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HomeMy WebLinkAboutTR-8070 Glenn Goldsmith,President �QF S�(/ry Town Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III [ Southold,New York 11971 A.Nicholas Krupski en �r G Q Telephone (631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 13, 2020 David Jude Jannuzzi P.O. Box 1672- Mattituck, NY 11952 RE: 1470 JACKSON ST., LLC 1470-JACKSON STREET, NEW SUFFOLK SCTM# 1000-117-10-11 Dear Mr. Jannuzzi: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, February 12, 2020: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#8070 from Manning Credit Shelter Trust Mannview LLC c/o Philip Manning to 1470 Jackson St. LLC, as issued on February 20, 2013. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Glenn Goldsmith, President Board of Trustees GG/dd 'e Michael J.Domino,President �riF otip Town Hall Annex John M. Bredemeyer III,Vice-President ,`Q� ��� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 'rourm,��' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1668C Date: December 28, 2019 THIS CERTIFIES that removal and replacement of 100 linear feet of existing bulkhead with vinyl bulkhead,• raise bulkhead top cap elevation 4' above existing; import 130 cubic yards clean sand fill' behind bulkhead; plant disturbed bluff with beach grass; reconstruct 32 square feet timber platform and steps to beach;with the conditions that platforms and-stairs be moved onto applicant's property;platforms not to exceed 100 sq ft•to establish and subsequently maintain a 10' wide non-turf buffer at top of bluff, and bluff to be vegetated with native plantings; At 1470 Jackson Street,New Suffolk Suffolk County Tax Map#1000-117-10-11 Conforms to the application for a Trustees Permit heretofore filed in this office Dated Janugry 29, 2013 pursuant to which Trustees Wetland Permit#8070 Dated February 20, 2013,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for removal and replacement of 100 linear feet of existing bulkhead with vinyl bulkhead;raise bulkhead top cap elevation 4' above existing,• import 130 cubic yards clean sand fill behind bulkhead,• plant disturbed bluff with beach grass; reconstruct 32 square feet timber platform and steps to beach;with the conditions that platforms and stairs be moved onto applicant's property platforms not to exceed 100 sq ft• to establish and subsequently maintain a 10' wide non-turf buffer at top of bluff,• and bluff to be vegetated with native plantings. The certificate is issued to Manning Credit Shelter Trust Mannview LLC c/o Philip Manning owner of the aforesaid property. Authorized Signature CC# : C20-1350 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 01/03/2020 under Liber D00013042 and Page 591 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 01/09/2020 SUFFOLK COUNTY� CLERK JUDITH A.PASCALE SEAL IlII I I I I I (IIIIIIIIlilll!lIIIIIII Illi II 1(1111( 1 I 1111111 111111 IIIII IIlli Illi 1111 d SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 01/03/2020 Number of Pages: 4 At: '11:33:33 -AM Receipt Number : 20-0001-308 LIBER: D00013042 PAGE: 591 District: Section: Block: Lot: 1000 117 .00 10.00 011.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $0.00 NO RPT $200.00 NO Fees Paid $260.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County NumbeF•of pages_ - RECORDED 2020 Jan 03 11:33:W API - ----- JUDITH A. PASCALE This document will be public' ' CLERK OF SUFFOLK COUNTY record. Please remove all 042 Social Security Numbers Lap 591 c prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps FEES Page/Filing Fee _„ Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax -------------- TP-584 Sub Total Notation Spec JAssit. '- or EA-52 17(County) Sub Total Spec,/Add. EA-5217(State) TOT.MTG.TAX _ R.P.T.S,A,' Dual Town Dual County_ Held for Appointment Comm.of Ed. ' 5. 00 Transfer Tax Mansion Tax Affidavit —The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only, Sub Total YES or NO Other _ Grand Total (/ If NO,see appropriate tax clause on page# of this instrument. 4 1 Disc. 4024754 1000 11700 1000 oli000 $ Community Preservation Fund Real Property / P T S Consideration Amount,$ Tax Service R SMI A Agency, 02-JAN-M CPF Tax Due S Verification — Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: _ 4 Vacant Land P11 j,Q/Gift G / TD TD y 7/ TD Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Com2any Information - 310 Center Drive, Riverhead, NY 11901 www,suffolkcountyny.gov/clerk Title# A•-,3 3 y 8 Suffolk Count Recording & Endorsement Page This page forms part of the attached made by: /, (SPECIFY TYPE OF INSTRUMENT) �"7 7rJ_ The premises herein is situated in SUFFOLK COUNTY,NEW YORK. ' TO In the TOWN of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST RR TYPRD OR PRINTF,T)IN RT-,Ar;(TNu nM v PPTnR Tri acrnonirrr.no RTT Tnrr. DECLARATION OF COVENANTS THIS DECLARATION made this 20- day of December, 2019, by 1470 Jackson St. LLC., 1470 Jackson St., New Suffolk, NY 11935, hereinafter referred to as "DECLARANT": W I T N E S S E T H WHEREAS, DECLARANT is the owner(s) of certain real property located 1470 Jackson Avenue, New Suffolk, NY, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 117.00, Block 10.00, Lot 011.000 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 10' wide non turf buffer at the top of the bluff adjacent to and landward of bulkhead and; WHEREAS, the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the Property. NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows: 1) Upon the substantial dompletion of the aforementioned permitted activities there shall be established and perpetually maintained a 10' wide non turf buffer as defined by Chapter 275 of the Town Code, to wit: "A designated area where turf grass, pesticides and fertilizers are not permitted." and as depicted on the site plan prepared by Jeffrey Patanjo, last dated February 22, 2013 and stamped and approved on March 22, 2013, s y and 2) These covenants shall run with the land .and shall be binding on the DECLARANT(S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this _^_ day of December 20, 2019. 1970 acks St. LLC. By, David . Levi, Managing Member STATE OF NEW YORK ) COUNTY OF drfO-4,K ss: , On the Oz'lr day in the year 20/9, before me the un ersigned, a Notary Public in and for said State, personally appeared 1,141 ,C ,LFdi , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature(s) on the instrument, the individual or the persons on behalf of which theji vidual(s) acted, executed the instrument. Notary F is ,ST DWEC fpyt 14 ©H NMAR PUSUP,STATE Eyy YOAF� 2 Istrattai No.01814908884 :OuWad'tn 80o(lt ,Gorrtrntasror�;�xptre�_oc60�Q2f SCHEDULE A,DE8CftIPT1ON + ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Village of New Suffolk, Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows: BEGINNING at a point on the southerly side of Jackson Street, distant 231.57 feet westerly from the comer formed by the intersection of the southerly side of Jackson Street with the westerly side of Fifth Street; f f F RUNNING THENCE South 6 degrees 08 minutes 20 seconds West 421 feet to the ordinary , ; F high water mark of Great Peconic Bay as it existed and as shown on a survey by Van Tuyl " and Son, Licensed Land Surveyors, dated May 24, 1957, and continuing along said course for a total of 449.26 feet to the ordinary high water mark of Great Peconic Bay as of ', 10/22/2019; THENCE along said high water line the following eight (8) courses and distances: 1. South 52 degrees 28 minutes 54 seconds West, 5.42 feet; 2. North 64 degrees 05 minutes 04 seconds West, 15.37 feet; 3. North 70 degrees 23 minutes 33 seconds West, 11.85 feet; 4. North 75 degrees 01 minutes 59 seconds West, 14.57 feet; 5. North 88 degrees 08 minutes 26 seconds West, 15.80 feet; 6. South 80 degrees 12 minutes 33 seconds West, 9.87 feet; 7. South 83 degrees 03 minutes 58 seconds West,26.58 feet; 8. North 71 degrees 33 minutes 42 seconds West, 4.67 feet; , THENCE North 6 degrees 08 minutes 20 seconds East, 424 feet, plus accretions resulting in a total distance of 451.47 feet to the southerly side of Jackson Street; THENCE along the southerly side of Jackson Street, South 84 degrees 00 minutes 00 seconds East, 100.00 feet to the point or place of BEGINNING. FOR CONVEYANCING ONLY:Together with all right,title and interest of,in and to any streets and roads abutting the above described premises,to the center line thereof. J Michael J.Domino,Presidt �Ogl1FF0(,�CO Town Hall Annex John M. Bredemeyer III,Vice-Pre§Ia Vnt ��� `��� - 54375 Route 25 Glenn Goldsmith c a P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams ?' p'r Telephone(631)765-1892 Fax(631)765-66,41 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: %-7 Completed in field by: N, David Jude Jannuzzi on behalf of 1470 JACKSON ST. LLC requests a Transfer of Wetland Permit #8070 from Manning Credit Shelter Trust Mannview LLC c/o Philip Manning to 1470 Jackson St. LLC, as issued on February 20, 2013. Located: 1470 Jackson Street, New Suffolk. SCTM#: 1000-117- '10-11 CH. 275-3 SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100'feet- 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 V// Ch. 111 SEQRA Type: 1 II Unlisted Action Type.of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: kdca�s , I have read & acknowledged the foregoing Trustees comments: u Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other U Michael J. Domino,President ��OF SOTjyO Town Hall Annex John M. Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 CAV A.Nicholas Krupski • Telephone (631) 765-1892 Greg Williams O Fax(631) 765-6641 ��CAUtM,�c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: �a�a�//9' Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale-line/silt boom/silt curtain 1St day of construction Y2-constructed Project complete, compliance inspection. INSPECTED BY: L , Y(Uppy'\; COMMENTS: C)IC '�a l S3Jt, 1 1 1 TIFICATE OF COMPLIANCE: Glenn Goldsmith, President Qf S0(/TTown Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 d P.O.Box 1179 John M.Bredemeyer III Southold, New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 coum BOARD OF TOWN TRUSTEES ; TOWN OF SOUTHOLD � w JAN 13 2020 y 5 APPLICATION FOR TRANSFER OF WETLAND Pi1RMIT;;:.-.,-----; DATE: PROPERTY OWNER NAME: j� ��'7�-1d /by fes/y MAILING ADDRESS: (� PHONE: AGENT: PHONE : L(/ (�2 ADDRESS: PROPERTY LOCATION: f`l � sd' `S� R(y SilFrAUL TAX MAP NO.: I/Wel1 dA) S%L,�--C request a Transfer of Permit # from A S LL Signed b : 9 Y C��� Board of Trustees App*- - - on AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM# 1000- l / — / y ^ / in the town of New York hereby authorizes t1 .I U D 2 646U&UO2-'21 to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. �U /" roperty Owner's Signature Property Owner's Signature 7 SWORN TO BEFORE ME THIS DAY OF 20 �C7 �v No blic ' BETSY A.PERKINS Notary Public,State of New York No. 01 PE6130636 Qualified in Suffolk Coun�� Commission Expires July 18, I Board of Trustees App ion AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED-HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner /�:e4 SWORN TO BEFORE ME THIS /3 DAY OF J , 20 No ublic BETSY A.PERKINS Notary Public,State of New York No.01 PE6130636 Qualified in Suffolk Coun / Commission Expires July 18, I James F. King, President B~b Ghosio~ Jr., Vice-PtCesiden~ . Dave Bergen · John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. Southbld, 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 bale line 1st day of construction ½ constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8070 DATE: FEBRUARY 20~ 2013 ISSUED TO: MANNING CREDIT SHELTER TRUST MANNVIEW LLC C/O PHILIP MANNING PROPERTY ADDRESS: 1470 JACKSON STREET~ NEW SUFFOLK SCTM# 117-10-11 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 thc following: Wetland Permit to remove and replace 100 linear feet of existing bulkhead with vinyl bulkhead; raise bulkhead top cap elevation 4' above existing; import 130 cubic yards clean sand fill behind bulkhead; plant disturbed bluff with beach grass; reconstruct 32 square foot timber platform and steps to beach; with the conditions that platforms and stairs be moved onto applicant's property; platforms not to exceed 100 sq. ft.; to establish and subsequently maintain a 10' wide non-turf buffer at top of the bluff; and bluff to be vegetated with native plantings; 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 Manning Credit Shelter Trust Mannview LLC C/O Philip Manning, residing at 1470 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 Trnstees, 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 subjeet 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 OF TOWN TRUSTEES TOWN OFSOUTHOLD Mr. Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: MANNING CREDIT SHELTER TRUST MANNVlEW LLC CIO PHILIP MANNING 1470 JACKSON STREET, NEW SUFFOLK SCTM# 117-10-11 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 MANNING CREDIT SHELTER TRUST MANNVlEW LLC CIO PHILIP MANNING 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 29, 2013, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 20, 2013, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 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 MANNING CREDIT SHELTER TRUST MANNVIEW LLC CIO PHILIP MANNING to remove and replace 100 linear feet of existing bulkhead with vinyl bulkhead; raise bulkhead top cap elevation 4' above existing; import 130 cubic yards clean sand fill behind bulkhead; plant disturbed bluff with beach grass; reconstruct 32 square foot timber platform and steps to beach; with the conditions that platforms and stairs be moved onto applicant's property; platforms not to exceed 100 sq. ft.; to establish and subsequently maintain a 10' wide non-turf buffer at top of the bluff; and bluff to be vegetated with native plantings; 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 Very truly yours, James F. King President, Board of Trustees JFK/amn James F. King, Pr~ident Bob Ghosio, Jr., Vic. c-President Dave Bergen loire B~cdemeyer Michael J. Domino Town Hall Annex 54375 Route 25, P.O. Box 1179 $outhold, NY 11971 Telephone (631 ) 765-1892 Fax (63 I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTFIOLD Please be advised that your application dated J 7-Z~'//I-~ ~ I has been reviewed by this Board at the regular meeting of ' ~ ~-1'2 0/~,~ and your application has been approved pending the completion o~f t~e/following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 st 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 JACKSON ¸-26 APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE % I~ GREAT PECONIC BAY NOTES: t. ELEVATIONS REFEE TO NAVD88 DATUM 2. LOT ARM: 46,552 S.F. / 1.0656 ACRES 3. PORTIONS OF SITE PLAN FROM SURVEY PREPARED BY: JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN ST., RIVERHEAD, NY SURVEY DATED 5/20/2010 2/22/15 PER TRUSTEES COMMENTS 2/6/15 PER NYSDEC COMMENTS 2-4-15 DATE REVISION BULKHEAD PERMIT PLANS SCALE: 1470 JACKSON STREET NE~ SUFFOLK, TOFYN OF $OUTHOLD SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-117-10-11 1 or 2 PROPERTY OWNER: MANNING CREDIT SHELTER TRUST MANNVIEW LLC 71 CHASE ROAD NORTH SCARSDALE, NY 10583 PREPARED BY: JEFFREY PATANJO 106 HEWITr BOULEVARD CENTER MORICHES, NY 11934 651-484-9532 New Suffolk o PROJECT LOCATION PROJECT LOCATION MAP N.T.S. STEPS PLATFORM BLUFF TO BE RESTORED WITH AMERICAN CAPE BEACH GRASS OR EQUAL PROVIDE 130 CY OF CLEAN SAND Fill BEHIND BULKHEAD FROM UPLAND SOURCES VIA EXCAVATOR -PROPOSED 52 S.F, TIMBER PROPOSED 3"X6" PROPOSED B" TIP CCA LAY-LOG PILE PROPOSED 8" TIP CCA PIL~, O.C, B' LENGTH. BOLTED LAY-LOG WITH .3/4' GALVANIZED THRU-DOLTS. PROPOSED 14' LONG 1" DIA. EXISTING BULKHEAD TO BE REMOVED IN STEPS TOP CAP 14' LONG 10'¢ CCA TREATED TIMBER PILE, 6' O.C. NOTE: REMOVE EXISTING BULKHEAD S1RUCTURE IN ITS ENTIRETY AND INSTALL NEW BULKHEAD IN THE EXACT SAME POSITION AS EXISTING. RAISE ELEVATION TO 4' ABOVE EXISTING TOP CAP. PROPOSED 6"x6" CCA TOP, MID & BO1TOM WALE TIMBER STAJRS TO BEACH TYPICAL SECTION N.T.S. PROPOSED 12' LONG C-LOC 9000 VINYL SHEETING NOTES: 1. ELEVATIONS REFER TO NAVD88 DATUM 2. LOT AREA: 46,332 S.F. / 1.0636 ACRES 3. PORTIONS OF SITE PLAN FROM SURVEY PREPARED BY: JOHN C. EHLERS bAND SURVEYOR 6 EAST MAIN ST., RIVERHEAD, NY SURVEY DATED 5/20/2010 2/6/15 PER NYSDEC COMMENTS 2-4-13 DATE REVISION BULKHEAD PERMIT PLANE SCALE: N.T.S. PROPOEED EECTION DATE: ~. LOCATION MAP ~-~o-~3 ,4~o .JAcrsoN STREET NEW SUFFOLK, TOWN OF SOUTHOLD ~UFFOLK COUNTY, ~ SHE~: TAX MAP NO. fO00-tl?-fO-ft ~ oF 2 PROPERLY' OWNER: MANNING CREDIT SHELTER TRUST MANNVIEW LLC 71 CHASE ROAD NORTH SCARSDALE, NY 10585 PREPARED BY: JEFFREY PATANJO 106 HEWlTr BOULEVARD CENTER MORICHES, NY 11934 631-484-9332 ~E:,Ut:Z. VE~ OF= Pt~OPEI~.T'Y' TO~N, E~::~UTHOI.~ w-,~ ~.-E ~UI=FOLK C,,OUNT~, N'T' ~Ul~."Cff'rl~ 0~-20-20J0 t;2~=V'ISED 0~-22-2011, E~JFFOLK C, OUN'PT' TAX, # ~ TO~,~N ~TER I000 - II-/ - I0 - II ~,,,,-~-.,~,.,~o: ~"JACK~GON STREET~. ~ I IZ~-~./\/,,/ I PROPOSED STUDIO SEPTIC % IOOO ~AL. 5,.T. ~'~'~..LI II Teet. Hole **1 b~t (I) LP 8' DIA. 12' DEEP I P~POSED I~O ~AL. 5.t. IO DIA. (~) LP ¢' DIA. 6' DEEP T¢5~ Hole ~2 H~Pona Id ~8oscience ....... --m~ ~7' % ~l~Ar ..... l NY5 LICENSE NO 52510 PEHA FIRM MAP ~OlOBO501H ~15~ ~. 25, 20~ EXISTIN~ ~lC TO BE ~0~ AND PI~ED ~ITH ' o~,. ~.~ .~ ,~ ~.oo...~. ~.~.~ JO~ C. E~.ERS L~ S~VEYOR 6 ~T ~ ~T N.Y.S. ~C. ~O. 5~ ~ - ~.CAU~~bx~10~l~127 u~ ~-~11.~ 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 Doug Hardy, it was RESOLVED to SUPPORT the Wetland Permit application of PHILIP MANNING to remove and replace 100 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. of clean sand fill behind bulkhead, plant disturbed bluff with beach grass and reconstruct 32 sf. timber platform and steps to beach. Located: 1470 Jackson St., New Suffolk. SCTM#117-10-11 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 20' non-turf buffer. Vote of Council: Ayes: All Motion Carried James F King, Presidcnl Bob Ghosio, .Ir, Vicc-Presidenl Dave Bergen John Bredemeycr PO Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: r ~ ~ ~ ~ 3¢/.,_~ 2,' '' ~ deffery Patanjo on behalf of MANNING CREDIT SHELTER TRUST MANNVIEWE LLC, cio PHILIP MANNING requests a Wetland Permit to remove and replace 100 linear feet of existing bulkhead with vinyl bulkhead; raise bulkhead top cap elevation 4' above existing; import 130 cubic yards clean sand fill behind bulkhead; plant disturbed bluff with beach grass; reconstruct 32 square foot timber platform and steps to beach. Located: 1470 Jackson Street, New Suffolk. SCTM# 117-10-11 Type of area to be impacted: __Saltwater Wetland Freshwater Wetland Sound ~/Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ~,E;hapt.275 __Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: ///J, King "~B. Ghosio ~D. Bergen, '-/J. Bredemeyer_ ~' Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: Photo I V~ January 25, 2013 NYS Del)t. of Environmental Conservation SUNY ¢~ Stony Brook 50 Circle Road Stony Brook, New York 11790-2356 Attention: Duty Analyst 1470 JACKSON STREET, NEW SUFFOLK, NY SCTM NO. 1000-117-10-11 APPLICATION FOR PERMIT Dear Sir/Madame: We hereby submit four (4) copies of the proposed Hans, 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 do not hesitate to call me at 631-484-9332. Very truly yours, J~ey Pata~ 106 Hewitt Blvd. Center Moriches, NY 11934 CC' Army Corps of Engincc,-s NYSDOS ~ of Soulhold Trustees Philip Manning New York State ]OTNT APPLTCATZON FORH For Permits/Determinations to undertake 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. NYS Department of Environmental Conservation Check all permits that apply: [] Stream Disturbance [] Excavation and Fill in Navigable Waters [] Docks, Moorings or Platforms [] Dams and Impoundment Structures [] 401 Water Quality Certification [] Freshwater Wetlands [] Tidal Wetlands [] Coastal Erosion Management [] Wild, Scenic and Recreational Rivers [] Water Supply [] Long Island Well [] Aquatic Vegetation Contro~ [] 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) - Tdentify Number(s): 3 Preconstruction Notification - [~y/r~ N [] I am sending this application to this agency. 5. Name of Applicant (use full name) Applicant must be: PHILIP MANNING [] Owner [] Operator Mailing Address [] Lessee 1470 JACKSON STREET (check all that apply) Post Office City. Taxpayer ID (If applicant ~C~.~ ~,~t~- is NOT an individual): State NY Zip Code Telephone (daytime) Email 718-267-4295 7. Contact/Agent Name JEFFREY PATANJO Company Name Mailing Address 106 HEWITT BLVD. Post Office City CENTER MORICHES State Zip Code NY 11934 Telephone (daytime) 631 484-9332 JPATANJO~OPTON LINE.NET 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 [] ! am sending this application to this agency. 4. NYS Depart- ment of State Check if this applies: [] Coastal Consistency Concurrence [] I am sending this application to this agency. 6. Name of Facility or Property Owner (if different than Applicant) MANNING CREDIT SHELTER TRUST Mailing Address 1470 JACKSON STREET Post Office City NEW SUFFOLK State NY Zip Code 11956 Telephone (daytime) Email 718-2674295 8, Project / Facility Name 1470 JACKSON STREET Property Tax Map Section / Block / Lot Number 1000-117-10-11 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 1470 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' 21.30" 72* 28 34.45 ]OINT APPLZCATION FORM 09/10 This is a 2 Page Application Application Form Page I of 2 Both Pages Must be Completed 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 installed; type and quantity of materials 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 PAGES. REMOVE AND REPLACE 100 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. Proposed Use: [] Private [] Public r'lcommercial J Proposed J Estimated Start Date: 3-15-13 j Completion Date: 4-1-13 Has Work Begun on Project? [] Yes [] NO if Yes, explain. Will Project Occupy Federal, State or Municipal 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? [] Yes NYSDOS - SOUTHOLD BOARD OF TRUSTEES [] No if yes, please list: 12. Signatures. if applicant is not the owner, both must sign the application. ][ hereby affirm that information provided on this form and all 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 all 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 1001 provides for a fine of not more than $10,000 or i~s~ment for not more than 5 years, or both where an applicant knowingly and willingly falsifies, //~ceals,j~e~s~~ct; or knowingly makes or uses a false, fictitious or fraudulent statement. 'Signat~'f Applicant" -- Printed Nam~ -- ~ Date Sicjnatu~fe of Ow,R~i' ~ c Printed Name ~ Date ~g e of A~ent Printed Name Title Date 3OTNT APPLZCATZON FORt4 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 the Department of Environmental Conservation ("DEC"), the signer consents to inspection by DEC staff of the project site or facility for which a permit is sought and, to the extent necessary, areas 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, between the hours of 7:00 a.m. and 7:00 p.m., Monday through Friday. If DEC staff should wish to conduct an inspection at any other times, DEC staff will so notil~ the applicant and will obtain a separate consent for such an inspection. Inspections may take place as part of the application review prior to a decision to grant or 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 the signer, applicant or an agent is present at the time of the inspection. In the event that the project site or facility is posted with any form of "posted" or "keep out" notices, or fenced in with an unlocked gate, this permission authorizes DEC staff to disregard such notices or unlocked gates at the time 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 to, soils and vegetation (taking samples for analysis), and may make drawings and take photographs. Failure to grant consent for an inspection is grounds for, and may result in, denial of the permit(s) sought by the application. Permission is granted for inspection of property located at the following address(es): 1470 JACKSON ST., NEW SUFFOLK NY 11956 By signing this form, I affirm under penalty of perjury that i am authorized to give consent to entry by DEC staff as described above. I understand that false statements made herein are punishable as a Class A misdemeanor pursuant to Section 210. 45 of the Penal Law. * Print Name and Title Signature Date · The signer of this form must be an individual or authorized representative ora legal entity t~hat: owns fee title and is in possession of the property identified above; maintains possessory interest in the propem2 through a lease, rental agreement or other legally binding agreement; or is provided permission to act on behalf of an individual or legal entity possessing fee title or other possessory interest in the property for the purpose of consenting to inspection of such properly. Permission to Inspect Properly Application Supplement 12/08 · ' 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only pART I - PROJECT INFORMATION (To be completed by A~plicant or Project Sponsor) 1. APPLICANT/SPONSOR 12. PROJECT NAME PHILIP MANNING /MANNING RESIDENCE i 3. PROJECT LOCATION: Municipality NEW SUFFOLK County SUFFOLK 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 1470 JACKSON STREET, NEW SUFFOLK 5. PROPOSED ACTION IS: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: REMOVE AND REPLACE 100 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. 7. AMOUNT OF LAND AFFECTED: Initially ,01 acres Ultimately .01 acres 8, WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] I.dustrial [] Commercial [] Agriculture [] Park/Forest/Open Space [] Other Describe: RESIDENTIAL HOME 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 agency(s) name and permit/approvals: NYSDEC / ARMY CORPS 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If Yes, list agency(a) name and permit/approvals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [--]Yes ~]No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ! j Applicant/sponsor name: ~/'//~/~ ,/~'e_ A X.J,/"~_...~J/'X Date: / ~/3,~-~//..~ If the action is in the Coastal Area, and you are a state agency, complete the I Coastal Assessment Form before proceeding with this assessment I OVER PART II - IMPACT ASSESSMENT (To be com~)ieted by J ==~ Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL FAF. [""]Yes DNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FDR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 if No, a negative declaration may be superseded by another involved agency. j~JYea DNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (At,ewers may be handwritten, If legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeolegical, historic, or other natural or cultural resources: or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as offic a y adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, shorl term, cumulative, or other effects not identified in C1-C57 Explain briefly: C7. Olher impacts (Including changes in use of either quantity or type of energy)? Explain brielly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? [] Yes [] No if Yes, explain briefly: E. IS THERE, OR S THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL iMPACTS? [] Yes [] No If Yes, explain briefly: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its la) setting (i.e. u~ban or rural); lb) probability of occurring; lc) duration; (d) irreversibility; (e) geographic scope; and (f~ magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. ] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULl EAF and/or prepare a positive declaration. ] Check this box if you have determined, based on the information and analysis above and anysuppottthg documentation, that the proposed action WiLl NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons suppor~ng this determination Name of Lead Agency Date Pdnt or Type Name of Respensib~e Officer in Lead A~oency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) 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 State's CMP as required by U.S. Department of Commeme regulations ( 15 CFR 930.57). It should be completed at the tmie 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) PHILIP MANNING 1. Name: 1470 JACKSON ST., NEW SUFFOLK NY 11956 2. Address: 3. Telephone: Area Code ( ) 718-267-4295 B. PROPOSED ACTIVITY i. Brief description of activity: REMOVE AND REPLACE 100 LF OF EXISTING BULKHEAD WITH VINYL BULKHEAD. RAI.qF Rill KHF:AD TOP GAP 4' AROVF: F×IRTIN~ IMPORT '1.113 C:y OF C.[ FAN RAND 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 City, Town, or Village 1600 JACKSON STREET 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 lmown: 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 coastal waters? (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) ...... []_ ..~ 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) ................... O ~ g. Siting of a facility essential to the generation or transmission of energy? (27) ........... I"l .~] 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) ~]...~ j. Draining of stormwater mnoff or sewer overflows into coastal waters? (33) ............ I~ ..~ k. Transport, storage, treatment, or disposal of solid wastes or hazardous materials? (36, 39). [~_ ~] 1. 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 wetland? (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) ........................ ~- '~l d. State designated significant scenic resource or area? (24) .......................... ~]- ~ e. State designated important agricultural lands? (26) ............................... ~_ __~ f. Beach, dune or barrier island? (12) ........................................... g. Major ports of Albany, Buffalo, Ogdensburg, Oswego or New York? (3) ............... h. State, county, orlocalpark? (19,20) .......................................... I~- '~1 i. Historic resource 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. Construction or reconstruction of a flood or erosion control structure? (13, 14, 16) ....... ~ ~ d. State water quality permit or certification? (30, 38, 40) ........................... ~- 'l~ e. State air quality permit or certification? (41, 43) ................................ ~- ~] 4. Will the proposed activity occur within and/or af£ect an area covered by a State approved local waterfront revitalization program? (see policies in local program document) .............. [~_ __~ D. ADDITIONAL STEPS I. 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, (e) 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 Applicant/Agent's Name: Address: 106 HEWlTT BLVD., CENTER MORICHES NY 11934 Telephone: Area Code ( Applicant/Agent's Signature: F. SUBMISSION REQUIREMENTS Date: I' Z~- I'~ 1. 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 are available for inspection at the affices of many federal agencies, Department 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 government. BAY 117 OFFICE LOCATION: Town Hail Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 IVIAILING 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 EJVE FEB 1 5 2013 SoutholdTown Board of Trustees Date: February 14, 2013 Re: Proposed Wetland Permit for MANNING CREDIT SHELTER TRUST MANNVIEWE LLC, cio PHILIP MANNING SCTM#1000~117-10-11 Jeffery Patanjo on behalf of MANNING CREDIT SHELTER TRUST MANNVlEWE LLC, cio PHILIP MANNING requests a Wetland Permit to remove and replace 100 linear feet of existing bulkhead with vinyl bulkhead; raise bulkhead top cap elevation 4' above existing; import 130 cubic yards clean sand fill behind bulkhead; plant disturbed bluff with beach grass; reconstruct 32 square foot timber platform and steps to beach. Located: 1470 Jackson Street, New Suffolk. SCTM# 117-10-11 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Note: that no permits were found for the structures proposed to be replaced. 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 __Coastal Erosion Permit Application ~_Wetland Permit Application Administrative Permit A mendment~Trans fer/Exten sion Received Application: I ]...-~t ] l "~ Received Fee:~.~-~O-<~ Completed Apl~lication t,]g-cl/I Incomplete __SEQRA Classification: Type I Type 11 Unlisted __Coordination:(date sent) ~{~LWRP Consistency Ass~ssF~ent Form I~CAC Referral Sent: c~J/t .~ Date of Inspection Receipt of CAC Report: .__Lead Agency Determination:__ Technical Review: ~Public Hearing Held:~ Resolution: I ECEJVE JAN 2 9 2013 $outhnld Town -- Name of Applicant PHILIP MANNING - MANNING CREDIT SHELTER TRUST MANNVIEW LLC Address 1470 JACKSON STREET P.O. BOX 262 NEW SUFFOLK, NY 11956 Phone Number:( ) 718-2674295 117-10-11 Suffolk County Tax Map Number: lO00 - Property Location: 1470 JACKSON STREET, NEW SUFFOLK NY 11956 SEE ATTACHED LOCATION MAP. (provide LILCO Pole #, distance to cross streets, and location) AGENT: JEFFREY PATANJO (ltl applicable) Address: 106 HEWITT BLVD,, CENTER MORICHES NY 11934 Phone: 631-484-9332 Board of Trustees Application GENERAL DATA Land Area (in square feet): 46,332 Area Zoning:. RES Previous use of property: RESIDENTIAL Intended use of property: RESIDENTIAL Covenants and Restrictions: Yes x No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals __ Yes x No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept. Yes x No Does the structure (s) on property have a valid Certificate of Occupancy x Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Project Description (use attachments if necessary):. REMOVE AND REPLACE 100 LF OF EXISTING BULKHEAD WITH VINYL BULKHEAD, RAISE BULKHEAD TOP CAP ELEVATION 4' ABOVE EXISTING, IMPORT 130 CY OF CLEAN SAND FILL BEHIND BULKHEAD. PLANT DISTURBED BLUFF WITH BEACH GRASS. CONSTRUCT 32 SF TIMBER PLATFORM AND STEPS TO BEACH. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: REMOVE AND REPLACE 100 LF OF EXISTING BULKHEAD WITH VINYL BULKHEAD, RAISE BULKHEAD TOP CAP ELEVATION 4' ABOVE EXISTING, IMPORT 130 CY OF CLEAN SAND FILL BEHIND BULKHEAD. PLANT DISTURBED BLUFF WITH BEACH GRASS. ~,~ CONSTRUCT 32 SF TIMBER PLATFORM AND STEPS TO BEACH. Area of wetlands on lot: 0 .square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? No x Yes If yes, how much material will be excavated? 0 cubic yards How much material will be filled? ~30 cubic yards Depth of which material will be removed or deposited: 4 feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: EXCAVATOR 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): THERE WILL BE NO EFFECT ON WETLANDS OR TIDAL WATERS DUE TO THE BULKHEAD CONSTRUCTION. ' ' 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by A~)plicent or Project Sponsor) 1. APPLICANT/SPONSOR 12. PROJECT NAME PHILIP MANNING /MANNING RESIDENCE 3. PROJECT LOCATION: Municipality NEW SUFFOLK County SUFFOLK 4. PRECrSE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 1470 JACKSON STREET, NEW SUFFOLK 5. PROPOSED ACTION IS: [] New [] Expansion [] Uodiflcetion/aiteration 6. DESCRIBE PROJECT BRIEFLY: REMOVE AND REPLACE 100 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. 7. AMOUNT OF LAND AFFECTED: initially .01 acres Ultimately .0! acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial [] Commercial [] Agriculture [] ParkJForesUOpen Space [] Other Describe: RESIDENTIAL HOME 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 agency(s) name and permit/approvals: NYSDEC / ARMY CORPS 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If Yes, list agency(s) name and permil/approvals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQU RE MODIFICATION? ['-lYes []No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ,. If the action is in the Coastal Area, and you are a sta,te agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART II - IMPACT ASSESSMENT (To be'completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR. PART 617.4? If yes, coordinate the review process and use the FULL FAF. [] Y?$ [] NO B. w~LL~cTI~NRECE~VEc~RD~NATEDREv~EWASPR~V~DEDF~RUNL~STEDACTI~NS~N6NYCRR~PART617~6? IfNo. anegalive dectamtion may be superseded by another involved agency. r-]Yes [Z]No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1.Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: I C2. AestheUc, agdcoltural, archaeological, historic, or other natural or cultural resources: or co~r~i~ ~'r"neighbothood character? Explain briefly: I C3. Vegetation or fauna, fish. shellfish or wildlife species, significant habitats, or thmatenedror endangered spedes? Explain briefly: I C5. Growth. subsequent development, or related actw~fles ..... likely to be ~nduced by the proposed acbon'~. Explmn' beefly' : I I C6. Long term, shod term, cumulative, or ol~er effects not idenfified in C1-C57 Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRiTiCAL ~l Rye~ sE M E ~_..]A LN oA~ EA/{CFA)? (If yesI expla,[~ briefly: E. IS THERE, OR IS THERE LIKELY TO BEt CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: r--lyes EZ]NoI PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadvereee~ectidenti~edab~ve~determinewhetheritissubstantia~~~arge~imp~rtant~r~therwisesigni~c~nt~ Each effect should be assessed in connection with its (a) setting (i.e. udoan or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (t) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potentialimpact of the proposed action on the environmental characteristics of the CEA. Check this box If you have identifmd one or mom potentially large or significant adverse impacts which MAY oco~r. Then proceed diracfly to the FULL FAF and/or prepare a positive dsdarafion. Check this hex if you have detsn~ined, based on the information and analysis above and any supporting documentation, that the proposed actor WILL NOT result in any significant adverse envirenmental impacts AND provide, on attachments as necessary, the reasons supporting thJ., determination. Board of Trustees Name of Lead Agency Print or T~Responsible Officer in Lead Agency Sign~re~'*'~'~ ~'of Responsible Officer in~ Date President [] Tiile of Responsible Officer Signature of Preparer (If different from responsible officer) Daxc Bergen .Iohn Brcdcmc'~ cr Michael .I. I)omino Io~ul [lall. 53095 Main Rd. ILO Box I [79 Soulhold. Nh' 11971 I clcphonc (63 I ) 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 o f MANNING CREDIT SHELTER TRUST MANNVIEW LLC c/o PHILIP MANNING COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING , residing at/dba t0~ )r-[elAll~ q~lVt¢I~ · being duly s,aorn, depose and say: 3 , ~'LI 6~- ~ '~ as T~hat on the da~ of ~ ~ ~ ~01~I p~,?onp~ly posted the property known by placing the Board of Trustccs official poster where it can easily be seen, and that I baxc checked to be sate the poster has remaincd in place lbr eight days prior to the date of the pablic hearing. Date of hearing noted thereon to be held Wednesda% Februa~ 20~ 2013. Dated: ( s. g~att,re~'~) ~~ Sworn to bel~ore me this 13day of,o~]'-'o20 [3 Lodann Patanio Nota~ Public State of~ew Yo~ Qualified in Suffolk County No: 01PA6150861 ,j Commission Expires 08!07/20'7- 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 properly. OWNER(S) OF RECORD:-'E~=f/tl~~e,o/../..C., ~o SUBJECT OF PUBLIC HEARING: To remove and replace 100 linear f~et of existing bulkhead with vinyl bulkhead: raise bulkhead top cap elevation 4' above existing~ import 130 cubic yards clean sand fill behind bulkhead~ plant disturbed bluff with beach grass: reconstruct 32 square foot timber platform and steps to beach. TIME & DATE OF PUBLIC HEARING: havelf you an interest intffis project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631)765-1892 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAlL RECEIPTS Address: STATE OF NEW YORK COUNTY OF SUFFOLK { ~ ~1(~ ~ i l~ , being duly sworn, deposes andsays that on the - I~ day o~,~ ,20[ 3, deponent mailed a tree ~py of ~e Notice set fo~ in the Bo~d of Tm~es Application, directed to each of the above named persons at the addresses set opposite ~e respective nines; that the addresses set opposite the nines of said persons ge the address ofs~d persom ~ shown on the cu~ent assessmenI roll of ~e Town of S~uthold; that said Notices w~e mailed at the United States Post Officeat~ ~1~]~. , that said Notices were mailed to each ofsaid persons by CERTIFIED M~L~ETU~ ~CEIPT. Sworn to before me ~is I ~ Day of ~ kf~a~ , 20 ~ t> NoIi~ Pub#c l~tat~'of'New York Qu'a[~e¢i.n.~S.-_~o_lk County ~o: U1PA§150861 Commission Expires 08/07/20 I_._~ Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity:_ REMOVE AND REPLACE 100 LF OF EXISTING BULKHEAD WITH VINYL BULKHEAD, RAISE BULKHEAD TOP CAP ELEVATION 4' ABOVE EXISTING, IMPORT 130 CY OF CLEAN SAND FILL BEHIND BULKHEAD. PLANT DISTURBED BLUFF WITH BEACH GRASS. ~J,-CONSTRUCT 32 SF TIMBER PLATFORM AND STEPS TO BEACH. Are wetlands present within 100 feet of the proposed activity? x No Yes Does the project involve excavation or filling? No x Yes If Yes, how much material will be excavated? 0 (cubic yards) How much material will be filled? 130 (cubic yards) Manner in which material will be removed or deposited: EXCAVATOR Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) THERE WILL BE NO NEGATIVE EFFECTS DUE TO BULKHEAD CONSTRUCTION. Board of Trustees Application County of Suffolk State of New York PHILIP MANNING BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, 1 HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS ~-~.aaO DAY OF %20 Notary Public - State of New York NO. 01HE6042783 Qualified in OueensCountv Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) PHILIP MANNING (print owner of property) residing at 1470 JACKSON ST. (mailing address) NEW SUFFOLK, NY 11956 PATANJO do hereby authorize JEFFREY (Agent) 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 prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to t)rovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: MANNING, PHILIP (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 activii),.) Do you personally (or through your company~ spouse, sibling, parent, or child) have a relationship with any officer or employee oFthe 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 'I itle or position of that person Describe the relationship between yourself (the applicantYagenffrepresentative) 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 77- da,, of.~ Signature Print Name ~/0.~ r/~ p, Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: $.C.T.M. · THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 1000 117 10 11 STORM'WATER, GRADING1 DRAINAGE AND EROSION CONTROL PLAN SCOPE OF WORK - PROPOSED CONSTRUCTION I'I'I~M# / WORKASSESSMENT I Yes No construction activily? impervious surfaces.) STATE OF NEW YORK, coum~ ov ...~..~. .................. ss q~hat 1 ........ .~.../~... !. ~ !...~........~.....~.....~..../~..~ ../~...f.Z ....................... b~L~g duly sworn, deposes and says that h~/$he is die applicant [or Permit, And that he/she is the ............................................................................................................................................................ Owner and/or representative of the Ore,er or Owners, and is duly anthodzcd to perfom~ or have podonned the said work and to make and £de tiffs application; that all statements contah~ed in this application arc tree to the best of[ds knowledge and bclic£; md that the work will be performed in the manner set forth in thc application fdcd hcrcwiflx. Sworn to before me this; : -----;~.-'~.~ .......... :..-.t~/'~C'~/', .................................................. FORM - O61tO No. 01HE6042783 Qualified in Queens C~untv 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 significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 117 10 11 The Application has been submitted to (check appropriate response): Town Board [~ Planning Dept. [~ Building Dept. ~ Board of Trustees [-~ Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital [] construction, planning activity, agency regulation, land transaction) [] (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: REMOVE AND REPLACE 100 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. Location of action: 1470 JACKSON STREET, NEW SUFFOLK NY 11956 Site acreage: Present land use: RESIDENTIAL 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: PHILIP MANNING - MANNING CREDIT SHELTER TRUST MANNVIEW LLC (b) Mailing address: 1470 JACKSON STREET, NEW SUFFOLK NY 11956 (c) Telephone number: Area Code ( ) 718-267-429S (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? NYSDEC / ARUY 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 additioxml 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 [] Yes [] No [-~ Not Applicable PROJECT ENHANCES VISUAL QUALITY BY PROVIDING A VISUALLY APPEALING BULKHEAD Anach 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. Anach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~-~ Yes ~'~ No ~ 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 III - Policies; Pages 22 through 32 for evaluation criteria. [] Yes [] No [] Not Applicable ACTION HAS NO EFFECT ON ECOSYSTEM. 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 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 IlI- Policies; Pages 38 through 46 for evaluation criteria. [] Ye[] 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 AND 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 necessapy Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section IlI- 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 January 25, 2013 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 $outhold, New York 11971 1470 JACKSON STREET, NEW SUFFOLK, NY SCTM No. 1000-117-10-11 APPECATION FOR PERMIT JAN 2 9 2013 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, 106 Hewitt Blvd. 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 Southold hereby waives Trustees' permit fees for any repairs or eonstruction, 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 [UNANIMOUS[ MOVER: Jill Doherty, Scott Russell SECONDER: Willimn Ruland, Councilman AYES: Dinizio Jr, Ruland, Doherty, Talbot, Evans, Russell