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Home My WebLink AboutTR-7969 b Glenn Goldsmith,President -,`*Ig S0 Town Hall Annex A.Nicholas Krupski,Vice President ®V� ®�® 54375 Route 25 P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly cos G @ Telephone(631) 765-1892 Elizabeth Peeples a® Fax(631) 765-6641 COUNv BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: GI 11�ZZ INSPECTED BY: ✓ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1 st day of construction % constructed XProject complete, compliance inspection COMMENTS: / - IJgicl ow ab,,, add Dscks (awcl 4o Jvcc Noy'' 4orr- f 6)4y or t+ e xlshs > 40 �e �►6)-e 40 I not 6.0 CERTIFICATE OF COMPLIANCE: James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE __ Pre-construction, hay bale line __ 1st day of construction ~ constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7969 DATE: DECEMBER 12~ 2012 ISSUED TO: JOHN R. CORBLEY PROPERTY ADDRESS: 680 MASON DRIVE~ CUTCHOGUE SCTM# 104-7-3 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 12, 2012, and in consideration of application fee in the sum of $250.00 paid by John R. & Susan Knox Corble¥ and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to raise the existing house from 6.5' first floor height to approximately 10' first floor height; raise the existing second floor in order to build a new frame construction first floor and lower the existing second floor onto new first floor; no change in house footprint or footings, and no excavation or fill will be required; and as depicted on the site plan prepared by Mark K. Schwartz, Architect, last dated November 14, 2012 and stamped approved on December 12, 2012; and as also depicted on the survey prepared by Nathan Taft Corwin III, last dated November 10, 2012 and stamp approved on December 12, 2012. IN WITNESS WHEREOF, the said Board of Trustees hereby causes.its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee John R. Corbley, residing at 680 Mason Drive, Cutchogue, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with thc provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upofi failure to obtain same. James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 December 12, 2012 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. John R. Corbley 680 Mason Drive Cutchogue, NY 11935 RE: JOHN R. CORBLEY 680 MASON DRIVE, CUTCHOGUE SCTM# 104-7-3 Dear Mr. Corbley: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 12, 2012 regarding the above matter: WHEREAS, JOHN R. CORBLEY 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 November 14, 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 December 12, 2012, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JOHN R. CORBLEY to raise the existing house from 6.5' first floor height to approximately 10' first floor height; raise the existing second floor in order to build a new frame construction first floor and lower the existing second floor onto new first floor; no change in house footprint or footings, and no excavation or fill will be required; and as depicted on the site plan prepared by Mark K. Schwartz, Architect, last dated November 14, 2012 and stamped approved on December 12, 2012; and as also depicted on the survey prepared by Nathan Taft Corwin III, last dated November 10, 2012 and stamp approved on December 12, 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 Ve_ry truly yours, James F. King President, Board of Trustees JFK/amn James F. King, President Bob Ghosio, .Ir., Vice-President Dave Bergen John Bredemeyer Michael I. Domino Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (63 l) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated I[ }~ ~/~ 2--. , has been · I reviewed by this Board at the regular meeting of [ ~ J~ Z-]l ?_ and your application has been approved pending the completion ~f 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) ½ Constructed ($50.00) Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary, You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: James F. King, President Board of Trustees New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 Phone: (631) 444-0352 Fax: (631) 444-0360 Website: www.dec.n¥..qov November 21,2012 Joe Martens Commassioner Mr. John Corbley 680 Mason Drive Cutchogue, NY 11935 Re: Permit No.: 1-4738-03672/00005 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance dudng the term of the permit. If you are unable to comply with any conditions please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, ,-- Jacq~e. line R. Pasquini EnvirOnmental Analyst JRP/Is NEW YORK STATE DEPARTM~ OF ENVIRONMENTAL CONSERVAT~ Facility DEC ID 1-4738-03672 PERMIT Under the Environmental Conservation Law (ECL) Permittee and Facility Information Permit Issued To: JOHN CORBLEY 680 MASON DR CUTCHOGUE, NY 11935 Facility: CORBLEY PROPERTY 680 MASON DR[SCTM #1000-104-7-3 CUTCHOGUE, NY 11935 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Cutchogue Facility Principal Reference Point: NYTM-E: 713.8 NYTM-N: 4543.2 Latitude: 41°00'43.1" Longitude: 72027'27.0'' Project Location: 680 Mason Drive - Watercourse - Haywaters Cove Authorized Activity: Raise single family dwelling with no change to footprint of the house. All authorized activities must be in strict conformance with the attached plans stamped NYSDEC approved on 11/21/12. (JRP) DEP-ARNO Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-03672/00005 New Permit Effective Date: 11/21/2012 Expiration Date: 11/30/2017 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: MARK CARRARA, Deputy Regional Permit Administrator Address: NYSDEC REGION 1 HEADQUARTERS SUNY ~ STONY BROOKI50 CIRCLE RD STONY BROOK, NY 11790 -3409 Authorized Signature: ~ /~x.~., ~_ Datel[/,~/l~ Distribution List Habitat - TW JACQUELINE R PASQUINI Page 1 of 5 Facility DEC ID 1-4738-03672 Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Nathan Taft Corwin last revised 11/10/12. 2. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result f~om future operations undertaken by thc State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue fi.om any such damage. 3. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Depa,.hnent of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 4. State May Require Site Restoration If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Depashnent of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 5. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. Page 2 of 5 Facility DEC ID 1-4738-03672 6. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 7. Notice of Commencement At least 48 hours prior to commencement of the project, the pvtmittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 8. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. 9. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 10. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 11. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet fi'om the tidal wetland boundary. 12. Seeding Disturbed Areas All areas of soil disturbance resulting i~om thc approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project comp!etion or prior to permit expiration, whichever comes first. If the project site remains inactive for morelthan 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or. hay mulch or jute matting until weather conditions favor germination. 13. No Changes to Septic System This permit does not authorize any alteration, expansion or replacement of existing septic systems. 14. Establish Vegetated Buffer To protect the values of thc tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 50 linear feet landward of the tidal wetland boundary. 15. Straw Bales or Other at Tidal Wetland A row of staked straw bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 50 linear feet from the tidal wetland boundary, or as per the NYSDEC-approved plan, prior to commencement of any regulated activities and remain in place and in good, functional condition until the project is completed and all disturbed areas are stabilized with vegetation. 16. Install, Maintain Erosion Controls Necessary erosion control measures, i.e., straw bales, silt fencing, etc., are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. Page 3 of 5 Facility DEC ID 1-4738-03672 GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of thc Depa~hnent of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a scparate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Deparianent requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC REGION 1 HEADQUARTERS SUNY ~ STONY BROOK]50 CIRCLE RD STONY BROOK, NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. $. Permit Modifications, Suspensions and Revocations by the Department The Depmhnent reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; newly discovered material information or a material change in environmental conditions, relevant technology or applicable.law or regulations since the issuance of the existing permit; Page 4 of 5 NEW YORK STATE DEPARTM~I~ OF ENVIRONMENTAL CONSERVATI~ Facility DEC ID 1-4738-03672 noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives~ employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indcnnnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permit-tee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Page 5 of 5 Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd, P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., December 5, 2012 the following recommendation was made: Moved by Doug Hardy, seconded by William McDermott, it was RESOLVED to SUPPORT the Wetland Permit application of JOHN R. CORBLEY to raise existing house from 6.5' first floor height to approx. 10' first floor height; raise existing second floor; build new frame construction first floor; and lower existing second-floor onto new first-floor. Located: 680 Mason Dr., Cutchogue. SCTM#104-7-3 Inspected by: John Stein, Doug Hardy, William McDermott Vote of Council: Ayes: All Motion Carried DEC - 7 2012 gob Ghosio. Ir. Vice-President Dave Bergen Michael J Domino P() Boxl179 Southold, NY 11971 lelephone (631 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: /)/,..,C/2-- JOHN R. CORBLEY requests a Wetland Permit to raise the existing house from 6.5' first floor height to approximately 10' first floor height; raise the existing second floor in order to build a new frame construction first floor and lower the existing second floor onto new first floor; no change in house footprint or footings, and no excavation or fill will be required. Located: 680 Mason Drive, Cutchogue. SCTM# 104-7-3 T,.~r~ of area to be impacted: Saltwater Wetland Freshwater Wetland Sound __Bay Dista...nce of proposed work to edge of wetland P~'t'of Town Code proposed work falls under: ~' Chapt.275 Chap7111 __other Type of Application: Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: ,/X 2,,;, Conditions: ~/"~ ~"/' f~' ¢Y~'"/f~ Present Were: /" J. King B. Ghosio ./~d. Bredemeyer_ / Michael Domino Form filled out in the field by __D. Bergen, D. Dzenkowski other Mailed/Faxed to: Date: IMG .1034 IMG 1032 IMG .1035 IMG_1033 IMG_1037 IMG_1038 iMG 1039 IMG 1040 IMG. 1041 iMG 1042 OFFICE LOCATION: Town Hail Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MA[LING ADDRESS: P.O. Box 1179 Southold, NYl1971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: MEMORANDUM Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: December 10, 2012 Re: Proposed Wetland Permit for JOHN R. CORBLEY SCTM# 1000-104-7-3 JOHN R. CORBLEY requests a Wetland Permit to raise the existing house from 6.5' first floor height to approximately 10' first floor height; raise the existing second floor in order to build a new frame construction first floor and lower the existing second floor onto new first floor; no change in house footprint or footings, and no excavation or fill will be required. Located: 680 Mason Drive, Cutchogue. SCTM# 104-7-3 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 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Ha/l Annex 54375 M/fin Road P.O. Box 1179 Southold NewYork 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only w OaStal Erosion Permit Application etland Permit Application Administrative Permit L~/R __AmendmentfI'rans f~r/E~,tension cceived Application:~ ~_~ ,,/Received Fee:$ ~ V[;~~', ~_,/Completed Application i / ] I t-~ I ('~- Incomplete ~ ~ SEQRA Classification: Type I _Type li Unlisted ~l oordination:(date sent) _~.~LWRP Consistency Ass~ssntent Fom~ Ii H I~ I1 '2~ ~//'CAC Referral Sent: ./[ ~['~_ _ ,~,v ~ Date of Inspection: ~ '" · __Receipt of CAC Report: ___Lead Agency Determination: ,Technical Review: - ~l~ublie Hearing Held: { ',). I}~,, ] ~-" Resolution: I NOV 1 4 2012 Name of Applicant Mailing Address PhoneNumber:~:>~)I B-)~- q~l.~ Suffolk County Tax Map Number: 1000 - Property Location: (proVide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Bo~d of Trustees Application Land Area (in square feet): ~t~ I AreaZoning: GENERAL DATA Previous use of property: Intended use of property: Covenants and Restrictions on property? __Yes ~ No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? t~ Yes No lf"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review. Does this project require a variance from the Zoning Board of Appeals? __Yes / No lf"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 tbr site improvements: Agency,, j Dgte No prior pe~its/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ~" No Yes If yes, provide explanation: Project Description (use attachments if necessary):. ¢~q%~_ V~¥-;t ~TIh.)¢o %~0%x__ BoaI of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ¢(7~ ~ ~.~ ¢ ~ ~.~- Area of wetlands on lot: '"') ~'Q square feet Percent coverage of lot: "%o~ % Closest distance between nearest existing structure and upland edge of wetlands: ~"ff' feet Closest distance betwe/on..~earest proposed structure and upland edge of wetlands: b ~> feet Does the project involve excavation or filling? ~ No Yes If yes, how much material will be excavated? How much material will be filled? (~ cubic yards cubic yards Depth of which material will be removed or deposited: ¢ feet Proposed slope throughout the area of operations: ~¥--xr-4 S~h ~Q::~ Manner in which material will be removed or deposited: L~ i ~ 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): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1.APPLICANT/SPONSOR 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME SEQR 3.PROJECT LOCATION: 4~ PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 5. IS PROPOSED ACTION: ~ New ~,ansion ~Modifi~,on/al.raflon 6. DESCRIBE PROJECT BRIEFLY: f 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yes [] NO If no, descdbe bdefly: 9 W T IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~Re~idential ~--~lndustdal ~]Commercial [~Agriculture r--]Park/Forest/OpenSpace [~Other (describe) tO. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ~es FINo i, yes, list agency name and permit , approval: ~---~.. 11 DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~]Yes r~ if yes, list agency name and permit / approval: / 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?~ ~, IF THAT T ~k...)[, ,JJ~-' · ' , y agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT ~To be completed by Lead A~lency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, cooedinate the mvtuw pecmess and uso the FULL FAF. I--I Ve.s 171"o B. W1LL~cT~NREcE~VEC~RD~NATEDREvIEWASPR~vIOEDF~RUNLlSTEDACT~NS~N6NYCRR~PART617~6? ifNo, anegative declaration may be superseded by another involved agency. r--j Yes [~'1 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handw~ttel% if legiffie) C1. Existing air quality, sur[ace or groundwater quality or quantity, noise levels, existing t~affic pattern, solid waste production or disposal, potential for emston, drainage or flooding problems? Explain b~ieity: CZ. Aesthetic, agdcutiural, archaeological, histuric~ or ~t~;r natural or cultural resourcesi or commUnit~ o~ neighborbead character? Explain briefly: C3. Vegetation o~ fauna fish shellfish m' w~ldhfe species significant habitats or threatened or endangered speaes? Explain briefly I ............ C4. A community's existing I~ans or goals as ofF, flatly adopted, or a chenge in use or inteasily of use o~ land of o~her natural resources? Explain I~te~y: I C5. Growth. subsequent deYstopment, or related acfi~tins tikely to be induced h~ the propo~t.,~:l action? ~tuin brinfly: I C~. Long torm. sho~t term, c~mulativo, or other eifects not identified in C142:§? Ex~lain bdetiy: C7. Othe~' impacts ~indudin~l chan~es in use of either quantity or t¥~0e of energy/? Explain bd~'lt}~: D. ~NILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABUSHMENTOF A CRITICAL ENVIRONMENTAL ARFA (CEAI? Ill yes, exptsin briefl),: [~] Yes r~No E. IS THERE, OR IS THERE UKELY TO BE~ CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~es explain: [-~ Yes PART II1 - D~- t ~IINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachedvemee~ectidenti~edab~ve~determieewhetheritis$ubetantia~a~e~important~r~therwisesign~manL Each effect should be assessed in connection with its (a) setting (i.e. uH3an or rural); (b) probability of o(x:ulfing; (c) duration; (d) irreverslbllity; (e) geographic scope; and (f) magnitude. If necessa~, add attachments or reference supporting materials. Ensure that explanations contain · sufficient detail to show that ail relevant advame impacts have been identified and adequately addmseed. If question d of part ii was checked yes, the defemtinatle n of significance must evaluafe the potential impact of the prepased action on the envimnmenlel characteristics of the CEA. Check this bex if YSU h~¥e ldeetirlnd one or mace po(entially ffilge or slgnBcant adverae impacts which I~eAY o(~cur. Theft pransed directly to the FUU FAF and/or pmpara a posffive declaration. Check this box Ifyou have derem~nad, based on the In~xmati(m and analysis above and any auppoding documentsilon, that the proposed actior WILL NOT result in any signfficont adverse environmental impacts AND provide, on attachments as nesossoqt, ~ reasons supporting thi~ detenztinatioe. Board of Trustees Name of Lead Agency PHn! or type Name of Responsible Officer in Lead Agency //Signatbre oT Responsible OSTsor in~rAgency Date President ~ Title of Responsible Officer Signature of Preparer (if different from responsible efficer) James F. King, President Bob Ghosio, Jr., Vicc-Presidcnt Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY I 1971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of JOHN R. CORBLEY COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, -'~--~ ~' (-~4~L~ , residing at /dba ~_.>~L-~ /q~._~Ok3 P'~ being duly sw~>f~, depose and say: C) That on the~).day of ~, 201 ,~p_ersonally pgsted the prop~erty kno~wn as by placing the Board of Tr~stees official poster wh~e it can e~sih~e seen, and that I have checked to be sure the poster has remained in place for eight days Date of hearing noted thereon to be held Wednesda%-t Dated: / ~/~c~ ( [.~_ ~ (sign~ Sworn to before me this ?c~-¥.~ day of t~b~ 20 ~ ~. mor to the date of the public hearing. ember 12t 2012. Notary Public ~"~ kc, - - - BONNIE W MAT_.ZAFERRO Notary Pubhc. Stale of New York No 01MA4667612 Qualified m Suffolk Count~ Commission Expires August 31, 20 ~.L~_ ~2.95 $2.~5 MAILING OF NOTICE TIFIED MAIL RECEIPTS Address: STATE OF NEW YORK CO~TY OF SUFFOLK ~ ¢' ~~,residingat ~~. ~ [t~, being duly sworn, deposes and says that on the ~ [ ~ s~ day ~f ~00 ,20 l~eponent mail~ a tree copy of ~e Notice set fo~ in ~e Bo~d of Trust.s Application, direct~ to each of the above nmed pemons at ~e addresses set opposite ~e respective nm~; ~at ~e addresses set opposite ~e nines of said perso~ ~e ~e address ofs~d p~on~s shorn on ~e cu~ent ass~ent roll of the Town of Southold; ~at said Notices wer~m~l~ at the Unit~ S~tes Post Office at ~~ ~ ~, that said Nogces were~ailed to each of s~d p~sons by CERTIFIED M~L~TU~CEI~.~~, ~ Sworn to before me this ¢~ Day of~q~mB~ _, 20~ Notary Public''''° ¼ BONNIE W. MAZZAFERRO Notary Pubhc State of New Yor~ No 01MA4667612 Qualified ~r, Suffolk Couflty ~ Commission Expires August 31, 20/L} NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Southold, New York, concerning this property. by the Road, OWNER(S) OF RECORD: ..~oh~. SUBJECT OF PUBLIC HEARING: To raise the existing house from 6.5' first floor height to approximately 1 O' first floor height; raise the existing second floor in order to build a new frame construction first floor and lower the existing second floor onto new first floor; no change in house footprint or footings, and no excavation or fill will be required. TIME & DATE OF PUBLIC HEARING: ~e~e~:,.y,"'~ce~l~r ~, ~o ~,~.. ~r~ ~,. ~,~,,,f ~: o~ t~ If you have an interest in this project, you are invited to vi.ew the Town file(s) which are available for inspectionprior to the day of the heanng during normal business days between the hours of'8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Board of Trustees Application County of Suffolk State of New York 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, 1 HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH · r THIS APPLICATION. ~erty Owner SWORN TO BEFORE ME THIS I~[-%0v'''' DAYOF~oc~pkC~t/~ ,20 I~ Notary Public LiNOA P. RANOO[.J~J NOTARY PUBI..I~, ~ Iii JJJJ ~ NO. 01P.~14~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the ~yart of town officers and emolovees. The ourooso of this forru is to t~rovide information which can alert the town of possible conflicts of interest and allow it to lake whatever action is ne to avoid e. (Last name, fhst name,x, galddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance 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 mom 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 applicanffagent/repmsantative) 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 oyvner of greater than 5% oftbe shams of the corporate stock of the applic0nt (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 RELATION SHIP Form TS I Town of Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A / :oo ow' STO..-WAT..,G.*.,.G,O.*,.*GE,.,.E.ORIO. GO r.o-. CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. District Section Block SCOPE OF WORK - PROPOSED CONSTRUCTION I'I'ISM # / WORKASSESSMENT I Yes No a. What is the Total Area of the project Parcels? I Will this Project Retain All Sturm-Water Run-Off (thdude Total Area of all Parcels located within Generated by a Two (2") Inch Rainfall on Site? the Scope of Work for proposed Construction) (This item will include all run-off created by site X FI b. What is the Total Area of Land Cleadngt(S'F' / AD.s) clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed ~ Site Improvements and the permanent creation of construction activity?( .'~.! Acres) impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION ..,~d. ~d,t~.~.P,.~.. N.~.d) Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and /. (~3~)(}([o~o ,~)~...~ ~ (~..~_ 3 Does the Site Plan and/or Sunrey Oescdbe the erosiOnpractices and sediment control that will be used to · -- control site erosion and storm water discharges. This ~t~ ~"~k;~ 5~..~r'~ C~O item must be maintained throughout the Entire Construction Pedod. - El Excavation where there is a change to the Natural ~-~)J:~ ~%'~ ~'~'~-'~k~---2~ ~)J~ Existing Grade lnvolving more than 200 Cubic Yards L~t C~Lc~x..~.~ --~_~ ¢~. ~t of MatedalwithinanyParee,? 5 Will this Application Require Land Disturbing Activities "'~0 Sk.-/~ /~;O"~J,3J~,S ~'~ Encompessing an Area in Excess of Five Thousand~L~ (5,000 S.F.) Square Feet of Ground Surface? ~ ~' ~ ! ~.~~ ¢~t"~ ~O~-.. ~{~'~'~ ,sthereaNaturalWaterCourseRunningthreughthe ' Site? Is this Project within the Trustees jurisdiction 6eneral DEC SWPPP Requirements: or within One Hundred (100') feet of a WetJand or~ Submission of a SWPPP is required for all Constmctian activities iav~vir~j soil Beach? disturbances of one (1) or more acres; including distorbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately dislurb one or more acres of land; which Exceed Fifteen (15) feet of Vertica, Rise to D including Construction activities involving soil disturbances of less than one (1) acre where One Hundred (100'} of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. SWPPP's Shall meet i/be Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious ~ for Storm Water Discharges from Consfluction activity - Permit No. GP-O~I 0~)0~.) Surfaces be Sloped to Direct Storm-Water Run-Off I-I 1. T~e SWPPP shall be prepared pdor to the submittal of the NOh The NOI shall be into aed/or in the dfrection of a Town right-of-way? submitted to the Department pdor to the commencement of construction activity 2. The SWPPP shall descdbe the erosion and sediment conlml practices and where 9 Will this Project Require ~e Placement of Matedal, required, post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any ii V constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with Ihe terms and conditions of this permit. In addition, the SWPPP shall Area? (~1i$ Item Will NOT include ~ In~talla*flon d Driveway identify potential sources of pollution which may reasonably be expected to a~fect the 3. All SWPPPs thai require the post-ConMrUctian storm waler managemenl practice in a Box and the consbl~caon site disturbance is between S.0~t S.F. & t ~ In ama, component shall be prepared by a qualified Design Ptotsssianal Ucensed in New York a Storm-Water. Grading, Drainage & Erosion Cont~l Plan ia Required by the Town of lhal is knowledgeable in/he priaciptes and practices of Storm Water Management. Southold and Must be Submitted for Revtsw P~for to Issuance of Any Building PareNt. STATE OF NEW ¥Omq C~. F~ i I. COUNTY O~ .~.~3.._% ............. SS Name o nd v due sgn n9 Doct~nenl And that he/she is the .......................................... ~'o;h'~OiS~;;~;c'ig-7/~';hiTGi~'t;B~;;.'i;~[;i ................................................................ 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 m this applicalion are true to the best of hi,?~wledge and belief; and that the work will be performed in the manner set forth in d~e application [fled herewith. Sworn to before me this; ....... ........................... ................................... FORM-06/IO UNDA P. NAN~ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3- 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- suooorfin~ 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 Offid~f~[~l .a~3i~ l~el~a~tr~nI i~itll local libraries and the Town Clerk's office. :' C! r ............ SCTM# DESCRIPTION OF SITE AND PROPOSED ACTION The Application has been submitted to (check appropriate response): Town Board NOV 14 2012 Category of Town of S outhold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) Co) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: ~, Site acreage:. Present land use: ('(-~ ~ ~-- k'~ fL-f~ Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: (c) Telephone number: Area Code ~'~l ~--) ?> - q ~ ~c./ (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [~ No[~ Ifyes, which state or federal agency?. '~¢C.L 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. [-q Yes [---] No ~/Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria Yes ~ No L-~Not Applicable 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 ,~ ~' Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of ~Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~ Yes [--~ No ~/Not Applicable 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 LV~RP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Applic~ 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. 7] Yes N No~NotApplieable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and waste~. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~ Yes [] No ~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluatiOn criteria. ~-] Yes~ No [~Not Applicable 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 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. 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 PREPARED BY ~r~d'/~ TITLE (~K~ Board of Trustees Town of Southold, NY 54375 Main Road Southold, NY 11971 NOV 1 4 2012 Dear Sirs: Please find enclosed an application for elevation of my primary residence located at 680 Mason Drive, Cutchogue, NY 11935. The house was significantly damaged during Hurricane Sandy with approximately 12" of saltwater from the adjacent Haywaters Cove entering the first floor during the storm. My proposal, as described in the application, is to raise the house from a first floor level of 6.5 feet to a final first floor level of approximately 10 feet. This will be accomplished as follows: Raise the second floor approximately 3.5 feet, build new first floor frame construction under second floor and lower existing second floor onto new first floor. Existing slab and footing will be used with no change in the building footprint. No excavation or fill will be required. Due to storm damage, the house requires a total reconstruction of the first floor. Because of the damage, the home is marginally inhabitable. If possible, would your agency please expedite the permit process for this application? Thank you for your consideration. Susan ~. Corb~y a' tl[ Zl 2- LLi ,or 14 2o 2 \ ~.,:..'~ SURVEY OF PROPERTY \ ~'"'. '.:, 'L,. SITUATED AT \ ,. ~,, PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK ~- $.C, TAX No. 1000-104-07-03 ~ ~"~ 1 "=20' ~ous~ SCALE AUGUST 12, 2005 c~ SEPTEMBER 2B, 2005 ADDED SITE PLAN FOR AREA TO BE DREDGED ~_¢ MAY 27, 2006 ADDED PROP. ADDITIONS, WETLAND LINE & SET PLASTIC PIPES MARCH 2, 2007 REVISED AS PER LEqTER FROM TOWN TRUSTEES ~"~.-~.~ July 10, 2007 ADDED LOT COVERAGE DATA '~'~ JULY 19, 2007 CALCULATED AMOUNT OF MATERIAL TO BE DREDGED FROM TOWN WATERS ~"~ AUGUST 25, 2007 REMOVED PROPOSED GARAGE ~. OCTOBER 18, 2007 SHOW BRICK WALK BEEN REMOVED I "~ NOVEMBER 1, 2007 UPDATE SURVEY ~., JANUARY 29, 2008 REVISED PROPOSED COVERED PORCH '~ NOVEMBER 11, 2008 REVISE PROPOSED DREDGED AREA \ ~ '8 NOVEMBER 10, 2012 REVISE ELEVATION DATUM \ ll~ AREA, = 24,831 ,q. fi. --~i. (TO T~E LINE) 0.570 ac. ~ NOTES: \ 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 D.ATUM ~ ~ EXISTING ELEVATIONS ARE SHOWN THUS: .~ -- - -'-'-'-'I ~.~ - ..~ ~o. \ - --e,, 2. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36105C0164H / '¢'~- 3. UPLAND AREA (TOTAL LOT AREA LESS WETLAND AREA) = 16,944 sq. ff. ,Y.S. Lic. No. 50467 Nathan Taft Corw~n III Land Surveyor PHONE (651)727-2090 Fax (631)727-1727 REVISIONS ~ APPROVED BY ' ..... BOARD OF TRUSTEES It~.,~ , ~ i~' NOV 14 2012 , TOWN OF SOUTHOLD h'J l',l n,:-, o, :r,, ,,,: '' :::;:: ~ ~ a PROPOSED FRONT EL~ATION ~IS~NG FRONT EL~ATION s~m: zm"= ~' ...... -- --~] ~ ~ ~ ~ ~ PROPOSED ~GHT ELEVATION 0 m o ~I~NG ~GHT EL~ATION s~m m. = ~, A-1 EXISTING REAR ELEVATION EXISTING LEFT ELEVATION PROPOSED REAR ELEVATION SCALE: 1/8" = 1' PROPOSED LEFT ELEVATiON A-2 EXISTING PATI~O J I'z'~ r~ ,. J':~ .... 1,~'-2" 't' "'~-- ' ~[} EL ,~ 12'- 6¥,~" 1~'-2V~" ,,,, ~ : 100' AR~A: 863 SQ. ~ .....,,,, ~ ~ ~N~ BLOCK ~ALL w/REBAR ,, ..... ,, , ' ~ ' ~ SOLID GROUT .... , ANCHOR BOLTS, .... .... ~ ~ EXISTING SLAB ~ - ~, ~ ~ ' / , .... .~.: TO REMAIN ,,, .... ,,. .... ~ AR~: 516 ~. .... PROVID~ {3) FkOOD ~ ~ ~ , CROSS ' s~c~: ~/4" = ~'-o" EXI~ING D~CK [ ~ ~ EXISTING PATIO O C KITCHEN ~ LIVING ROOM :'-",'--: ' , ................... ~ .... W.I.c. II I .... ; ~. m/us ~ ~ ~ ~ ~ ~ 1ST. FLOOR P~N ................................... . .......................... DECK BATH SITTING ROOM BIEDROOM BEDROOM 2ND. FLOOR PLAN SCALE: 1/4" = l' O0 WIND LOAD PATH CONNECTION AND USE THE FOLLOWING APPROVED USP METAL CONNECTORS FOR PROPER WIND RESISTANT & CONSTRUCTION DETAIL DRAWINGS 30D CONSTRUCTION. FOLLOW MANUFACTURE'S RECOMMENDED INSTALLATION INSTRUCTIONS TO ACHIEVE MAXIMUM UPLIFT LOAD CAPACITY. OEEC RiP,ON APPLIC A~ON REVISIONS DRAWN: MH / MS SCALE: I/4"=P-0TM JOB #: Na¥cmb~' 14, 2012 SHEET NI3M~ER: A-6 G E N ERA L NOT E $ ~JIND FRAMING NOTES NAILING SCHEDULE I: PLAN CONTENTS: 1). RIDGE-TO-RAFTER A~SEMELY: ROOF FRAMING: OCCUPANCY CLASSIFICATION ~ R~IDENTIAL CONSTRUCTION NOTES: Inea~endofthecollardeneed.ote.~ed[het,b.latednumherof8dnalls~nthes[rap. ~ERTO 8'~ALb3-BdCOMMON EACH 'rOE-NAIL 4), ~e designer has nol been en&ag~ for canmudion supewlsion and assume~ no connectors. Stol straps s~all have a minimum embedment a~ 7 In'es in concrete ~ALL FRAMIN G: ~oo~s (SLEEPING) J) ~eGeneralContradorandMasontor~i~wpl~s. ele~at[ons, d~ailsandno:esto ~en~ha~j~tmentfa~orsint~bJe3.16 FLOORJOI~.BAN~JOI~. 2-16dCOMMON PER FACENAIL CLIMATIC & GEOGRAPHIC DESIGN CRITERIA Headeran~orgirderconne~o~shaJlbealta~edwithupliftconned]o.iinaccorda.. BRIDGING ~-~dco~o~ ,ACH TO~ ROOF SHEATHING REQUIREMENTS FOR ~IND LOADS: 7) Oampproofe~doroffoundationw~hblmmln ..... an~asper~e~on R~6oF DECK AND COVERED PORCH NOTES: JOI~ON L~DGER PER TOE NOTES TO BEAM 3' 8d COMMO~ JOl~ NAIL THeE NOT~ ARE ONLY TO BE R~FERRED TO iF M~TiONED iN SCHEDULE NOTES ONLY, FRAMING NOTES i,~. mncr~e WRh a minimum 1/2" dia x 7" long anchor bolt with washes and nuts. ~OOF SHEA FHI qG: =). Tabulated 12 InCh o.~ n~[[ sparing aslumes lh~thing a,ached to ~et / ~ss framing members with G>0,4g, EditionlJ' All flaming techniques and methods as prescriptive de~Jgn of 2006 SEC High ~ind~ood Fmml~g Co~stm~Jo~ ManEaL 3J' P°sts ~P~ing ~lrde~ shall be anchored to a 12~12"x12" th'~ con~te JoG'Jag. JOINT D~CRi~[O~ NAiL NAilj Forf~mmgmemberswlth<O.42<G<g.4g, the~ailspacln~hallbered~cedto6[nchelo.c ~FC~-SBC ~ALL SHEATHING REQUIREMENTS FOR ~IND LOADS: DougZas Fir. 4}. De~ joists to have blacking at 8'a o.~. CEILING SHEATHING: SHEA~ING LOCATION NAIL SPACING NAIL SPACING AT ~NTE~EDIATE ~ALL SHEATHING: anchors where apph~e to at~ co,netting joists. PLUMBING NOTES 7~.os, 6d COMMOr 3" O C. EDG~ 7).Pmvlde2-J-3/4"thi~ml~lams(helghtJomat~floorJol~sJaroundstai~ellan~c 2), Ved~ ~eptic ~stem with th~ Engineer for Suffolk Coun~ H.alth Depar~ent appr~aJ, FLOOR SHEATHING: NOTE: where applicable unless other,se noted, state code and manufa~re's re~mmendatlon for maximum hole size and spadng permiff~. ~U~U~L "*NEU ~' O.C. EDOE EXI~IN G CON DITION 5. MINIMUM 3000~ CAPACI~. D). Provide blo~n~r[~[.~ J. "GOt Jots. at 8'0 o.c,. U,e solid blo~.8 i. ,Got )oi~, HVAC SYSTEM NOTES ~" o~ L~S ~d CO~MO~ ,~" O.C. F~ i I). PROVIDE 5/8" ~PE-X SHE~ROCK FIRE ~OPPING AT 10'0 ~XIMUM DInANCES FOR NON ACCESSIBLE under all bearing woes. I), Me~anical ,u~ontr,dor is r.spons,ble for adhea~n~ to all app[icibl, codes and safety NOTES~ ~ USE SIMPSON H~GE~ AND ANCHO~ ~ITH Z-M~ TRIPPLE PROTE~IVE COATING FOR CO~A~ITH adhered with PL4~ adhesl~ ~d scr~ed to floor jo~sts Fmlshed floor to be in,ailed ELECTRICAL NOTES: members shall ~ doubled, or akemlte connectors, I~els. Cancealea hoflmntal ~rmd spaces shall also be fireblocked at [nt~als not ~medlng 10 ROOF SHEA FHI XlG: JOINT DESCRIPTION NAIL NAIL