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HomeMy WebLinkAboutTR-7843John M. Bredemeyer III, President Zf SO(/j�, Michael J. Domino, Vice -President James F.'King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee ® �O9Z l`_0,OUNN,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 CERTIFICATE OF COMPLIANCE Telephone (631) 765-1892 Fax (631) 765-6641 # 1074C Date: November 20, 2014 THIS CERTIFIES that the demolition of portion of the existing dwelling and reconstruction with an addition; wire fence along the west property line brought into conformity with the Town Code At 6315 Indian Neck Lane Peconic, New York Suffolk County Tax Map # 86-6-20 Conforms to the application for a Trustees Permit heretofore filed in this office Dated Mgy 31,.2012 pursuant to which Trustees. Wetland Permit #7843 Dated July 18, 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 into The certificate is issued to BARRY ROOT owner of the aforesaid property. �Fl Authorized Signature John M. Bredemeyer [[[, President Michael J_ Domino, Vice -President James F. King Dave Bergen Charles J. Sanders s BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: )/7 W. Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre -construction, hay bale line/silt boom/silt curtain 1St day of construction Y2 constructed Project complete, compliance inspection. INSPECTED BY: x' — Town Hall, 53095 Main Rd_ P.O. Box 1179 Southold, NY 11971 Telephone (63 1) 765-1892 Fax (631) 765-6641 CERTIFICATE OF COMPLIANCE: Jill M. Doherty, President James F. King, Vice -President Dave Bergen Bob Ghosio, Jr. John Bredemeyer BOARD OF TOWN TRUSTEES TOWN. OF SOUTHOLD Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971,0959 Telephone (631) 765-1.892 Fax (631) 765-6641 DATE OF INSPECTION:,w Ch. 275 Ch. 11'1 INSPECTION SCHEDULE Pre -construction, hay baleline/silt boom/silt curtain 1st day of construction i '/Z constructed Project complete; compliance inspection. INSPECTED BY: U COMMENTS: CERTIFICATE OF COMPLIANCE: James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino G BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE -CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE v/ Pre -construction, hay bale line 1 st day of construction % constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7843 DATE: JULY 18, 2012 ISSUED TO: BARRY ROOT PROPERTY ADDRESS: 6315 INDIAN NECK LANE, PECONIC SCTM#86-6-20 AUTHORIZATION Pursuant to the provisions of Chapter 275 and Chapter 111 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 July 18, 2012 in consideration of application fee in the sum of $250.00 paid by BarryRoot and subject to the Terms and Conditi4 as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to demolish a portion of the existing dwelling and reconstruct with an addition, with the Condition the wire fence along the west property line be brought into conformity with the Town Code, and as depicted on the survey prepared survey prepared by John T. Metzger dated May 21, 2012 and stamped approved on Ji 18, 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. 0 0 TERMS AND CONDITIONS The Permittee, Barry Root residing at 6315 Indian Neck Lane, Peconic, 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 suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 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. 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 18, 2012 Ms. LeeAnn Romanelli P.O. Box 909 Southold, NY 11971 RE: BARRY ROOT 6315 INDIAN NECK LANE, PECONIC SCTM#86-6-20 Dear Ms. Romanelli: n U Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wed., July 18, 2012 regarding the above matter: WHEREAS, LeeAnn Romanelli on behalf of BARRY ROOT 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 31, 2012, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 18, 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, 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 BARRY ROOT to demolish a portion of the existing dwelling and reconstruct with an addition, with the Condition the wire fence along the west property line be brought into conformity with the Town Code, and as depicted on the survey prepared by survey prepared by John T. Metzger dated May 21, 2012 and stamped approved on July 18, 2012. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $100.00 Very truly yours, of Jame F. King, Presid Board of Trustees JFK/Ims James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino TO: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 0 Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765.6641 Please be advised that your application dated �S 1 -1111 a- has been reviewed by this Board at the regular meeting of r1 jI I and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project V' Pre -Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) Yz Constructed ($50.00) Z. 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: P��1'' TOTAL FEES DUE: $ O. D J371 BY: James F. King, President Board of Trustees • BOARD MEMBERS rg SOIJTO yl0 Leslie Kanes Weisman, Chairperson James Dinizio, Jr.[ Gerard P. Goehringer G Q George Homing I�COOrjj Ken Schneider • Southold Town Hall 53095 Main Road • P.O. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex /First Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) 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 NNE 7, 2012 ZBA FILE: 6559 NAME OF APPLICANT: Barry Root SCTM# 1000-86-06-20 PROPERTY LOCATION: 6315 Indian Neck Lane, (adj. to Richmond Creek) Peconic, NY SEORA DETERMINATION: The Zoning Board 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 16, 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: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued his recommendation dated April 25, 2012. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. PROPERTY FACTS/DESCRIPTION: The parcel is 1.7319 acres in an R-40 District, fronting 156.60 feet along Indian Neck Road to the south, running 468.40 feet along a side yard to the east, running two courses of 107.84 feet and 45.26 feet along Richmond Creek to the north and running 520.10 feet along another side yard to the west. The parcel is improved with a one story frame house and an accessory detached concrete/frame garage. The parcel has a bulkhead and rip -rap. Above, as shown on the "Site Plan", sheet S-1 of the Architectural plans prepared by Ira Haspel, R.A., dated 11/17/11. BASIS OF APPLICATION: Request for Variance from Article XXII Code Section 280-116(B) based on an application for building permit and the Building Inspector's February 14, 2012 Notice of Disapproval concerning proposed partial demolition and reconstruction with additions to a single family dwelling, at; 1) less than the code required bulkhead setback of 75 feet. RELIEF REQUESTED: The applicant requests an area variance for a 62 foot bulkhead setback, requiring a 13 foot variance from the code required 75 feet. ADDITIONAL INFORMATION: The requested variance is to the northwest corner, which is proposed to remain, of the pre-existing subject dwelling having a Pre Existing C.O. FINDINGS OF FACT/ REASONS FOR BOARD ACTION: Page tot 3—June 7, 2012 • ZBA File#6559 -Root CTM: 1000-86-6-20 0 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 findings: 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. The proposed reconstruction with additions and the proposed bulkhead setbacks are characteristic to this neighborhood and there is no evidence that they would create a detriment to nearby properties. 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 requested setback variance is to the northwest corner of the pre-existing dwelling that is proposed to remain during and upon completion of the reconstruction with additions. It would not be feasible for the applicant to move this portion of the dwelling to a conforming setback location. 3. Town Law &267-b(3)(b)(3). The variance granted herein is mathematically substantial, representing a 17% relief from the code. However, this substantiality is mitigated when recognizing that the dwelling has pre-existed with the proposed bulkhead setback without any evidence of causing detriment to the community or environment. Furthermore, there are other neighboring dwellings, which appear to have lesser bulkhead setbacks than what the applicant proposes. 4. Town Law 4267-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. All storm water runoff will be contained on site and the proposed upgraded sanitary system will improve the subject property. 5. Town Law &267-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 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 variance for a nonconforming bulkhead setback of 62 feet to a one story dwelling while preserving and protecting the character of the neighborhood and the health, safety and welfare 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 Weisman (Chairperson), seconded by Member Schneider, and duly carried, to GRANT, the variance as applied for, and shown on the Architectural plans sheets: S-1, A-1, A-2 and A-3, prepared by Ira Haspel, R.A., dated 11/17/11 (sheet S-1) and 11/19/11 (sheets A-1, A-2, A-3) 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 involving 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 for an alteration that does not increase the degree of nonconformity. Page 3 of 3 — June 7, 2012 . ZBA File#6559 - Root CTM: 1000-86-6-20 • Vote ojthe Board. Ayes: Members Weisman (Chairperson), Dinizio, Goehringer, Schneider, Horning. This Resolution was duly adopted (5-0). Leslie Kanes eisman, Chairperson Approved for filing ( //;, /2012 DEC Pemrit Applications L� • htgn://uwc.webmail.optimmn.net/printhtml DEC Permit Application Detail A Application ID: 1-4738-04031/00004 Facility: Root Property Location: 6315 Indian Neck RDISCTAMt1000-86-6-20, Peconic, NY 11958 Town or City: Southold IA Applicant: Root, Barry C 0 Permit Type: Tidal Wetlands A Application Type: New A Date Received: 03/20/2012 0 Status: Final Decision Due as of 08/06/2012 A Complete Status: Complete as of 06/22/2012 A UPA Class: Minor A Short Description: CONST: 1 STRY ADD TO SFD, PATIO, CARPORT, SS, TRENCH DRAIN, DRYWELLS A ENB Publication Date: AWritten Comments Due: 0 SEQR Class: Type II Action 0 SEQR Determination: Not Applicable A Lead Agency: None Designated Environmental Justice: The application is not subject to the Department's Environmental Justice A policy (CP -29). Either the permits needed for the project are not subject to the policy or it has been determined that the project would not affect a Potential Environmental Justice Area. SHPA Status: The proposed activity is not subject to review in accordance with SHPA. 0 The permit type is exempt or the activity is being reviewed in accordance with federal historic preservation regulations. A Coastal Zone Status: This project is not located in a Coastal Management area and is not subject to the Waterfront Revitalization and Coastal Resources Act. A Final Disposition: A Permit Effective Date: A Permit Expiration Date: Stimulus Project: No Other Known IDs: 1000-86-6-20 - Tax Map Number (each county) DEC Contact: Matthew R Penski SUNY @ Stony BROOK150 Circle Rd, Stony Brook, NY 11790 Tel: (631)4440365 Please email the Regional Office for additional information or questions regarding this application. New search Or use the browser back button to get to previous page Search Wizard Instructions 2 of 7/18/2012 8:18 AM DEC Permit Applications r 1 �J Subject Emailing: DEC Permtt ApplicationsAbn From 'Toth, Vicki"<vicki.toth@town.southold.ny.us> Date Tuesday, July 17, 2012 3:59 pm To peconicsurvey@optonline.net NEW YOM STATE ASL DEPARTMENT OF � ENVIRONMENTAL CONSERVATION 0 https://uwc.webmail.optinnmrtet/pririLhtml New search Or use the browser back button to get to previous page 1 of2 7/18/2012 8:18 AM Peter Young, Chairman Lauren Standish, Secretary Conservation Advisory Council Town of Southold 9 Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone(631)765-1892 Fax(631)765-6641 At the meeting of the Southold Town Conservation Advisory Council held Wed., July 11, 2012 the following recommendation was made: Moved by John Stein, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of BARRY ROOT to demolish a portion of the existing dwelling and reconstruct with an addition. Located: 6315 Indian Neck Lane, Peconic. SCTM#86-6-20 Inspected by: William McDermott, Jack McGreevy, John Stein Tie CAC Supports the application, however, the project was not staked as of July 12, 2012. The CAC questions the legality of the wire fence. Vote of Council: Ayes: John Stein, Jack McGreevy, Audrey Horton, William McDermott, Doug Hardy Recused: Peter Young 0 James F. King, President J Qw Bob Ghosio, Jr., Vice -President Dave Bergen ti John Bredemeyer �. Michael J. Domino 'y �Ol i Cp P_o. Box 1179 Gds Southold, NY 11971 Telephone (631 765-1892 M Fax(631)765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: 7 4/� is /S BARRY ROOT requests a Wetland Permit to demolish a portion of the existing dwelling and reconstruct with an addition. Located: 6315 Indian Neck Lane, Peconic. SCTM#86-6-20 Type of area to be impacted: --S-altwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part own Code proposed work falls under: hapt.275 _Chapt. 111 _other Type of Application: Wetland _Coastal Erosion _Amendment —Administrative—Emergency _Pre -Submission Violation Info needed: Modifications: Conditions: 1,-1--Y Zc4e- /,) G rnd' A- - r / � Present Were: J. King _B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field Mailed/Faxed to: Date: '®r r k Y K BOARD MEMBERS • ��F so�Ty • Southold Town Hall Leslie Kanes Weisman, Chairperson ��`� OHO 53095 Main Road • P.O. Box 1179 Southold, NY 11971-0959 James Dinizio, Jr. Office Location: Gerard P. Goehringer G Q Town Annex /First Floor, Capital One Bank George Homing p , a�� 54375 Main Road (at Youngs Avenue) Ken Schneider lyCOUrjj { �Southold NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS JUN 13 2012 TOWN OF SOUTHOLD Tel. (631) 765-1809 • Fax (631) 765-9064 Soothhold Town Board of Trostees FINDINGS, DELIBERATIONS AND DETERMINA MEETING OF JUNE 7, 2012 ZBA FILE: 6559 NAME OF APPLICANT: Barry Root SCTM# 1000-86-06-20 PROPERTY LOCATION: 6315 Indian Neck Lane, (adj. to Richmond Creek) Peconic, NY SEORA DETERMINATION: The Zoning Board 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 16, 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: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued his recommendation dated April 25, 2012. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. PROPERTY FACTSMESCRIPTION: The parcel is 1.7319 acres in an R-40 District, fronting 156.60 feet along Indian Neck Road to the south, running 468.40 feet along a side yard to the east, running two courses of 107.84 feet and 45.26 feet along Richmond Creek to the north and running 520.10 feet along another side yard to the west. The parcel is improved with a one story frame house and an accessory detached concrete/frame garage. The parcel has a bulkhead and rip -rap. Above, as shown on the "Site Plan", sheet S-1 of the Architectural plans prepared by Ira Haspel, R.A., dated 11/17/11. BASIS OF APPLICATION: Request for Variance from Article XXII Code Section 280-116(B) based on an application for building permit and the Building Inspector's February 14, 2012 Notice of Disapproval concerning proposed partial demolition and reconstruction with additions to a single family dwelling, at; 1) less than the code required bulkhead setback of 75 feet. RELIEF REQUESTED: The applicant requests an area variance for a 62 foot bulkhead setback, requiring a 13 foot variance from the code required 75 feet. ADDITIONAL INFORMATION: The requested variance is to the northwest corner, which is proposed to remain, of the pre-existing subject dwelling having a Pre Existing C.O. FINDINGS OF FACT/ REASONS FOR BOARD ACTION: Page 2 of 3 — June 7, 2012 • ZBA File#6559 - Root CTM: 1000-86-6-20 n L_J 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 findings: 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. The proposed reconstruction with additions and the proposed bulkhead setbacks are characteristic to this neighborhood and there is no evidence that they would create a detriment to nearby properties. 2. Town Law 4267-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 requested setback variance is to the northwest comer of the pre-existing dwelling that is proposed to remain during and upon completion of the reconstruction with additions. It would not be feasible for the applicant to move this portion of the dwelling to a conforming setback location. 3. Town Law 4267-b(3)(b)(3). The variance granted herein is mathematically substantial, representing a 17% relief from the code. However, this substantiality is mitigated when recognizing that the dwelling has pre-existed with the proposed bulkhead setback without any evidence of causing detriment to the community or environment. Furthermore, there are other neighboring dwellings, which appear to have lesser bulkhead setbacks than what the applicant proposes. 4. Town Law 4267-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. All storm water runoff will be contained on site and the proposed upgraded sanitary system will improve the subject property. 5. Town Law 4267-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 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 variance for a nonconforming bulkhead setback of 62 feet to a one story dwelling while preserving and protecting the character of the neighborhood and the health, safety and welfare 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 Weisman (Chairperson), seconded by Member Schneider, and duly carried, to GRANT, the variance as applied for, and shown on the Architectural plans sheets: S-1, A-1, A-2 and A-3, prepared by Ira Haspel, R.A., dated 11/17/11 (sheet S-1) and 11/19/11 (sheets A-1, A-2, A-3) 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 buildingpermit, 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 involving 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 for an alteration that does not increase the degree of nonconformity. Page 3 of 3 - June 7, 2012 , ZBA File#6559 -Root CTM: 1000-86-6-20 Vole of the Board. Ayes: Members Weisman (Chairperson), Dinizio, Goehringer, Schneider, Horning. This Resolution was duly adopted (5-0). fWtI-- � 4��— Lc hairperson Approved for filing ( //,7 /2012 j 1. ''T_.. � Y � �(• Ak 1 ¢ jlc ak iii fir r 1® t: a SUP A& Till" � r f Richmond Creek i- s �I� BGG , �X,g; CRTN1azf4 �_� ✓ f k d _ _ N 64 IALONG IE UNp�,a Dill R AI IR IN (/`c bu Khv.� CDNC.4 ,O' N o.b'1Q1 574.3¢ ¢�+'E zavC AE GNEJ IN q AIR N 4 _ --- 107 8¢ TOP BANK .. - END END BLKD.Cq 1 EN a � .54 \ w y 31 _ _ � RUSE FR 7 � 5 EL 9.0, T 38.2.4' � f ` - I 6 Q EXISTFRAME %/ .T� T ,.,• �.. � HESE �. END ST%DE. FE',1'E 28.6' ✓. "� IcL Z O o: k �Pliaroy=�` •'�. GO `t gists `-vc a • f 3' Y r�^<, sv r wz<z a_ O vii $Ya T r' Vin./� / _i� . 9N LJN t OLE Z GARAGE �' 20.1 jSTY Oq L @ . I. I HOUSEFR. LJ W s vet' I o DEYPOLE L MAY 1 2012 END S1KDE Southh Id own F Board o Tr stees-i z O :,', '%./,,✓SHEDS No No SE �� SEE SEESEUNO N., SEE SEE _—_--__�—_--_ _�— ---- --- --- _— �r No RESPNEL NO SEESSE oo- No i So 9P vIN So— f o o. � � m s k O s x .4. .n• ISIN- �y IY nom.. a IS eVa 1J ^tea oki.e..m. iara IS .3'F• ,.Vs neiam 21 SSNIN r pY .11 11W IN D. Ai' ✓ �5 vstiu m' f M s J iia^t Nin` n t © l~ l\ I �O s � JKa y ` i • 1?N a• —INCL xa� LINE No E. NEI _ ____ _ __ COUNTY OF SUFFOLK © o- w°mun eecnox xo 'O —_ ___•__— _...__— s n RedlmpeM1y TagServi ce1ngenry e o 86 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 9 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM .i; JUL 1 7 2C12 To: Jim King, President "r4 Of TrT°wn e°� a ° Town of Southold Board of Trustees , ;tes From: Mark Terry, Principal Planner LWRP Coordinator Date: July 17, 2012 Re: Proposed Wetland Permit for BARRY ROOT SCTM#1000-86-6-20 LeeAnn Romanelli on behalf of BARRY ROOT requests a Wetland Permit to demolish a portion of the existing dwelling and reconstruct with an addition. Located: 6315 Indian Neck Lane, Peconic. SCTM#86-6-20 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 0 Jill M. Doherty, President Bob Ghosio, Jr., Vice -President James F. King Dave Bergen John Bredemeyer BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application _ Administrative Permit Amendment/Trans r xtension Received Application:s.31 A �ceived Fee:$ of t/Completed Application 0- -Type Classification: Type IType IIUnlisted Coordination:(date sent) ILWRP Consistency Assessment Form (p salty ECAC Referral Sent: Q 0, _--"bate of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: .�ablic Hearing Held: I �y Resolution: Name o: Address 0 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 MAY 3 ] 2012 Phone Number:(* 4y7- �Ri Suffolk County Tax Map Number: 1000 - Property (provide LIWO Pole #, distance to cross AGENT: (If applic Address: and location) q % Blfd of Trustees Applicatio* GENERAL DATA Land Area (in square feet): 1 0131 " O -`f'6 65 J-N�/ 5aST Area Previous use of property: SI noh 1 -am I h :Re5 l d wa, Intended use of property: Covenants and Restrictions: Yes !\ No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes If "Yes", please provide copy of decision. Will this p gject require any demolition as per Town Code or as determined by the Building Dept. X� Yes No Prior permits/approvals for site improvements: ,,,)u�r()�a �rA104� at �i�i -� -510 m Db No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspcnoyd by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): 1 Q y TIQ Cil r� i h�r� iy rs-fi-r-cr IM Bcod of Trustees Application* WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:Ceno \ ( n an d Area of wetlands on lot: square feet ; �� Percent coverage of lot: % 5 i (o � /o p ' "p o S Closest distance betweenAearest existing structure and u edge of wetlands: h / feet .-f -p �U W= Closest distance behyeen Barest proposed suture and upland) edge of wetlands:_ feet ) (� l u t i< h eca Does the project involve excavation or filling? No Y Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): James F. King, President Bob Ghosio, Jr. , Vice -President Dave Bergen John Bredemeyer Michael J. Domino 0 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of BARRY ROOT COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 0 Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone(631)765-1892 Fax(631)765-6641 i J U L 1 1 2012 I, 6 to �I residing at /dba C' Ow, C &A4 -✓Q l.(— being duly sworn, depose and say: That on the llehday of JU-� , 201j I the as rl c /?"2( by placing the Board of Trustees official poster where it can easily be seen, arid that I have chef to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed., July 18, 2012. Dated: 7 ) t I� C) I Sworn to before me this r` day o+(r t201 ?-- "V � l 1 ,l l � `i1� 111• ted ary Public LAUREN M. STANDISH Notary Public, State of New York No.01ST6164008 Qualified in Suffolk Counri commission Expires April 9, 2 IS C ac a m Y`l �rri O U (signature) 6 • PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: sE:tm -'( -de Pct +Ujoa (,�rao L�mrnct� pu-+) E . rn,vl le�- Sue ojell STATE OF NEW YORK COUNTY OF SUFFOLK Address: k)e c K �. 60 &, 333 E-gyeka t,�* Coll VWNY1 17 (' qo) Ir' thn 37gb Lace S;�, HOUSfcm Tx 'V7? I t tSR t f An() y��fnG'llel i residing at t�C� x Sc � 4Into(d `f ,V I t ti - 1 being duly sworn, deposes and says that on the I+i) day of �� 20�, 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 there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at JjAkLNJ , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to efore me this Day of201�-- Notary Public LAUREN M.STANDISH Notary Public, State of New York No.01ST6164008 QualifieJ in Suffolk County Commission Expires April 9, 2 ff County of Suffolk State of New York Bof#d of Trustees Application 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, 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. SWORN TO BEFORE ME THIS Jr Notary Public DAY OF a)CtY-C h ,20Q-- ViCNI TOTH Notary Public State of New York No 0ii0619 696 0ua i d in Suffolk County Corny t ss.x i tu.?'. '012 Bled of Trustees Applicatio* AUTHORIZATION (where the applicant is not the owner) I, -gar ru -i 6n f residing at I(o tApaP.hoI Io�oW (print owner of property) (mailing address) "� N X 11500 do hereby authorize (Agent) L&jlm 1&mane-//, to apply for permit(s) from the Board of Town Trustees on my behalf. (Owner's 0 0 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM necessary to avoid same. YOURNAME: Kno —B,* & w (Last nazuej first time, middl initial, unless you are applying m the time of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance �( Trustee Change of Zone Coastal Erosion Approval of plat 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% of the shares. YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation); _C) an officer, director, partner, or employee of the applicant-, or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thisy �? 20D L Signature Print Name Forth TSI 7754 "-y „ ,n , , 0 0 APPLICANT/AGENT/REPRESENTATWE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose of this form is to provide information which can alert the town of Passible conflicts of interest and allow it to take whatever action is YOURNAMEV•y " Ir/f / I� (Last name, first name, mid le initial, wless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) ` NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (if "Other", name the activity.) Building Trustee Coastal Erosion Mooring Planning Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. - YES NO 1 f you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person - Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); - B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted r 5 day of 20 Signatur CII, Print Name Form TS I PROJECT ID NUMBER 61720 • SEQR 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. APPLICA r/SPONSOR LP,e n m 2. PROJECT NAME o 3.PROJECT LOCATION' - � � n L a b -v A-+�l l t -f 1 ' rte\ Municipality JJ� County T� 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map (o Sn C�0- P C� 1�j 5. IS PROPOSED ACTION: Da New F] Expansion El Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: ad�l-h�� +T) e -x Ishny Sr�� IP -cam 11 �Iw� � II nJC D AFFE 7. AMOUNT OF NED: r Initially Ultimately `��-aeree• 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OTHERRESTRICTIONS? ❑Yes ® No If no, describe briefy:5UIK -eodScS_vQe-k-•aria-e r(?u t o xt 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) f 1 y I Residential ❑ Industrial ❑ Commercial DAgriculture ❑ Park / Forest / Open Space ❑ Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) 4 us1 No If yes, list agency name and permit / approvalso IN Yes❑y �j� 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? 1:1 Yes 14No If yes, list agency name and permit I approval: 1ff22.�. LLA''S ARE Dy ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? No I CERTIFY THAT E 1 RMATIOI/ P OVIDED ABOVE THE BEST OF MY KNOWLEDGE Applicant / nsor a l/ Date:'' IJ( 1L)— r Signa[ur If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment 46 • Pt�LP O11L\IT ITw 6w ww.wwI #1 A h Le —I —i OOanru% 0 rAM1 11 - lwirmV r nuvcwnrr_n 1 1 v vc �.w 1. ... ay.... �.-� A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL FAR 0 Yes 21 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. ❑ Yes 0 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community'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 related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy? Explain briefl : D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA)? 11 yes, explain briefly: 0 Yes ❑✓ No E. IS THERE, OR IS THERE 0 Yes ❑✓ No LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial,large, important or otherwise significant. 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 scope; 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 vesthe determination of sionificance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the F EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed a, WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting determination. `1 Board of Trustees 6 / Name of Lead Agency Date y )9 04 /- S /--� /<-//A) & President � Print or Tvoe Name of Responsible Officer in Lead Aoenev Title of Responsible Officer Signature of Preparer (If different froiR responsible officer) Ah Ah eop Town of Southold ®Erosion, Sedimentation & Storm -Water Run-off ASSESSMENT FORM D s �,3' 1 7- *- PROPERry LGcarloi. THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 11A)'IxAXY\I` (3hJ'il/(J^— -ToM•WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN t exit on of CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? (Induce Total Area of all Parcels bated within 6 Will this Project Retain All Storm -Water Run -Off the Scope Work for Proposed Construction)/ A .) ges) b. What is Generated by a Two (2") Inch Rainfall on Site? (This item will include all runoff created by site I/ ❑ T the Total Area of Land Clearing Ground ^ clearing and/or construction activities as well a: all and/or Disturbance for the proposed d_ Site Improvements and the permanent creation of construction activity? F Aqua) impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This I/ Item shall include all Proposed Grade Changes and PROVIDE BRIEF PROJECT' DESCRIPTION (Prm'Ide Mchional Papua as Nea0e0) �` W l ^ n�'� I ' K l `; L T / n n �� Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion ri? ❑ and sediment control practices that will be used to wa control site erosion and storm ter discharges. This item must be maintained throughout the Entire Construction Period. M 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards F-1— of Material within any Parcel? rj Will this Application Require Land Disturbing Activities El an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the ❑ Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or General DEC SWPPP. Requirements: Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one (1)or more acres; including disturbances of less than one acre that are part of a larger common plan that will ultimately disturb one or more acres of land; % Will there be Site preparation on Existing Grade Slopes including Construction activities involving sod disturbances of less than one (1) acre where which Exceed Fifteen (15) feel of Vertical Rise to One Hundred (100') of Horizontal Distance? the DEC has determined that a SPDES permit is required for stone water discharges. ( SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit for Storm Water Discharges from Construction activity -Permit No. GP -0-10-001.) 8 Will Driveways, Parking Areas or other impervious ❑ Surfaces be Sloped to Direct Stone -Water Run -Off 1. The SWPPP shag be prepared prior to the submittal of the Not. The Not shag be submitted to the Department prior to the commencement of construction activity. into and/or in the direction of a Town right -0f -way? 2. The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required, postconsWdion storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure compliance with the tams and conditions of this permit. In addition, the SWPPP shag Item Within the Town Right -of -Way or Road Shoulder ❑ identify potential sources of pollution which may reamnaby be expected to affect the Area? (This Item will Nor Irwlum ria Instenaaen a Drive weY Awerw.) quality of storm water discharges. NOTE: If Any Answer to Questions One Through Nine is Answered with a Check Mark 3. AN SWPPPs that require the poslconstrectiun storm water management practice in a Box and the conatruetion site disturbance is between 5,000. S.F. a t Awa in area, component shag be prepared by a qualified Design Professional Licensed In New York a Storm -Water, Grading. Drainage d Erosion Control Plan is Required by the Town of that is knowledgeable in the principles and practices of Stow Water Management. Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit (NOTE: AOh Mark(J) andlp Mswer Mreaah Ouestbnis RNuiredfora Complete Apoima I STATE OF NEW YORK, cc L (( nnCO,UNTYOF�.S..r.LMM....^^U..L.K....SS That I, .'�...IC...1G,'11- j..., being duly swum, deposes and says that he/she is the applicant for Pemlit, (Name of in�dual si999ro___rg Document) , And that he/she is the ................................ ner, Contractor, Agent, Coryoreta Officer, 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; 'M ................. ............ ...... ................. , 20AS)- Notary Public ,. y.�..e......... ............... .............................. �-^l�t (Signature of Applicant) r V KM - U11110/111,11 Notary Public State of New York No.01Y061906,96 9Llalified in Suffolk County inn Expires July 28, P01� County of Suffolk State of New York DEPOSES, BC& of Trustees Application • DULY SWORN 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 HISMER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS C3 DAY OF—j u n -e- 20t?- Notary Public waa rangy ft"ft =���� m --r a�, � ge Town of Southold • A. INSTRUCTIONS 0 LWRP CONSISTENCY ASSESSMENT FORM 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 siutg (cant 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 - supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#_(Q -r:')1V") I- PROJECTNAME'�_,_ `� VC{71D� The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trustees 4 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: IM Nature and Location of Site acreage: t 1 -1 3 Present land use: �2Sjc i�Q' Present zoning 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 (b) Mailing address: (c) Telephone number: Area Code 63 2 L'/ 6-� (d) Application number, 1q-7 Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No vi 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 all 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 III - Policies; Page 2 for evaluation criteria. IwYes ❑ 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 11 Yes 11 No 14 Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IH — Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No `4 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 VA 0 � Attach additional sheets 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 IgNot Applicable 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. R ❑ ❑ Yes No Not Apple 0 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. 1-1 Yes ❑ No 14 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. ❑ YeJE1 No 0 Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES* 0 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. F-1Yes LlNo � Not Applicable 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 q Not Applicable 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 U� Not Applicable PREPARED BY eAZgnn �C) TITLE DAT AREA= 1.7284 ACRES to tie lines WEIy UN" HM 6N0 S NDE EELT'E tO �i LP. O I I ENp ST m �a3� o -S 2 R" En I 0 Pi } UNM HSE sLll Z a PHMGS RICHMOND GREEK S (,µDIG VE UNEJ �• N85-38'53�E 33.00• S?5 ■ Pva_Bu 7 z c9 F __ yp00 LYHEaLNEI 91.40• �'•�' �� LSIBNE STEPS �� RRJE R1PR 1 PB .. EI.E GF NAYUL[R S4T I[E EL66' TB5)1C" BBAH 6TQ E PATIO\ 3a2 -1 , C CA,, GARAGL N 40 A FASTING -4]6" 1 STY FRAME I // / // HWSE I- PBG,/ AWITOp� (Fl. EL fi.di i �/ IJ POI£ 'E 5�6•j6 10eW IN l� SURVEY OF PROPERTY AT INDIAN NECK TOWN OF SO UTHOLD I SUFFOLK COUNTY, NY 1000-86-06-20 SCALE: P=40' MAY 21,2012 APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE q j 18111 / r Hq R. En Bw y ice\ E y � TEST HOLE \ \ $� EL93' flFIIBVE O+ fL4]' 4Y 64IX MOM IdY LL � ¢ 11' f ' POI£ 'E 5�6•j6 10eW IN l� SURVEY OF PROPERTY AT INDIAN NECK TOWN OF SO UTHOLD I SUFFOLK COUNTY, NY 1000-86-06-20 SCALE: P=40' MAY 21,2012 APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE q j 18111 / r Hq R. En SITE DATA LOT AREA = 75,289 sq.11. LOT COVERAGE EXISTING HOUSE 1,157 sq.A. ATTACHED GARAGE 337sgUf. PATIO 170 SIX. GARAGE 404 sgd1. STOOPS 32 q.N. TOTAL EXISTING .2100 s1.11. 2100175289 = 2 X AT COMPLETION OF CONCTRUCTION HOUSE 4 CARPORT 2248 SVI. PATIO. 925 sq.11. GARAGE 404so. TOTAL 3577 s%11. 3577175289 - 4.8X &"W cS-Tlr SYSTEH F4 BEDROOMS) 1 - 1000 GAL PRECAST SEPTIC TAM( 3 - LEACHING POOLS 8'/ • 4' DEEP ' WITH 3' SAND COLLAR (SWI BOTTOMS 3' ABOVE GROUND WATER RAIN RUNOFF CONTAINMENT HOUSE, CARPORT A PATIO 3173 sq.11.3173+ 0.17 s1 - 539 soft. 3/73/422 - 12.0 VF PROVIDE 3-DWs B'I t 5' Desp REMOVE OR FILL EXISTING CESSPOOL TO SCDHS. SPECS, ABANDON EXISTING WELL POLE EI 3 /y 20 47 y � W $� F u SITE DATA LOT AREA = 75,289 sq.11. LOT COVERAGE EXISTING HOUSE 1,157 sq.A. ATTACHED GARAGE 337sgUf. PATIO 170 SIX. GARAGE 404 sgd1. STOOPS 32 q.N. TOTAL EXISTING .2100 s1.11. 2100175289 = 2 X AT COMPLETION OF CONCTRUCTION HOUSE 4 CARPORT 2248 SVI. PATIO. 925 sq.11. GARAGE 404so. TOTAL 3577 s%11. 3577175289 - 4.8X &"W cS-Tlr SYSTEH F4 BEDROOMS) 1 - 1000 GAL PRECAST SEPTIC TAM( 3 - LEACHING POOLS 8'/ • 4' DEEP ' WITH 3' SAND COLLAR (SWI BOTTOMS 3' ABOVE GROUND WATER RAIN RUNOFF CONTAINMENT HOUSE, CARPORT A PATIO 3173 sq.11.3173+ 0.17 s1 - 539 soft. 3/73/422 - 12.0 VF PROVIDE 3-DWs B'I t 5' Desp REMOVE OR FILL EXISTING CESSPOOL TO SCDHS. SPECS, ABANDON EXISTING WELL 56.60• �cL,3.2 NECK READ G AMB ATO 150 VBu The location of wells and cesspools shown hereon ore from field observations and or from data obtained from others. I am familiar with the STANDARDS FOR-APPROV4L j"ic Co Isr,_ -,c: JF s,ssuRFLCE sEFiaCE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. ELEVATIONS REFERENCED TO NA.V.D. '88 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209 -SUBDIVISION 2. ALL CERRFICA BONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON, MAY 3 1 2012 -1C. NO. 49618 -PECONIC SURVEYORS, P.C. (631) 765-5020 FAX (631) 765-1797 P.O. BOX 909 12JO TRAVELER SOUTHOLD, N.Y. 1 971 STREET ■ = MONUNENT 10-165 POLE EI 3 TEST HOLE DATA I BY YCDWN GEOSOWCE F u fL4]' 4Y 64IX MOM IdY LL � ¢ 11' Raw nnsum q ' 13 Q) Maw.uo ANF enR Fne mcu�suvn R 7 ya INIIXN/Nt ROTI rrsmmaz svgs Ir I 23lN I Qv- o(N 393' 56.60• �cL,3.2 NECK READ G AMB ATO 150 VBu The location of wells and cesspools shown hereon ore from field observations and or from data obtained from others. I am familiar with the STANDARDS FOR-APPROV4L j"ic Co Isr,_ -,c: JF s,ssuRFLCE sEFiaCE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. ELEVATIONS REFERENCED TO NA.V.D. '88 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209 -SUBDIVISION 2. ALL CERRFICA BONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON, MAY 3 1 2012 -1C. NO. 49618 -PECONIC SURVEYORS, P.C. (631) 765-5020 FAX (631) 765-1797 P.O. BOX 909 12JO TRAVELER SOUTHOLD, N.Y. 1 971 STREET ■ = MONUNENT 10-165