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Home My WebLink AboutTR-8054 James F. King, President Bob Ghosio~ Jr., Vice-preSident Dave Be. vgen $olm Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box 1179 $outh01d, NY 11971 Telephone (631) 765-1892 Fax (63 l) 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 __ Ist day of construction ~ constructed Project complete, compliance inspection IERMIT NO. 8054 118-4-14.2 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK DATE: FEBRUARY 20.~.~.~2013 TO: JOAN M. KEATING QPRT C/O STANLEY J. KEATING ?ERTY ADDRESS: 9275 NASSAU POINT ROAD~ CUTCHOGUE AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in ~ with the Resolution of the Board of Trustees adopted at the meeting held on February 20, 2013, and n 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 for the existing wood bulkhead (100'±) including return and stairway from bluff; replace approximately 18' of retaining wall approximately 8' in height at tallest point using pressure treated posts and whalers with shore-guard 225 O/E sheathing; replace approximately 10'xl0' platform and in-ground support joists; decking of platform to be Trex O/E; joists to be pressure treated; replace damaged stairs and railing at platform with Trex O/E; replace landing and railing with Trex O/E; replace aluminum stairs from landing to beach; and as depicted on the site plan prepared by Michael A. Kimack, last dated on December 23, 2012 and stamped approved on February 20, 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 Joan M. Keating QPRT C/O Stanley J. Keating, residing at 9275 Nassau Point Road, Cutchogue, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with 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. 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 OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Michael A. Kimack 29 Heights Road Fort Salonga, NY 11768 RE: JOAN M. KEATING QPRT CIO STANLEY J. KEATING 9275 NASSAU POINT ROAD, CUTCHOGUE SCTM# 118-4-14.2 Dear Mr. Kimack: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 20, 2013 regarding the above matter: WHEREAS, Michael A. Kimack on behalf of JOAN M. KEATING QPRT CIO STANLEY J. KEATING applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated 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 be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Headng 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 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 JOAN M. KEATING QPRT CIO STANLEY J. KEATING for the existing wood bulkhead (100'+) including return and stairway from bluff; replace approximately 18' of retaining wall approximately 8' in height at tallest point using pressure treated posts and whalers with shore-guard 225 O/E sheathing; replace approximately 10'x10' platform and in-ground support joists; decking of platform to be Trex O/E; joists to be pressure treated; replace damaged stairs and railing at platform with Trex O/E; replace landing and railing with Trex O/E; replace aluminum stairs from landing to beach; and as depicted on the site plan prepared by Michael A. Kimack, last dated on December 23, 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 James F. King President, Board of Trustees JFK/amn James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael $. Domino Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD your application dated I / Z-Z/] ~, , / has been Please be advised that reviewed by this Board at the regular meeting of '2~]Zb/L:~ and your application has been approved pending the completion of the f611owing 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: $ BY: James F. King, President Board of Trustees Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 I) 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 Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of JOAN M. KEATING QPRT CIO STANLEY J. KEATING to replace approx. 18' of retaining wall approx. 8' in height at tallest point using pressure treated posts and whalers with shore guard, 225' of retaining wall; replace approx. 10'X 10' platform and in-ground support joists; decking of platform to be trex and joists to be pressure treated; replace damaged stairs and railing at platform; replace landing and railing; and replace aluminum stairs from landing to beach. Located: 9275 Nassau Point Rd., Cutchogue SCTM#118-4-14.2 Inspected by: John Stein, William McDermott The CAC Supports the application and recommends stabilization plan for the slope. Vote of Council: Ayes: All Motion Carried James F King, President Bob Ghosio. Jr, Vice-President Dave Bergen John gredemeycr Michael J Donlino P.O. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Michael A. Kimack on behalf of JOAN M. KEATING QPRT cio STANLEY J. KEATING requests a Wetland Permit for the existing wood bulkhead (100'_+) including return and stairway from bluff; replace approximately 18' of retaining wall approximately 8' in height at tallest point using pressure treated posts and whalers with shore-guard 225 O/E sheathing; replace approximately 10'x10' platform and in-ground support joists; decking of platform to be Trex O/E joists to be pressure treated; replace damaged stairs and railing at platform with Trex O/E; replace landing and railing with Trex O/E; replace aluminum stairs from landing to beach. Located: 9275 Nassau Point Road, Cutchogue. SCTM# 118-4-14.2 Type of area to be impacted: : Saltwater Wetland Freshwater Wetland Sound /"~BBay Distance of proposed work to e~ge of wetland ~¢.of Town Code proposed w(~rk falls under:' .~_Chapt.275 Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion ___Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Presedt Were: u'/J. King P/B. Ghosio ~'/D. Bergen, ~/~. Bredemeyer ¢""- Michael Domino D. Dzenkowski__ Form filled out in the field by ,~, /L~//~20¢.' other Mailed/Faxed to: Date: OFFICE LOCATION: Town Hail Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 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 Date: February 15,2013 Re: Proposed Wetland Permit for JOAN M. KEATING QPRT cio STANLEY J. KEATING SCTM#1000-118-4-14.2 Michael A. Kimack on behalf of JOAN M. KEATING QPRT cio STANLEY J. KEATING requests a Wetland Permit for the existing wood bulkhead (100'+) including return and stairway from bluff; replace approximately 18' of retaining wall approximately 8' in height at tallest point using pressure treated posts and whalers with shore-guard 225 O/E sheathing; replace approximately 10'x10' platform and in- ground support joists; decking of platform to be Trex O/E; joists to be pressure treated; replace damaged stairs and railing at platform with Trex O/E; replace landing and railing with Trex O/E; replace aluminum stairs from landing to beach. Located: 9275 Nassau Point Road, Cutchogue. SCTM# 118-4- 14.2 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 actions are CONSISTENT with the Policy Standards and therefore CONSISTENT with the LWRP. A grandfathered permit (118-4-14.2) was issued by the Board for the bulkhead, stairs and platform in 1993. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Brederneyer Michael J. Domino Town HallAnnex 54375M~n Road P.O. Box 1179 Soathold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Office Use Only Coastal Erosion Permit Application ZWetland Permit Application Administrative Permit t,~R AmendmenffTransfer/Exfension ece~vved Ap p lic a t io n: ~],~]~_, -~ l//Completed Application ! I ? ,~/I :5 incornplete I - t S EQP,-& Classification: Type I Type II Unlisted ~y=Coordination:(date sent) LWRP Consistency Assessment Form ~,/ CAC Referral Sent: 117~h3 Date of Inspection: I ·l · Receipt of CAC Report: __Lead Agency Determination: ~Technical Review: Public Hearing Held: Resolution: t I ' Name of Applicant Mailing Address Suffolk County Tax Map Number: 1000- /ff~ ~ Prope~y Location: ~2 7~ ff~/~ ~/~~ C (provide LILCO Pole ~, dist~cdto cross s~eets,'~d location) AGENT: ~/~d ~, ~/~/~ (If applicable) Address: /~--~,~,7".J'~t ~ff't ~4 ,,A/- ~. trd of Trustees Applicat~ Land Area (in square feet): GENERAL DATA Area Zoning: Previous use of property: Intended use of property: C69enants and Restrictions on property? If "Yes", please provide a copy. Yes ~ No Will this project require a Building Permit as per Town Code? Yes ~ No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? If"Yes", please provide copy of decision. Yes J~ No Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes j>( No Does the structure (s) on property have a valid Certificate of Occupancy? ~ Yes __No Prior permits/approvals for site improvements: Agency Date No p~or pe~its/approwls for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ,~( No Yes If yes, provide explanation: Project Description (use attachments if necessaw):ff~ e~ ~~ /~ W~ ff~ e o~ T~us~ees Applic&ti~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: qT~t~ ~,~'.,4Z././2 /~z~"P-~./,,n.//,~,/t~' Area of wetlands on lot: ~ ~ ~ .square feet Percent coverageoflot: ~O -- % Closest distance between nearest existing structure and upland edge of wetlands: -- t9 ~- feet Closest distance between nearest proposed structure and upland edge of wetlands: "-'l~ ~ feet Does the project involve excavation or filling? No ~" Yes If yes, how much material will be excavated? -- t? ~ cubic yards How much material will be filled? ~ ~'~_,,~ cubic yar ds .---~ (,,~ ~-,~,t~-~I~>Y feet Depth of which material will be removed or deposited: ,~- Proposed slope throughout the area of operations: ._,~._~ Manner in which material will be removed or deposited:~l~g~- PLY Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) APPLICANT / SPONSOR SEQR 2. PROJECT NAME /f_~'.,,~,,,~/.,,?J'?-,~,~/.4,,~;~,~.~ 3.PROJECT LOCATION: County M,nictp ,ty c4..,Tc,qn //zF_ 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map i 7. AMOUNT OF LAND AFFECTED: Initially /~../,~ acres Ultimately ~,j~ acres $.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~.Yes [] No If no, describe bdefly: 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~ Residential ~] Industrial E~ Commercial ~--~AgricuRure E~ Park / Forest / Open Space E~ Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ~Yes [~ No If yes, list name and / agency permit approval: h' q/ /_) cz: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes ~No If yes, list agency name and permit / approval: 12. AS A RRE..~ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [~Yes"~ No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE SEST OF MY KNOWLEDGE /.-// App,i ant, .a e If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT {To be completed by Lead Agency) A. ODES AC~TION EXCEI=D ANy TYPE 13~IRESHOLD iN 6 NYCRR, PART 617.47 If yes, com'dinate the review process and use the FULL EAF. I-I17I.o B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negath~e dedarati<m may be supecseded by another invelved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED W1TH THE FOLLOWING: (A~swers may be handvattten, if legible) C1. Existing air quality, sudace or groundwater quality or quantity, noise levels, ex/sting Eaffic patiem, solid waste p~oducben or disposal, po{entiaf fo~ oroslen, drainage or Iloeding i)m~ems? Explain bdeliy: C3. Vegetalion or f~'b'na, ash. =; ,~--{;,'~, or w,'~;;,'~ spedes, significa ni habital~;';~' ~r'. =a[=,,ed or eedangeead species? Explain briefly:. C4. A communib/'s existlr~g p~ans or goals as offk~#y adopted, o¢ a change in Use o~ in I C6. Long term. short [ecm. cumLIla{iye or offier effects rloi'ide~lieq in C1 C5'~ Explain b6efly: D. VVILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONM[=NTAL CHARACTER{$TICS THAT CAU$[=D TH[= ESTABLISHMENT OF A CRITICAl ENVIRONMENTAL AREA (CEA ? [] Yes .[] No I (If).es, explain briefly: E. IS ,~ ~*~'~-'-, OR S THERE LIKELy TO BE CONTROVERSy RELATED T'~ .............. . .... .. PART III - I~: ~ ~ ;.~L'~.TIGN OF SIGNIFICANCE (To be comple{ed by Agency) INSTRUCTIONS: Foreaohadvemeeffe~tldefltifiedabove, dutermlnewhelher#lssubstml~al, large impertantorolflerwiseslgalficanL Each eifect sh<:mld be assessed in ~onnecticn with ils ia) seUIng (i.e. mban or rural); (b) probability of o~cuning; (c) duration; id) ~ (e) geographic scepe;, and if) magnitude. If neoessary, add a(tachments or reference supp<~liag materials. Ensure that explanations coat=in. Cbeek ti~ bex If Y°u ha~e ;'J~ '~d ane ~ ,,'~ ~' ~,o~,~A.~y la~ge or stgnlticent ~ ~ ~ ~y ~. Then proceed dkentiy to ~e FUIJ EAF aneVer prepare a POSl6ve decibra~x~' Check ~ box/~you have dete~nlned, based on Ihe In~ormatien and analysis above and any suppo~tlng do~menlstion. ~ the prepared WILL NOT result In any slgni~ant adveme environmental determination. ImpacSs AND provide, on attachments as necessa~/, the masons suppaeting ~hi= Board of Trustees Name of Lead Agen~c7 Pdr~ br Type Name of Responsible Officer in Lead Agency ,,l~g na lure of Responsible Officer in Lea,~ency Dale President Tilie of Responsible Off]mr Signalum of Preparer (If different from responsible officer) James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone {631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of JOAN M. KEATING QPRT c/o STANLEY J. KEATING COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, _A~_/C/.//'~c'~. ~ ,~'/_A~9 C~::: , residing at/dba being duly sworn, depose and say: That on the.,~' day of ~. ,201~,, I personally posted the property, known as 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 Wednesda,y~ February 20~ 2013. Dated: (signature) Sworn to before me this day of~¢ 20/> FEB 12 2013 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: CO STATE OF NEW YORK COUNTY OF SUFFOLK ' , b~ing duly sworn, d~pos~s and sd~s tha~ on th~ - ~ day ot ~~ ,20~, d~pon~nt mailed a t~ copy of ~ Notic~ set fo~h in ~e Board of T~st~es Application, directed to ~ach otth~ abov~ named p~rsons at the addresses s~t opposit~ th~m r~spective names; that th~ addresses s~t opposit~ th~ n~s of said p~rsons ~ th~ address otsaid p~rsons as shown on th~ cu~nt assessment roll otth~ Town of Sou~old; that said Notices w~re mailed at th~ United States Post Office at ~T~ ~ ~ , that said Notices were mailed to each of said persons by CERTIFIED MAILm~U~CEIPT. Swom to before me this Day of/ffe~b ~,,7 ,20 Notary Public NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be hel.d by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Ma~n Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: SUBJECT OF PUBLIC HEARING: For the existing wood bulkhead (100'+) including retum and stairway from bluff; replace approximately '18' of retaining wall approximately 8' in height at tallest point using pressure treated posts and whalers with shore-guard 225 O/E sheathing; replace approximately '10'x'10' platform and in-ground support joists; decking of platform to be Trex O/E; ioists to be pressure treated; replace damaged stairs and railing at platform with Trex O/E; a nd railind i..irjx__,l,~ j~j replace landing it ~lace aluminum stairs from landing to beach. TIME & DATE OF PUBLING: tl~: invited to view the Town file(s) If youan interest in s project, you are which are available for inspectionprior to the day of the hearing during normal between business days the hours o[8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Bo&O of Trustees Application County of Suffolk State of New York d ~/ 7~ BEING DULY SWORN DEPOSLiS 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 TO~ OF SOUTHOLD AND THE TO~ TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARIS~G ~DER 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 ~SPECT THE PREMISES ~ CONJ~CTION WITH REVIEW OF THIS APPL~ATION. Signature of Prope~y Owner SWORN TO BEFORE ME THIS DAY OF ~"~t~{~rl~ ,20. 13 Boa~f Trustees A~plication AUTHORIZATION (where the applicant is not the owner) I, -~7'f,q.Id e-~r(t, ~_/. ~="-{4 Z/WU, residing at ~J'/~W~-~7~&/~ (print owner of property) (mailing address) c~/r~.y',~/~.,(dp'; O_~ j'- t~ ~ g) ~7d9 do hereby authorize (Agent) ./~. 1_~'~/.~-~'_ ~. ~L?/'f~/~-~ to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics uwhibits conflicts of interost on the vail. of town officers and emnlovees. The uurcose of this form is to urovidn information which can alert the town oftmssible conflicts of interest and allow it to take whatever action is neeessarv to avoid same. YOURNAME: /t~./~.~ ,,~, ,~,~.,,~.~.~.~. ~::~.f'~. (Last name, first name. ~niddle 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 Variance Change of Zone Approval o£plat Exemption from plat or official map Other (If"Other', name the activity.) ~:~ Building Trustee Coastal Erosion Mooring Planning Do you pemonally (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 applicantYagentYrepresentative) 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, parme?, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this Signature Print Name Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A f~ Od /.//~ .'~ ~./'~/,Z, STORM-WATER, GRADINGt DRAINAGE AND EROSION CONTROL pLAN District section Block Lot C"~iriED BY A DESIGN PROFEESIONAL IN THE STATE OF NL=W YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WOP, KASSF_.SSMF~VI' I Yes No a. What is the Total Area of the Project Parcels? (Include Total Ama of all Parcels located within ~t~.~/ ~ ,, · ~, I Will this Project Retain Alt Storm-Water Run-Off the Scope of Work for Proposed Construction) ~tT~ Generated by a Two (2") Inch Rainfall on Site? b. What is the Total Area of Land Cleadng (s.F.~ Acme) (This item will inctude all run-off created by site and/or Ground Disturbance for the proposed ~" ~ Z:~ ff'~3. ~C-7' clearing and/or construction activities as well as all Site Improvements and the permanent creation of construction activity? ~ impervious surfaces.) <s.~, ^~,) 2 Does the Site P~an and/or Survey Show All proposed --,- .~,L~.,e'~ ~'~ b~lq, O m~'l~/,~r'Jl~/~r'~,~r Drainage Structures Indicating Size & Location? This ~'_, .~_ ~'~ ~,~y ~__~ff~ ~,r,~_~.~r~,~ Item shall include all Proposed Grade Changes and -- ~.~_~,~ C~' ~J~.,,~/~',,~ /~::~ ~..~. /~--~,f~/~//~ ~ Stopes Controlling Surface Water Flow. //~','~/-- ~(~A,~Y'~x'~,~./.~_/~,~/~ %~-,~_.,~z~,,-~ 3 ooes (he Site Plan and/or Survey descdbe the erosion -and sediment control prac0ces thai will be used to - ' - ' ' control site erosion and storm water discharges. This -- J~--~'~' /,~/~/~,//'V~.~ ~/ ,/~./~' item must bo maintained throughout the Entire Construction Pedod. ------------------.~U~£'~//~.A/~_)/~///I//~/,/~/,/'~',,z~,,'~f' 4 Wi]l this Project Require any Land FIIling, Gradingor Excavation where there is a change to the Natural ~-~C'./~c-'~' ~"~/~" ~ /J~'/~-~/~/~---~ Existing Grade lnvolving more than 200 Cubic Yards ~P"~//~ P+~&~n~'~)~'~P-w~ ~/~-~/,~/h of MatedatwRhinanyParcet? 5 Witi this Application Require Land Dislurbing Activities r'~ ~'/V ,~ ,,l(/~'/"//~& ..J~/,~.~' . Encompassing an Area in Excess of Five Thousand~L~ (5,000 S.F.) Square Feet of Ground SurFace? -- J'L' O~ ~' ,fi'~/A//~/-/~F~' ,~',F--~_A/ 6 Is there a Natural Waler Course Running through the -,/,'./..,~ ~ c~--~., ~, /Z,~7'~z.C i Site? ~ this Project withi. Ihe Trustee~ jurisdi~tio. General DEC SWPPP Requirements: Or within One Hundred (100') feet of a Welland or STATE OF NEW YORK, t"~ ~ ~ ,-- COUhFI'Y OF ... _ ..~../,~/Z'~....W...~...[~ ........ $$ And that he/she is the .............. · .... , ( . ':"~' .~ ;~; .;~; .................... Owner and/or representative of the Owner or Owners, and is duly ~uthorized (o perform or have performed thc said work and make and file this application; that all statemenL$ contained m this application arc t~u¢ to thc best of his knowledge and belief; and that thc work wi]] be performed in thc manner sci £orth in thc appJic;~don filed bercwith. Sworn to be£orc mc this; .................. ............. or .................. __ FORM - 06/10 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si~ificant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3~ If any question in Section C on th/s form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- sutmorting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: website (southoldtown.northfork.net), the Board of Tmste~ JAN 2 2 Southold Town Bgar[l of I'¢usteos mt, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM 2 PROJECT NAME The Application has been submitted to (check appropriate response): TownBoara [] Planning Board ~--] Building Dept. [] BoardofTrustees 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) Co) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license,-certification: Na~e ~d e~ent of action: ~ Y Y~Y~YLU~ff~Ct) Location of action: Site acreage: Present land use: Present zoning classification: If ~ application for the proposed action h~ been filed M~ ~e Tom of Sou~old agency, ~e follo~ng i~o~ation sh~l be provided: (a) Nme ofapplic~t: ~ (b) M~ling address: (c) Telephone number: Area Code ( ) (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~ No [] If yes, which state or federal agency? ~'.f'2~'C~/~/') _g'~0 ~_ C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide ali proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [~] Yes [] No ~1 Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ~-~ Yes ~-~ No [] Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IH - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~ No ~Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LwRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - PoliCies Pages 16 through 21 for evaluation criteria Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [] Yes [] No [~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria Yes Not NotApplicab,e 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. V--] Yes[-] No.~NotApplicable Attach additional sheets if necessary WORKING COAST POLICIES Policy I0. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. ~ Yes [--] No .[~ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes [-~ No ~2~ 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 Board of Town Trustees Town of Southold ~,# 2 2 ~ 3 -W $0uthold ~'o v¢,~ Application for permit under Chapter 275 :land~ ~St~r~elines For: Keating prope~: 9275 Nassau Point Road, Cutchogue, N.Y. 11935 275-6 Application responses as numbered: (1) See authorization form a~ched (2) Schedule: The rebuilding of the re~ining wall, platform and landing, the repair of the steps and railing and the replacement of the aluminum staircase would take approximately 2 weeks after receipt of the permit to proceed (3) Purpose: to replace in kind the retaining wall, landing, platform and s~ircase and repair lower poAion of staircase that had existed prior to hurricane Sandy. (4) A minimal amount of material may need to be removed (< 5 yds.). The slope has been rebuilt to i~ original configuration which required approximately 650 yards of sand. The slope was covered with burlap and replanted with beach grass at 1 ff. o/c (5) Area: Standing on the upper landing of the s~ircase in photo ~1 and looking west across the refilled and planted slope. S~nding on the existing overhang in photo g 2 and looking easterly across the replanted slope, the bosom of the s~ircase is the location of the proposed new platform, landing and aluminum pull up s~ircase. S~nding on the overhang in photo ~ 3 shows the damaged retaining wall to be replaced. (6) Material will be moved to the site and deposited using a rubber tracked front end loader traveling on preplaced pl~ood to protect the existing vege~tion from further damage. (7) Su~ey: See su~ey a~ched. Su~ey dated Sept. ~990, shows the existing staircase and the platform and landing which were lost due to hurricane Sandy. The re~ining wall is not shown on the su~ey. However, the property has a granfathered permit issued in 1993 that refers to repair of a bulkhead. (8) See survey attached (9) There are no wetlands or tidal waters within the proposed work area. (10) There have been no previous operations on the property without a permit. There had been no permits previously issued for the proposed work. (11) See N.Y.S.D.E.C./U.S.A.C.E joint permit application attached (12) Erosion on the site is has been mitigated by the restabization of the slope and bank. (13) Current photos: see attached (14) Discretion of the Board (15) Save harmless form: see application (16) Ethical disclosure statement: see application (17) False information statement: see application (18) LWRP Consistancy Assessment form: Project should qualify as a minor action exemption (B). Form filled out reflecting project impact relative to the listed sections. A. Filing fee of $250.00 is attached RESOLUTION 2013-189 ADOPTEI) 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 Southold hereby waives Trustees' permit fees for any repairs or bonstruction, that in the sole discretion of the Board of Trustees, are determined to be related to Superstorm Sandy, until April 1, 2013. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED IUNANIMOUS} MOVER: Jill Doherty, Scott Russell SECONDER: William Ruland, Councilman AYES: Dinizio Jr, Ruland, Doherty, Talbot, Evans, Russell J APPROVEDBY ~ 'l BOARD OF TRUSTEES ~ 0___. ~ J V_ _~ JJ TOWN OF SOUTHOLD jl