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TR-8045
John M.Bredemeyer III, President �*OF SO jy� Town Hall Annex Michael J. Domino,Vice-President �� IO 54375 Main Road P.O. Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G Q Charles J.Sanders,Trustee Telephone(631) 765-1892 liYCOU �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1017C Date: July 30, 2014 THIS CERTIFIES that the in-place replacement of the existing retaining walls At 17915 Soundview Avenue, Southold,New York Suffolk County Tax Map # 51-1-6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 25, 2013 pursuant to which Trustees Wetland Permit 98045 Dated February 20, 2013,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the in-place replacement of the existing retaining_walls. The certificate is issued to BARBARA & SETH EICHLER owners of the aforesaid property. Authorized Signature John M. Bredemeyer 111, President g�}FFO(,'-CO Town Hall,53095 Main Rd. Michael J. Domino,Vice-President �� Gy P.O. Box 1179 James F. King y Southold,NY 11971 Dave Bergen Telephone(631)765-1892 Charles J.Sanders y��l ��� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE O 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. INSPECTED BY: q COMWNTS: CERTIFICATE OF COMPLIANCE: gUfFfl( James F.King,PresidentCpG� Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President P.O.Box 1179 Dave Bergen 44 Southold,NY, 11971 John Bredemeyer 01 • � Telephone(631)765-1892 Michael J.Domino 'O1 .�y0 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 15t day of construction / % constructed �/ Project complete, compliance inspection 1111 16 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8045 DATE: FEBRUARY 20, 2013 j ISSUED TO: BARBARA & SETH EICHLER I PROPERTY ADDRESS: 17915 SOUNDVIEW AVENUE, SOUTHOLD SCTM# 51-1-6 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter I I 1 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on— February 20, 2013,and in consideration of application fee in the sum of$500.00 paid by Barbara L. Barko or authorized waiver of Town Board and subject to the"renes and Conditions as stated in the Resolution, the j Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the in-place replacement of the existing retaining walls; and as depicted on the survey prepared by Nathan Taft Corwin III, Land Surveyor, last dated September 25, 2012, and stamped approved on February 20, 2013. 1N WITNESS WHEREOF,the said Board of Trustees herebycauses its Corporate Seal to be affixed, rP and these presents to be subscribed by a majority of the said Board as of this date. i Ole �Og11FF01* —_ O O a — - e � V! x W T cyto �a erh 'F �ax�;�uo �mmawwnnKta ur w 9 0 TERMS AND CONDITIONS The Permittee Barbara & Seth Eichler, residing at 17915 Soundview Avenue Southold,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 so Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`�� ��� 54375 Main Road P.O. Box 1179 Dave Bergen Southold,New York 11971-0959 John Bcedemeyer Michael J. Domino Telephone(631) 765-1592 coutm Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT #8045C Applicant/Agent: Barbara & Seth Eichler Permittee: Barbara & Seth Eichler SCTM#: 51-1-6 Project Location: 17915 Soundview Avenue, Southold Date of Resolution/Issuance: February 20, 2013 Date of Expiration: February 20, 2015 Reviewed by: Board of Trustees DESCRIPTION OF ACTIVITY: For the in-place replacement of the existing retaining walls; and as depicted on the survey prepared by Nathan Taft Corwin III, Land Surveyor, last dated September 25, 2012, and stamped approved on February 20, 2013. INSPECTIONS: Final Inspection SPECIAL CONDITIONS: (apply if marked) In accordance with Chapter 111-15 Erosion Protection Structures: XX A maintenance agreement is attached hereto and is a necessary special condition of this permit. BY: James F. Ifing, President Board of Trustees James F. King, President �oOF SOpjholo Town Hall Annex Bob Ghosio,Jr.,Vice-President 54 Main Road P.O.. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer CP G p� Telephone(631) 765-1892 Michael J. Domino �Q 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 I (We) Barbara & Seth Eichler The owners of record of property at: 17915 Soundview Avenue. Southold, New York SCTM#: 1000-51-1-6 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: in-place replacement of the existing retaining walls, as shown on the attached licensed survey 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 natural resource features. Ock n; 11191111Y1///�,, / c pN ., Notarized signature of owner of record AAg`dOtARY "'' 6411 Notary C NpSBAU COUNTY! E 'SLP oiw+i6C. ; ..........�,. A,%.. This maintenance agreeKf ml�ot ��be valid upon the attachment of a licensed land survey/and or site plan made wittilin one year of the original construction and validated to show the final approval of the administrator. 0 0 James F. King, President `�pf SOpjTown Hall Annex Bob Ghosio,Jr., Vice-President ,`Or �� 54375 Main Road . P.O. Box 1179 Dave Bergen #I Southold, New York 11971-0959 John Bredemeyer Michael J.Domino � �� Te1Fahxo(631)765-6641892 1,y00UNf'1 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 20, 2013 Barbara & Seth Eichler 15 Linwood Drive Roslyn, NY 11576 RE: BARBARA & SETH EICHLER 17915 SOUNDVIEW AVENUE, SOUTHOLD SCTM# 51-1-6 Dear Mr. & Mrs. Eichler: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 20, 2013 regarding the above matter: WHEREAS, BARBARA & SETH EICHLER 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, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, application dated January 25, 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 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 February 20, 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 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 and Chapter 111 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 BARBARA & SETH EICHLER for the in-place replacement of the existing retaining walls; and as depicted on the survey prepared by Nathan Taft Corwin III, Land Surveyor, last dated September 25, 2012, and stamped approved on February 20, 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 Vetru'l`y'yours, p James F. King President, Board of Trustees JFK/amn James F. King,President %%%3F FO( Town Hall Annex � rC Bob Ghosio,Jr.,Vice-President ,`�� 54375 Route 25,P.O.Box 1179 Dave Bergen Southold,JAY 11971 O John Bredemeyer Telephone(631)765-1892 Michael J. Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OFISOUTHOLD TO: �; I_ _ " _ -i- Se ( L'c,kIe )L Please be advised that your application dated I I Z-5 /1 I has been reviewed by this Board at the regular meeting of T� 2 X13 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) I't Day of Construction ($50.00) % Constructed ($50.00) X )< Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) XX 30-Year Maintenance Agreement Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ Sc - C)C J Pck BY: James F. King, Presidents l Board of Trustees mal led 3�7 �13 • �gpFFOt,�c Peter Young,Chairman Town Hall, 53095 Main Rd. Lauren Standish,Secretary P.O. Box 1179 'F 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 Tues., February 12, 2013 the following recommendation was made: Moved by Doug Hardy, seconded by John Stein, it was RESOVLED to SUPPORT the Wetland Permit application of BARBARA & SETH EICHLER for the in-place replacement of the retaining wall. Located: 17915 SoundviewAve., Southold. SCTM#51-1-6 Inspected by: Doug Hardy, Peter Young Vote of Council: Ayes: All Motion Carried n 7 [L i, FEB 1 5 2013 BiLI�o!,,,s_,;ti L ! Ad r�. i. �i�,! � •M1 ti � l �• x'41 _ .y ',� � . I 1 2 Y. l 7 r � r !�r 4r1. gUFFO(,� ,lames F. King,President �� C P.O. Box 1179 Bob Ghosio,Jr..Vice-President �"� � Southold,NY 11971 Dave Bergen w Telephone(63 1 765-1892 John Bredemeyer 0 Fax(63 1)765-6641 Michael 1 Domino y'ljpl # ,�aor. Southold Town Board of Trustees Field Inspection[ Worksession Report Date/Time: rs e / 3 Z U/ 7 BARBARA & SETH EICHLER request a Wetland Permit and a Coastal Erosion Permit for the in-place replacement of the existing retaining wall. Located: 17915 Soundview Avenue, Southold. SCTM# 51-1-6 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: L,-'Chapt.275 -Chapt. 111 _other Type of Application: Wetland Coastal Erosion _Amendment _Administrative_Emergency Pre-Submission Violation Info needed: / ,j Sf;Vo-'l�/e ; eu( )C' ?y FiJ '7-V ,3 r'C;(7w�[ T �;�/1✓ 37/�k9D el d�csv��ii�J�td Modifications: Conditions: Present Were: '�J. King riB. Ghosio �D. Bergen, 6-41. Bredemeyer t/Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: J Date: New York State Department of Environmental Conservation AM of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 v Phone: (631)444-0403 Fax: (631)444-0360 1`1111W Website: www.dec.nv.aov Joe Martens Commissioner � Mr. Seth Eichler November 7, 2012 as D D 15 Linwood Drive JAN 3 1 20A Roslyn, NY 11576 Southold own Re: Permit No.: 1-4738-03270/00002 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621)we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sin rely, Sherri L. Aicher SLA/Is Environmental Analyst NEW YORK STATE DEPARTiV OF ENVIRONMENTAL CONSERVAT� . Facility DEC ID 1-4735-03270 New PERMIT Under the Environmental Conservation Law CL Permittee and Facility Information Permit Issued To: Facility: SETH EICHLER EICHLER PROPERTY 15 LINWOOD DR 17915 SOUNDVIEW AVEISCTM 1000-51-1-6 ROSLYN, NY 11576 SOUTHOLD,NY 11971 . BARBARA EICHLER 15 LINWOOD DR ROSLYN, NY 11576 (516) 625-5250 Facility Application Contact: SSK ENTERPRISES 2396 RIVER RD CALVERTON, NY 11933 (631) 727-0062 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 715.6 NYTM-N: 4551.3 Latitude: 41°05'03.8" Longitude: 72°25'59.8" Authorized Activity: In-place replacement of 100 linear feet of existing functional bulkheading and backfill. Remove and replace in-place existing 18'x 4'platform and stairs along bulkhead. All authorized activities shall be done in strict conformance with the attached plans stamped "NYSDEC Approved" on November 6, 2012. SAP-1-08-10 Permit Authorizations Tidal Wetlands- Under Article 25 Permit ID 1-4738-03270/00002 New Permit Effective Date: 11 WM12 Expiration Date: 1116/2017 Page 1 of 6 NEW YORK STATE DEPARTMOF ENVIRONMENTAL CONSERVATI• 95 Facility DEC ID 1-4738-03270 NYSDEC Approval By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: GEORGE W HAMMARTH, Deputy Regional Permit Administrator Address: NYSDEC REGION 1 HEADQUARTERS SUNY @ STONY BROOK150 CIRCLE RD STONY 134 Authorized Signature: r Date / Distribution List SSK ENTERPRISES SHERRI L AICHER Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Regulated Activities Authorized By This Permit This permit ONLY authorizes those regulated activities J structures identified under the section titled "Authorized Activity". The Department does not issue after-the-fact or as-built permits. This permit does not authorize activities, or legitimize the existence of structures, which would have required a permit but for which no permit or other authorization has been granted by the Department. 2. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Nathan Taft Corwin IIl last revised September 25,2012 and stamped "NYSDEC Approved" on November 6, 2012. Page 2 of 6 NEW YORK STATE DEPART OF ENVIRONMENTAL CONSERVA� In Facility DEC ID 1-4738-03270 3. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 4. Excavation for Bulkhead/Structure Prior to any construction or removal of bulkheads and other shoreline stabilization structures all backfill shall be excavated landward of the structure and retained so as not to enter the waterway, tidal wetland or protected buffer area. 5. No Seaward Extension of Bulkhead The new bulkhead shall be constructed in place of the existing bulkhead with no seaward extension of the outermost bulkhead face. 6. Backfilling The installation of the approved replacement bulkhead shall be completed prior to the placement of any fill material behind the structure. 7. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 8. No Beach Excavation For Fill No excavation of the beach is authorized for the purpose of obtaining fill or stone materials. 9. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 10. No Runoff Over or Through Bulkhead or into Wetland Upon completion of the bulkhead replacement authorized herein,there shall be no discharge of runoff or other effluent over or through the structure or into any tidal wetland or protected buffer area. 11. Use of Treated Wood The use of wood treated with creosote, pentachlorophenol or other wood treatment not specifically approved by the department for use in wetlands and/or marine waters, is strictly prohibited in the construction of structures that will be in contact with tidal waters. 12. No Structures on Reconstructed Bulkhead or Pilings No structures, other than structures specifically authorized by this permit, shall be constructed on the reconstructed bulkhead or pilings without further authorization from the Department(new permit,modified permit). 13. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined to the upland area landward,of the bulkhead or on a barge. 14. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 15. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area(upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. Page 3 of 6 NEW YORK STATE DEPARTMI.OF ENVIRONMENTAL CONSERVATI• Facility DEC ID 1-4738-03270 low 16. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 17. Temporary Mulch,Final Seeding If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather conditions favor germination and growth but not more than six months after project completion. 18. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 19. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State,or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require,remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 20. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings,paints,concrete, leachate or any other environmentally deleterious materials associated with the project. 21. State May Require Site Restoration If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require,remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department)to determine whether the.permittee is complying with Page 4 of 6 NEW YORK STATE DEPART OF ENVIRONMENTAL CONSERVAT• 95 Facility DEC ID 1-4738-03270 this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 apd SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal,modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC REGION I HEADQUARTERS SUNY @ STONY BROOK150 CIRCLE RD STONY BROOK, NY!1790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. Page 5 of 6 NEW YORK STATE DEPARTM J*OF ENVIRONMENTAL CONSERVATO Facility DEC ID 1-4738-03270 NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions,and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits,actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D. No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Page 6 of 6 f. of �. i l � i ECE VE , . 1 14- w < il. 1 ` Ir ti' All � t r A S . Tor jv rry v r L i / 7 a , - � L. I Y A - s SOUND • ISlANO 2� G LONG en /' � •mss"!. v L� 1 / f4��. O 4VE ssEssc rw.�x • � sc�i.o.s � �•� y .ve` t x� .. ` •� 1 s �' i�A . � se �}u �nn�n ��ppn• �4 �� � P9 as Y+ • ^'�s 2'�`• T � ny I5 Y � awa 4 �.9• Q QJ s 10 11 Fm • wvcx�®—[Z —ul[ v •wn v� v ��^ • 3 � b n� OOUNWOFSUFFOLK © . sm send xa wl. seal PmrweM r. sem�Awn<r : 0 51 • OFFICE LOCATION: ��Of SO(/ryO MAILING ADDRESS: Town Hall Annex ,�O l� P.O. Box 1179 54375 State Route 25 y ,�/, Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) T T Southold, NY 11971 G Q Telephone:631 765-1936 '� • �O Fax: 631765-3136 o�yCOU�,N� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUMrHEE IV E 1 3 2013 To: Jim King, President Town of Southold Board of Trustees thold Town f hus(eos From: Mark Terry, Principal Planner LWRP Coordinator Date: February 7, 2013 Re: Proposed Wetland Permit and a Coastal Erosion Permit for BARBARA & SETH EICHLER SCTM#1000-51-1-6 BARBARA& SETH EICHLER request a Wetland Permit and a Coastal Erosion Permit for the in-place replacement of the existing retaining wall. Located: 17915 Soundview Avenue, Southold. SCTM#51- 1-6 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F.King, President �ooF so Town Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q Michael J. Domino Telephone(631) 765-1892 ��yeoum, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD / Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit _Amendment/Tra fer/E tension E Q E O w 1_1 Received Application: 3 IIuLnJ'I'J Ij ` Ceceived Fee:$ 11 ,t U ompleted Application JAN 2 5 2013 Incomplete _SEQRA Classification: Type IType IIUnlisted Southold Town ordinat on:(date sent) I r f Tr sten LWRP Consistency Asses enZForm CAC Referral Sen: _/Date of Inspection: __Receipt of CAC Report: Lead Agency Determination: Technical Review: f _ Public Hearing Held: Resolution: .� Name of Applicantaw)OM,C`cw l� /l Mailing Address /_/ � L//1w' Wot1_._Pi t/P '(4U , � 7 11 .5-L776 Phone Number:q Suffolk County Tax Map Number: 1000 - S-/ - O — �6 Property Location: -/ � 5' SOL.)yno�I/jP � �✓fond(- , LI �CO OI� liza A - 50 / /✓ D f Sa nal F� A e (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: C i�q3 Bled of Trustees Application• GENERAL DATA Land Area(in square feet): J�7, 7 S q Area Zoning: Previous use of property: rP Sf dLv&,4I z Intended use of property: re,G, de y% (--& 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 I,// No If"Yes", please provide copy of decision. Will this project require ny 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 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?__L/No Yes If yes, provide explanation: Project Description (use attachments if necessary): / � 914e e 1Me d�dat!A AQ u./a 1 Boo of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: /01 IQ�/Eo/)�QC r-tre rlT ca � lan— s�� �P �a rV1Q/► �, �I Area of wetlands on lot: square feet Percent coverage of lot: n�% Closest distance between nearest existing structure and upland edge of wetlands: c2feet Closest distance between nearest proposed structure and upland edge of wetlands: f9 _feet Does the project involve excavation or filling? NoYes If yes, how much material will be excavated? /oy cubic yards How much material will be filled? (t2 0 cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: v4wt Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason o,,`fsuch proposed operations (use attachments if appropriate): \ 40 e C± Boa•of Trustees Application • COASTAL EROSION APPLICATION DATA Purposes of proposed activity: r± (?L0 g _o(57U�a e l w Nq w�C Are wet ds present within 100 feet of the proposed activity? No Yes Does the project involve a cavation or filling? No Yes If Yes, how much material will be excavated?(cubic yards) How much material will be filled? /19 D (cubic yards) Manner in which material will be removed or deposited: & N�s) Z) e- VNPGI�Iah ( � a � � a�r� � 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) Vh p James F.King,President �rg SO(/Ty Town Hall Annex O 54375 Main Road Bob Ghosio,Jr.,Vice-President �O lQ,�{, p.0. Box 1179 Dave Bergen # T Southold,New York 11971-0959 John Bredemeyer rnar- �c Michael J.Domino :% �O Telephone(631) 765-1892 O�yCoUNTV Nct� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUT/H�OLD TOWN CODE (We) SCA ` (,d rl�A C� l C— I The owners of record of property at: SCTM#1000- D (— t) 6 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: ►,n .nla a ire plot LyaenT- e� de-hartnfK.:::: Wo- as s o-ass own Yin the attached licensed survey and/or site plan for&e 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 natural fesource features! I of K Ir 16 — NN ari gnature of owner of record ,.�ug P E. C p.. Notary is ' i ND.O+cW9"75'; QUALIFIED M ; i NASSAU COUNTY.* EXP. �'P OL�20— qr OF WV ' F This maintenance agreemeAY6"'*11 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 0 617.20 • 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./ � � � 2.PROJECT NAME / _ \ir, u✓�iar t6 a t/� At�c re k1ce/Mf Kf 4atIr)f LbL\ 3.PROJECT LOCATION: II /^� Municipality r�oA County S �O k 4.PRECISE LOCATION: Street Addess and Road Interseik ons. Prominent landmarks etc -or provide mato 1? 9/S SourldureuJ AiijeVwe 5.IS PROPOSED ACTION: ❑ New ❑Expansion Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: r _ CL'f<<It0\+ re?atrtvtC, wqi S �o11apSrNy �eo .00f d1Z.tVtl tug el0,t14 4aCI I y rNor /1a troy. few 40 bo,mom . 1//, df 70 !'e p(at r� ��t to t (4 qq sat 16nd A eA✓ 0""S p olppSn >< rd��a�s� u 61r c(n u o�d .t [So Ae*evLrolrz,e 1A0W-e . 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? WILYes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential ❑Industrial ❑Commercial DAgriculture ❑Park/Forest/Open Space ❑Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) nYes ❑No If yes, list agency name and permit / approval: 11.D ES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes ❑No If yes, list agency name and permit / approval: el Nam 6! �c�Z 1122..LAS A RES T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? oyes No I CERTIFY THAT THE INFORMATIOfy PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name (�^ Amana- S Tt �t G('t Lt� 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 11- IMPACT ASSESSMENT o be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.47 If yes,coordinate the review process and use the FULL EAP. ❑Yes a No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No,a negative declaration may be superseded by another involved agency. El Yes Q No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,If legible) C1. Existing air quality,surface or groundwater gWfity or quantity,noise levels,existing traffic pattern,add waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish-or wildlife specks,significant habitats,or threatened or endangered spedes7 9;,aln briefly: C4. A community's existing dans or goals as officially adopted,ora change in use or intensityof use of land or other natural resources?Explain briefly: .. ._. _ .. C6. Growth,subsequent development,or related activities likely to be induced by the proposed action EExplain briefly: C6. Long term,short term,cumulative,or other effects not identified in C7Ca f Explain briefly - -- •` C7.-Other impacts imcluding changes in use of either uantit ort a D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? If es,explain briefly: Yes Q No 17' OR IS THERE LIKELY TO B TROCONVERSY RELATED TO POTENTIAL RSE ENVIRONMENTAL IMPACTS? If lain: a No PART IU-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: Foreachadverse effedidendfiedabove,determine whetheritissubstaotial,large,kniportantorothern)sesignificant Each Mild should be assessed in connection with its(a)setting(i.e.urban or ruraQ:(b)probability of occurring:(c)duration:(�irreversbp'ily;(e) geogrephic scope:and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that (d)imafions comas) wAfidentdetalltoshowthat all relevantadverse impactshave been identifiedand adequately addoess lis if Enure nd eVa pwasccontain yes,thedeteirnina6ron ofslgnificance rma tevaWate the potential impadofthe Proposed action on the anW. If lentalm d of part I waslh asked vitCheck#6 box If you have identified one or more pots"Y large OrSignificant adverse Impacts which MAY occur.Then proceed directly to the EAF andfor prepare a posiBve dedarafion. Check ft box f(You have determined.based on the infonnaflon and analysis above and any supporting dommentanon,that the proposed MWI L NOT result M any significant adverse environmental Impacts AND provide, on attachments as necessary, care reasons supppgrIthl determination. Board of Trustees fE S 9O�3 Name of Lead Agency I /1 President Date _ >�11 I' 7 ) /1A)�6 Pnnt or\(T ame of Responsible OfficeLIS r cn Lead Agency Title of Responsible Officer S1Sxq a ure of Kesponsible Officer b Agency SgnalUM of Preparer(If dcfferent from responsible officer) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: v IP in, AU � Ja12iS1 /tjSSpNIL -7 L,rda Cf �Iccar� lava & �l L+er 664 N`l 11 7 71 .SO✓"CkuoEI-ti.' U2- Sa, 1�o1d, NII i IR7 1 ,Sc�ef 4�n�tcl '� Cuu"ol 'r 179 -75 SovvrclvIPw t Ecl�arct t �c J,cix t7a3S �rcC P�v tAuZ STATE OF NEW YORK COUNTY OF SUFFOLK �n bova G /C k 1p ✓ residing at �l S Sn o rc�o P � 5 L ✓� s / �� t yh � N/ being duly sworn, deposes and says that on the 4' day of �O2�Aa t� , 20LS, 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 iqo SA/n //3 7,/, , that said Notices were mailed to ach of sa persons by CERTIFIED MAIVRETURN RECEIPT. Sworn to before me this 7 '� Day of FF b f v 2 r1A 1 20 13 Q4o,y ary Public r % L N0.07COIIN '; ' QUALIFIED EO IN NASSAU COUNTY i COMM.EMY M1 ���\ 02108120 i,'ell O F N E� Adjacent property owners to Eichler residence at 17915 Soundview Avenue, Southold, NY 11971 51-1-4 Parisi Joan Lifetime Qtip trt d l 7 77 Vo nn.-1 t"V\C4 Ted Assante 7 Linda Court U.S. Postal ServiceTM Oyster Bay, NY 11771 CERTIFIED MAIL,. RECEIPTM1 (Domestic mait only,No insurance Coverage Provided)C3 51-1-5 Micah Z Kaplan Co OY R13AIV 1Y r)11 } „ :- 17815 Soundview Avenue p11 Southold, NY 11971 Postage $ $004Z rq cernnea Fee 1351-1-7 David and Carolyn Fischer O ReturnRecalptFee $217975 5oundview Avenue (Entlorsement Requlretl)p Restrictetl Dellvery Fee $0P.O. Box 950 O (Endomement Requlred) Southold, NY 11971 tri To alPpeageaFeee $ $6� t n _ 51-2-8.6 Booth, Edward C. Revocable Trust Ihoc r S i __J o_nv-1_/-��'.-41-_..1 SS N.7-P-_--------- stroerApt-No.:! Booth Patricia S.Trust orPOeox No. �� d M1 -2—1 --- -C------ r- -- 17235 Soundview Avenue ciySerre,,ziafoat 77 Southold, NY 11971 D SF'V t�. Postal (DomesticCERTIFIED MAIL,. RECEIPT rq only; D' Co EZZCZMMEC=�� stal ServiceTOA C3 S0 N1�91J'71' : r;'i v "Q •CERIFIED MAILT. RECEIPTe may oniy,No insurance Coverage Provided) Ir Postage $ $0.66 0576 M1 '' mestic a dsn -D . . Certified Fee $3.10 ,.S m - a fOI. +-Postraa WifrNY 11971:' C3 Return Receipt Fee p Here (Endomement Required) $2.55 to $0.66 05 " postage $ O C3 Reetacted DelNery Fee r �`;/, Z/ 117 g (Endorsement Requlretl) 80.00 Q C3 9 y `� ceaniefree 83.10 M1 .-R 1,ISp,ll 10 PoH meat j D-1 Total Postage 8 Fees $ 86.31 a�' p R tum Receipt Fee $� 55 V1 Here Z' ra ��� ( N P p (Endo, ment Required) M Restricted DeliveryFee 10.00 '" �- (Endorsement Required) .6Q&--- Lr) Total Postage a Fees $ $6.31 02/0 39 LS I� 9 7 r � anro�� Vl�1� �lU I��� �-7— I .ne� --- bYreet ft No.;---- 1. ---- • . - - p or Po Box No. / -7 1 7 M1 CERTIFIED MAILT., RECEIPTceN STAIR f o l d N y G e r (DomesticaProvided) at August 2006 See Reverse for instructions mPS For. .n CG p 20O N1 4197k., , uT D- Postage $ $0.66 057 R rqO DamfiedFee $3.10 S� M Return Receipt Fee Pearsall, i C3 (Endorsement Required) $2.55 A Here Z N C3 Reetactea Delivery Fee 10Z C3 (Entlomement Requlred) $0,00 tr rig V Ln Total Postage a Fees $ $6.31 02 2 9 Lys n(T .a a 7-t/- --------------- rc/ Street7.o.: -------------- ----------- ------------ 1 p or POBox No. / - Ciry,Sfata,Z/ ......... - .___..--`----------- ------- -------------- cl� Irl til / I I q-7 PS Fero, :rt pL.e 4: GGy James 1'. King. President tt co . . FoNcn Hall,53095 Main Rd. Bob(ihosio.Jr. . V icc-President �.. . P.O. Boz 1179 Dave Bergen �• Southold.NY 11971 John Bredemeper "I elephone(63 1)765-1892 Michael J. Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD D FEB 2 0 2013 In the Matter of the Application of Southold Town BARBARA & SETH EICHLER I Board f Trustees COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING �/ residing at/dba � 1 l nwOo d /)P- oS/yn l (r � tS �� t yac�vlfu, ��t�_e �� ���o lt/ / being duly sworn, depose and say: That on the a 0 day of f-e 2013. 1 personally posted the property known as l '� g// S S o u r ed✓/Pec >`1 We-vi C/e , SD I-. '1'Ac) /off, L/ y by placing the Board of Trustees 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. February 20, 2013. Dated: (signa ure) Sworn to before me this ��day of��. 2013 Notary 0Np'•., i N0. ALIFI004764, i QUALIFIED IN . i NA90AU COUNTY 3 COMM.EX 02109120 ,,,••'�F . F N ���nn to , 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. • OWNER(S) OF RECORD:Bar6a45e4� Eichler SUBJECT OF PUBLIC HEARING: For the in-place replacement of the existing retaining wall. TIME & DATE OF PUBLIC HEARING: day , Fiebran ao, 0�oi3 • on or aboux+ 6.700 PM 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 of a.m and ,4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 Boo of Trustees Application • County of Suffolk State of New York r Y BEING DULY SWORN E;ITPOSES 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. 1 1 S`-g7nature of Property Owner SWORN TO BEFORE ME THIS / DAY OF ilt, Ir 20-12 Not lic��,��ullul,,,l ee %'by E' .... e, e NO.O1CW84476�•: OUAlIP1ED U4 ; i NASSAU COUNTY j EXP. ice•• 0210l20i�� A'9�,'••AUB L%4'•A0�� ',.;0 OF 0 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold'E Code of Ethics prohibits conflicts of interest on the part of town ofFicers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. II I- t YOUR NAME: FI G N K St l v, Jr `b6a6r0.- (last name,firA name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns 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 applicantlagent/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 t ' l day of (roti 200 Signature Print Name Form TS I dTown of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.g: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 01 STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN '?a' at n CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within Will this Project TwoRet ( All ch Ra Water Run-Off the Scope of Wolk for Proposed Construction) Generated by a Two(2')Inch Rainfall on Site? (S.F./Aaes (This item will include all runoff created by site b. What is the Total Area of Land 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.) S. ./ 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Fronde Mditlanel Pages as Needed) Drainage Structures Indicating Size&Location?This Item shall Include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. lL a LY 3 Does the Site Plan and/or Survey describe the erosion and sediment Control practices that will be used to control site erosion and storm water discharges. This — Ef item must b a maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or — Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities ❑ Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the ❑ — Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet 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 Will there be Site preparation on Existing Grade Slopes ❑ — are pan of a lamer common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)fee[of Vertical Rise to including Construction activities involving soil disturbances of leas than one(1)acre where One Hundred(Fifteen of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. I SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious W Stoml Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the Not.The Not shag be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of mnsuuc0on activity. 2.The SWPPP shall describe the emsion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ required,postconsWcticn starm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pclutanls in storm water discharges and to swum Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit.In addition,the SWPPP shall �h.sBela?Irma cont vee war I,Duda uw l,umn.0-„won Identify potential sources of pollution which my mesonaby be expechad to affect the quality of stone water discharges. NOTE: My Mower W questions.Ona through Nine Is Answered with a Check Matic 1 A0 SWPPPs that require the postconsot ctkm storm water management practice and the eonstra;don site disturbance la betwcen 5,000.S.F.&I Acre in ease, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plan is Requhd by the Town of that is knowledgeable in the principles and practices of Ston,Water Management Southold end Must be Submitted for Review Prior to Issuance W Any Building Perm& (NOTE: A Check Mah(.I)-rad Msver M earn Ouealbn is Ragdad lura CornpW Apple®lion) STATE OF NEW YORK, CO�UM Y OF.. ( ,51. ..5�..............SS That f, .�!/.�krr!1...(�t�{'"16E..�. .e..K7..............being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of indrvi ual syring Document) And that he/she is the ..........0...W.P.f!K.................................................................. ............................................................... (owner.Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are Inge to the best of his knowledge and belief;and that the work will be performed in the manner set foo,jROF application filed herewith. Sworn to before die this; �d`P E, CO ..............>....../....(�...... ..'...... . a ... ........ . Rt'••r2 "� NASSAU TA N Notary PuW >C CWe8a544 f �\COUNTY: (Signal rof APdiranq FORM - 06/10 ;to A\ Z891io �`• . 0F 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 significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listine both supportive and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. _ EC IE � V E A copy of the LWRP is available in the following places: onl' t e own o ou,po website (southoldtown.northfork.net), the Board of Trustees the Planning la 2 9g2013 all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SoePiulc icnn r , / SCTM# I0�- S 1 -� op 11 PROJECT NAME ��� � Co S(ti Ce a l ll 1� The Application has been submitted to(check appropriate response): U 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: 141 yxq k4a(in 1 yvl LLstn t N Location of action: 17 /ieU." Site acreage: Present land use: kp(d e 04 7 Present zoning classification: 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 tion be directly undertaken, require funding, or approval by a state or federal agency? Yes the If yes, which state or federal agency? ryt,/o il /�6/V[L Pe f trr f l� - y 72o' 3a7%Cl)00.)— 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 f development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes [—] No Not Applicable Attach additional sheets if necessary Policy 2. Protect and p eserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Po cies Pages 3 through 6 for evaluation criteria ❑ Yes 11 No 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 allot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize/Pa8 structures, and natural resources from flooding and erosion. See LWRP Section III—Policieough 16 for evaluation criteria Yes ❑ Nopplicable 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 throyiVil for evaluation criteria ❑ Yes El No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish d Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluati criteria. Yes Noof Applicable Attach additional sheets if necessary Policy 7. Protect and i prove air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 fo evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and w;Not s. ee LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ElYes ❑ No 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. ❑ YesF1 No dNot 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 WRP Section III Policies; Pages 47 through 56 for evaluation criteria. 1-1Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town wat S. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes 1:1No I=I Not Applicable Attach additional sheets if necessary Policy 12. Protectagri Itural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for eva tion criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. Promote appr priate use and development of energy and mineral resources. See LWRP Section III—Policies; P 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BY TITLE DATE SURVEY OF PROPERTY OUND SITUATED AT ( LAND s S0 U T H 0 LDJ PP�E� wW Wn}fR WAN Is µONO lHE TOWN OF SOUTHOLD LO NwXM WET�ryLOAT WATER SUFFOLK COUNTY, NEW YORK SPR goo g1' , a S.C. TAX No. 1000-51 -01 -06 SCALE 1 "=30' JUNE 5, 2003 —' 5 ,6 n DECEMBER 1 , 2003 ADDED WETLAND BOUNDARY & LOW WATER MARK — B o FEBRUARY 2, 2012 UPDATE SURVEY FOR NEW WALL 4� �'' • ,1D - APRIL 30, 2012 ADD STAIR SECTION DETAIL JULY 10, 2012 CORRECTED PROPOSED STAIR LAYOUT y •,,,➢ // . �� 114m SEPTEMBER 25, 2012 REVISED PER NYSDEC NOTICE OF 08/01/2012 . _ ' —' / /' —— - 16 AREA = 54,171 sq. ft. o --:- - -6.z '%'%%� - 10 (TO TIE LINE) 1 .244 ❑C. —20 CERTIFIED TO: SETH EICHLER �- 11�= % �' __ — ;30 BARBARA EICHLER 2R — -32 'L - -� DECK /� i— — -34 NOTES: 22 - - - - - 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM 2a' j40 EXISTING ELEVATIONS ARE SHOWN THUS:S _ � ' / /// -42 EXISTING CONTOUR LINES ARE SHOWN THUS:- - --50-- - - 26- / // / -44 Fa Fa - FIRST FLOOR / / // / /i ' / -i6 G FL.- GAPAGE FLOOR e/ / // / / // �— 8 T.B. - TOP OF SUL"EAD / / B.B. - B070M OF BULKHEAD / z'1 5� T.W. - TOP OF WALL _ / / Be - BOTOM of WAIL 26—' // / / / / /56 / // /// A. FROM g�'�'y�� 25B N�' HAZARD LINE ASSGAI9 Z r 32 _ - //// / /%/.n APl 00 •�_ Go SIAL E0.osI0N SHEET 10 OF 4s SECTION A-A C 34- / � / /// / N'3 5,43 -60 PHOTO Ne. 55-678.83 Typical Bulkhead Section View xxo 36- - - -/ E / / / e` (not to scale) \ o.°amara ,s' Ta/mra,h'm.•,pw.n.mm°eLmmnL e LBOJLHFJOH a0Q4AO3kB „ • 4 R ,em14z i10'�_/._ clYs 1k E.ala6 00 44- - APP RZO/JVED BY .7117 x46 ae- _ RD Of TRUSTEES TEE $ 50 ©rwOUTHQLDSDH. w- —pa, 5,1- -- ----------------- .1-__ __________________ 62- NC aDdAnBBaa. x 3/4'n:'aae,:.e 'D-Bpllln�a.m., �T� � LµPFfO� ..._4,03 �`S.T.Ffir[ - ALL �J 1d ° aaP N\NOx�E0.� H N _ .,,"5�"1-5_S.P� Sroxare lo[r °I nbOn9 IFA' HOT (k pmp°a.e EUIMeoOI fi5 9 K TUB 6•NI,eo4e iom�b pa[.ain:a..°a[o11an a. WDOO OEL 1 1 �0 .aml,y wan FENc� � Is'we. nml C-lock znamh,ny 14 i ym• I,B"�'' '61'3 Ip' tl.ap (wNcol) '25 L IF Is. (nanaaam0 I IS F STORY wT I BR10K 14OU5E SE 61} I G E R GE 1 �_ tw f.FL.58'Zt G FL z .'11 ":G (R) nI1 Vµ b 95'o• 1 0, 2 5P.9 5, EN,LE £� UWiS SS} oS.V 5 O]W Typical vinyl C-lock sheathing top view =.x "SIs.OVER (not to scale) WpO I STEER .4L3 ROO VYS'(OEPS — jAVs %�6 AIX 6.Ar -6 io Lo LION� .. /d pE1�i I CO L9 T/ 'A fit— 60.4 10.0 0 b➢.1 I PROJECT DESCRIPTION' IN-PLACE REPLACEMENT OF 100 LINEAR FEET OF WOOD WALL WITH — --' fi0.a ADS o \Bb VINYL C-LOCK BULKHEAD SD —SSLO mIRIUIY POLE 0. VL XLIB SECTION B-8 y n I - Stair Section V(ew ,`, 6.a (_J (not to scale) 58 ,' cMv > y TvL'Tap RonSB- NIU9' POLE — — — V.1- Mla Rall UL YLxe , . C- O H pHµ ONCE N FENCE " GATE• LRP - AR Lx ,' Plaffo,m Top ¢°@K.ae Cap "` LECTNIL o FI IILUS 7 2kR' D[[kl 9 1 pIETER 56.6 I Cl IAA, Fac. ¢aNK.ae _ 2 aP _56 L� 56-- x \ %o p u",lell 111 i lllillllll £ OEN E < POLE ,'x6'CCA a. mo XLIN fi' L.. a.W Mln F • �• £PY L 3 t(Sl6 Cr1 • L • • PO � IR -54 54- _ _ F1AG yN _ POIE NOTES I. ALL LUMBER TO BE CCA. y9 'Pm•• 2. ALL HARDWARE TO BE GALVANIZED. Rax I 1 3. REVEGETATE AREA DISTURBED AFTER INSTALLATION. $2_ .z x 52 5,3 U11UTY POLE- IYSDEC ML APPROVED AS PER TERMS — —'/ 4 AND CUMMONS OF En 0 PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED qC 1 )_ 737- BY THE LIA.L.S. AND APPROVED AND ADOPTED P[_I IIVITNO (.J /I 10 FOR SUCH USE BY THE NEW YORK STATE IM1D DATE /I I,,,r/Q✓1T Y,jLG�FsO(J(} TOLE SUCH USE B (P 6 FDURIC V,ON COLUNN F F NEC).OQ- A v ICN FON FEN ,1 FENCE O,5'f. Ga. —�,yMN� —•00 T I yyllnv V13.pAPOIE BOE aF pAVEMEM 30 — — — — IRON LEMCE OaN O' -4nT d°.fi • • S� •.• . -• $ TG O FSG.,1pN. 'a.. 1 W' 50 / AL` • • ' °, .-u'•. /n L' No 50467 NNOOSE RON ,pOH ve"- I 5 1 "21 plalAN3R'�.• . L. Az/.f •i• 4�Y•�.i \_l� UNAUTHORIZED ALTERATION OR ADDITION w• • A TO THIS SURVEY IS A VIOLATION OF 4 v Nathan Taft Orwin III SECDON 7209 OF THE NEW YORK STATE s EUD7 LAW • • / 1{Y`1 \VYI\VI COPIES THIS SURVEY MLP NOT BEARING Land Surveyor THE LANDD SUMLS 'AS INKED SEAL OR SI c •II ' �� EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAIJD TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN SuCCe...r To: Stanley J. saksen, Jr. I.S. SNLY PR TO THERED. ANDSON ON FOR WHOM BEHAMFTHE THE SURVEY Jos¢ph A, InffO(fn0 LS. TITLE COMPANY, GOVERNMENTAL AGENCY AND Nle Sur Ae 5 - Subdivisions - Site Plans - Con¢huctl0n out SIGNEEB OF THE LEERING INST- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road PO Box 16 THE EXISTENCE OF RIGHTS OF WAY JamesporL New York 11947 Jamespod, New York 11947 REORD, IF ANY, NOT E SHOWN TARE FNOTCGUARANTEED. 23-194B