HomeMy WebLinkAboutMueller, Kimberly James F. King, President
Bob Ghosio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
December 28, 2012
Diane Herold
P.O. Box 884
Westhampton Beach, NY 11978
RE:
KIMBERLY MUELLER
1445 BUNGALOW LANE, MATTITUCK
SCTM# 123-3-19
Dear Ms. Herold:
The Southold Town Board of Trustees reviewed the project plan received on December
27, 2012, and determined that the proposal for the renovation of the existing house,
proposed additions on northeast and northwest sides, demolition of existing decks,
proposed deck on northeast side of house, and proposed porch on southwest side of
house is out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code
and Chapter 111 of the Town Code.
Therefore, in accordance with the current Wetlands Code (Chapter 275) and the
Coastal Erosion Hazard Area (Chapter 111 ) no permit is required. Please be advised,
however, that no construction, sedimentation, or disturbance of any kind may take place
seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of
the coastal erosion hazard area as indicated above, or within 100' landward from the
top of the bluff, without further authorization from the Southold Town Board of Trustees
pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility
to ensure that all necessary precautions are taken to prevent any sedimentation or other
alteration or disturbance to the ground surface or vegetation within Tidal Wetlands
jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such
precautions may include maintaining adequate work area between the tidal wetland
jurisdictional boundary and the coastal erosion hazard area and your project or erecting
a temporary fence, barrier, or hay bale berm.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to call.
Sincerely,
King,
Board of Trustees
JFK:eac
James F. King, President
Bob Gho~io, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Use Only
Coastal Erosion Permit Application
Wetland Permit Application x~ AdministratiVe Pen'nit
Amendment/Transfer/Extension ~ ~ ~ /. Jo / %
LReccived Applicati°n~'2 (Wc'~q~-jc/f'St::~'C[7Or~ct! h
¥,/~ ReeeivedFee:$ .-~5~.)7" ' - ~
__SEQRA ClassR%atlon:
Type I TyI~ H Unlis~l
__Coordinafion:(da~ sen0
LWRP Coasis~¢¥ Assassm~nt Form
__CAC Reft'al S~m:
__Da~ of lnsp¢ctiom
~R~ceip~ of CAC R~pon:
__L~M Agency Determination:
~T~lmical Review:
~bli¢ H~rin§ H~ld:
__Resolution:
PropertyLocafion: I ~/q-ff t~L~tOGg, LOCO LgklE,
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(lf applicable)
Address:
Land Area (in square feet):
Area Zoning:
Previous use of property:
Intended usc of property:
GENERAL DATA
I ~/~/. 6~
Covenants and Restrictions on property?.
If"Yes", please provide a copy.
Yes ~ No
Will this project require a Building Permit as per Town Code? ~Yes No
If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review
and Elevation Plans will be required.
Does this project require a variance from the Zoning Board of Appeals?
If"Yes", please provide copy of decision.
Yes t~ No
Will this project require any d~nnolition as per Town Code or as det~riuined by the Building Dept.?
Yes fl< No
Does the structure (s) on property have a valid Certificate of Occupancy?. g/ Yes No
Prior permits/approvals for site improvements:
Agency Date
__ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?.
If yes, provide explanation:
~ No Yes
Project Description (use attachments if necessary):.
POg.CJ4. otJ ~oo'~ to6s'-t ~t~ o~: ~too,5£
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose ofthe proposed operations: 'i~O|t.'o i~.l~l)t"/IO~O$ 'to HOO$~
~ o ~ c'~::~ F: J~okrr
Ama of wetlands on lot: 1'7 5 ~ square feet
Percent coverage of lot: 7~ %
Closest distance between nearest existing structure and upland
edge of wetlands: ~ Z. ~b feet
Closest distance betwom nearest proposed slmcture and upland
edge of wetlands: [ I ~ feet
Does the project involve excavation or filling?
No ~: Yes ~--o~ o..~w~. $t>tkcg
If yes, how much material will be excavated? ['ir cubic yards
How much material will be filled? a/~ ~ cubic yards
Depth of which material will be mmov~xl or deposited: ~ feet ~-r
3 ~-r n'o ~r/To~ o~:
Proposed slope throughout the area of operations: ~ - ID ~o
Manner in which material will be removed or deposited:~
Statement of the effect, if any, on thc wetlands and tidal waters of the town that may result by
reason of such proposed operations (use attachments if appropriate):
PROJECT ID NUMBER SEQR
PART 1 - PROJECT INFORMATION
I $17.20 :
APPENDIX C
STATE ENVIRONMENTAL QUALI~Y REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNESTED ACTIONS Only
( To be completed by AppHcont or Project Sponsor)
2. PROJECT NAME
]Coun~
1. APPLICANT / SPONSOR
3.PROJECT LOCATION:
Municipality TO0~,) O~' ,.50(JTHOL,'t:)
4. PRECISE LOCATION: Street Addess and R~ad Intemecfions. Prominent landmarks etc -or provide map
5. IS PROPOSED ACTION: [] New []Expansion [~]Modificalio~/alteration
6. DESCRIBE PROJEC3' BRIEFLY:
7. AMOUNT OF [AND AFFECTED:
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
[~es [] No If no, describe briefly:
9. WHAT iS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
[~ O~her (desc~be)
10/DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal. State or LOcal)
F~Yes [] No It yes, list agency name and elTnit I approval:
31. UO~=~ ANY A~I-'I=¥~--OF TNE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
r-[Yes ~ if yes, list ager, cy nama and permit / approval:
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
[2.o
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
If the action is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPER~Y LOCATION; S.C.TJ~I.~ THE FOLI. iW/ING ACTIONS MAY REQUIRE THE SUBmiSSION OF A
STOi~//ATER~ GRADINGF DRAINAGE AND ERO&ION CONTROL PLAN
~ ~ ek~c~ Lot CERTIFIED BY A DESIGN PROFESSEONAL IN THE STA~/~ OF NBW YORK.
SCOPEOFWO~ - PRO~$~ ~N~Uc'IIlON IT~# /WO~~ I Ye~ No
a. W~al is u~ Tofa~ a,aa of me V~ F'm~is?
(Include Tofsl Area of all Patois I~ated v/~in I Will this Project Reta;n A~ 8tomt-Wat~
b. What ts the Tofal Ama of Land Clealtng (s.;.; ~i~ (This item will include ail mmoff creofed by site
ci~arlxj and/or c~.slmctlon acllvi~es as well as all
and/or Ground OistuCoanee for the proposed 81re Improvements and the permanent creation of
construction ac~ impen,~us surfaces.)
(s.;. ;*,~,~) 2 Does the Site Plan and/or 8u~ Show All Proposed
PRO~[]D~: B~I]~' PBOJEC~ D~O~T ;,--~,,~.e-~.-*,~ Drainage S~uc~ureslndlcatingSIze& Location? This
Item shell include all Proposed G~de Changes and
3 Does the Site Plan and/or Sunmy desc~e the erosion
H ,0 0.% E ~ sediment cormol prs~cee ~ wal ~.~ to
co.roi site erosion and stan~ water discharges.
Cons~uc~on Period.
4 Will this P[ojeet Require any Land F~lng. Grading or
Excava~n where ~'~ere is a change ~ the Nofural
E.~s~ng Grade lnvoi~ing mo~e Ihan 200 Cubic YaMs
of Mate~ll wflhln any PmceI?
5 Will this A~plica§on Req uim ~and Distufl~ing Activities
Encompassing an Ama in Ex~ of Five Thousand
(5,0~0 S.F.) Square Feet of Ground Surface? --
Site? Is this Project within the Trustees jurisdic~
am part ~ a k~rgm ce~tlmOh plan that ~ u~tlma~My dW~urb ~ne or more a~s of la~; wflt~ Exceed Fifteen (15) fe~ of Ve~caJ R~se to I
constm~sd ~ ~the fx~utams in s~rm ~dbd~s and to as~m Item Within the Tow~ Right-of-Way or Road ShoulderI--I
STATE OF NEW YORK, ~-., ~-., .
That I, .......... ...'~.[.~.~...~--;~. .................. being duly sworn, deposes and says ~ he~$h~ is the applicant for Permit,
Owner and/or representative of the Owner or Owners, and is duly anthorized to perform or have perfomaed the said work and to
make and file this application; that ali statemenls contained in this.application are true to the best of his knowledge and belief; and
that the wolTk will be performed in the [namer set forth in the application filed herewith.
Sworn to before me this;
MAg'lNG Gp^~l^ ~'~
FORM - 06/10
Notary Public, St~e~'l~'e~v York
No. 01GR6138951
Oualified in Suffo!k Counfv
C~mmis~un Expires lY~c. gmb~ 27', 2 ~,.[~
Board of Trustees Applicatlon
County of Suffolk
State of New York
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 AHD 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.
~~y ow,,~
swo~ To BEFO~ ME THIS ~ ~ ~o^¥ OF ~0 ~/v~b ~,2o__l ~-
Notary Public
~o~[l~dof Tz'us~ees Application
AUTHORIZATION
(where thc applicant is not the owner)
(print owt~L'r of p~.~ty) (mailing address)
f,~C.,'~. Le~ ~L- ~c-t' lC ~ do hereby authorize
(A~ent)
to apply for permit(s) from the
Southold Board of~ Trustees on my behalf.
(Owner's si~aturc)
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE. FORM
Th~ Town of Soulhold's Code of £fldca rgohibi~ conflk~s ofi~t~t on lhe ~ of town offi~s and ~mnkn, ccs. Th~ ouroos~ of
this fo~m is in orovide in form'~i~' which can alc'~ ~ town ofoossibl6 conflicts of ~nt~zest and allow ii to ml~ whatever action is
iI~ssarv lo avoid same.
YOUR NAME:
(Last name, fir~ nam~atddle inhial, unless you ~m applying ia ~i~ na~ne of
someone else or othex entity, such as a company. If so, indica~;tl~ other
person's or ~mpaay's name.)
NAME OF APPLICATION: (Check ali that apply.)
Tax grievance Building
Varianc.~ Trostee
Change of Zone Coastal Erosion
Agio'oval of plat Mooring
Exemption from plat or official map - Planning
Other
(lf"Otheff, naroe thc activity.)
Do you personally (or through your company, spouse, sibling, parent, or child} have a relationship with any officea' or employ~
of thc Town of Southold? "Relationship" includes by blood, marriage, or business illte~st."Bus~ea$ interest'~ m~n$ a business,
including a ]:~ncr~hip, in which thc town officer or employee has even a partial ownership of {or employment by) a coqaoration
in which the town officer or cmploy~'e owns mot~ than 5% of thc shams.
YES NO
If you answered "YES", complete the balance of ~ form and dat~ and sign whe~ indicated.
Name of person employed by tl~ Town of Soulhold
Title 6r position of that person
Describe the relationship between yourself (thc applicanl/agc nffmpr~entativ c) and the town officer or employee. Either check
thc appmprialc linc A) lhrough D) and/or dcscrib~ in thc space provided.
The town officer or employee or his or her spouse, sibling, parent, o~ ~hild is (check all ~at apply}:
__A) tho owner of greater than 5% of the shares of the corporate stock of the applicant
(when thc applicant is a corporation);,
__B) thc legal or ~0enoficial owner of any interest in a noa-corpora~ entity (whea
applicant is not a corporation);
C) an officer, director, partner, or employee of the applicant; or
__D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Form TS 1
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORIVI
A. INSTRUCTIONS
All applicants for permits* including Town of Sou/hold agencies, shall complete this CCAF for
proposed actions that are subject 1~ the Town of Southold Wateffxom Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a deten~ination of consistevmy. *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 thig form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Sou/hold Local
Waterfront Revita!i~aion Program. A proposed action will be evaluated as to its si~i6cant
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-
suo~orlin~ 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/he Town of Southold ' s
website (.qoutholdtown.nor/hfork.net),/he Board of Truatees Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SCTM# OS - tq
PROJECT NAME
The Application has been submilted to (check appropriate response):
To~ Ro~ [-q P~..'-~ Bo~ [] Rna~'-~Dep~ Iq ~o.~ of T.~,~
Category of Town of Southold agency action (check appropriate response):
(a) Action undertaken directly by Town agency (e.g. capital
construction, pDnning activity, agency regulation, land Wansaction)
(b) Financial assistance (e.g. grant, loan, subsidy)
(e) Permit, approval, license, certification:
Nature and extent of action:
Location of action:
Site acreage:
Present land use:
Present zoning classification:
r}t &"t'-t I 'ru e.le
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: NOg&
(b) Mailing address:
(c) Telephone number: Area Code ().
(d) Application number, if any:
Will the action be directly undertaken, require funding, or approval by a ~at,~ or federal agency?
Yes ~ No[~ ' Ifyes, which state or federal agency?.
C. Evaluate the project to the following policies by analyzing how the project wit 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 S0uthold that enhances community character,
preserves open space, makes efficient use of infrastrucVure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section III - policies; Page 2 for evaluation
criteria.
[--] Yes ~ No [~'~ot Applicable
Attach additional shecla 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 [~]~NotApplicable
¸7
At~h additional sheets if necessary
Policy 3. Enhance visual quality and proteet scenic resources throughout the Town of Sonthold. 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
Ar/ach additional sheets if necessary
Policy 5. Protect and improve water quality and snpply in the Town of Southold. See LWRP Section m
- 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 LWRP Section m- Policies; Pages 22
through 32 for evaluation criteria.
Yes No Not Applicable
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. S~ LWRP Section III - Policies
Pages 32 through 34 for evaluation criteria.
[] Yes ~-~ No ~ Not Applicable
Attach additional sheets if neeessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substanees and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluatiou 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 Seefion III - Policies; Pages 38 through 46 for evaluation
criteria.
~] Y~ No ~-~Not Applicable
Attach additional sheets ifncces~ry
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 IH- Policies; Pages 47 through 56 for evaluation criteria.
~-] Yes ~ No ~Not Applicable
At~ach additional sheets if necea~ary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Town waters. See LWRP Seetian 1H - Policies; Pages 57 through 62 for evaluation criteria.
[] Yes ~-] No ~Not Applicable ~
A~tach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section IH - Policies; Pages
62 through 65 for evaluation criteria.
[] Yes [] No ~Not Applicable
Attach additional sheets if ncceasary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section IH - Policies; Pages 65 through 68 for evaluation eriterla.
PREPARED BY '~tt~10~. ~E.~CA_X> TITLE .~f~,~'/'~.c...~ DATE~2--
SURVEY OF PROPERTY
$ITUA TED A T
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-123-03-19
1" 20'
SCALE =
SEPTEMBER 25, 1999
AUGUST 28, 2002 UPDATE SURVEY & ADDED TEST HOLE
DECEMBER 7, 2002 ADDED TOPOGRAPHICAL SURVEY
OCTOBER 23, 2003 LOCATED ADDITIONAL WETLAND FLAGS
AREA = 54,144.63 sq. fi,
(tO BULKHEAD) 0.784 o¢.
i:.
, ' DEC 2.7 2012
CERTIFIED TO:
Joseph A. Ingegno
Land Surveyor
PHONE (65~)727-2090 Fox (631)727-1727
KlM MUELLER
THE EXISTENCE (iF RIOHT$ OF WAY
AND/OR EASEME~S OF RECORD, IF
ANY, NOT SNOWNARE NOT GUARANTEED. N.Y,S, L[c No, 49868
TEST HOLE DATA
NOTES:
1. ELEVATIONS ARE REFERENCED TO N.G.V,O. 1929 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:3~
EXISTING CONTOURS ARE SHOWN THUS; ~o
2. LOT NUMBERS SHOWN THUS:£OT(~
REFER
TO
'"MAP ENTITLED PLAN OF MARRATOOKA PARK"
FILED IN THE OFEICE OF THE CLERK OF SUFFOLK COUNTY
ON MAY 7, 1974 AS FILE Ne. 19,
99-5?26'
27