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Home My WebLink AboutTR-8002 *pf SOUP John M. Bredemeyer III, President ®� ®� Town Hall Annex Michael J.Domino,Vice-President 54375 Main Road m P.O. Box 1179 James F.King, Trustee CAPSouthold,New York 11971-0959 Dave Bergen,Trustee a® Telephone (631) 765-1892 Charles J. Sanders;Trustee -4-COU ,n'� Fax(631) 765-6641. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1080C Date: December 8, 2014 THIS CERTIFIES that the removal of 68ft. of lower bulkhead and 68ft. of upper retaining wall', of new vinyl bulkhead with 12ft return and Brag to-style capping and new vinyl retaining wall with 12ft return;top of lower bulkhead to be 18"higher than previous bulkhead;top of retaining wall 1-2' higher than previous retaining wall to match neighbor's- construction of upper and lower beach stairs and connecting walkway' approx.250cy of fill; restoration of a 11' wide non-turf buffer area between bulkhead and retaining wall, replanting with native sea grass At 3080 Great Peconic Bay Blvd., Laurel,New York Suffolk County Tax Map # 128-6-10 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 11, 2012 pursuant.to which Trustees Wetland Permit#8002 Date# January 23, 2013,was issued and Amended on August 21, 2013 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 removal of 68ft. of lower bulkhead and 68ft.of upper retaining wall; construction of new vinyl, bulkhead with 12ft. return and rate-s le capping and new vinyl retaining wall with 12ft. return;top of', lower bulkhead'to be 18"higher than previous bulkhead;top of retaining wall 1-2' higher than previous, retaining wall to match neighbor's; construction of upper and lower beach stairs and connecting walkway Uprox. 250cy. of fill; restoration of a I P wide non-turf buffer area between bulkhead and retaining wall" replanting with native sea grass. The certificate is issued to LYLE &KATHLEEN GIRANDOLA owners of the aforesaid property. Authorized Signature ��G Q 1111ff11111111111111111111111111 Iffll fllll�l!lII.IIII IIII . I IIIIII IIIII 11111�11111111 , SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type ;of Instrument: DECLARATION Recorded,: 09/03./2014 Number ;of; Pages: 5 At: '09:12 :33 AM Receipt Number : °14=0115530 LIBER: D00012787 PAGE: 237 District: Section: Block: Lot: 1;000 128.00, 06.00 010.000 EXAMINED AND. CHARGED AS FOLLOWS Received the Following Fees For Above Instrument '' Exempt Exempt Page/Filing., $25.00 NO Handling.; '$20 .00 NO COE '$5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $0 .00 NO RPT $60.00 NO Fees Paid $125'.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk,, Suffolk County 1 ❑2 RECORDED Number of pages 2014 Sep 03 09:12:33 AM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please femove all L D00012787 P 237' Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed!Mortgage Tax Stamp Recording!Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax _ TP-584 Sub Total Notation SpecJAssit. • or EA-52 17(County) Sub Total Spec./Add. EA-5211(State) TOT.MTG.TAX wi Dual Town Dual County R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 �, Transfer Tax _ Affidavit ,,_ + Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by.a one or two . NYS Surcharge 15. 00 family dwelling-only. . Sub Total YES or NO Other _ Grand Total If NO,see appropriate tax clause on ,,o page# "of this instrument.' 4 Dist. 2786061 I000 I2800 0600 010000 5 Community?reservation Fund Real PService roperty P T S IIIIIIII�II�IIIIIIIIII�I��II�II91III1 Consideration Amount°$ Tax envy Agency R RMO A W UI 1 CPF Tax Due $; . 03SEP-14 Verification - — — Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land 1 TD KbkleenTD �i�andola� PC 1.r7 GG �U,n'Gro✓1, !�►-'U�'Ssa TD Mail to:Judith A. Pascale, Suffolk.County Clerk I Title Company Information 310 Center Drive, Riverhead, NY 11901 Na www.suffolkcountyny.gov/clerk o. me Title'# 8 SUffeb-lk' ' Cdunty Recording & Endorsement,Page This page forms part of the attached C(C,(G E7 n nJ 0 (zV*0/L made by: 1 (SPECIFY,TYPE OF INSTRUMENT)' �' Q Qf� yl �anCA The premises herein is situated in SUFFOLK COUNTY,NEW YORKI. TO In the TOWN of In the VILLAGE or HAMLET of BOXES.6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. i:•oia iwae�t , (over) . , IMPORTANT NOTICE If the document you've just recorded is your SATISFACTION OF MORTGAGE,please be aware of the following: If a portion of your monthly.mortgage'payment included your'property.taxes, *you will now need.to contact your local Town Tax Receiver so that you may be billed directly for all future property tax statements. Local property taxes are payable twice a year: on or before January 10th and on or before May 31st Failure to make payments in,a timely•fashiori'could result in a penalty. Please,contact your local Town Tak Rece'Wer with any ;questions regarding,property tax Payment. Babylon Town Receiver of Taxes' Riverhead Town Receiver of Taxes .200 East Sunrise'Highway 200 Howell Avenue, North,Lindenhurst;N.Y. •11757 .,Riverhead,N.Y. Ii90.1 (631)957-3004 (031) 727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes, One Independence Hill Shelter Island Town Hall Shelter Island;N.Y: 11964 Farmingville,N.Y. 11738 (631)451-9009• (631)749-3388 East Hampton Town Receiver of Taxes Smithtown Town Receiver.or Taxes 300 Pantigo Place 99 West Main Street East Hampton, N.Y. ,11937 Smithtown, N.Y. 11787 (631) 324-2770 "(631) 360-7610 Huntington Town'Receiv&of Taxes Southampton Town Receiver of Taxes 1.00 Main Street 116 Hampton Road., Huntington, N.Y.. 11743 Southampton, N.Y. 11968 (631) 351-3217 (631)283-6514 Islip Town.Receiver of Taxes Southold Town Receiver of Taxes 40 Nassau Avenue 53095 Main Street Islip,'N.Y. 41751 Southold, N.Y. 11971. (631) 224-5580 (631)765-1803 Sincerely, Judith A.Pascale Suffolk County Clerk 12-0104.;06106kd . DECLARATION OF COVENANTS THIS DECLARATION made this Z �day of , ,20 , by i7, : ed 1�'Ie, G(andr o 16U residing at PAIJ l ' hereinafter referred to as "DECLARANT(S)": � �r � 5� W I T 'N' E S S;E T 'H WHEREAS, ' DECLARANT(S) is/are the owners) of certain real property located on b, ! Town of Southold, County 'of.' Suffolk, State of New 'York, described' in the Suffolk County Tax Map as District' 1000, Section 1 Z�, ,, Block _; Lot which is more particularly 'bounded and described as set forth in Schedule "A" annexed _hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of ;the ' b Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the, Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the' regulation* and approval of the Trustees prior to being -conducted;, . WHEREAS, the DECLARANT,(S) therefore made application to the Trustees for a .: permit pursuant to the Wetlands Law of - the Town of Southold to undertake certain regulated',activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees- required that an "non-turf. buffer" adjacent to 'and landward of NOW, THEREFORE, T , the. DECLARANS)! , do/does ' hereby' .covenant, and agree; 'as follows. . l') Upon . the sub tantial completion'::.'o,f the aforementioned' permitted activities there shall be established and subsequently -maintained n turf 'buffer" as ciefineci by Chapter.' 275: of'tre Town;Code; 'and' 'as. dep t:ed, bn_ the. lid and 5 �,I'Y7' lid 0�31 �31 Q 2) These covenants. shall run. with' the land .and shall be binding , on the DECLARANT(,S) , hislher/.their heirs, ,assgri's, purchasers, or 'successors in interest " and•','may' only be, modified after a 'public. hearing and' upon resolution of 'the Trustees. IN WITNESS WHEREOF, the - has/have" duly' executed. this'. instrument this day of, 6,16, 2 8 D OWNER' SIGNATU " WNER' SIGNATURE . 'STATE OF NJ MR"r�AL, y II " ® i7t1 *JM i.. s s.: ��aNNon tl! COUNTY OF Q r On the 2 8 day, of J�(l , in the `year, 20 1 , 'before me the u dersigned, a Not ary,J� ubl' in and for said ' State,, ' personally appeared a- � onally known to me or proved to me on the basis .of satisfactory elzidence .to be the individual(s) whose'' name(s)', is/are subscribed to the within instrument and acknowledged' to me that'',he/she/they,' executed. the 'same in his/her/their •capacity, and that by his/her/their ,.signature(s) ' on, the instrument," the individual- or the persons on behalf of which,':the individual(s), acted, 'executed the instrument:' Notar Public tOTI AMM M. CRUZ VALENTIN N°,. NOTARY•PUBLIC OF NEW JERSEY . :` .. _\ I •• ;�I, I.D. 9 2441229 .; er' My Commission Expires:121612018ET ' �• 4 , :i�Q5111y+r1 3 ,JUN. 14. 2013 3:21PM Fidelity National Title NO. 0919 P. 2 Fidelity'Naiional Title wirafiee Coanpany, T]( U NO, 13-7404-90863-$UFF SCY#,DULF,A-1 (Deyc4don) Amended 06/1141I3 ALL tha't.certain plctToieee or.parcel of land,situate,lying and being at Laurel,Town of Southold,County of Suffolk and State of New York,bounded and described as follows; BEGINI4ING`'at a point on the .southerly,gide_of Peconic:Bay Boulevard at a marble monument, which said marble monument mafks,the northeasterly cornet of the tract herein described and the north west•corner of land now or formerly of Ludivoica PamaneM, ,RU�tNIN0 THENCE South 19'degrees 9 minutes Ees;along the last mentioned,land 601:02 feet to.Peconic Bay; THENCE along.the;average high water mark of Pe conic Bay along a tie course of'South4'1 degrees 38'minutes 24 seconds West, a distance of.67.11 feet to land now or formerly of Gatehouse; j THENCE North 18 degrees 34•minutes West along land now or formerly.of Gatehouse 481.41 feet to the southerly+side of Peconie Bay Boulevard; THENCE RUNNING along the southerly,side'of Peconic Bay Boulevard,' North 26 degrees 33 minutes East,75 feet to a marble monument marking the point or place of BEODINING. i i I i THEPOMC'Y.TOBEISSVED under this commitmenixill insure the title to 4-ach,buildings and improvements on'the premises which by law constiture;real proper(y. FoR'cONVEMCING oM P Together with all the right, title and interest of the party of the f irst part,of in and to the land lying in;the street in front of and adjoining said premises SCHt-DULEA-4 Moscription) I. Rev.(03/04) John M.Bredemeyer Ill', President o�,,Vf eO Town Hall,53095 Main Rd. Michael J.Domino,Vice-President P.O.Box 1179 a James F.King y Southold,NY 11971 Dave Bergen o Telephone(631)765-1892 Charles J.Sanders y�01 � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE F INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction constructed Project complete, compliance inspection. I / INSPECTED BY: ' COMMENTS: goo - Av&w i CERTIFICATE OF COMPLIANCE: ® 98 i James F. King, President • �QF so�Ty • Town Hall Annex Bob Ghosio,Jr.,Vice-President h�� OHO 54375 Main Road P.O. Box 1179 Dave Bergen * Southold, New York 11971-0959 John Bredemeyer G Michael J. Domino �� Telephone(631) 765-1892 O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 21, 2013 Mr. & Mrs. Girandola 5 Kingsley Court Princeton Junction, NJ 08550 RE: LYLE & KATHLEEN GIRANDOLA 3040 GREAT PECONIC BAY BLVD., LAUREL SCTM# 128-6-10 Dear Mr. Girandola: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 21, 2013: WHEREAS, LYLE & KATHLEEN GIRANDOLA applied to the Southold Town Trustees for an Amendment to Wetland Permit#8002 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated July 24, 2013, 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 to be Consistent with the Local Waterfront Revitalization Program policy standards, 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, • 2 NOW THEREFORE BE IT, RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit#8002 to move the proposed upper retaining wall further landward for a total of +/-15 feet from existing lower bulkhead to be in alignment with neighbor's to the west; raise the height of the proposed retaining wall V-2'; and cap the lower bulkhead with grate-style capping; and as depicted on the site plan prepared by Lyle & Kathleen Girandola, received on July 24, 2013, and stamped approved on August 21, 2013. 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: $0.00 This is not a determination from any other agency. Sincerel , James F. King, President Board of Trustees JFK/amn i gUFFO(�- lames F. King,President �pp� P P.O_Box 1179 Bob Ghosio,h..Vice-President j ys Southold,NY 11971 Dave Bergen Telephone(631 765-1892 John Bredemever Fax(63 1)765-6641 Michael.1, Domino Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: A e 13 / 3 `'' 5 LYLE & KATHLEEN GIRANDOLA request an Amendment to Wetland Permit #8002 to move the proposed upper retaining wall further landward for a total of +/-15 feet from existing lower bulkhead to be in alignment with neighbor's to the west; raise the height of the proposed retaining wall 1'-2'; and cap the lower bulkhead with grate-style capping. Located: 3040 Great Peconic Bay Boulevard, Laurel. SCTM# 128-6-10 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 _Chapt. 111 _other Type of Application: _Wetland _Coastal Erosion -Amendment _Administrative_Emergency Pre-Submission Violation Info needed: Modifications: c�/� �>s S� Bozo •i7K` �> Conditions: Present Were: J. King B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: ,2 iz. � � ECEIVE �noN �r OM A-0c)VT D JUL 2 4 2013 D 7��w:r-CE bZAC fNG SYST'-f- -i old Town „ x IPA' ,( APPROVED BY BOARD OF TRUES' U l.y 9 Z n l 3 TOWN OF SOUTHOLD ON C�NTH DATE 2l 3 Q °80 -PECON1L r�>4y B 1� C Tv � '�>4C�D IN I�051T1DN O� ,P��(ouSl,� ✓ STRc y�� U� t��4D. S -FliOTO5 OLD BI�GKr+��D GILL � K�VV��J ItJ U-P R R�-r� )NJG Wll C-L OC SARI E�-) 1 i on L7' �,!(.' ]Y1NT� r£ / I6" XI6' CCA T))-)1J6 PL�l1, T vv(T{r Zz1 4 CTPA55. \ (� �XPD`7LID X XI Y 12. I " n12' CTAC.VAIQIZF G" XG 5�'tt�..)eFR ' Wi174 L_E1Z C IN rOTr\ , i C G + RGndolcz, ! L B 0 1 y. oLv'�2 � U �K+l��1c7 SECT7of� V(�c, -f= v,k i soct7l-f G rG+� „ CCU+ I �4ui�E� A1�c� YaR� r1 g INr; :AKA 0-( N, ( �u�y � two13 SecLo � �^ v�u.r �rcvN soulf., �ILes � I I' sucy 7% c 3 Lb S4A.Ir5, -(ronn kpeer RWafi 1b mfd- (LVek RMr.L ST a'rs ov f &.ci 14 4v co d - ( n o( iv s ca_2c r6tx s ceco0r Nevi U?l e r V� , ) i /2 a `( CCV(z Cedar v iz' ccr-) zy is cCA Sfrirws 2Y Z 2013 New Lowe( DO1 A v; I a Pc(- c (raj 3'v p;' u (� LLF} QllinkS fO� lIv01. IJU r1109R ge ctll)i,,� Wu-J , Fri'"- cn Vt u r Ak O w ti v,n �rC Scr• i 'fry RoD� l S l l I A-F k-/! r 30coo Pt(,< cc st SIvo( upPtr E �GL{nia (,l)UX.(- I o Dt PCLLf-vim i„ yc�f ,yu, II rdv� Vie-/' frow+ "061- of prf—Vlcvk$l) C&S� "Ojed (nn� scate� bu.jc-40d (Ste- pi d bw�lc.l�.aad Igo Gx �eovu ovtoL - -- z^ ccA � 1P C12 xLArAp-- Y X Iv' -r+E FZ()D!s Gr PATTeN,30fF I S�I Iv D FILL j =f-T SF4o ECt JQ � 5--77 .t�E, Z25 4 ' lo' IN !.�,r+4 (9- 1 KIw DOLE 3ocbo ?ecvx �'� 9011 PIC( 1_o,tAra , N.H. 1l `iyS N ° SURVEY OF PROPERTY� W E 51TUATE: LAUREL TOWN: 5MTHOLD w 5UFFOLK COUNTY, NY SURVEYED JUNE 13, 2013 g �a REVISION: JUNE 11, 2013 SUFFOLK COUNTY TAX u 1000 - 128 - 6 - 10 0 ^� CERTIFIED TO: LYLE 61RANDOLA ;. rGp KATHLEEN 61RANDOLA BANK AM N.A. FIDELITY'r NATIONAL TITLE INSURANCE COMPANY m mop q xY poop 33 qm� ECEIVE f r� ' `flo �w JUL 2 4 2013 Bord of Trustees I 010 #;= Southold Town '�hAttt. ry }f qU r�- O O NOTES: MONUMENT FOUND Area = 21465.68 SQ FT Area = 0.63 ACRES GRAPHIC, SCALE I"= 40' 'D C, m 0P OZ CSC "O, E E NEW EH ~.vr�iwa�yr`�rw� �v�G• �S�I O� P � 0 P `` wy w;w w•w.�i+aw IQ� * S�O Q �PY��I�♦ ..r~ Av l �bbb rwrw"Tw r,Ww •w,r.'.7 �C 02 Q / i� SFD �0 .. JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.Q\Uwn\Jo6n\Docun=ft\My Dropbox\11\11-130.pro � ECEIVE D > 1 JUL 2 4 2013 � .. uthold own � e � ftard of Trustees _ y 'ti, _ Y y YS its T j. � � 1 +ry e! �. a - f, ! 1. bI 1•A •` — is IV� WTI i , i� ('y ,� oR. 1w ��. - : ,.Y. •"�11.,, ,� a � ° ' 1F .� ma's t i A : ORA i , r t} r t � ' Amw f _ f ftd h James F. King, President _a QF so Town Hall Annex Bob Ghosio,Jr.,Vice-President O�� y�/_ 54375 Main Road O ' P.O. Box 1179 Dave Bergen # 411 Southold,New York 11971-0959 John Bredemeyer CO2 • �O Telephone(631) 765-1392 Michael J. Domino Fax(631) 765-6641 ��OOU01 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 17, 2013 Lyle & Kathleen Girandola 5 Kingsley Court Princeton Junction, NJ 08550 RE: 3040 GREAT PECONIC BAY BLVD., LAUREL SCTM# 128-6-10 Dear Mr. & Mrs. Girandola: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, July 17, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#8002 from Jane C. Stark to Lyle & Kathleen Girnadola, as issued on January 23, 2013. If you have any questions, please contact our office at (631) 765-1892. Sincerely, ' James F. King President, Board of Trustees JFK:amn guFFO(,� lames 1'. King,President �� CQG P.O. Box 1179 Bob Ghosio,.Ir..Vice-President �� S Southold,NY 11971 Dave Bergen Telephone(631 765-1892 .John Bredemeyer ,may T Fax(631)765-6641 Michael.I. Domino 'F Southold Town Board of Trustees Field Inspection[Work Session Report Date/Time: 141 /0 2 ,� i3 7 Zd LYLE & KATHLEEN GIRANDOLA request a Transfer of Wetland Permit#8002 from Jane C. Stark to Lyle & Kathleen Girandola, as issued on January 23, 2013. Located: 3040 Great Peconic Bay Boulevard, Laurel. SCTM# 128-6-10 Type of area to be impacted: l/ _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 _other Type of Application: Wetland _Coastal Erosion _Amendment _Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: b'. King _B. Ghosio D. Bergen, . J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: 0 0 OFFICE LOCATION: q SO(/lyO MAILING ADDRESS: Town Hall Annex ti0 l0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) CA Southold, NY 11971 Q Telephone: 631 765-1938 �� Fax: 631765-3136 COU�, LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM R nEQ g V E 5 2013 To: Jim King, President Town of Southold Board of Trustees d own r From: Mark Terry, Principal Planner LWRP Coordinator Date: August 13, 2013 Re: Proposed Wetland Permit for LYLE & KATHLEEN GIRANDOLA SCTM#1000-128-6-10 LYLE & KATHLEEN GIRANDOLA request an Amendment to Wetland Permit #8002 to move the proposed upper retaining wall further landward for a total of +/-15 feet from existing lower bulkhead to be in alignment with neighbor's to the west; raise the height of the proposed retaining wall 1'-2'; and cap the lower bulkhead with grate-style capping. Located: 3040 Great Peconic Bay Boulevard, Laurel. SCTM# 128-6-10 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 denoted following 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 Peter Young,Chairman Town Hall, 53095 Main Rd. Lauren Standish, Secretary r, T P.O. Box 1179 Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., August 14, 2013 the following recommendation was made: Moved by Doug Hardy, seconded by John Stein, it was RESOLVED to SUPPORT the application of LYLE & KATHLEEN GIRANDOLA to Amend Wetland Permit #8002 to move the upper retaining wall back 3-5' for a total of 15' from existing lower bulkhead to be in alignment with the neighbor's bulkhead to the west; raise the height of the upper retaining wall by 1-2'; and cap the lower bulkhead with the grate style capping just like to the neighbor to the west. Located: 3040 Peconic Bay Blvd., Laurel. SCTM#128-6-10 Inspected by: Doug Hardy, Jack McGreevy The CAC Supports the application with the Condition the stairs are retractable. The applicant is subjected to erosion from the neighboring bulkheads. Bulkheads should be constructed in alignment with neighboring bulkheads. Vote of Council: Ayes: All Motion Carried James F. King, President SOUj Town Hall Annex Bob Ghosio,Jr.,Vice-President h0� Ol0 54 Main Road P.O.. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer �O Telephone(631) 765-1892 Michael J. Domino O Fax(631) 765-6641 �yOWN% D E Q E V BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD JUL 2 4 2013 t6d own APPLICATION FOR AN AMENDMENT TO A WETLAND PE DATE OWNER �L?/) U�//t"[n�o�isPHONED �OO/ ��7 'Jt�7 /GCYY� ADDRES�S�S``�/l1 AGENT V U PHONE ADDRESS Q / PROPERTY LOCA11TION 3 0 D 1CJ TAX MAP NO. l X0 — 12g', (P ) C) cop a"fin 6Yan ll 9y� We reque �st an Amendment to Permit# �00 to Amend the permit with these minor changes. We would like to move the upper retaining wall back 3-5 feet for a total of+/- 15 feet from existing lower bulkhead to be in alignment with the neighbor's bulkhead to the west.(Gatehouse) We would like to raise the height of the upper retaining wall by 1-2 feet. We would like to cap the lower bulkhead with the grate style capping just like the neighbor to the west.(Gatehouse) Signed By: July 19, 2013 Board of Trustees B Town of Southold D 54375 Main Road R D Southold, NY 11971 ZEC 4 2013Re: 3080 Peconic Bay Blvd. Laurel d own Permit # 8002 Board of Tr Dear Trustees, We purchased the above referenced property on June 20, 20013. The former owners, the Crabtree Sisters, assigned us the approved permits and we would like to amend them with these minor changes. 1.) We would like to move the upper retaining wall back 3-5 feet for a total of+/- 15 feet from existing lower bulkhead to be in alignment with the neighbor's bulkhead to the west. (Gatehouse) 2.) We would like to raise the height of the upper retaining wall by 1-2 feet. 3.) We would like to cap the lower bulkhead with the grate style capping just like the neighbor to the west. (Gatehouse) Thank you. Ze rely, and thlee� a ingsle Court] Princeton Junction, NJ 08550 609-204-6576 • 617.20 • SEQR PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME 1� aKa� h►cet, Grandola P 3.P OJECT LOCATIOa Municipality J4 i`'�V`LL minty 4.PRECISE LOCATION: Sheet Addess alml Road Intersections. Prominent landma s etc -or provide MD 3 () - D �� rn �� , AwAd, OV llq4� 5.IS PROPOSED ACTION: ❑ New ElExpan ion Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: Amend the permit with these minor changes. We would like to move the upper retaining wall back 3-5 feet for a total of+/- 15 feet from existing lower bulkhead to be in alignment with the neighbor's bulkhead to the west.(Gatehouse) We would like to raise the height of the upper retaining wall by 1-2 feet. We would like to cap the lower bulkhead with the grate style capping just like the neighbor to the west.(Gatehouse) 7.AMOUNT OF LAND AFFECTED: l iy� /) J) Initially acres Ultimately acres t (,t,(i (X 8.hhhhW��VIAiLL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes ❑ No If no,describe briefly: - 9.AWHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) 9. I�1 1 Residential Industrial ❑Commercial Agriculture ❑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) ElYes ICI No If yes, list agencyname and permit / approval: 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ITYes ❑No If yes, list agency name and permit I approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT APPROVAL REQUIRE MODIFICATION? Fayes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVVE� IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / nsor Name I 4 , � �L' Date: Signature \ � �/�'� If the a cta is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART 11- IMPACT ASSESSMENT To be completed by Lead Agency) IL DOES ACITON EXCEED ANY TYPE t THRESHOLD IN 6 NYCRR,PART 61T.4? If yes,coordinate the review process and use the FULL EAK ❑Yes Q No o. W0.L ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No,a negative 51dadanatton may be superseded by another involved agenq. Yes ©No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten.If legible) C1. E3dsft air quality,surface or groundwater quality or quantity,raise levels,existing traffic pattern,solid waste production or disposal. . potential for erosion.drainage or flooding problems? Explain briefly: C2. Aesdwt$co agdculWral,amheedogkxl,historto,or other natural or;;M resburm:or a rhelylnhorinood cwrscaf/EVlatrm brtefly: C3. Vegetation or fauna,fish,shellfis 'or wfldkfe spedes,sigN6can(habtats,or threatened or ends ;red n9 spedes?Explain briefly. C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely to be induced by the proposed adios?E>pIain briefly: ...._. _. C6. Long term,stern term,cumulative,or other effects not identified in Cl-CS? Erylain briefly: C7:Other impacts Fn—dudmg changes in use of either quantity or type of energy? Explain briefly; D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA LCEA 7 If Yes,explain britiar. Yes Q No E. IS THERE.OR IS THERE LIKELY TO y RELATED TO POTENTIAL ENVIRONMENTAL IMP It .es exulatin: .0 Yes Q No L- . PART Nf-DETEM(NATTON OF$TOGA SIGANCE(To be completed by may) INS7T=7KW: ForeachsdvelseeiPedl twWfedabove,dGelminewhatnertiesubgmdaLlarge k"rtmoordharwiseslgNficont Each ntlfsd should be assessed M ConneWon with fs(a)setting(La.urban«ruraQ;(b)p of occurring:(c)duration (d)imaversibl6ly (e) paogfapbio soope;and(f)magnitude. If neoesselry,add attadanenfs or reference suppef tg nurtedels. Enelfle that mglarlatorhs captain- auftiNarrtdeWiloshowthaidrelevant adverse impacts hum bean kentfiedaMSft"ablyadd� ((lituaslilendofpsatgwasdEgdced yes,thedetarmhlatimofslgnficancemustevaluatetmpotenyalkripadeftheprepoesdaotareatheen*omenWdmracW sdcso(#WCEA. Check Oft boxtyouhavekler ggormerepotentaflyWngeorsignifaeraeiverseinpagswhidlMAYoccur.Then proceed diredlytothe FUU EAF ardfor prepare a positive dedandlom Check this box If YOU•have de(ermkad,based on the information and analysis above and any supporting daaunerdaton.that the proposed a cft WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as nnecessary,alms reasons supporting phi determination. Board of Trustees © _ ZOO Name of lead Agency 2- le Jig "1 1� G; ` - ��/N l/ President Print or Type Name of Responsible O�ead Agency Me of Responsible Officer D /`� f , c� Sig atwe 01 Responsible Officer in L d Agency Signature of Preoarer(if ddferenf from mennnc 1.1<..r6.w.h PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: �c eh�u�e 3 � d Orang.e, load 'PrmanejCr I f�z�l�a Curt 1Zs tAp-q m , �I 1 ►�35 ��. �- , z �=ar in5da�� ► Hal u Z q Peer Pa r- - ✓� _ lC 7 Ia7- �t-iz Copp biX t-Iil, LS, ��u/ yIJY 1 � �l STATE OF NEW YORK COUNTY OF SUFFOLK / n )j� � leer l�- C�irr�ndol� , residing at U ` being duly sworn, e oses d says that on the day of S[' 20 , deponent mailed a true copy of the Notice set orth in the Board of T stees 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 oll,of the Town o Southold; that said Notices were mailed at the United States Post Office at � e e�r1 U n G>` 0,11at said Notices were mailed to each of said persons by CERTIJqED MAIL/RETURN RECEIPT. _ Sworn to f�or0e�me Day of �� U ' 2-T3-_-- � N ary Public NY Fw* e New Jww &Cammieei0n Expires 9-M15 i i i i i PostalU.S. Postal Service... CERTIFIED MAIL,,, RECEIPT CERTIFIED MAIL,. RECEIPT fu (Domestic a Only; ru CO AL UUE CO Ln Postage $ $1.32 owm Certified Fee woG u'I Postage $ $1. _ f3.10 m certified Fee C3 Return Receipt Fee O (Endorsement Requiretl) $2.55 ON 5'y ReNm Receipt Fee P rk 6r p (Endorsement Required) er8 Re \6tn ctetl D � O aRe Fe E ry e r nd G( orsement Requiretl) �.� �� .2\ O Restricted ntF Fee ��99 O 2 J A� �y (Endorsement Required) 1� 6 0 Total Postage&Fees ` (�4b.97 n' O ,a $ �� u Total Postage&Fees $ fib. /Zp13 Sen yT/o��1 }}} + , Iq r-R 1,AQf �� 1�' r seat ---- m - eL M1 or PO Box No � /(I Pry _- �- ------ r� $iiaeq Rpf.NO.: __./.--____ City,State,ZIP+YYY_.f "1--'-_---" O or PO Box N°.----I--_- N-�/! 1'p /)-- / � '--�--------- 'bl)fr I '� cn,Bare,zfP+4� f! J 1n11Z �\ S131� Postalll CERTIFIED MAIL�IT RECEIPT(Domestic Mail OWY;No Insurance to ru Ln MI §` m Ln Postage $ $1.32 W2 m rq Certified Fee $3.10 02 O Return Receipt Fee P M (Endosement Required) $2.55 T/p4' O Restricted Delivery Fee M y (Endorsement Required) so.00 Er Total Postage 8 Fees $ tb,9% 'AV Senf To � M Street.ApL No., _._.-' 0 or PO Box No. - ciN Ste ,27P a --- --ofa ----- eta coc�4s 1 II • oyOgUFFD4�oG • s James I . King. President ti Town Hall.53095 Main Rd. Bob Ghosio.h. . Vice-President P.O. Box 1179 Dave Bergen • �'Z' Southold.NY 11971 John Bredemeyer ,yam Telephone(63 1)765-I892 Michael.I. Domino Fax(631)765-6641 � ECE9 �9E D BOARD OF TOWN TRUSTEES D TOWN OF SOUTHOLD AUG 1 9 2013 Southold sown BOARD OF TRUSTEES: TOWN OF SOUTHOLD Board of Tr --------------------------------------------------------------- In the Matter of the Application of LYLE & KATHLEEN GIRANDOLA COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO RE COMPLETED AFTER POSTING REMAINS I,N PLACE FOR EIGHT DAYS I, � e (O/1 lding at/dba /V 1 b nie g duly sworn, depose ao say: That on the V day of S'f , 2013, 1 personally posted the property k9own as 3d 'a Elf,4( Ny 11 Q�� by placing the Board of Trustees official poster here it can easily be seen, and that I have checked 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 Wednesday, August 21, 2013. Dated: ( ignature) Sworn to before np this ( 7 day of�O'Lt 0 IS Notary Public OFFICIAL S M BAM13INA SZARKA D NOTARY pusue-NEw JERSEY MY Comm.E>�m 07-21-2015 , NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. 4,vie d OWNER(S) OF RECORD: G ; ro►ndolo.... SUBJECT OF PUBLIC HEARING: Amendment to Wetland Permit#8002 to move the proposed upper retaining wall further landward for a total of +/-15 feet from existing lower bulkhead to be in alignment with neighbor's to the west; raise the height of the proposed retaining wall 1'-2'; and cap the lower bulkhead with grate-style capping. TIME & DATE OF PUBLIC HEARING: Weckliesctay, Au vo*5+ tl, ZOI'S- : " If you have an interest in this you s,proj ect, ro are invited to view the Town file P y ( ) which are available for inspection rior to the day of the hearing during normal business days between the hours ofp8 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 DOSES AND AFFIRMS THAT HEMSHE IS TIE 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 W.ILL"BE DONE IN THE IMANNER.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 eUNDER OR BY VIRTUE OF SAID'PERMTT(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 `J� DAY OF t!_- 20 G Notary Public Notwy Pubk, mate;,{ c•:a Hoard of Trustees Application AUTHORIZATION (where the applicant is not the owner) �(, "esiding at1; . l U�'(✓Y print owner of property) (ma lin ad ssl P !v do hereby authorize 09JCC60 (Agent) ^� to apply pp y for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner' s s ature) 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 pg=sd of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name,first name,Middle initial,driless you 4e 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 - V. 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 50/ of thy 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 applicantfugentlrepresentative)and the town officer or employee.Either check the appropriate lice 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); Q an officer,director,partnert.or employee of the applicant;or - D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted I day of 20 Signatur Print Name Form TS 1 Town of Southold • • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. 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. I' 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 siwuficant beneficial and adverse effects upon the coastal area(which includes all of Southold Towns 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 listink both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and f conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town ofSouthold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. rdown I V EB. DESCRIPTION OF SITE AND PROPOSED ACTIONDSCTM# 2 - IU 2013 PROJECT NAME ar UJM j i The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees tlJ l. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ i construction,planning activity,agency regulation, land transaction) ❑ (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit,approval, license,certification: Nature and of action: C100 (l /� Amend the permit with these minor changes. We would like to move the upper retaining wall back 3-5 feet for a total of+/- 15 feet from existing lower bulkhead to be in alignment with the neighbor's bulkhead to the west.(Gatehouse) We would like to raise the height of the upper retaining wall by 1-2 feet. We would like to cap the lower bulkhead with the grate style capping just like the neighbor to the west.(Gatehouse) Location of action: 3 00) �,� ,, n Site acreage: qq��f�/(Q�//!1 ' �'/J I Present land use: Present zoning classification: kwdal� 2. If an application for the proposed action has been filed, with the Town of Southold agency, the following information shall be provided: ,/ I"p I 4 / (a) Name of applicant:_ I�Q`I'4'1 (Leis fol� la i (b) Mailing address: r (c) Telephone number: Area Code (d) Application number, if any: Will the action be directly undertaken, require funding,or approval by a state or federal agency? Yes ❑ No`-f-' 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, I 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. Yes ❑ No ❑ Not Applicable / Amend the permit with these minor changes. We would like to move the upper retaining wall back 3-5 feet for a total of+/- 15 feet from existing lower bulkhead to _ be in alignment with the neighbor's bulkhead to the west.(Gatehouse) We would like to raise the height of the upper retaining wall by 1-2 feet. We would like to cap the lower bulkhead with the grate style capping just like the neighbor to the west.(Gatehouse) 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 �O 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 i 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 q] Yes ❑ No ❑ Not Applicable 1 Amend the permit with these minor changes. We would like to move the upper retaining wall back 3-5 feet for a total of 15 feet from existing lower bulkhead to _ be in alignment with the neighbor's bulkhead to the west.(Gatehouse) We would like to raise the height of the upper retaining wall by 1-2 feet. We would like to cap the lower bulkhead with the grate style capping just like the neighbor to the west.(Gatehouse) Attach additional sheets if necessary i 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 1�Not Applicable i Attach additional sheets if necessary i 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 IH—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ f Yes No Not Appl le • Attach additional sheets if necessary .I Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [] No f0 Not Applicable �i 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 I PUBLIC COAST POLICIES I 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. A . ❑ n Ye3—i No Not Applicable i I i 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 mi suitable locations. See LWRP Section III— Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No `P Not Applicable i I � I 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. li ❑ Yes ❑ No 1� Not Applicable ' I 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 L Not Applicable I i i 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 i I � it PREPARED BY I J TITLE DATE PV 13 0 James F. King, President Of s° yo Town Hall Annex Bob Ghosio,Jr.,Vice-President �� 54375 Main Road Dave Bergen P.O.Box 1179 I JI Southold,New York 11971-0959 John Bredemeyer G Q Michael J. Domino ' �� Telephone(631) 765-1892 COUNTi,� fl E Q E I V D BOARD OF TOWN TRUSTEES JUL 5 2013 TOWN OF SOUTHOLD APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE 21)l �/(P Oq -2z 0�q}- �,Sr OWNER (CC��/ ) �21� C� 6d0dJJ()�G�PHONE b0j- / q7 577 1 MAILING ADDRESS T _.) ��1Q�IC(� 1 � (/ t �q'ncdc)(-) Vj F'1 ficm( AGENT DES 0 PHONE ADDRESS PROPERTY LOCATION �`7 TAX MAP NO. I/We request a Transfer of Permit # S00 Z from C J Signed By: Lli 7�%Ke�� Fri BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL) STATUTORY FORM C THIS IS A LEGALLY BINDING INSTRUMENT. IF NOT FULLY UNDERSTOOD, WE RECOMMEND ALL PARTIES TO THE INSTRUMENT CONSULT AN ATTORNEY BEFORE SIGNING. THIS INDENTURE, made the Between JANE C. STARK, residing at Leafy Way, Aquebogue, NY 11931 ELIZABETH C. RICHARD, residing at 123 Ostrander Ave., Riverhead, NY 11901 JUDITH C. DUFFY,residing at 50 Gard Ave., Bronxville, NY 10708 CLAIRE M. CRABTREE, residing at 18971 Muirland Rd., Detroit, MI 48221, as tenants in common party of the first art, and #• M , h i S W,�e P KATHLEEN GIRANDOLA and LYLE GIRANDOLA, residing at 5 Kingsley Ct. Princeton Junction, NJ 08550 party of the second part: WITNESSETH, that the party of the first part, in consideration of one dollar and other good and valuable consideration, lawful money of the United States, paid by the party of the second part, does hereby grant and release unto the party of the second part,the heirs or successors and assigns forever. ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the SEE SCHEDULE "A" ANNEXED HERETO AND MADE A PART HEREOF BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed made by Claire C. Crabtree dated December 15, 1995, recorded December 21, 1995 in Liber 11755 page 079. TOGETHER with all right,title and interest, if any of the party of the first part in and to any streets and road abutting the above described premises to the center lines thereof: TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns forever. And the party of the first part covenants that he has not done or suffered anything whereby the said premises have been encumbered in any way whatever. AND the party of the first part/grantor, in compliance with Section 13 of the Lien Law, covenants that the party of the first part/grantor will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party"or"grantor" shall be construed as if it read "parties"or"grantors" whenever the sense of this document so requires. IN WITNESS WHEREOF, the party of the first part has hereunto set his hand and seat the day and year first above written. G JANE C. STARK, Seller Ca t EL H C. RICHARD, Seller TH C. Y, Seller CLAIRE M. CRABTREE TO E In presence of: NYSBA Residential Real Estate Forms on HotDocs*(9/00) Copyright Capsofta°Development 13 3: 21PM FASty National Title • N0. 0919 P. 2 Fidelity National Title Insurance Company TITLE NO.F13-7404-90863-SUFF SCHEDULE A-1 (Description) Amended 06/14/13 ALL that certain plot,piece or parcel of land, situate, lying and being at Laurel,Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the southerly side of Peconic Bay Boulevard at a marble monument, which said marble monument marks the northeasterly comer of the tract herein described and the northwest corner of land now or formerly of Ludivoica Ramanelli; RUNNING THENCE South 19 degrees 9 minutes East, along the last mentioned land 501.02 feet to Peconic Bay; THENCE along the average high water mark of Peconic Bay along a tie course of South 41 degrees 38 minutes 24 seconds West, a distance of 67.11 feet to land now or formerly of Gatehouse; THENCE North 18 degrees 34 minutes West along land now or formerly of Gatehouse 481.41 feet to the southerly side of Peconic Bay Boulevard; THENCE RUNNING along the southerly side of Peconic Bay Boulevard, North 26 degrees 33 minutes East, 75 feet to a marble monument marking the point or place of BEGINNING. TIIEPOLICY TO BE ISSUED under this commitment will insure the title 10 such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY.• Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front ofand adjoining said premises. SCHEDULEA-1(Description) Rev,(03/04) nECE IV �5 2013ld own Tr gUfFO(,� James F.King,President �pp� �pG Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President P.O.Box 1179 Dave Bergen Southold,NY 11971 John Bredemeyer �y Telephone(631)765-1892 Michael J. Domino �01 �Da 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. 8002 DATE: JANUARY 23, 2013 i ISSUED TO: JANE C. STARK PROPERTY ADDRESS: 3080 GREAT PECONIC BAY BLVD., LAUREL I SCTM# 128-6-10 i 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 January 23.2013,and in consideration of application fee in the sum of$250.00 paid by Jane C. Stark-Crabtree Sisters House Fund 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 remove 68 feet of lower bulkhead and 68 feet of upper retaining wall destroyed by Hurricane Sandy; construct new vinyl bulkhead with 12 ft. return and new vinyl retaining wall with 12 ft. return; top of lower bulkhead to be 18 inches higher than previous bulkhead; top of retaining wall to be 12 inches higher than previous retaining wall to match neighbor's bulkheads; construct upper and lower beach stairs and connecting walkway destroyed by Hurricane Sandy; fill lawn area with approx.250 cy. of clean fill; restore 11 foot non-turf buffer between bulkhead and retaining wall; replant with native sea grass; and as depicted on the project plan prepared by Judith Crabtree Duffy, received on December 11, 2012 and stamped approved on January 23, 2013. 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. c poi # Sao - TERMS AND CONDITIONS The Permittee Jane C. Stark residing at 3080 Great Peconic Bay Blvd., Laurel,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said 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. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the 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. 9. 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. James F. King, President dot SOUK, Town Hall Annex 0 Bob Ghosio,Jr.,Vice-President 54375 Main Road�O l� P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer CA �c Michael J. Domino • �O� Telephone(631) 765-1892 Fax(631) 765-6641 �y00UNTY BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 23, 2013 Ms. Judith Crabtree Duffy PO Box 2159 Aquebogue, NY 11931 RE: JANE C. STARK 3080 GREAT PECONIC BAY BLVD., LAUREL SCTM# 128-6-10 Dear Ms. Crabtree: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 23, 2013 regarding the above matter: WHEREAS, Judith Crabtree Duffy on behalf of JANE C. STARK 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 December 11, 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 January 23, 2013, 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, 2 0 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 JANE C. STARK to remove 68 feet of lower bulkhead and 68 feet of upper retaining wall destroyed by Hurricane Sandy; construct new vinyl bulkhead with 12 ft. return and new vinyl retaining wall with 12 ft. return; top of lower bulkhead to be 18 inches higher than previous bulkhead; top of retaining wall to be 12 inches higher than previous retaining wall to match neighbor's bulkheads; construct upper and lower beach stairs and connecting walkway destroyed by Hurricane Sandy; fill lawn area with approx. 250 cy. of clean fill; restore 11 foot non-turf buffer between bulkhead and retaining wall; replant with native sea grass; and as depicted on the project plan prepared by Judith Crabtree Duffy, received on December 11, 2012 and stamped approved on January 23, 2013. 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 Ver y yours, 0 e�r James F. King President, Board of Trustees JFK/amn 514ffl)E,�coG James F.King,President c H Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Route 25,P.O.Box 1179 Dave Bergen j O` Southold,NY 11971 John Brederneyer Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: :L J 1'4-h Co,64✓ee Df -Pi'>' Tangy C Please be advised that your application dated 4 1 Z has been reviewed by this Board at the regular meeting of 3 3 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) Yz Constructed ($50.00) 7FinarInspection 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: V�i'f)0- In ec-h,oh -fee — $ 5o . eb TOTAL FEES DUE: $ S 0 , D BY: James F. King, President Board of Trustees N)6' kA CJ 21711 S �o�OgUFfO(�-coG • ti s� Peter Young,Chairman C Town Hall, 53095 Main Rd. Lauren Standish,Secretary P.O. Box 1179 'g Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., January 16, 2013 the following recommendation was made: Moved by Derek Bossen, seconded by Jack McGreevy, it was RESOLVED to NOT SUPPORT the Wetland Permit application of JANE STARK to remove 68' of lower bulkhead and 68' of upper retaining wall; construct new vinyl bulkhead with 12' return and new vinyl retaining wall with 12' return; top of lower bulkhead to be 18" higher than previous bulkhead; top of retaining wall to be 18" higher than previous retaining wall to match neighbors' bulkhead; construct upper and lower beach stairs and connecting walkway; fill lawn area with approx. 250' cy. clean fill; and restore 11' non-turf buffer and plant with native sea grass. Located: 3080 Peconic Bay Blvd., Laurel. SCTM#128-6-10 Inspected by: William McDermott, Audrey Horton The CAC does Not Support the application because there is insufficient information and recommends a site plan. Vote of Council: Ayes: All Motion Carried I i So:tholii l„v✓n r,�,__jt_,_pS • ! �gyFFO(� James F. Kine.President pV C P.O. Box 1179 Bob Ohosio,Jr. Vice-President �d Southold.NY 11971 Dave Bergen ti Telephone(631 765-1892 John Brudcnrcvcr {3 Fax(631)765-6641 Michael J. Domino Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ,A),v f-/ o , o o ��, Judith Crabtree Duffy on behalf of JANE C. STARK request a Wetland Permit to remove 68 feet of lower bulkhead and 68 feet of upper retaining wall destroyed by Hurricane Sandy; construct new vinyl bulkhead with 12ft. return and new vinyl retaining wall with 12ft. return; top of lower bulkhead to be 18 inches higher than previous bulkhead; top of retaining wall to be 12 inches higher than previous retaining wall to match neighbor's bulkheads; construct upper and lower beach stairs and connecting walkway destroyed by Hurricane Sandy; fill lawn area with approximately 250 cubic yards of clean fill; restore 11 foot non-turf buffer between bulkhead and retaining wall; replant with native sea grass. Located: 3080 Great Peconic Bay Blvd., Laurel. SCTM# 128-6-10 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ,�"Chapt.275 Chapt. 111 _other Type of Application: i/Wetland _Coastal Erosion _Amendment _E_Administrativemergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: vJ. King B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: 1111�, _ • ��sNll. i r r � Y .nw Bulkhead, upper retaining wall and stairs before Hurricane Sandy r _ ' Jane C. Stark et al 3080 Peconic Bay Boulevard Laurel, N.Y. 19958 D C 1 2012 unn r r � y Y' 1y Bulkhead and retaining wall damaged after Hurricane Sandy. Both sets of stairs �I missing. I I I Jane Stark et al 3080 Peconic Bay Boulevard Laurel, MY 11948 P7�TE � DEC 1 2 2012 ^ 7=z \ Ikk fa x 4 a •/ 4 Ia w II Q-fd/ I COUNTY OF SUFFOLK © K 10 _O-_ — s• — s Real PP.D TV Sery AW, x a HE 128 r OFFICE LOCATION: • ��0� souTyo MAILING ADDRESS: Town Hall Annex �O l� P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 G Q Telephone: 631 765-1938 '� • �O Fax: 631 765-3136 o�yCOU LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM °lam E; To: Jim King, President JAN 1 8 2013 Town of Southold Board of Trustees — j Sa,thcid town From: Mark Terry, Principal PlannerHurd of lr:,sten LWRP Coordinator Date: January 16, 2013 Re: Proposed Wetland Permit for JANE C. STARK SCTM# 1000-128-6-10 Judith Crabtree Duffy on behalf of JANE C. STARK request a Wetland Permit to remove 68 feet of lower bulkhead and 68 feet of upper retaining wall destroyed by Hurricane Sandy; construct new vinyl bulkhead with 1211. return and new vinyl retaining wall with 12ft. return; top of lower bulkhead to be 18 inches higher than previous bulkhead; top of retaining wall to be 12 inches higher than previous retaining wall to match neighbor's bulkheads; construct upper and lower beach stairs and connecting walkway destroyed by Hurricane Sandy; fill lawn area with approximately 250 cubic yards of clean fill; restore 11 foot non-turf buffer between bulkhead and retaining wall; replant with native sea grass. Located: 3080 Great Peconic Bay Blvd., Laurel. SCTM# 128-6-10 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 provided the following: 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 �O�*1 SOU� _ Town Hall Annex Bob Ghosio,Jr.,Vice-President `O 54375 Main Road P.O. Box 1179 Dave Bergen * 4 Southold,New York 11971-0959 John Bredemeyer o Q MichaelJ. Domino � �O Telephone (631631)76576 5-1892 FaxBOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment TransferlExt nsion Received Application: . eceived Fee: l Completed Application �� r Incomplete f _SEQRAClassification! �'sl DEC 1 1 2012 d Type IType IIUnlisted p (date sent) LWRP Consistency Asscssnjent F ,CAC Referral Sent. _Date of Inspection:__ Receipt of CAC Report: Lead Agency Determination:____ Technical Review: Public Hearing Held Resolution: n �• ' Name of Applicant J n a.ne, (� - S4 r k Mailing Address Y• o • bax oZ (S,ni 2 r L Phone Number:( 55 19 Suffolk County Tax Map Number: 1000 - (� Property Location: 3o B� �C G tnt l c �0.� ic p tt 7 1 y s P�(� � I/Z ,�,,j� �� fo c.L. 1110/Mt t� (provide LILC(O Pole#,Ldistance to cross streets, and Vocation) AGENT: 4J U 4 I T k tg pro 7r6 ',C-74 �INF� (If applicable) (� L �J ,� Address:,�(7 4aJ / ' ��— , /� rv�" _ _ J/ 6 �/t 06 Phone: B 0 d of Trustees Application• l GENERAL DATA I Land Area(in square feet): Area Zoning: Previous use of property: (-4 S (1{fy ti A � Intended use of property: rL 31A` o- Q Covenants and Restrictions on property? Yes /No If"Yes", please provide a copy. 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? Yes " No If"Yes", please provide copy of decision. Will W project require any demolition as per Town Code or as determined by the Building Dept.? ✓ Yes No Does the structure (s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date �6I,�n o-F !!�p idtC (S I — ( ?- a 2 ko,rm i + 4 3 q'13 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? IJ No Yes If yes, provide explanation: Project Description (use attachments if necessary): i DEC 1 2 2 Attachment 1 Project Description s Jane Stark et al request wetland permit to: Remove 68 feet of lower bulkhead and 68 feet of upper retaining wall destroyed by Hurricane Sandy. Construct new vinyl bulkhead with 12 ft. return and new vinyl retaining wall with 12 ft. return. Top of lower bulkhead to be 18 inches higher than previous bulkhead; top of retaining wall to be 12 inches higher than previous retaining wall to match neighbors' bulkheads. Construct upper and lower beach stairs and connecting walkway destroyed by Hurricane Sandy. Fill lawn area with approximately 250 cubic yards of clean fill. Restore 11 foot non-turf buffer between bulkhead and retaining wall; replant with native sea grass. Bo* of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: eC5VZCt a-,f cU Rc Area of wetlands on lot: 50 square feet Percent coverage of lot: eZ. 1 % Closest distance bet nearesteen existing structure and upland edge of wetlands: 11 4 feet Closest distance between nearest proposed structure and upland No C.P/14�� G36�5�1 riS edge d wetlands: S y r feet b�'r u c sPt�-�►' Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? 0 cubic yards How much material will be filled? cZ 50 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: 8"k0e ume +t t&c4 du mp§4'r' 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): Nad- Arww✓i Boo of Trustees Application t COASTAL EROSION APPLICATION DATA Purposes of proposed activity: 4e540c - &V%do QrO "&c-3 11pytg� el Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? No Yes If Yes,how much material will be excavated? O (cubic yards) How much material will be filled? a J 0 (cubic yards) Manner in which material will be removed or deposited: DAC.iGylpe Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) e_ 4D are-- V r' e a-. Sa✓\4 &Y%C oyes James F. King,President aQF so�ly Town Hall Annex oad Bob Ghosio,Jr.,Vice-President ,`O� Oho 54 Main 1 P..O.O. Box 117979 Dave Bergen Southold, New York 11971-0959 John Bredemeyer G Q Michael J. Domino .2 �O Telephone(631) 65-1892 O�y�oU►m,�� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE �J I (We) AY1e-- C �C kn The owners of record of property at: 50 g� PeCen {,G U 81 vd f `-1r LaU�e� N7 SCTM#1000- 1 3 8 8 g 1 V3, - �— 16 in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: Lf k heady reda,A f u' via-d a4a 24AI fY, as shown on the attached licensed su and/or site plan for the approved structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure. Any maintenance which involves more than 50% of the length of this structure requires approval of the Board of Trustees. We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of Trustees that said lack of maintenance would risk life, property or important n tural resour featuresh n otarized signature of owner of record Notary Public GINA A.LOCKE No.01 L06057960 Notary Public.State of New York Qualified in Suffolk County My Commission Expires 04/30120 L5 NOV• 29.) 20/Z This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to show the final approval of the administrator. • PROJECT ID NUMBER • 617.20 • 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.APPLICANT/SPONSOR 1, 2.PROJECT NAME <JOjl C � f a.bd-c e� SId 3.PROJECT LOCATION: Municipality L a(Ara Ki County k 4.PRECISE LOCATION: Street Adtless and Roa IntersecpK9rls. PrDminent landmarks etc -or provide�m(aoo 30 SO Pe ' r L/+f_�anre+n( NY ,({ O 1 nn-- 1il a (+G 7� VZ Cabt- o-F (,t3.ur4 (w,w q !o p%; fe. W�4 f 5.IS AROPOSED ACTION: New ❑Expansion ❑Modification/alter n 6.DESCRIBE PROJECT BRIEFLY: W As SaL nsQyr 0.n d r c l a cr Lo t to I n g wa.(_P a.,r J 7.AMOUNT OF LAND AFFECTED: �j Initially 0Z acres Ultimately • 02- acres &WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? des ❑ No If no,describe briefly: 9 WW IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential n Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open Space Other (describe) W. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGE CY (Federal, State or Local) Yes No If yes, list agency name and permit / approval: 11.DO S ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes nNo If yes, list agency name and permit / approval: See 01 a4& 11I22'..'LA""S A RE LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? LJres No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name 1 Date: Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II- IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. Yes Q 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 Imrolved agency. Yes ©No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) Cl. 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,agdculluml,archaeological,historic,or other natural or cultural resources;or mmmunity or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered spades?Explain briefly: C4. A mmnwnily's existing plans or goals as officially adopted,or a change in use or intensity of use d land or other naturel resmrces?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 Cl-05? Explain briefly: C7.-Other impacts(including changes in use of either quantity or type of energy? Explain brieti :--- O. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA 7 If yes,ex lain briefly: Yes ONO 17, OR IS THERE LIKELY TO B CONTROVERSY RE ATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If s i n: Q No PART IN-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRt1CTHM: Foreach adverse effect Identified above,cletennine whether It is substantial,large,Iniportantorotherwise signtficant Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)ineversbW,(a) geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain -- -- suffideat detafl to show that at relevant adverse impacts have been identified and adequately addressed. If question If of part M was checked yes,Me determination ofslgniNcance must evaluate the potential impact of the proposed adbn on the envirorullental characteristics of the CEA Check Oft box Ifyou have iderOW one ormote potentially large orsigntficanladverse Impacts which MAY occur.Then proceed direcllylo the FULI EAF andfor prepare a positive declaration. Check 66 box If you have delennNfed,based on the Information and analysis above and any supporting doaunerdatlon,that the proposed aoft WILL NOT result in any slgnitcam adverse environmental impacts AND provide, on attachments as necessary,the reasons supporting tin determination. Board of Trustees sly t/9 j1J �j y e/3 Name of lead Agency Date I//� �[�(/C f /� �`//v L✓ President Pnrd or'Fype Name of Responsible Officer in Lea Agency Title of Responsible Officer Sign a of Responsible Officer In Lead Ag Signature of Preparer(If different from responsible officer) nD EQ % n PROOF OF MAILING OF NOTICE " ATTACH CERTIFIED MAIL RECEIPTS 2 3 2013 Southold Town Board f Tr Name: Address: 3 4P Off' 6r C7 O�y�7 katiiyh.lf-ll! / 14ZR414 Cvc ,AJ-7"_ STATE OF NEW YORK COUNTY OF UFFOtr-Wf",eS fit; . T(iIIJ/TN C' PG�Ty residing at urG , being duly sworn, deposes and says that on the / day of 20/3, deponent mailed a true copy of the Notice set toa in the of Trust bes 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 -rUCA/,4¢ C6 ,that said Notices were mailed to each of said persons by CERTIFIED MAEURETURN RECEIPT. _ v Sworn to before me this( Day of ,20(3 GEUM KIM JOUNG Notary Public - state of New York f- v, Gl NO.01KI6180545 Notary Yublic Oualltied in Westchester Co my My comnssion Expires NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: � lVl (?. '2Hkok� SCTM# YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: j /pl-2/kX— 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: o&(6' 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: MAILING ADDRESS: �7/,SCj • /� (-�l_ C� /I PHONE #: AGENT: MAILING ADDRESS: AVE- U ( G �C PHONE #: Enc: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: iag - 6 - li STATE OF NEW YOR COUNTY OF SUFFOI , residing at being duly sworn, deposes and says that on the 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 that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of 20 Notary Public • �ry�o�OgpfFO(,t • Jamcs F. King.President l utsn Hall. S3093 Main Rd. N Bob Ghosio.Jr. .V ice-President P.O. Box 1179 DaveBergeny�. ��' Southold.NY 11971 John Bredemcycr 'T� 7/0 �� Telephone(631)765-1892 Michael .I. Domino '� �' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD -__. -- ,23 Ii`111 BOARD OF TRUSTEES: TOWN OF SOUTHOLD JAN 2 3 2013 i��ll --------------------------------------------------------------- In the Matter of the Application of `0 wn JANE C. STARK COUNTY OF SUFFOLK) STATE OF NEW YORK) // AFFIDAVIT OF POSTING I. -�i bn_ ��Gt47 �PL' STGt,�t residing at /dba I S I PCnfti �C(t/ 1 D. Box Z I s i 9 31 being duly sworn, depose and say: That on the "fD day of T2lU U-t — 2013, I personally posted the property known as 30�10 pea-w(L &4j 01Ud 1-011API ILE ff� q40 by placing the Board of Truste s official poster where it can easily be seen, and that I have checked 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 Wednesday, January 23, 2013. Dated6 Z�J 7i� (signature) Sworn to before me this 22- Aday of ja, , 201S Notary Public GINA A.LOCKE No.01 L06057960 Notary Public,State of New York Qualified in Suffolk County My Commission Expires 04130120 t 5 INOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. Jae C.OWNER(S) OF RECORD. To remove 68 feet of lower bulkhead and 68 feet of upper retaining wall destroyed by Hurricane Sandy; construct new vinyl bulkhead with 12ft. return and new SUBJECT OF PUBLIC HEARING- vinyl retaining wall with 12ft. return; top of lower bulkhead to be 18 inches higher than previous bulkhead; top of retaining wall to be 12 inches higher than previous retaining wall to match neighbor's bulkheads; construct upper and lower beach stairs and connecting walkway destroyed by Hurricane Sandy; fill lawn area with approximately 250 cubic yards of clean fill; restore 11 foot non-turf buffer between bulkhead and retaining wall; replant with native sea grass. TIME & DATE OF PUBLIC HEARING: WrArw3c J r Sanuary 013,f oZ013 — o() or Ckboudtf�i�`OD If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection rior to the day of the hearing during normal business days between the hours ofp8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 Town of Southold �g Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM t PROPERTY LOCATION: s.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A N 7y- STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN y&y1 t -Sacyian rr - p� CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORN. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within Generated by a TWO(2')Inch Rainfall on Site? the Scope of Work for Proposed Construction) (S.F./ores) (This item will include all run-off created by site X b. What Is the Total Area of Lard Clearing 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? impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed ✓ ❑ PROVIDE BRIEF PROJECT DESCRIPTION Irmvaa Aaamaaa raga,.:Naaaaal Drainage Structures Indicating Size 8 Location?This 7� Item shall include all Proposed Grade Changes and ewm Q0Y t: b U1 k lei 0_ :I,-� Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion rii F-zI ❑ t n l;%i W d-p Q � and sediment control practices that will be used to — o ,, control site erosion and storm water discharges. This Vl�s,(`�Ou,C-� item must be maintained throughout the Entire 1 Construction Period. CIL - AAueiZ 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural (�{ .n D (,�)t T� Existing Grade Involving more than 200 Cubic Yards ke- Q of Material within any Parcel? ' /Of�d�C // I 5 Will this Application Require Land Disturbing Activities ❑ 0 Wl (.1iYrlR' S1TA 1 i.� Encompassing an Area in.Fxcess of Five Thousand f 1 r� (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 General DEC SWPPP Requirements: or within One Hundred(100')feel of a Welland or 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 7 WIII there be Site preparation on Existing Grade Slopes ❑ are part of a larger common plan that Coil ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to 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 stone water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious for Seem Water Discharges from Construction activity-Permit No.GP-040-001.) Surfaces be Sloped to Direct Stone-Water Run-Off El 1[ 1.The SWPPP shall be prepared prior to the submittal of the Not.The Not shall be into and/or in the direction of a Town right-of-way? -f-� submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ required,postmnsbuction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any �/ constructed M cted to reduce pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder x compliance with the terms and conditions of this permit.In addition,vie SWPPP shall Area?(This ham Cohn NOT h-ad,hh,Imrtllini a On,ea ay Agana.) identify potential sources of pollution which may reasonably be expected tu affect the quality of storm water discharges. NOTE: It Any Mawr to Cansi dons One through Nina Is Answered with a Check Mad, 3.AN Si that require the post-construction storm water management practice In a Box and Ma construction site disturbance is between 5,000 S.F.a t Mae In ma component shall be prepared by a qualified Design Professional Licensed in Now York a Storm Water,Grading,Drainage 8 Erasion Control Plan is Required by the Town of that is knowledgeable in the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of Airy Building Permit. (NOTE: A Cho k Mark(�)arglp Mswmb each Ouesdon a Requiretl for a Cargkte PPplicetlon) STATE OF NEW YORK, //'' nyCOUNTY OF......:S.....LK.............SS That I,....J..Iv 0....G 1...... .:/..R .................being duly sworn,deposes and says that he s i is the applicant for Permit, (Name of individual signing Dowmenl) And that be&s the ........................................ Lti✓ .......Cant........gent.......................................................................................... ...(Owner.Cmbactor,Agent.Coryorete Offzer,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 hue 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. Sworn to before me this; a r ..............2. ..�..h................day oF.......1V,oV�vYl.�.e 1:.... ,20.�.? Notary Public: .......... /� Q� ...... ... .. - . .......................... .. ..l h .........v........... .............................. (Signature of Applicent) FORM - 06/10 No 01L05057950 Notary Public.State of New York Qualified In Suffolk County 1 my Ccmmission Expires 04130/20 f-� PROOF OF MAILING OF NOTIC] ATTACH CERTIFIED MAIL RECEI Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the 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 , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of 20 Notary Public NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: SCTM# YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: MAILING ADDRESS: PHONE #: AGENT: MAILING ADDRESS: PHONE #: Enc: Copy of sketch or plan showing proposal for your convenience. Boa*f Trustees Application • County of Suffolk _ R State of New York C d"� g l 149\ 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. Signatur�erty O SWORN TO BEFORE ME THIS DAY 0F'ty 0--in�l 201,)- Notary Public CONNIE D. BUNCH Notary Public, State of New York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2LJ Boalsof Trustees Application • AUTHORIZATION (where the applicant is not the owner) �r I, aj u siding at 6 l 'nt owner of property) (mailin address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf v�wner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The T wn of Southold Code of EthicS prohibits conflicts of int mg on the Hart of town officers and employees The purpose of his lorm,ij to puvi5k information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary t0 BVOId SBllie. T YOUR NAME: O-n� C. SfGrL (Last name,first name,griddle 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 -6f 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 this ,l _day of R C ?� nM� Signature -tTG f� Print Name Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si ifgm icant 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- 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 Towna' --ScLhAd I website (southoldtown.northfork.net), the Board of Trustees Office, th P�rming Department, all local libraries and the Town Clerk's office. L, B. DESCRIPTION OF SITE AND PROPOSED ACTION C� Seeta n SCTM# I Z 9• - n�- f- ' O n.. board of ir.:c PROJECT NAME tG S 15�rs IJ I.CJr-15� �C � The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit, approval, license,certification: Nature and extent of action: p / EGG Q Y�C'A—c�f/L r'V1P.YtV� Location of action: 3o ga P .�) 8 81y4% l akrf_Q MT itg4's Site acreage: • 1¢3 Gi-C�cb Present land use: F C 5 I L1b1 Present zoning classification: Re,51 OC. 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (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 state or federal agency? Yes �No El If yes, which state or federal agency? N Y , Dept� �[j Uz l/rjv I_ , 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. ❑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 11 No 1� Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section HI—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No [g 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 S through 16 for evaluation criteria 1� Yes ❑ No ❑ Not Applicable lijit pro L oge— e} fa �_ Y 1 U 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 �I 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 III— 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. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No K 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 LW" Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No N 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. ❑ YJ:1 No P 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 N 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 K 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. ElYes ❑ No Ln 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 �Q Not Applicable PREPARED BY TITLE DATE Attachments Is Project description D EC 1 2 2012 Site plans Before and after photos of the bulkhead and damage Survey of property Confirmation of receipt of Notice of Intent for GP-0-12-006 from the New York State Department of Environmental Conservation Jane Stark et al Crabtree Sisters House 3080 Peconic Bay Boulevard Laurel, N.Y. 11948 DVtl �txLK ft� D 5t�7ZON "-t LU ( To 'T;K- cEb III 'r u L-�-) ttEA-l> I S M T�OTC�S D L� (PILL 15ff ��yVCpLI� N^XI o ecA CC�ii�1 �— --NE 1L) CCW6 -F TLT 1 �-LoC oNC,- c AR -ry S I LL-tT•> yVf�t A ;!iA T) � � � tb" x 1�" cc� `P14. ,'6ft PLtlrt i x 1 ° X 12' Gfi LV{-11J l7fi DUla�t�17 DMf�rJ UJ�i LE IN J-c rAL.� A ROO ED B IG ' ?(�55 $Ay BO RI OF TRUSTIES L TO F SOUTH SOUTHO LD _- DATE l zEz 3 D 1 V 2012 7c�ne Sfr� k eF ae, t (��t,Ci�,L • �?� �� II�`f� � B;r,lC' �I �otiff�2 �U �KfiIEWD (0 '7 ' l 1 ` -F-(tON)TA5 E 5ECT70 lv V(E cs.0 Jul soc eTt� CAP i 3 sly x stx � i i i \ A 115FEN Tare e� pQ, �CG�Va �ltl k �1EAD ,2 12 ' u �1s BRTTf rSr ' G I T "Tcfi OL AMP � I Ntc R l,oC�I t� Stt�}�l� INCt' vb cCIA �STS rN NTH Tone Sfark- eh AJ . 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GqX1Z ILes . 4 I E t / rtu- ao v�E C-Lw gcfa) VINY, tNV-�P- 7aM� Sloi-[,- elk aj, C('Li.�p7'C'ec S,ts�crS �'�1n-sue W (ao PeGCVWc $CAA7 t-aA,k .A, ar V,c from,^ A6o w ✓,,; �t s;s� I t� X - lf5PIO9—� yi, x � ,r CCf-\ CL INLZ _ �rs L£55 ON �ENCz it � SaNcl \�"XL�" ( Cf1 SZR�N`�£R Cg)v C rA fret CA's-b-o rs p6sz- L o W r r 30 4b o Pe-c4-v"e 6t Sl vc( $: e vcyl $4GUr-s -Frr^A lyfer R.e6f� (,ua.P.t +b r^1d- fevek anxcl• S�a'rs dv QeaC�, 14 {v cocQA ( A �o sca-&) V( C(Ar � Zx� rGu'!5 CeOQPr I N tvi LA? e r r Y 12rCC(; ZYi2 CCA 54rir�ers Pl o� PiT ` ZV. +Z _ -- _ GC T"e SI-Gr e,� rzk New Lower —te a C(a�+ree_ ';�'s less I+mk V; r,l I (�u•t k eo cC 30fbU Peca r— (3e7 Gilvd LaurLt, N•Y. lI9clS SUR\/EY OF PROPERTY SITUATE: LAUREL vV `� TOWN: 5OUTHOLD SUFFOLK COMM NY I �✓= SURVEYED JULY -7, 2011 SUFFOLK COUNTY TAX n 1000 - 128 - 6 - 10 g CERTIFIED TO: ^h ` JANE G. STARK ® ELIZABETH G. R16HARD �Z JUDITH G. DUFFY III `aZ CLAIRE M. GRA13TREE 4- f �O �p I 1 Ao�A3 Ili �rn i o r� I � i I CL1 III II II II i 4, I II `o I L�Fy q 0 ADO j A�a ✓ g1°g UN Iop Z $ Q v m q�oA rn orn NOTES: J ■ MONUMENT FOUND Area = 27465.68 50 FT Area = 0.63 ACRES s GRAPHIG 5GALE 1"= 40' A 0 � � tiV � � I m OF NEW «....,.s o�vr,.�„,a �. EH<��.p� A JOHN C. EHLERS LAND SURVEYOR 6 FAST MAIN STREET N.Y.S.LIC.NO.50202 I P I VERREAD, N.Y_ W il) i 369-8288 Fax 369-8281 REF.C:\Usars\JohuWropbox\1 i`,11-130.pro JI