or child) have a relationship with an of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership in which the mwn officer or employee has even a partial ownership of (or employmrntf by) a cempooyee in which the town officer or employee owns more than 5%of the shares. YES rporetion NO ? If you answered "YES", complete the balance of this form and date and sign where indicated. Name ofperson employed by the Town o(Sou[hold Title or position of that person Describe the relationship between yourself (the appliranVagenUre the appropriate line A) Through D) and/or describe in the space provided[ative) and the town offcer or employee. Either check The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __A) the owner of greeter thanCS o~~i~ shares of the corporate stock of [he applicant (when the applicant is a ) _B) the legal or beneficial owner of any interest in anon-corporate rntity (when the aPPlicent is not a corporetion); C) an officer, directoy partneq or employee of the applicant; or __D) the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this ~ 29 day of Yyl ZOt~ Signature - _ Form TS I Print Name i Z _ ~F: n Pfl;~(ct A c r-(~ • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. 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 beneftcial 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 ofSce. B. DESCRIPTION OF SITE AND PROPOSED ACTION- 13' x 13' screened porch over existing deck SCTM#1000- 47-2-30 1665 Shore Road, Greenport The Application has been submitted to (check appropriate response): Town Boazd _ Planning Dept. Building Dept. Boazd of Trustees X Zoning Boazd _X_ 1. 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: 13' x 13' screened porch over existing deck , ~'°"h ° t?'lA~ot+r >Na'U,y"'~ ~ ~JG~C.ou'h p'U'~'r rnC~-r~ Location of action: 1665 Shore Drive, Greenport Site acreage: .25 acres. 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: Elizabeth A. Gardner (b) Mailing address: 2932 Davis Street, Oceanside NY 11572 (c) Telephone number: Area Code (631 ) 765-4330 (Pat Moore) (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: bulkhead built prior to 1962 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 dverse effects of development. See LWRP Section III -Policies; Page 2 for evaluation criteria. Yes No Not Applicable screened porch over deck constructed in 1991 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 Existing developed site- fully developed area. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III -Policies Pages 6 through 7 for evaluation criteria Yes No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III -Policies Pages 8 through 16 for evaluation criteria Yes No Not Applicable The existing bulkhead protects upland property. Existing deck remains with 13' x 13' screened porch. 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 the roof runoff of the screened porch wilt have dry wells 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 No change as screened porch is over an existing structure with the same setbacks. 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 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 Property previously developed with a bulkhead. 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 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 property is a waterfront parcel with a single family dwelling. Screened porch enhances use of waterfront parcel. Attach 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 Upland of bulkhead • ~ 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 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 • PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax:: (631) 765-4643 May 30, 2012 Board of Trustees Town of Southold P.0. BOX 1179 Southold, NY 11971 ~ - I .,;:c RAND DELIVERED Re: GARDNER Premises: 1665 Shore Road, Greenport SCTM: 1000-47-2-30 Dear President King and members: With reference to the above, enclosed please find an original and two copies of a wetlands permit application together with my check for the filing fee. A copy of the recent ZBA decision is also enclosed. Thank you. Very truly yours, Patricia C. Moore PCM/bp encls. C: Ms. Elizabeth Gardner REVISIONS: L«ATION: AREA: LOT COVERAGE: PROPERTY: 72.700 50. FT. 0.29 ACRES EXISTING HOUSE: 1423.5 SQ. FT. 11.2% EXISTING DECK: 268.2 50. FT. 2.1% SCREENED PORCH 16].9 SQ. FT. 1.3% OVER E%. DECK: ~ TOTAL: 1659.4 SO. FT. 14.6% i~ - :i 5 39°21'30" E 127.00' O PROPOSED 55' SPLIT RAIL FENCE G.O.L. O ~ ~HEDGES~ O O ~ U ~ 3 O m >:a ~ W DMD ~ ~ O ~n ~ o ~ x `n s~ ~ a w 5~ P 1 LOT ; EXISTING 26 RECEIVED DECK 41.5' Q EXISTING HOUSE O LU MAY 7 2012 PROPOSED ? SCR. PORCH a2 p., O BOARD OF APPEALS O w/DECK ABOVE ~ j W m ^ Q waves O 1..1.. ~ F Pa. SLATE EXISTING I"I O WALK BREE2LWAY ~ ~ ti 1 ~ E%ISTING ~ ,A~, LOT W ASPHALT DRIVEWAY GARAGE 25 O M ev°ewmrorcn x°w~w muwivn s¢ 00 OO •r iomenuNen err wn M nn noun ucu. rt. O moron l!1 G mwwurn:e..x~a.m °awhu Z m PROPOSED w'~n~'neu. ' DRYWELLO 20.0' EX. SPLIT RAIL FENCE G.O.L 127.00' WOOD DECK ALUMINUM WALK FLOATING p ~ N 39°21'30" sza D«K a N o~ APPROVED BY N~ ~ BOARD OF TRUSTEES ~ SITE PLAN TowN of sourHO~ SCALE: 1" = 20'-0' D:~i t use ~i~ DMWN: AM/MS 1 SCALE: 1^=2a ~ loe x: m, zmz SHEET UMBER: REVISIONS: ~i _ < i ~oroi®oex "i1~ .~i m a 3 . wur¢ R~ c ^ 4 $ u y ~ d •I y U U E RECEIVED o - E o _ ° - _ MAY 7 2012 ; W PROPOSED REAR ELEVATION BOARD C7F APPEALS z ~ SCALE: 1/B" = 1' ~ a ~ ~ Q ~ Q w Q ~ w 0 0 a - - x+ a o ~ °z N°~ ,A C7 - - EXISTING REAR ELEVATION DRAWN: MNIMS SCALE: I/0"=1'-0• SCALE: i/8" = 1' roe a: Mr o~. 2011 SPIFFY NUMBER: A-1 N SURVEYED FOR:ELIZABETH GARDINER LOCATED AT GREENPORT,T/O SOUTHOLD,SUFF.CO.N.Y. LOTS 25 & 26 MAP OF "GREENPORT SHORE" SEC.1(#1759) SCALE 1 "=20' S.C.T.M. 01000-047-02-030 mock. o~ p~. s~ ~ 9 2 Q~\v ?,~OF r, n~0 ~ O P~' ~Qh p ti ~~o ~ o~y ryo ry 0~ u'p., 9 ^9~ ^SC1' 6 ry06 mew 9d 1~' O~ B d ~P 's 351 ^~o ~ ~nn / o ^g'L ~ V O ~T 'SO+60 y'~D ?e, OO ar°'1 .~Op. sq, d: f P~ ! o\. o~ O~`'s mad a~Q V~ G~ $30 Q\Q~5 ~o y~o~ 0 NG ~8, f 20. a4h~ 69 ' FILE N0.47887 Ilk. ~ ~~J S^ ~~.4 I` ryr WILLIAM R.SIMMONS 111 L.S.P.C. 128 CARLETON AVE.EAST (SLIP N.Y.11730 PH. 631 581-1688 FX. 631 581-1691 DATE 1/&2012 SCALE I'=20' DRAWN BV: WRS IV