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Home My WebLink AboutTR-8068 James F. King, President Bob Ghosio .Ir., Vice-Pr~sideat Dave Bergen John Bredemeyer Micb. ael J. Domino Town Hall, 53095 Main Rd. P.O~ Box 1179 South01d, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE __ Pre-construction, hay bate line __ 1st ~lay of construction ~ constructed X// Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8068 DATE: FEBRUARY 20~ 2013 ISSUED TO: JOSEPH O. BRUSCO PROPERTY ADDRESS: 1600 JACKSON STREET~ NEW SUFFOLK SCTM# 117-10-12.3 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on February 20. 2013, and in consideration of application fee in the sum of WAIVED as per Town Board Resolution//2013-189 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 and replace 130 linear feet of existing bulkhead with vinyl bulkhead; raise bulkhead top cap elevation 4' above existing; imPOrt 130 cubic yards of clean sand f'dl behind bulkhead; plant disturbed bluff with beach grass; remove and re-install existing timber walkway and stairs in original location and dimensions; with the condition that the upper deck be no more than 100 sq. ft.; to establish and subsequently maintain a 10' wide non-turf buffer along the top of bluff; and the metal groin to be removed in its entirety; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated February 22, 2013, and stamped approved on March 22, 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. TERMS AND CONDITIONS The Permittee Joseph O. Brusco, residing at 1600 Jackson Street, New Suffolk New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 February 20, 2013 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Mr. Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: JOSEPH O. BRUSCO 1600 JACKSON STREET, NEW SUFFOLK SCTM# 117-10-12.3 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 20, 2013 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of JOSEPH O. BRUSCO applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southoid Town Code, the Wetland Ordinance of the Town of Southold, application dated January 22, 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 to remove and replace 130 linear feet of existing bulkhead with vinyl bulkhead; raise bulkhead top cap elevation 4' above existing; import 130 cubic yards of clean sand fill behind bulkhead; and plant disturbed bluff with beach grass be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the LWRP Coordinator recommended that the proposed application to remove and re-install existing timber walkway and stairs in odginal location and dimensions be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered the Local Waterfront Revitalization Program policy 6.3 to the greatest extent possible through the imposition of the following Best Management Practice requirements: the upper deck to be no more than 100 sq. ft.; to establish and subsequently maintain a 10' wide non-turf buffer along the top of bluff; existing metal groin to be removed in its entirety; 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, 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVES the application of JOSEPH O. BRUSCO to remove and replace 130 linear feet of existing bulkhead with vinyl bulkhead; raise bulkhead top cap elevation 4' above existing; import 130 cubic yards of clean sand fill behind bulkhead; plant disturbed bluff with beach grass; remove and re- install existing timber walkway and stairs in original location and dimensions; with the condition that the upper deck be no more than 100 sq. ft.; to establish and subsequently maintain a 10' wide non-turf buffer along the top of bluff; and the metal groin to be removed in its entirety; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated February 22, 2013, and stamped approved on March 22, 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 James F. King President, Board of Trustees James F. King, President Bob Ghosio, Jr., Vice-President Dave Bcrgcn John Bredemeyer Michael $. Domino Town Hall gamex 54375 Route 25, P.O. Box 1179 Sonthold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD your application dated I /'~ Z/13 , , has been Please be advised that reviewed by this Board at the regular meeting of ~ 'LJ 2D/L'~ and your application has been approved pending the completion ~f the following items checked off below. __ Revised Plans for proposed project Pre-ConStruction Hay Bale Line Inspection Fee ($50.00) Day of Construction ($50.00) ½ Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ ~-(~), DO BY: James F. King, President Board of Trustees Peter Young, Chairman Laurcn Standish, Secretary Town Hall, 53095 Main Rd. 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 Tues., February 12, 2013 the following recommendation was made: Moved by John Stein, seconded by Doug Hardy, it was RESOLVED to SUPPORT the application of JOSEPH BRUSCO to remove and replace 130 If. of existing bulkhead with vinyl bulkhead, and to NOT SUPPORT the application to raise bulkhead top cap elevation 4' above existing, import 130 cy. clean sand fill behind bulkhead, and plant disturbed bluff with beach grass. Located: 1600 Jackson St., New Suffolk. SCTM#117-10-12.3 Inspected by: John Stein, William McDermott The CAC Supports the application to replace the bulkhead, however, does Not Support the raising of the bulkhead to 4' in height. The CAC further recommends the run-off from the top of bluff is addressed and the installation of a 25' non-turf buffer. Vote of Council: Ayes: All Motion Carried P.O. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631 ) 765-6641 Date/Time: Southold Town Board of Trustees Field Inspection/Worksession Report Jeffrey Patanjo on behalf of JOSEPH O. BRUSCO requests a Wetland Permit to remove and replace 130 linear feet of existing bulkhead with vinyl bulkhead; raise bulkhead top cap elevation 4' above existing; import 130 cubic yards of clean sand fill behind bulkhead; plant disturbed bluffwith beach grass; remove and re-install existing timber walkway and stairs in original location and dimensions. Located: 1600 Jackson Street, New Suffolk. SCTM# 117-10-12.3 Typ/e of area to be impacted: :~/Saltwater Wetland Freshwater Wetland __Sound Bay Distance of proposed work to edge of wetland Pa.C/of Town Code proposed work falls under: /Chapt.275 Chap/~. 111 other / Type of Application:/ Wetland __Coastal Erosion ~Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: ,.~/(_ ,~ .*,~-~.., ~/ 1o . 7. Pr Ki %h~;,i~~ e I D. Dzenkowski other Form filled ou~the fiel~by / 1 Mailed/Faxed to: Date: GREAT PECONIC BAY KAREN GIRARDS A T I~W SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. I000-117-10-IE.3 Scale: I" = 50' ~ 15, 1993 SepL 7~ 1996 (TOPOGRaPHICAl INFO~ Area = 34,753 sq. ft. to b'e line 93- 236 Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. /'~ ~ /~' DATE: .May 29, 1998 ISSUED TO P, QBE~. & .K,~.EN GIi~ARD$ Auth rizatimt Pursuant to the provi*ions of Chepter 615 of the Laws of the State of New York, 18931 end C~nepter ~ of the ,1~. ws of the State of New Yore 1952; end the Southold Town Or&henCe en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the RE~vIOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Bonrd adopted at a meeting held on M~,¥ Z8,..1998 19 .gJ!.., and ;n consideration of the sum of $~5~,,0,0 paid by · En~(l:on~uk~-!~. Lnc,., for i!Qt}~ii~,T of ...... N~..~ffolk ...... N.Y. and subject te the Terms end Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes end permits the folk)wing: !~etl~nd Permit to construct timber stairs consisting of a $~X5 platform at crest o£ b]u£f, t~ X ].8r steps, ~ 6~ X 8r plat£orm, 4' X 6~ steps a~d a t~ X 10~ platform behind exist, blkhcl,with condition that siva be drawn on a]~ in accordance with the detailed specif'mefions as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees Eere- by causes its Corporate Seal to be hr?xed, and fhesapresants to be subscribed by · majority of the sa~d Board es of this date. ~:X. SUFFOLK Old CUI'CHOI ; accesstob~,,ch. 2. Datum: ALW 3. AIl timbe~ to be CEA .It, eatS. 4. Project location: 1600,Tac~son 5'h'eet New .Suffolk, NY 11956 5CTM~ 1000-117-10-12.3 £N-CONSULt'ANTS !NC. 1329 NORTH SE,~, RD. SOUTH^F.~PTON, N.Y. 11968 516-283-6360 PROPOSF, D STAIR8 FOR ROBF, RT AlqD KAREN GIRARD8 ON GltF, AT PECONIC BAY, NEW 8UFFOLK, BOI~FOLK CO., NY SWI~ET I OF 2 4/°~9/98 Photo i Photo 2 January 18, 2013 NYS Dept. of Environmental Conservation SUNY ¢~ Stony Brook 50 Circle Road Stony Brook, New York 11790-2356 Attention: Duty Analyst 1~00 JACKSON STREET, NL=W SiJFFOLK, NY SCTM NO. 1000-117-10-t2.3 APPLICATION FOR PERUIT Dear Sir/Madame: We hereby submit four (4) copies of the proposed plans, applications, check, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please cio not hesitate to call me at 631-484-9332. Very truly yours, 106 Hewitt Blvd. Center Moriches, NY 11934 Army Corps of Enginc.,,'"'s NYSDOS Joseph Brusco New York State 3OZNT APPL~CATZON FORH For Permits/Determinations to unde~ake activities affecting streams, waterways, waterbodies, wetlands, coastal areas and sources of water supply. You must separately apply for and obtain separate Permits/Determinations from each involved agency prior to proceeding with work. Please read all instructions, US Army Corps of Engineers (USACE) APPLICATIONS TO 1. NYB Department of Environmental Conservation Check all permits that apply: [] Stream Disturbance [] Excavation and Fill in Navigable Waters [] Docks, Moorings or Platforms [] Oams and Impoundment Structures [] 40! Water Quality certification [] Freshwater Wet[ands [] Tidal Wetlands [] Coastal Erosion Management [] Wild, Scenic and Recreational Rivers [] Water Supply [] Long Island Well [] Aquatic Vegetation Control [] Aquatic Insect Control [] Fish Control [] Incidental Take of Endan- gered/Threatened Species [] I am sending this application to this agency. 2. US Army Corps of Engineers Check all permits that apply: [] Section 404 Clean Water Act [] Section 10 Rivers and Harbors Act [] Nationwide Permit(s) - Identify Number(s): 3 Preconstruction Notification [] I am sending this application to this agency. 5. Name of Applicant (use full name) Applicant must be: JOSEPH D. BRUSCO [] Owner [] Operator Nailing Address [] Lessee 71 CHASE ROAD NORTH (check all that apply) Taxpayer ID (If applicant Post Office City SCARSDALE is NOT an individual): State NY Zip Code 10583 Telephone (daytime) Email 914-714-0266 JOEBI~AOL.COM 7. Contact/Agent Name JEFFREY PATANJO Company Name Hailing Address 106 HEWITr BLVD. Post Office City CENTER MORICHES State Zip Code NY 11934 Telephone (daytime) 631 484-9332 Email JPATAN JO@OPTON LINE.NET 8, Project / Facility Name BRUSCO RESIDENCE 3. NYS Office of General Services Check all permits that apply: [] State Owned Lands Under Water [] Utility Easement (pipelines, conduits, cables, etc.) [] Docks, Moorings or Platforms 4. NYS Depart- ment of State Check if this applies: [] Coastal Consistency Concurrence [] ! am sending this application to this a~lenc¥. 6. Name of Facility or Property Owner (if different than Applicant) [] I am sending this application to this acJenc¥. Mailing Address Post Office City State Zip Code Telephone (daytime) Email Property Tax Nap Section / Block / Lot Number 1000-117-10-12.3 Project Location - Provide directions and distances to roads, bridges and bodies of waters: SEE LOCATION MAP Street Address, if applicable Post Office City State Zip Code 1600 JACKSON STREET NEW SUFFOLK NY 11956 Town / Village / City County SOUTHOLD SUFFOLK Name of USGS Quadrangle Map Stream/Water Body Name SAG HARBOR GREAT PECONIC BAY Location Coordinates: Enter NYTMs in kilometers, OR Latitude/Longitude NYTM-E NYTM -N Latitude Longitude 40° 59' 21.12" 72° 28' 32.80" 3OI*NT APPLZCAT[ON FORM O9/10 This is a 2 Page Application Application Form Page 1,of 2 Both Pages Must be Completed ~I~T APPLZCAT/ON FORt4 - PAGE 2 OF 2 Sul~lt this completed page as part of your Application. 9. Project Description and Purpose: Provide a complete narrative description of the proposed work and its purpose. Attach additional page(s) if necessary. Include: description of current site conditions and how the site will be modified by the proposed project; structures and fill materials to be instal/ed; type and quantity of materJaJs to be used (i.e., square ft of coverage and cubic yds of fill material and/or structures below ordinary/mean high water) area of excavation or dredging, volumes of material to be removed and location of dredged material disposal or use; work methods and type of equipment to be used; pollution control methods and mitigation activities proposed to compensate for resource impacts; and where applicable, the phasing of activities. ATTACH PLANS ON SEPARATE P&GES. REMOVE AND REPLACE 130 LF OF EXISTING BULKHEAD WITH VINYL BULKHEAD. RAISE BULKHEAD TOP CAP 4' ABOVE EXISTING. IMPORT 130 CY OF CLEAN SAND FILL BEHIND BULKHEAD. PLANT DISTURBED BLUFF WITH BEACH GRASS. CONSTRUCT 32 SF TIMBER PLATFORM AND STAIRS TO BEACH. Proposed Use: ~] Private [-I Public r']commercial JPrOpOsed J Estimated Start Date: 3-15-13 Completion Date: 4-1-13 Has Work Begun on Project? [] Yes [] NO If Yes, explain. Will Project Occupy Federal, State or I~lunicipal Land? [] Yes [] No If Yes, please specify. 10. List Previous Permit / Application Numbers (if any) and Dates: N/A 11. Will this project require additional Federal, State, or Local Permits including zoning changes? NYSDOS - SOUTHOLD BOARD OF TRUSTEES [] Yes [] No If yes, please list: 12. Signatures. If applicant is not the owner, both must sign the app[ication. I hereby affirm that information provided on this form and ali attachments submitted herewith is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further, the applicant accepts full responsibility for ail damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from said project. In addition, Federal Law, 18 U.S.C., Section 100! provides for a fine of not more than $10,000 or imprisonment for not more than 5 years, or both where an applicant knowingly and wiliingly falsifies, or covers up a material fact; or knowingly makes or uses a false, fictitious or fraudulent statement. Title Date Date JOZNT APPLZCATZON FORM 09/10 Application Form Page 2 of 2 New York State Department of Environmental Conservation PERMISSION TO INSPECT PROPERTY By signing this permission form for submission with an application for a permit(s) to thc_ Department of Environmental Conservation ("DEC"), the signer consents to inspection by DEC staffof the project site or facility for which a permit is sought and, to the extent necessary, area adjacent to the project site or facility. This consent allows DEC staffto enter upon and pass through such property in order to inspect the project site or facility, without prior notice, betwee the hours of 7:00 a.m. and 7:00 p.m., Monday through Friday. If DEC staff should wish to conduc an inspection at any other times, DEC staff will so notify the applicant and will obtain a separat consent for such an inspection. Inspections may take place as part of the application review prior to a decision to grant c deny the permit(s) sought. By signing this consent form, the signer agrees that this consent remains in effect as long as the application is pending, and is effective regardless of whether th signer, applicant or an agent is present at the time of the inspection. In the event that the project sit or facility is posted with any form of"posted" or "keep out" notices, or fenced in with an unlocke gate, this permission authorizes DEC staff to disregard such notices or unlocked gates at the tim of inspection. The signer further agrees that during an inspection, DEC staff may, among other things, take measurements, may analyze physical characteristics of the site including, but not limited tr soils and vegetation (taking samples for analysis), and may make drawings and take photograph~ Failure to grant consent for an inspection is grounds for, and may result in, denial of th permit(s) sought by the application. Permission is granted for inspection of property located at the following address(es): 1600 JACKSON ST., NEW SUFFOLK NY 11956 By signing this form, I affirm under penalty of perjury that I am authorized to give conset to entry by DEC staff as described above. I understand that false statements made herein at punishable as a Class ,4 misdemeanor pursuant to Section 210.45 of the Penal Law.* Print Name and Title Date *The signer of this form must be a.n individual or autJaori?ed representative ora legal entity that: owns fee title and is in possession of the property identified above; maintains possessory interest in the proper~ through a lease, rental agreement or other legally binding agreement; or is provided permission to act on behalf of an individual or legal entiiy possessing fee title or other possessory interest in the property for the purpose of consenting to inspection of such property. Permission to Inspect Property Application Supplement 12/08 NEW YORK STATE DEPARTMENT OF STATE COASTAL MANAGEMENT PROGRAM Federal Consistency Assessment Form An applicant, seeking a permit, license, waiver, certification or similar type of approval from a federal agency which is subject to the New York State Coastal Management Program (CMP), shall complete this assessment form for any proposed activity that will occur within and/or directly affect the State's Coastal Area. This form is intended to assist an applicant in certifying that the proposed activity is consistent with New York Statds CMP as required by U.S~ Depamnent of Commerce regulations ( 15 CFR 930.57). It should be completed at the time when the federal application is prepared. The Department of State will use the completed form and accompanying information in its review of the applicant's certification of consistency. A. APPLICANT (please print) JOSEPH @. BRUSCO 1. Name: 71 CHASE ROAD NORTH, SCARSDALE NY 10583 2. Address: 3. Telephone: AreaCode( ) 914-714-0266 B. PROPOSED ACTIVITY 1. Brief description of activity: REMOVE AND REPLACE 130 LF OF EXISTING BULKHEAD WITH VINYL BULKHEAD. RAI.ql= Rill KHEAD TCIP CAP d' AROVF FXIRTIN~ IMPORT NRI3 CY (DF 12.1 FAN .qANF) FIII BEHIND BULKHEAD. PLANT DISTURBED BLUFF WITH BEACH GRASS. CONSTRUCT 32 SF TIMBER PLATFORM AND STAIRS TO BEACH. 2. Purpose of activity: 3. Location of activity: SUFFOLK NEW SUFFOLK 1600 JACKSON STREET County City, Town, or Village Street or Site Description ARMY CORPS OF ENGINEERS 4. Type of federal permit/license required: N/A 5. Federal application number, if known: 6. If a state permit/license was issued or is required for the proposed activity, identify the state agency and provide the application or permit number, if known: NYSDEC C. COASTAL ASSESSMENT Check either "YES" or "NO" for each of these questions. The numbers following each question refer to the policies described in the CMP document (see footnote on page 2) which may be affected by the proposed activity. 1. Will the proposed activity result in any of the following: YES / NO a. Large physical change to a site within the coastal area which will require the preparation [] [] of an environmental impact statement? (11, 22, 25, 32, 37, 38, 41, 43) ................ b. Physical alteration of more than two acres of land along the shoreline, land [] [] under water or coastalwaters? (2, 11, 12, 20, 28, 35, 44) .......................... c. Revitalization/redevelopment of a deteriorated or underutilized waterfront site? (1) ...... ~ ..~ d. Reduction of existing or potential public access to or along coastal waters? ( 19, 20) ...... []..l~ e. Adverse effect upon the commercial or recreational use of coastal fish resources? (9,10)... ~]..~ f. Siting of a facility essential to the exploration, development and production of energy resources in coastal waters or on the Outer Continental Shelf? (29) ................... g. Siting of a facility essential to the generation or transmission of energy? (27) ........... h. Mining, excavation, or dredging activities, or the placement of dredged or fill material in coastalwaters? (15, 35) .................................................... i. Discharge of toxics, hazardous substances or other pollutants into coastal waters? (8, 15, 35) ~1. j. Draining of stormwater runoff or sewer overflows into coastal waters? (33) ............ k. Transport, storage, treatment, or disposal of solid wastes or hazardous materials? (36, 39). ~ .l~ I. Adverse effect upon land or water uses within the State's small harbors? (4) ............ 2. Will the proposed activity affect or be located in, on, or adjacent to any of the following: YES / NO a. State designated freshwater or tidal wetldnd? (44) ................................ ~ .~ b. Federally designated flood and/or state designated erosion hazard area? (11, 12, 17,) ..... c. State designated significant fish and/or wildlife habitat? (7) ........................ ~' '-~ d. State designated significant scenic resource or area? (24) .......................... ~1- "~ e. State designated important agricultural lands? (26) ............................... [~_ [] f. Beach, dune or barder island? (12) ........................................... ~ ~1 g. Major ports of Albany, Buffalo, Ogdensburg, Oswego or New York? (3) ............... ~..[] h. State, anunty, orlocalpark? (19,20) .......................................... []..[] i. Historic resoume listed on the National or State Register of Historic Places? (23) ........ ~ .[] 3. Will the proposed activity require any of the following: YES / NO a. Waterfront site? (2, 21,22) ................................................. [] [] b. Provision of new public services or infrastructure in undeveloped or sparsely populated sections of the coastal area? (5) .............................................. [] [] c. Conslruction or reconstruction of a flood or erosion control structure? (13, 14, 16) ....... I:r '~ d. State water quality permit or certification? (30, 38, 40) ............................ I~- -[] e. State air quality permit or certification? (41, 43) ................................. ~r '~ 4. Will the proposed activity occur within and/or afl~ct an area covered by a State approved local waterfront revitalization program? (see policies in local program document) .............. D. ADDITIONAL STEPS 1. If all of the questions in Section C are answered "NO", then the applicant or agency shall complete Section E and submit the documentation required by Section F. 2. If any of the questions in Section C are answered "YES", then the applicant or agent is advised to consult the CMP, or where appropriate, the local waterfront revitalization program document*. The proposed activity must be analyzed in more detail with respect to the applicable state or local coastal policies. On a separate page(s), the applicant or agent shall: (a) identify, by their policy numbers, which coastal policies are affected by the activity, (b) briefly assess the effects of the activity upon the policy; and, (c) state how the activity is consistent with each policy. Following the completion of this written assessment, the applicant or agency shall complete Section E and submit the documentation required by Section F. E. CERTIFICATION The applicant or agent must certify that the proposed activity is consistent with the State's CMP or the approved local waterfront revitalization program, as appropriate. If this certification cannot be made, the proposed activity shall not be undertaken. If this certification can be made, complete this Section. "The proposed activity complies with New York State's approved Coastal Management Program, or with the applicable approved local waterfront revitalization program, and will be conducted in a manner consistent with such program." , , JEFFREY PATANJO Appticant/Agent s Name: Address: 106 HEWITT BLVD., CENTER MORICHES NY 11934 Telephone: Area Code ( Applicant/Agent's Signature: ) 631-484-9332 ,q ..... F. SUBMISSION REQUIREMENTS I. The applicant or agent shall submit the following documents to the New York State Department of State, Office of Coastal, Local Government and Community Sustainability, Attn: Consistency Review Unit, 1 Commerce Plaza, 99 Washington Avenue - Suite 1010, Albany, New York 12231. a. Copy of original signed form. b. Copy of the completed federal agency application. c. Other available information which would support the certification of consistency. 2. The applicant or agent shall also submit a copy of this completed form along with his/her application to the federal agency. 3. If there are any questions regarding the submission of this form, contact the Department of State at (518) 474-6000. *These state and local documents arc available for inspection at the offices of many federal agencies, Deparmaent of environmental Conservation and Department of State regional offices, and the appropriate regional and county planning agencies. Local program documents are also available for inspection at the offices of the appropriate local goverarnent. ENVIRONMENTAL QUESTIONNAIRE This is intended to supplement ENG Form 4345, Appfication for Department of the Army Permit, or the Joint Application for Permit used in the State of New York. Please provide complete answers to all questions below which are relevant to your project. Any answers maybe continued on separate sheet(s) of paperto be attached to this form. PRIVACY ACT STATEMENT The purpose of this form is to provide the Corps of Engineers with basic information regarding your project. This information will be used to facilitate evaluation of your permit application and for public dissemination as required by regulation. Failure to provide complete information may result in your application being declared incomplete for processing, thereby delaying processing of your application. GENERAL-.APPLICABLE TO ALL PROJECTS Explain the need for, and purpose of, the proposed work. EXISTING BULKHEAD IS IN NEED OF REPLACEMENT AND NEEDS TO BE RAISED DUE TO STORMS WASHING OVER IT AND ERODING EXISTING BLUFF. 2. Provide the names and addresses of property owners adjacent to your work site (if not shown on the application form or project drawings). ON PLAN. (Please note that depending upon the nature and extent of your project, you may be requested to provide the names and addresses of additional property owners proximate to your project site to ensure proper coordination.) 3. Photographs of the project site should be submitted. For projects in tidal areas, photographs of the waterway vicinity should be taken at Iow tide. Using a separate copy of your plan view, indicate the location and direction of each photograph as well as the date and time at which the photograph was taken. Provide a sufficient number of photographs so as to provide a clear understanding of conditions on and proximate to your project site. 4. Provide a copy of any environmental impact statement, or any other environmental report which was prepared for your project. 5. Provide a thorough discussion of alternatives to your proposal This discussion should include, but not necessarily be limited to, the "no action" alternative and alternative(s) resulting in less disturbance to waters of the United States. For filling projects in waters of the United States, including wetlands, your alternatives discussion should demonstrate that there are no practicable alternatives to your proposed filling and that your project meets with current mitigation policy (i.e. avoidance, minimization and compensation). THE NO-BUILD ALTERNATIVE WOULD RESULT IN LOSS OF LAND AND PROPERTY. DREDGING PROJECTS Answer the following if your project involves dredging. f. Indicate the estimated volume of material to be dredged and the depth (below mean Iow water) to which dredging would occur. Would there be overdepth dredging? 2. You can apply for a ten-year permit for maintenance dredging. If you wish to apply for a ten-year permit, please provide the number of additional dredging events during the ten-year life of the permit and the amount of material to be removed during future events. 3. Indicate of your drawings the dewatering area (if applicable) and disposal site for the dredged material (except landfill sites). Submit a sufficient number of photographs of the dewatering and disposal sites as applicable so as to provide a clear indication of existing conditions. For ten-year maintenance dredging permits, indicate the dewatering/disposal sites for future dredging events, if known. 4. Describe the method of dredging (i.e. clamshell, dragline, etc.) and the expected duration of dredging. 5. Indicate the physical nature of the material to be dredged (i.e. sand, silt, clay, etc.) and provide estimated percentages of the various constituents If available. For beach nourishment projects, grain size analysis data is required. 6. Describe the method of dredged material containment (i.e. hay bales, embankment, bulkhead, etc.) and whether return flow from the dewatering/disposal site would reenter any waterway. Also indicate if there would be any barge overflow. MOORING FACILITIES Answer the following if your project includes the construction or rehabilitation of recreational mooring facilities. 1. It is generally recommended that any fixed piers and walk ramps be limited to four feet in width, and that floats be limited to eight feet in width and rest at least two feet above the waterway bottom at mean Iow water. Terminal floats at private, non- commercial facilities should be limited to 20 feet in length. If you do not believe your proposal can meet with these recommendations, please provide the reason(s). 2. Using your plan view, show to scale the location(s), position(s) and size(s) (including length, beam and draft) of vessel(s) to be moored at the proposed facility, including those of transient vessel(s) if known. 3. For commercial mooring sites such as marinas, indicate the capacity of the facility and indicate on the plan view the location(s) of any proposed fueling and/or sewage pumpout facilities. If pumpout facilities are not planned, please discuss the rationale below and indicate the distance to the nearest available pumpout station. 4. Indicate on your plan view the distance to adjacent marine structures, if any are proximate and show the locations and dimensions of such structures. 5. Discuss the need for wave protection at the proposed facility. Please be advised that if a permit is issued, you would be required to recognize that the mooring facility may be subject to wave action from wakes of passing vessels, whose operations would not be required to be modified. Issuance of a permit would not relieve you of ensuring the integrity of the authorized structure(s) and the United States would not be held responsible for damages to the structure(s) and vessel(s) moored thereto from wakes from passing vessels. BULKHEADING/BANK STABILIZATION~FILLING ACTIVITIES Answer the following if your project includes construction of bulkheading (also retaining walls and seawalls) with backfill, filing of waters/wetlands, or any other bank stabilization fills such as riprap, revetments, gabions, etc. f. Indicate the total volume of fill (including backfill behind a structure such as a bulkhead) as well as the volume of fill to be placed into waters of the United States. The amount of fill in waters of the United States can be determined by calculating the amount of fill to be placed below the plane of spring high tide in tidal areas and below ordinary high water in non-tidal areas. NO FILL WILL BE IMPORTED FOR CONSTRUCTION. 2. Indicate the source(s) and type(s) of fill material. N/A 3. Indicate the method of fill placement (i.e. by hand, bulldozer, crane, etc.). Would any temporary fills be required in waterways or wetlands to provide access for construction equipment? If so, please indicate the area of such waters and/or wetlands to be filled, and show on the plan and sectional views. ALL WORK TO BE ACCOMPLISHED BY LAND WITH RUBBER TRACKED EXCAVATOR The foregoing requests basic information on the most common types of projects requiring Department of the Army permits. It is intended to obviate or reduce the need for requesting additional information; however, additional information may be requested above and beyond what is requested in this form. Please feel free to add any additional information regarding your project which you believe may facilitate our review. OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NYl1971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator / ECE VE FEB 1 5 2013 $0ut~01d f0wn Board 0fh~ Date: February 14, 2013 Re: Proposed Wetland Permit for JOSEPH O. BRUSCO SCTM#1000-117-10-12.3 Jeffrey Patanjo on behalf of JOSEPH O. BRUSCO requests a Wetland Permit to remove and replace 130 linear feet of existing bulkhead with vinyl bulkhead; raise bulkhead top cap elevation 4' above existing; import 130 cubic yards of clean sand fill behind bulkhead; plant disturbed bluff with beach grass; remove and re-install existing timber walkway and stairs in original location and dimensions. Located: 1600 Jackson Street, New Suffolk. SCTM# 117-10-12.3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me; the proposed action to remove and replace 130 linear feet of existing bulkhead with vinyl bulkhead; raise bulkhead top cap elevation 4' above existing; import 130 cubic yards of clean sand fill behind bulkhead; plant disturbed bluff with beach grass are CONSISTENT with the LWRP. Further, it is my recommendation that proposal to remove and re-install existing timber walkway and stairs in original location and dimensions is INCONSISTENT with the below listed LWRP policy. 6.3 Protect and restore tidal and freshwater wetlands. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The top platform is not a permissible action pursuant to 275-11 Construction and operation standards, A (6) AMENDED 2013. The top deck is 105 sq. ft.~ (scaled on the survey) the code section amendment allows up to 100 sq. ff. § 275-11. Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: (6) Platforms. (a) Platforms associated with stairs may not be larger than 100 square feet 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 Office Use Only ~Cwoastal Erosion Permit Application etland Permit Application Administrative Permit AmendmendTransfer/~xt ension ~Received Application: CceCCived Fee:$ ompleted Application ~Incomplete __SEQRA Classification: Type I Type II Unlisted i oordination:(date sent) WRP Consistency Assessment Form AC Referral Sent:_ i ,~,,]2-4] _2~ [ __Date of Inspection: , __Receipt of CAC Report: ~Lead Agency Determination:__ 7~T¢chnicul Rcvic,¥: / ~/) Public Hearing Held: ~ Resolution: ECEIVE ,lAN 2 2 2013 $outhold Town Board of ~rustoes Name of Applicant JOSEPH O, BRUSCO Address 71 CHASE ROAD NORTH, SCARSDALE NY 10583 Phone Number:( ) 914-714-0266 117-10-12.3 Suffolk County Tax Map Number: 1000 - Property Location: 1600 JACKSON STREET, NEW SUFFOLK NY 11956 SEE ATTACHED LOCATION MAP. (provide LILCO Pole #, distance to cross streets, and location) AGENT: JEFFREY PATANJO (If applicable) Address: 106 HEWITT BLVD., CENTER MORICHES NY 11934 Phone: 631-484-9332 Land Area (in square Area Zoning: G]EN~RAL DATA Previous use of property: RESIDENTIAL Imendod use of propc~q,: RESIDENTIAL Covenants and Restrictions: Yes x No If "Yes", please provide copy. Does this project require a variance fi.om the Zoning Board of Appeals ~Yes x No If"Yes", plcaac provide copy of decision. Will this project require any demolition as per Town Code or aa detet'rflhled by the Building Dept Yes x No Docs thc structure (s) on property have a valid Certificate of Ocoapancy x Yes ~ · No prior permits/approvals for site improvements: Agency Date x No prior p~rmitsdapprovals for site improvements- Has any permit/approval ever been revokod or suspended by a governmental agency? x No Yes If yes, provide ~pl~ation: Project Description (usc attachments if necessary): REMOVE AND REPLACE 130 LF OF EXISTING BULKHEAD WITH VINYL 8ULI~-tEAD, RAISE ~ULKH~AD TOP CAP ELEVATION 4' ABOVE EXISTINO, IMPORT 13,0 CY oP CLEAN ,SAND FlU_ BEHIND BULKHEAD. ~LANTDI~TURBEDnLuFFWITHBEACHGRA''q~' ~.,ct,~m~..- ~.~0.. ~o&z'd o£ T~'usteeS P~6E 82/09 WETL/~VD/TRUSTEE LANDS/~PPLICAT1ON DATA Purpose of thc prOpOS~ opomfions: aEMOVE ~D RSp~CE ~0 ~ ~ ~S~SG BO~ ~ ~N% BUSHED, ~SE BU~D TOP ~ EL~A~ON 4~ ~OVE ~STING, IMPORT 130 CY OFCL~N~NDFILLBEHINDBUL~D, p~NTDiSTURBEDBLUFF~THB~HG~, ~ ~ ~E-t~{~[I _square feet Area of w~lands on lot: P~rcent covcu-age of lot: o % Closest dismnee between nearest existing structurc and upland edge of wetlands: N/^ Closest distance between ncarest proposed structure a~d upland c~ of wetlands: ~IIA feet Does the pmiect involve cxcav~on or filling? No x Yes if yes, how much material will be excavated? o cubic yin'ds How much martial will be fi].lcd? ~ ~o cubic yards Depth of which material will be removed or deposited: 4 feet Proposed slope throughout thc area of opcrations: Manner [u which material will be removed or deposited: sxc~¥m'OR Statement of the effect, if ~ny, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (usc attachmenta if appropriate): THERE WILL BE NO EFFECT ON WETLANDS OR nDAL WATERS DUE TO THE BULKHEAD CONSTRUCTION, ECF= VE FEB - 4 2013 Southold Town Boord of Tr[~s[o¢s e~?.~o Appendix C Slate Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - pROJECT INFORMATION Tobeoom ~ed A IicantorP 'ect$ n~or JOSEPH 1~. BRLrSCO [ BRU~CO RESIDL~CE PROJECT LOCATION; SU1;'FOLK Mu~i~. ~ SUFFOLK county 4. PRECISE LOCATION (S~-eet addmes and mad ~nte~e~ee, s, prominent A,d,... k=, e~c.. or pmvid= map) $. PROPOSED ACTION -6. DESCRIBE PROJECT BRIEFLY: REMOVE A.ND REPLACE t~0 LF OF EXISTING BULKHEAD ~ VINYL BULK.tlF, AD. RAISE BUEJeO'~KD TOP CAP 4' ABOVE ,~X'ISTING. IlvlPORT 130 CY OF CLEAN SAND FILL BEHIND BULKHEAD. PLANT DISTURBKD BLUFF WITH 7. AMOONTOF LAND/~FE~: e. W1LL PROPOSED A~TION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] NO If No. de~"~e briM~ 10. DOES ACTION iNVOLV~ A PERMIT APPROVAl.. OR FUNDINg, NOV'/OR ULTIMA~LY FROM ANY O'~.IER GOVERNMENTAL AGENCY (FEBERAL, STATE OR [] Yes [] No tf Ye% list a{lency(s) name and permil/appt0vals: NYSDEC / ARlvIY COKPS 11. DOE.~ ANY ,a~PECT OF THE ACTION HAVE A CURRENTLY VAuD PERMIT OR APPROV'N-? [] yes [] No If Yes. rm agency(s) name and peri,fit/approve: 12. AS A RESULT OF PROPOSED ACTioN WILL I=XISTING pERMiTI. NOPROVAL REQUIRE MODIFICATION? I~Y-- DN~ T THE INFORMAT""*' PROVIDED AIBOVE I C~RTIFY TI'IA ^~l~,~n,~n*r~: ~O~PH ti. P~4 ~.J .. ' OVER 85/89 PART II - IMPACT ASSESSMENT [1'o be completed by Lead A~lenc¥) A. OOES AC'I'ION EXCEED ANY TYPE I THRE.SHOLD IN 6 NYCRR, PART 617~47 If )~s, coor~ibate the ret, lew pm~ess anti use the FULL EAF. [Z].o B. ~ ACTION R~CEIVE COOR[~NATIED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR. PART 617.67 If No, a negaave dedara~m may be supee~eded by enolher invelved agency. E]Yes [~'] .o C. COCILD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Cl. Existing air quarAy, surface or gfoundwale~ quality or quantity, noise levels, existing traffic pattern, soad waste production or disposal, potential fo~ erosion, drainage or tiooding problems? Explain bdetiy: C2' L;h~ agricultural ardiaeoleg ca, I'~stodc, or other ~'~'ura ~r ~u"ura resources; o, ~,~y..~h~ ~m~e. ~,. b~tiy. ! C5. Growth, 8ubsequen deveinpmenl, or relaled activities likely lo be induced by the proposed action? Explain briefly: C7..Qtherim acts ncledi dian esinuseofeither uanlit or[ eofene O. ~LL ~E PROJECT B~ AN IMPACT ON THE ENVI~O~.;NT[ C~AR~cTERIs~C~ ;~T CAU;~ THE E~A~U~H~ENT OF ~ CRITICA ~VI~NMENTAL AR~ (C~)? (If ~es, e~in briefly: PART IH - DETERMINA'I1ON OF SIGNIFICANCE (To be completed bY Agency) INSTRUCTIONS: Foreaohadverseeffe~idenlifi~:labeve, delemlinewhetberitissubetaolial, large Impettantoro61en#iseslgni~t, Each e~a,c( rdlo~d be ast, essed in connection with ifs (a) setting (Le, urban or rural); (b) probalfll~ty o~ oocun~lg; (c) duration; (cl) kTeverstbifity; (e) geographic scope; and (0 magnitude. If necessa~, add attachments o~ re[erence suppoding male~ab. Ensure that e~olanatio~ contain. Cbeck thle bex If )~ou ha~e ;':.~ -7,~JI or, e or mm'e pui~,,iL~a'iy lerge c.- ~i,;~nt adve~e impa~s whibh MAY o~L,r. Tbefl proceed d.a~ly to ~he FULL EAF and/~' prepare a posl~e dedata~on. Cbeck th~ box ifyou have determined, based o~ the Infmmallen and analysis above and any suppoding documenletio~, that the proposed ac~ WILL NOT result In any slgr, i~a.~Ult adverse envimnme~al Impacts AND provide, en attachments as necessa~j, the reasons supponqng determinaUon. Board of Trustees Name of lead Agency ,jq~ i~ame o~ ~:esponsible 0 ftic~r in Lead Agency ig~ure of Responsible Oilicer i6 Lead Date President Title of Responsible Officer Signature of Preparer (if diffi.~rent from responsible officer) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS FEB 1 9 Southold Town Board of Trustees Name: STATE OF NEW YORK COUNTY OF SUFFOLK degCre Pxian)o , residing at 119(.9 -~-F~,'~ BIvF_~ . O~.g~V j ~brl L~ q I1~, being duly sworn, deposes ~d says that on the I ~ day o~ ~ ~ v~ ,20 ~, deponent mailed a tree copy of the Notice set fo~h in the Bo~d-df Tm~es Appli"cation, directed to each of the above nam~ persons at ~e addresses set opposite thee resp~tive nines; ~at ~e addresses set opposite ~e nines of said persons ~e the address of said pemons as shown on the cunent ass~sm~t~oll of the Town of Southold; that said Notices w~e m~led at ~e Unit~ States Post Office at U(~Y ~d~f ~. , that said Notices w~e m~l~ to each ofs~d persons by CERTIFIED ~IL~ETU~ ~CEI~. Sworn to before me this Day of ['~brvtar~ ,20 Notary Public Iox~n ]hdL 5309s Main Rd PO Box 1179 SouthokLN"t 11971 Idephonc (63 I) 765-1~92 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF' TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ECE ¥E FEB 1 9 2013 l, Southord Town - Board of Trustees JOSEPH O. BRUSCO COUNTY OF SUFFOLK) SI'ATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, depose and say: T~at on the day of~ ~a ~ ,201~, I ~ersonally posted the property known as by placing thc Board oFTrustees official poster where it can easily be seen. and that I haxe checked tO be sure thc poster has remained in place lbr eight days prior to the date office public hearing. Date of hearing noted thereon to be held Wednesda% Februa~ 20~ 2013. Dated: 3' 1'5'13 (s~n~lre) Swor?, to bedsore mc this I g, da) of~ 20/=3 Loriann p~nio Commissibn ~m~ NOTIC 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:.3'~~h O. 1~c~o SUBJECT OF'PUBLIC HEARING: To remove and replace 130 linear feet of existing bulkhead with vinyl bulkhead; raise bulkhead top cap elevation 4' above existing; import 130 cubic yards of clean sand fill behind bulkhead; plant disturbed bluffwith beach grass; remove and re- install existing timber walkway and stairs in original location and dimensions. TIME & DATE OF PUBLIC HEARING: If you have an interest in this project, you are invited to view the Town file(s) whi.ch are available for inspection prior to the day of the hearing during normal bus~ness days between the hours orr8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631)765-1892 of Trustees Application County of Suffolk State of New York JOSEPH {Z BRUSCO 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 1N 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. 1N COMPLETING THIS APPLICATION, 1 HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO 1NSPECT THE PREMISES 1N CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS /6" DAY OF 'Publi'~ ' - -- Nojry ORQUIDIA MORA Notary Public, State of New York #01 MO5062772 Qualified in Westchester County Commission Exp, 07/08//~ of Trustees Application AUTHORIZATION (where the applicant is not the owner) 1, JOSEPHO. BRUSCO (print owner of property) residing at 71 CHASE ROAD NORTH (mailing address) SCARSDALE, NY 10583 PATANJO do hereby authorize JEFFREY (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The l'own of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The pu~ose 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. YOURNAME: BRUSCO, JOSEPH ~. (Last name. first name, middle 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 X 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 Form TS I Submitted this ~day of ~,~a/.q",'~ 2o4! Signature f~ff----~ ~ ~ PrintName ~3~ O ~ lEO Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM P~OFERTY LOCATION: $.C.T,m. ~ THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 1000 117 10 12.3 STORM-WATER~ GRADING~ DRAINAGIE AND EROSION CONTROL PL,AN CONfi-i'RUurtON j..j.l~ / WORKASSE,SSMENT I Yes No SCOPE OF WORK PROPOSED STATE OF NEW YORK, . a/.,r~.~, 1/.,../ COUNTY OF SS That 1, ....'.~...~..-*...~'..,.. ~ .:........'~..:......,.~..!.'7..'r ~.......~_ ............. being ,hfly swam, deposes and says that he/she is die applicant for Permih ad a, h~/,~ is ~e ..................... ..0.. ~.~(~ ........................................................................................................................ Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have perlbnned the said work and to make and file fl'ds application; that all statemen~ conlah~ed in tiffs application are trde to the best of his knowledge and belief; and that the work will be performed in the manner set fo,h iu the application filed herewith. Swam to before me lhis; ....................... /..(~.... ...... day or...~.~ ................ ~0.tg .............. FORM - 06/10 Not~ry Public, State of New York #01 MO5062772 Qualified in Westchester CountY Commission Exp. 07/08/ Town of Southold LWRP CONSISTENCY ~S~$$M~NT FORM LP PAGE 04/09 SCTM# v17 ]0 ~2.3 The Applieatlon has h~n sabmltted to (check appl~prla~ response) TownBoard [-~' PlannlngDept. [] Buildbl~Dept. [] BoardofTrus~e~s [] 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken direvtly by Town agency (e.g. capital construction, planning activity, agency regulation, land trmlsactian) (b) Financial assistance (c.g. gram, loan, subsidy) (e) Permit. approval, lic~use, c~ertification: INSTRUCTIONS 1. All applicants for permits* including Town of Southold ag~ci~, shall complete this CCAF for proposed actions that are subject to thc Town of Southold Waterfront Consistency Rovtcw Law. assessment is intcndexl to supplemont other information u~d by a Town of Southold agcr~y in making a d~nanination of comistency. *Except minor exempt actions including Building permits and other mints~rial permits not loc~d within tke Coastal Erosion Hazard Area. 2. Before answering the queations in Section C, the preparer of this form should review the ¢:o~mpt minor action list, policic~ and explanations of each policy eoatained in the Town of $outhold Local Waterfront RoAtalizafion Program. A proposod atMon will bo evaluated a~ to its significant Imaeficial and adverse ¢ff~ts upon the coastal ar~a (which includes all of So.hold Town). 3. ff any quench in Seetinn C on this form is anawered "y~s", then the proposed action may affect the achiovemmt of the LWRP policy standards and conditiom cor~i,~ in the con~istanoy review law. Thus, the action should bc analyzed in more detail and, ff necessary, raodifi~l prior to making a deumnin~on that it is ~nsi~t~=nt to the maximum cW~at practicable with the LWRP ~licy standarda and cunditiona. If an action cannot be eeaified as comistent with the LWRP policy standards and condition% ~ shall not be undertaken. we3site (southoldmwn. rt~ . , ); local libraries and th~ Town Clerk s office. /ff~ ~~ DESCRIVrION OF SITE AND PROPOSED ACTION Sou~ Nature m3d e. xtctlt of action: REMOVE AND REPLACE 130 LF OF EXISTING BULKHEAD WITH VINYL BULKHEAD. RAISE BULKH~AD TOP CAP 4' ABOVE EXISTING. IMPORT 130 CY OF CLEAN .!~',ND FILL BEHIND BULKHEAD. PLANT DISTURBED Location of action: 1600 JACKSON STREET, NEW SUFFOLK NY 11956 Site acreage:_ 0.801 RESIDENTIAL Present land use: Present zoning classification: RES 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: JOSEPH D. BRUSCO (b) Mailing address: 71 CHASE ROAD NORTH, SCARSDALE NY 10583 (c) Telephone number: Area Code ( ) 014-714-0266 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No [] lfyes, which state or federal agency? NYSDEC / ARMY CORPS / NYSDOS 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 PROJECT ENHANCES COMMUNITY CHARACTER BY WAY OF A VISUALLY APPEALING AND FUNCTIONAL BULKHEAD. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes [~ No [] 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 R Yes ~ No [] Not Applicable PROJECT ENHANCES VISUAL QUALITY BY PROVIDING A VISUALLY APPEALING BULKHEAD Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~ Yes ~ No [] Not Applicable PROJECT PROTECTS THE LOSS OF LAND AND EROSION DUE TO TIDAL CURRENTS AND UPLAND RUNOFF. 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--[r~ No ~ Not Applicable PROJECT PROTECTS WATER BY WAY OF PROVIDING A BARRIER FOR SEDIMENT EROSION. 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 II1 - Policies; Pages 22 through 32 for evaluation criteria. ~-~ Yes [-~ No [] Not Applicable ACTION HAS NO EFFECT ON ECOSYSTEM. Auach 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 [] Not Applicable ACTION HAS NO EFFECT ON AIR QUALITY. 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 ACTION HAS NO EFFECT CAUSED BY SOLID AND HAZARDOUS WASTE. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ Yes~ No [] Not Applicable ACTION IS LOCATED ON PRIVATE PROPERTY. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. [] Yes [] No [] Not Applicable ACTION IS LOCATED ON A SINGLE FAMILY RESIDENCE Ar,ID UTILIZED TO ACCESS BEACH AND WATER. 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 [] Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [] No [] Not Applicable Created on 5/25/05 11:20 AM December 31, 2012 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 L,. ' Sou~old Towa RE: 1600 JACKSON STREET, NEW SUFFOLK, NY SCTM No. 1000-117-10-12.3 APPUCATION FOR PERMIT Dear Sir/Madam: We hereby submit one original and three (3) copies of the proposed plans, application, check, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 Very truly yours, Center Moriches, NY 11934 RESOLUTION 2013-189 ADOPTED DOC ID: 8608 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2013-189 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON FEBRUARY 26, 2013: RESOLVED that the Town Board of the Town of Southotd hereby waives Trustees' permit fees for any repairs or Oonstruction, that in the sole discretion of the Board of Trustees, are determined to be related to Superstom~ Sandy, until April 1, 2013. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUSI MOVER: Jill Dohe~ly, Scott Russell SECONDER: William Ruland, Councilman AYES: Dinizio ,Ir, Rulaud, Dohcrty, Talbot, Evans, Russell JOSEPH O. BRUSCO 2~7 4 3 5 71 CHASE ROAD NORTH DATE ~lH SCARSDALE, NY 0583-2932 DOLl ARS '~ c bank' ' JACKSON STREET APPROVEI~'-B-~- '-i ~^.~ OF TRUSTEES j 'J' TOWN OF SOUTHOLD ! -- --/' I ~ ; (;PEAT PECONIC BAY FEB 2 5 SouthoJd [o~:n j ~oard NOTES: 1. ELEVATIONS REFER TO N.A.V.D. 2. LOT AREA: .34,878 S.F. / 0.801ACRES 5. PORTIONS OF SITE PLAN FROM SURVEY PREPARED BY: PECONtC SURVEYORS, P.C. P.O. BOX 909 1250 TRAVELER STREET, SOUTHOLD, NY 11971 DATE SURVEYED: OCT. 19, 2009 PROPER~ OWNER: JOSEPH O. BRUSCO 71 CHASE ROAD NORTH SCARSDALE, NY 10583 PREPARED BY: JEFFREY PATANJO 106 HEWI~I- BOULEVARD CENTER MORICHES, NY 11934 631-484-9332 2/22/1.3 PER TRUSTEES COMMENTS DATE REVISION BULKHEAD PERMI? PLANS SCALE: 1 "=40' PROPOSED PLAN DATE: 1-8-13 1600 JACK~ON STREET NEW SUFFOLK, TOWN OF $OUTHOLD SUFFOLK COUNTY, NY SHE~r: TAX MAP NO. lO00-ll?-fO-f2,.$ 1 OF 2 PROJECT LOCATION N.T.S. MAP PROJECT LOCATION PROPOSED 8" TIP CCA / A I LAY-LOG PILE --- PROPOSED 8' TIP CCA PILE, 6' O.C. 8' LENGTH. BOLTED TO LAY-LOG WITH 5/4" BLUFF TO BE RESTORED WITH AMERICAN CAPE BEACH GRASS OR EQUAL -- PROVlOE I.30 CY OF CLEAN SANO FlU. BEHIND BULKHEAD FROM UPLAND SOURCES VIA EXCAVATOR PROPOSED 3"X6" REAR WALE EXISTING BULKHEAD TO BE REMOVED IN TOP CAP 14' LONG 10"# CCA TREATED TIMBER PILE, 6' O.C. I NOTE: REMOVE EXISTING BULKHF_AD STRUCTURE IN ITS ENTIRE'fY ANO INSTALL NEW BULKHEAD IN THE EXACT SAME POSITION AS EXISTING, RAISE ELEVATION TO 4' ABOVE EXISTING TOP CAP. 6"x6" CCA TOP, MID ~' WALE TYPICAL SECTION N.T.S. 12' LONG C-LOC 9000 VINYL SHEETING NOTES: 1. ELEVATIONS REFER TO N.A.V.D. 2. LOT AREA: 34,878 S.F. / 0.801ACRES 3. PORTIONS OF SITE PLAN FROM SURVEY PREPARED BY: PECONIC SURVEYORS, P.C. P.O. BOX 909 1250 TRAVELER STREET, SOUTHOLD, NY 11971 DATE SURVEYED: OCT, 19, 2009 PROPER]Y OWNER: JOSEPH O. BRUSCO 71 CHASE ROAD NORTH SCARSDALE, NY 10583 PREPARED BY: JEFFREY PATANJO 106 HEWllq' BOULEVARD CENTER MORICHES, NY 11934 631-484-9332 DATE REVISION BULKHEAD PERMIT PLANS ~CA,E: N.T.S. PROPOSED SECTION }ATE: ~ I. DCATION MAP NEW SUFFOLK, TOWN OF SOUTHOLD SUFFOLK COUNTY, hrY' SHEET: TAX MAP NO. tO00-ff?-tO-t2.3 2 oF 2