HomeMy WebLinkAboutTR-8100
James F. King, President so~Tyo Town Hall Annex
Bob Ghosio, Jr., Vice-President 54375 Main 1load
P.O. Box 1179
Dave Bergen Southold, New York 11971-0959
John Bredemeyer CA Q
• ~ Telephone (631) 786-1892
Michael J. Domino Tyco Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0903C Date: SSg tember 17.2013
THIS CERTIFIES that the reconstruction of f3'xf20'timber stairway down
embankment; 10'x10' platform at top of stairway; 3'x14' wood walk on grade between stairway
and steps to beach; 4'x8' steps to beach
At 500 Birch Drive South. Laurel, New York
Suffolk County Tax Map # 128-4-7
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated February 27, 2013 pursuant to which Trustees Wetland Permit #8100 Dated
March 20, 2013, was issued and Amended on June 19, 2013 and again on August 21, 2013
and conforms to all of the requirements and conditions of the
applicable provisions of law. The project for which this certificate is being issued is
for the reconstruction of t3'xt20'timber stairway down embankment: 10'x10' platform at top
of stairway: 3'x14' wood walk on grade between stairway and steps to beach: 4'x8' steps to
beach.
The certificate is issued to JANET T. SOUKUP LIFETIME TRUST owner of the
aforesaid property.
sC
Authorized Signat re
0 0
James F. King, President ~*AfF0(4. Town Hall, 53095 Main Rd.
Bob Ghosio, Jr., Vice-President ~1O ~rfy P.O. Box 1179
Dave Bergen ; Southold NY 11971
John Bredemeyer O , Telephone (631) 765-1892
Michael J. Domino 1p! Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DATE OF INSPECTION: -5;ef+o /'0 13 ~y+Da
Ch. 275 Ch. 111
INSPECTION SCHEDULE
Pre-construction, hay bale line/silt boom/silt curtain
1st day of construction
% constructed
Project complete, compliance inspection.
INSPECTED BY:
COMMENTS:
~UGl~rc y D)F~i`~FNT ~~e M Pte NS
SrAr~es miaow s~v[ aF P~g~/ o~v i4) 5~~ ~9h
F' E Si 0 9 d f / 0 2 n crt
17
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CERTIFICATE OF COMPLIANCE: O =
0
James F. King, President OF S0 Town Hall Annex
Bob Ghosio, Jr., Vice-President O~a y0 54375 Main Road
P.O. Box 1179
Dave Bergen l~I Southold, New York 11971-0959
John Bredemeyer H
Michael J. Domino • O Telephone (631) 765-1892
Off' Fax (631) 765-6641
V
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
August 21, 2013
Mr. Robert E. Herrmann
En-Consultants
1319 North Sea Road
Southampton, NY 11968
RE: JANET T. SOUKUP LIFETIME TRUST
500 BIRCH DRIVE SOUTH, LAUREL
SCTM# 128-4-7
Dear Mr. Herrmann:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday, August 21, 2013:
RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative
Amendment to Wetland Permit #8100 to include an approximately 3'x14' wood walk on
grade between the approved stairway and steps to beach; and as depicted on the
revised site plan prepared by En-Consultants, last dated July 23, 2013 and stamped
approved on August 21, 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 call our office at (631) 765-1892.
Sincerely,
James F. King
President, Board of Trustees
JFK:amn
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00AR4 OF TR#J "fS ~TOWN OF SOU 610 l 9 4 13
0
4 DATE $ 21 13 s 3
/ O
Slit; (N-a55 VIA
1 " = 50' ? , u d 51.6 fcr PU"FC1Y)
F, R.J KttIf f, s ro I I 504 carigHa;ww Va' 4c
ble T +~)Notes:
I. Pap se: Reoac m° * of stam danaged
(I'trreae Sally) statwa{ dam embakment
G GpRpGE = to bexh
` 2. Dahm: PLW
3. New statwal to 6e cm*ucw wnh
CCA-treated shvchrai tethers: all hadwae
p to he hatdpped gal"tm steel
4: - 4. Appra.1,000 q deal sally RN to be trucked in
c fran m Wlad same ad used to 6ackfil ad re ish
F s slam aaded ended aea ladwad orhdklead, wfiah
2 R M - 5. Plan ad amwww dlara xe 56tar & in rahre and ac
NDVSE J. DECK mterded ado to eztabhsh project brat scope, ad basic
STAIRS carehuctlon defAq fm pawakiq pirposes and me rot
intended to save as a %&tWe far er *mr q a
ca54Ud4m plar, fm caistructmn prpo
z p 6. Protect laalim: PrMate road, Peconx Pal Podeva-d,
` Lard; 5CfM No. 1000-128-4-687
o ~
x 10' DECK o \ PRESENT LOCATION OF STORM DESTROYED
% 6 (HURRICANE SANDY) 8' x 10' WOOD DECK
n E Q E P1I w
IIIUU„I--„IILLJ{{!I!I' _ T PLATFORM (PREVIOUSLY LOCATED AT BASE OF STAIRWAY)
qO? TO BE RECONSTRUCTED AT TOP OF STAIRWAY
J U L 2 5 2013
4 P~ ADJ. STORM DAMAGED BULKHEAD BEING
uthol own REMOVED AND REPLACED AND RENOURISHED
a~ w TO PRE-SANDY GRADES BEHIND BULKHEAD
(SEE SEPARATE APPLICATION BY
of CONNELLY, CONGDON & OTHERS)
±3' x 20' STORM DAMAGED WOOD PROP. 4' x 8' STEPS
PROP. ±3' x 14' WALK
STAIRWAY TO BE RECONSTRUCTED
qD,u GREAT PECONIC BAY
cR°'^
EN-CONSULTANTS PROF05W WPLAaMf Or 5TOPM
17AMA09 5TA AWAY FOP JAW t.
1319 NORTH SEA ROAD 50LIKLIP Uff' W TL15T ON
SOUTHAMPTON, W 11968 GMAT MCONIC DAY,
631.283-6360 LAAT-L, 5LIFFOLK COMY, NY
SNEEf I OF 2 2/ 19/ 13, 515/ 13, 7/25/ 13
5FC11ON THPU pp0p05Fn PFCK & 5TAFp5 FFF~ACFMFNT
pROnO5E0 E'ECON5f2~.ICrEl7 7ECK STORM PVAGEd 5fAWAY
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3Y Co[vMPL~r, CON6PON a OTIV5) Prop. 5V5
~ EX.GRAJ7E AYhN - 2' - 6"
4' x 4' pO5f5~C'YP) I 1
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EN-CONSULTANTS WOP05W MAaWmf OF 5TOW
1319 NORTH SEA ROAD PAMAaP 5rA WAY FOV -Mf r.
SOUTHAMPTON, NY 11968 50UKUF .IFFIM T76f ON
631.283.6360 GHAT FECONIC PAY,
I AI.IF?. , SUFFOLK COUM Y, NY
9f1 f2OF2 2/19/13,5/8/13,1/23/13
BUFFO( p
James F. King, President e~ CQ P.O. Box 1179
Bob Ghosio, Jr., Vice-President h `ff Southold, NY 11971
Dave Bergen Telephone (631 765-1892
John Bredemeyer Fax (631) 765-6641
Michael J. Domino
yam! ~ ~aor
Southold Town Board of Trustees
Field Inspection/Work Session Report
Date/Time: 416r /6 13 9"3v
En-Consultants on behalf of JANET T. SOUKUP LIFETIME TRUST requests an
Administrative Amendment to Wetland Permit #8100 to include an approximately
3'x14' wood walk on grade between the approved stairway and steps to beach.
Located: 500 Birch Drive South, Laurel. SCTM# 128-4-7
Type of area to be impacted:
-Saltwater Wetland -Freshwater Wetland -Sound -Bay
Distance of proposed work to edge of wetland
Pa"f Town Code proposed work falls under:
_ hapt.275 _Chapt. 111 -other
Type of Application: _ Wetland -Coastal Erosion ?mendment
_Administrative_Emergency Pre-Submission Violation
Info needed:
Modifications:
Conditions:
Present Were: o' J. King _B. Ghosio D. Bergen,
J. Bredemeyer Michael Domino D. Dzenkowski other
Form filled out in the field by
Mailed/Faxed to: c/
Date:
Town Hall
Jill A Dougherty, President ~ ,QgpFFO~,f./~~ 53095 Route 25
James F. King, Vice-President P.O. Box 1179
Dave Bergen r+ 'F~ Southold, New York 11971-0959
Bob Ghosio, Jr.
1 Telephone (631) 765-1892
John Brederneyer t`S Fax (631) 765-1366
col f
BOARD OF TOWN TRUSTEES n MIV TOWN OF SOUTHOLD
LETTER OF REQUEST FOR AN AMENDMEN
DATE July 23, 2013
OWNER Janet T. Soukup Lifetime Trust PHONE 973-543-7677
c/o Janet T. Soukup, Trustees
ADDRESS 2 Oak Knoll Road, Mendham, NJ 07945
AGENT En-Consultants PHONE 631-283-6360
ADDRESS 1319 North Sea Road, Southampton, NY 11968
PROPERTY LOCATION 500 Birch Drive South, Laurel
TAX MAP NO. 1000-128-4-7
IYe En-Consultants for Janet T. Soukup Lifetime Trust request an Amendment to Permit # 8100
to include approximately Y x 14' wood walk on grade between approved stairway and steps to beach, all as
depicted on the project plan prepared by En-Consultants, last dated July 23, 2013.
Signed By:
Robert E. Herrmann
Board of Trustees Application
1
AUTHORIZATION
(where the applicant is not the owner)
L t S residing at ) 4 w Gt I~it n c~ ~LEu~ , L
(punt owner of property) (mailing address) YJ
do hereby authorize
(Agent)
Lf, - Co i'l5rt 14V"7 -1 5 to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
}
Owner's signature)
• and of Trustees Applicati•
County of Suffolk
State of New York
j l -f `7 t: tti c; , BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS''THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY
BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT
AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES
HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
Signature
SWORN TO BEFORE ME THIS DAY OF ,20?
Notary Public
TERESA K. MCCALL
NOTARY PUBLIC OF NEW JERSEY
My Commirssion ExPirek--L -
APPLICANVAGENTIREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The To in of Southold's Code of Ethics Prohibits conflicts of interest on the part of town officers and emolovees The oumose of
this form is to Provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
YOUR NAME:
(Last name, first name, middle initial, 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.)
NANIE OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If "Other", name the activity.)
Do you personally (or through your company. spouse, sibling, parent, or child) have a relationship with any officer or employee
of the Town of Southold? "Relationship" includes by blood, marriage, or business interest "Business interest" means a business,
including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation
in which the town officer or employee owns more than 5% of the shares.
YES NO
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself (the applicant'agentrepresentative) 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
TD) the actual applicant.
DESCRIPTION OF RELATIONSIIIP
Submitted this 2~day of 200 kl-
Signature
Print Nam~£ r, Izu
Form TS I
~Fr /V PD
EN-CONSULTANTS r
J U L '3
Scu aid :°rn
Our L:111
July 23, 2013
REOIJEST FOR AN ADMINISTRATIVE AMENDMENT
Town of Southold
Board of Trustees
Post Office Box 1 179
Southold, New York 11971
Attn.: Lauren Standish
Re: Janet T. Soukup Lifetime Trust
500 Birch Drive South, Laurel
SCTM #1000-128-4-7
Dear Ms. Standish:
In regard to the above referenced property, enclosed are the following for the Board of Trustees review:
1. Three (3) Letter of Request For An Amendment applications.
2. Three (3) copies of project plans prepared by En-Consultants, last dated July 23, 2013.
3. Copy of Permit No. 8100.
4. Application fee of $50.00.
I trust this information shall allow you to process our permit request. Should any additional information
be required, please do not hesitate to contact our office.
Since ely,
Robert E. Herrmann
Coastal Management Specialist
/khs
Enc.
1319 North Sea Road I Southampton, New York 11968 p 631.283.6360 j f 631283.6136 ??ww_enconsultantzcom -
cnviron,7u'ntal Consulting
! •
James F. King, President *OF SO(/ry0 Town Hall Annex
Bob Ghosio, Jr., Vice-President 54375 Main Road
P.O. Box 1179
Dave Bergen 4 # Southold, New York 11971-0959
John Bredemeyer G • O Telephone (631) 765-1892
Michael J. Domino Fax (631) 765-6641
Teo
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
June 19, 2013
Mr. Robert E. Herrmann
En-Consultants
1319 North Sea Road
Southampton, NY 11968
RE: JANET T. SOUKUP LIFETIME TRUST
500 BIRCH DRIVE SOUTH, LAUREL
SCTM# 128-4-7
Dear Mr. Herrmann:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday, June 19, 2013:
RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative
Amendment to Wetland Permit #8100 to increase the size of the proposed 8'x10'
platform to a 1 O'x10' platform at top of stairs; and as depicted on the revised site plan
prepared by En-Consultants, last dated May 8, 2013 and stamped approved on June
19, 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 call our office at (631) 765-1892.
Sincerely,
PAW" cqe'e
James F. King
President, Board of Trustees
JFK:amn
3
?J ~~N ~ Qj by '1@
V
APPROVED B V E
BOARD OF TRUSTE S' I~
TOWN OF SOUTH OLD 2 32013
(a 13 t
0
Z i' = 50' - z¢~crr
Kcx1' yo ti at4"A Carfi csa ! 4.
:F g.J. Trust , +2CXx.:
'r
ads
Irretipeabye
Notes:
1. Purpose: Wacaned of storm damaged
( Krrv-w 5a*) stalrwa{ down eibarkment
to beam
Z GpRP~'E = 2. Vatan: ALW
5. New stairwal to be caEkwW with
CCA-treated shuchrd tm6er5; all hardware
to be hotdipped c it Ized And
4. Approx. 1,000 o4 deal s * fdl to be tuded n
from ai uplad Sarre awl used to 6ackfdl ad re Lh
T-r storm eroded eroded area landward of Wkhead, wha
Iq to be revezIeL ted with nature vecoation
Z SSO 5. Plat and aosswew olL%Fams are sJrfto is in rahre arc) are
' NOV DECK fntended a14 to CA4415h project location, scope, ad bask
STAIRS construction decals fa pamittkq prposes and are rot
i intended to serve as or %bsbWL- fa aMwm q or
cashuctbn plan, for cor6bi dbn prpo e
Q~ 6. Project bcation: Prate road. Peconic Pat Palevard.
Lard; 5CTM No. 1000-128-4-60
o ~r
PROP. 10' x 10' DECK PRESENT LOCATION OF STORM DESTROYED
IN PLACE OF EX. PLATFORM ho (HURRICANE SANDY) 8' x 10' WOOD DECK
(PREVIOUSLY LOCATED AT BASE OF STAIRWAY)
c``~` qO? TO BE RECONSTRUCTED AT TOP OF STAIRWAY
Y.
P~ ADJ. STORM DAMAGED BULKHEAD BEING
yY REMOVED AND REPLACED AND RENOURISHED
TO PRE-SANDY GRADES BEHIND BULKHEAD
(SEE SEPARATE APPLICATION BY
of \ CONNELLY, CONGDON & OTHERS)
X04 PROP. 4' x 8' STEPS
±3' z 20' STORM DAMAGED WOOD p ~ r D 1 V
STAIRWAY TO BE RECONSTRUCTED GREAT L r 7~ECOlV 1 1.T BA 1
MOP05W MAaMM OF STOPM
EN-CONSULTANTS GR0'~ PAMA219 STAIt?WAY FOP JANET T.
1319 NORTH SEA ROAD 50 LIM11W VU5T ON
SOUTHAMPTON, NY 11968 GWAT MCONIC PAY,
631-283-6360 I.A. I., 5UFF0LK COUNTY, NY
SNFFT I OF 2 2119115, 5/ B/ 15
5~CTON THPU ppOP05~17195CK & 5TAIp5 P,SPLACMNT
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FWP05W MACEWNT OF 5TOM
EN-CONSULTANTS VAMA09 5TAII;WAY FOR JAW T.
1319 NORTH SEA ROAD 50" UP fft 05T ON
SOUTHAMPTON, NY 11968 GMAT MCONIC PAY,
631-283-6360 IM,M, 5UPPOLK COUNTY, NY
51fff 2 OP 2 21191 13, 5/ 8/ 15
James F. King, President ~QF soil Town Hall Annex
'y0
Bob Ghosio, Jr., Vice-President 11 py P.O 54375 P.O. Box Main Road
1179
Dave Bergen T # Southold, New York 11971-0959
John Bredemeyer co ac
Michael J. Domino • ~O Telephone (631) 765-1892
Oly~DUlflr Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
March 20, 2012
Mr. Robert E. Herrmann
En-Consultants
1319 North Sea Road
Southampton, NY 11968
RE: JANET T. SOUKUP LIFETIME TRUST
500 BIRCH DRIVE SOUTH, LAUREL
SCTM# 128-4-7
Dear Mr. Herrmann:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, March 20, 2013 regarding the above matter:
WHEREAS, En-Consultants on behalf of JANET T. SOUKUP LIFETIME TRUST
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 February 27, 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 recommended that the proposed application be
found Inconsistent with the LWRP, and,
WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront
Revitalization Program to the greatest extent possible through the imposition of the
following Best Management Practice requirements: the issuance of a permit on
structures; and
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on March 20, 2013, at which time all interested persons were given an
opportunity to be heard, and,
2
WHEREAS, the Board members have personally viewed and are familiar with the
premises in question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standards set forth in Chapter 275 of the
Southold Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that for the mitigating factors and based upon the Best Management
Practice requirement imposed above, the Board of Trustees deems the action to be
Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5
of the Southold Town Code, and,
RESOLVED, that the Board of Trustees approve the application of JANET T. SOUKUP
LIFETIME TRUST to reconstruct ±3'x±20' timber stairway down embankment;
reconstruct at top of stairway a storm destroyed 8'x10' wood deck previously located at
base of stairway; and construct 4'x8' steps to beach in place of storm destroyed steps,
and as depicted on the site plan prepared by En-Consultants, last dated February 25,
2013, and stamped approved on March 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: $0.00
Very truly yours,
James F. King
President, Board of Trustees
JFK/amn
I
j BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD, NEW YORK
PERMIT NO. 8100 DATE: MARCH 20, 2013
I
ISSUED TO: JANET T. SOUKUP LIFETIME TRUST
PROPERTY ADDRESS: 500 BIRCH DRIVE SOUTH, LAUREL
SCTM# 128-4-7
I
AUTHORIZATION
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in
accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 20, 2013, and in
consideration of application fee in the sum of $250.00 paid by En-Consultants or authorized waiver of Town
Board and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of j
Trustees authorizes and permits the following:
Wetland Permit to reconstruct ±3'xt20' timber stairway down embankment;
i reconstruct at top of stairway a storm destroyed 81x10' wood deck previously located at
base of stairway; and construct 4'x8' steps to beach in place of storm destroyed steps,
i and as depicted on the site plan prepared by En-Consultants, last dated February 25,
2013, and stamped approved on March 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.
I
T
O
07
1* ~ j
~I
I
J
"Now
TERMS AND CONDITIONS
The Permittee Janet T So gqw Lifetime Trust residing at 500 Birch Drive South, Laurel. New
York as part of the consideration for the issuance of the Permit does understand and prescribe
to the following:
1. That the said Board of Trustees and the Town of Southold are released from any and all
damages, or claims for damages, of suits arising directly or indirectly as a result of any
operation performed pursuant to this permit, and the said Permittee will, at his or her own
expense, defend any and all such suits initiated by third parties, and the said Permittee
assumes full liability with respect thereto, to the complete exclusion of the Board of
Trustees of the Town of Southold.
2. That this Permit is valid for a period of 24 months, which is considered to he the estimated
time required to complete the work involved, but should circumstances warrant, request for
an extension may be made to the Board at a later date.
3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to
maintain the structure or project involved, to provide evidence to anyone concerned that
authorization was originally obtained.
4. That the work involved will be subject to the inspection and approval of the Board or its
agents, and noncompliance with the provisions of the originating application may be cause
for revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of the work
herein authorized.
6. That there shall be no interference with the right of the public to pass and repass along the
beach between high and low water marks.
7. That if future operations of the Town of Southold require the removal and/or alterations in
the location of the work herein authorized, or if, in the opinion of the Board of Trustees,
the work shall cause unreasonable obstruction to free navigation, the said Pernittee will be
required, upon due notice, to remove or alter this work project herein stated without
expenses to the Town of Southold.
8. That the said Board will be notified by the Permittee of the completion of the work
authorized.
9. That the Permittee will obtain all other permits and consents that may be required
supplemental to this permit, which may be subject to revoke upon failure to obtain same.
gUFFQ(,r
James F. King, President O~ COG Town Hall, 53095 Main Rd.
Bob Ghosio, Jr., Vice-President P.O. Box 1179
Dave Bergen Soutbuid, ky 1 i97 t
w
John Bredemeyer Telephone (631) 765-1892
Michael J. Domino 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
181 day of construction
constructed
Project complete, compliance inspection
James F. King, President QF su~Tyol Town Hall Annex
Bob Ghosio, Jr., Vice-President h O 54375 Main Road
P.O. Box 1179
Dave Bergen Southold, New York 11971-0959
John Bredemeyer G~ ' O
Michael J. Domino O Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Trustee Matters
Storm Water Runoff
With the recent heavy rainfalls, we are reminded once again of the problems Southold
Town has with storm water runoff. With over 100 road ends terminating at creeks, bays,
inlets, or Long Island Sound, as well as all of the lawns and homes lining our miles of
shoreline, 100's of thousands of gallons of storm water runoff enters our wetlands every
year.
Carrying sediment that prevents sunlight from reaching aquatic plants, nutrients from
animal waste and lawn fertilizers that promote algae blooms detrimental to shellfish, and
bacteria and other biologicals that in high doses can be harmful to swimmers, storm water
runoff is one of the Trustees main public safety concerns. So important, in fact, that
Southold has a Storm Water Management Code.
Southold Town's Chapter 236 provides an outline for how people need to deal with storm
water runoff from their properties. For example, new construction or renovation is
required to contain any potential runoff to the wetlands from the construction by
installing hay bales and silt fencing. This acts as a barrier and keeps our wetlands clean.
Another example in Chapter 236 is that every building must have provisions to collect
and disperse, ON-SITE, at least a 2 inch rainfall. This is usually handled by installing
gutters, leaders and drywells to the home. The Trustees also have a standing policy of
requiring pervious non-turf buffers along bulkheads and at tops of bluffs that help keep
run off from entering the wetlands and prevents erosion to bluffs. These are important
measures to keep our wetlands safe and clean!
Before deciding to renovate or build, the Town Trustees urge you to check our website
and the other department's websites to make sure what you are planning to do meet the
Town's Codes. These codes have been developed for the good of all citizens. And the
wildlife all around us too!
25 m eAN
APPROVE`
BOARD OF TRUI ES
TOWN OF SOU Vo D
4 8
DATE 3
5t1E (PCC1:55 VIA
L 1' = 50'
5uffA Canty Na 5tran Map 16
Eton j °r I" _ +2000'
R
x'F
rTej occxb e
f Notes:
I. Purp-e: Pedestnal xcesz down embaiment
2. Patum: PNW
3. 5tam-ti to be cartnxted with treated timber
RPGE _ materi-45; A hardware to Iz hotdipped 4dvmlwd zteel
G 'o _ A. 5tairwal provides access clown embakment to be
reroirrished, rowcietated, ad mantaed as na taf
buffer prsuant to fo Wetfa o6 Permit No, 8035,
Is d to adjacent adowrer5
5. Plan ad croswlew diacrare are sd~mAic in nadre ad are
t i. intended 644 to establish protect location, scope, ad basic
Y carbrwtion de1;atl5 for permaN prposes ad are rot
Z 550E intended to serve as a s bAWe fb, ergirw.errq a
FH 5~ sr DECK ``"`'tro`ut" Plant for cai tnrtlon purposes
o b. Project location: 500 13rch PrNe 5anth, Laurel;
SCfM No. 1000-125-4-7
Q4,
O \,c
PRESENT LOCATION OF STORM DESTROYED
IN L.EE OX. DECK ,oQ t' (HURRICANE SANDY) 8' x 10' WOOD DECK
E ` (PREVIOUSLY LOCATED AT BASE OF STAIRWAY)
LJn `y TO BE RECONSTRUCTED AT TOP OF STAIRWAY
~ur,1~ I' a
p. C CRO/vV
FE8 2 7 2013
a P~ ADJ. STORM DAMAGED BULKHEAD BEING
REMOVED AND REPLACED AND RENOURISHED
Sou0fl Tcwn
oard cf [rus?3rs TO PRE-SANDY GRADES BEHIND BULKHEAD
(SEE SEPARATE APPLICATION BY
CONNELLY, CONGDON & OTHERS)
±3' x 20' STORM DAMAGED WOOD qo`" S PROP. 4' x 8' STEEPS ~ r D V
STAIRWAY TO BE RECONSTRUCTED N GREA T PL'CO1V Ir l. BA L
A0j cRp/ MOP05Q9 lT.CON5VUC110N OF MCK
M 5fA AWAY FR JANET T. 50UKUp
I.I flW fFU510N GMAT PrCONIC
PAY, LAJML, 5LfFOI,K COUNTY, NY
5ifff I OF 2 21 251 0
5FC110N THFU PV0P05FI917FCK & 5TAIP5 t?MAaMT
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0
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i
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PrOP05W MCON5TRUC110N OF 19~CK
ANn 5TA MAY POP JANET T, 50UKUP
LKfl W TRU5T ON GRAT MCONIC
PAY, I AM %ffC .K COUNTY, NY
9th f2OP2 2/25/13
SOUTHOL . D TRUSTEES
No. q II 0b
PERMIT
Issued To a ? Date 9
Address 500 lurck privy ~eL< , Lartrtl
s
THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION
i
TOWN TRUSTEES OFFICE ,TOWN OF SOUTHOLD
SOUTHOLD. N.Y.11971
TEL.: 765-1892
James F. King, President ~QF SQ(/ry Town Hall Annex
Bob Ghosio, Jr., Vice-President 54375 Main Road
ti P.O. Box 1179
Dave Bergen # 411 Southold, New York 11971-0959
John Bredemeyer • O Telephone (631) 765-1892
Michael J. Domino O ~ Fax (631) 765-6641
~yOOUNTi,
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
June 19, 2013
Mr. Robert E. Herrmann
En-Consultants
1319 North Sea Road
Southampton, NY 11968
RE: JANET T. SOUKUP LIFETIME TRUST
500 BIRCH DRIVE SOUTH, LAUREL
SCTM# 128-4-7
Dear Mr. Herrmann:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday, June 19, 2013:
RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative
Amendment to Wetland Permit #8100 to increase the size of the proposed 8'x10'
platform to a 10'x10' platform at top of stairs; and as depicted on the revised site plan
prepared by En-Consultants, last dated May 8, 2013 and stamped approved on June
19, 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 call our office at (631) 765-1892.
Sincerely,
James F. King
President, Board of Trustees
JFK:amn
EI V 0a ,
MAY 2 3 2013s ,
APPROVED B
4 BOARD OF TRUST S
TOWN OF SOUTH LD L~,° -131'irl
1~ 1A
1 1 ii.. rpP. ss
L , 7 5ff~ (AL(,~55 VIA
°Ox
K(Lr _ tit} k Gzrcu a n sr
F R.J hrust °"a +2c)oc
ocab~e _ ?
V Notes:
I. Purpose: L-IPa~nent of stam danaiad
( kYrncaie 5ady) stamay down embakment
to 6earh
z GPRPGE _ 2. Vahm: ALW
= 3. Nev, stairwa{ to be cartructecl wO
CCA-treated 5bwbrd tmbers; all ha-dware
to 6e hotdipped cpalvamzed steel
_ 4. Apprm. 1,000 cy dean sa* fill to 6e trucked in
firm m upland sans ad used to 6ackflll and rerar4
1i storm eroded eroded area Iarchvad of blkhead, which
SJOR'( is to be reoegetatrd wdh native vrget<itnn
2 E 5. Plan ad crossvtew &&yans are sd~emabc in nahre and are
ER SSE J. DECK intended oily to establish project Imatm, scope, ad basic
NO STAIRS rarbLictim details for permltttq prpo ad are not
intended to serve as or substitute for en*cernq or
ra5tnxtm play for car rwttn purposes
QZ 6. Project location: Private road, Perornc Da{ 6alevad,
o Larel; 5aM No. 1000-128-4-6&7
PROP. 10' x 10' DECK PRESENT LOCATION OF STORM DESTROYED
IN PLACE OF EX. PLATFORM ,oQ O (HURRICANE SANDY) 8' x 10' WOOD DECK
(PREVIOUSLY LOCATED AT BASE OF STAIRWAY)
14 TO BE RECONSTRUCTED AT TOP OF STAIRWAY
3
ray P~ ADJ. STORM DAMAGED BULKHEAD BEING
REMOVED AND REPLACED AND RENOURISHED
TO PRE-SANDY GRADES BEHIND BULKHEAD
(SEE SEPARATE APPLICATION BY
of ` CONNELLY, CONGDON & OTHERS)
±3' x 20' STORM DAMAGED WOOD POP. 4'x~ 8' STEPS DAY
STAIRWAY TO BE RECONSTRUCTED G REA7 1 r 7~E C 0 NT 1 C APVOP05ln MAaWw or STOVm
EN-CONSULTANTS. 12AMA02 STA AWAY FOR JANET T,
1319 NORTH SEA ROAD 5OUKUP OffI1l"k VUST ON
SOUTHAMPTON, W 11968 GffAT P~CONIC PAY,
631.283-6360 LAJYY , SUFFOLK COUNTY, NY
SN~~T I OF 2 2/ 19/ 13, 5/ 8/ 13
5FCVON TfU MOrO5Fr) PACK & 5TAIp5 pFFLACMNT
%4 OSEG L`ECG~iS ..ICrG OEC~ 5i0RM'JAJV 6l75iAiK'1NA~
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. ~ vi v mp.mn, P-' P(17v 5 ~-5
`K ,KPLG ~77-- PrW = Z o
FrOV05QD ITP.ACFMENT OF 5TOt?M
EN-CONSULTANTS MACAW 5TA AWAY F0W JANET T.
1319 NORTH SEA ROAD 50UKUP ~IFfTIW T U5T ON
SOUTHAMPTON, NY 11968 GVtAT MCONIC PAY,
631-283.6360 5I SET 2 OF 22/ 1 /0, 5 18M
gyFF01,{-
.lames F. King, President P.O. Box 1179
Bob Ghosio, jr., Vice-President d Southold, NY 11971
Dave Bergen ? Telephone (631 765-1892
John Bredemeyer r., Fax (631) 765-6641
Michael J. Domino
Southold Town Board of Trustees
Field Inspection/Work Session Report
Date/Time: . Zl -3 46 ? l1~
En-Consultants on behalf of JANET T. SOUKUP LIFETIME TRUST requests an
Administrative Amendment to Wetland Permit #8100 to increase the size of the
proposed 8'x10' platform to a 10'x10' platform at top of stairs. Located: 500 Birch
Drive, South, Laurel. SCTM# 128-4-7
Type of area to be impacted:
-Saltwater Wetland -Freshwater Wetland -Sound Bay
Distance of proposed work to edge of wetland
Part of Town Code proposed work falls under:
_Chapt.275 _Chapt. 111 -other
Type of Application: Wetland -Coastal Erosion -Amendment
_Administrative_Emergency -Pre-Submission Violation
Info needed:
Modifications: 4411) Alt /Ale2Fi~5
Conditions:
Present Were: J. King B. Ghosio D. Bergen,
Bredemeyer Michael Domino D. Dzenkowski other
Form filled out in the field by
Mailed/Faxed to:
Date:
Town Hall
Jill M. Dougherty, President OS~FFQ(~C 53095 Route 25
James F. King, Vice-President Q~' OG P.O. Box 1 179
Dave Bergen Southold, New York 11971-0959
Bob Ghosio, Jr. y
* Tel 92
1) 765--1366
,i. , ax (631) 76
John Brederneyer F
Fax (6
1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
D E C E VE
LETTER OF REQUEST FOR AN AMENDMEN D
MAY 2 3 2013
DATE May 15, 2013
OWNER Janet T. Soukup Lifetime Trust PHONE 973-543-7677
c/o Janet T. Soukup, Trustee
ADDRESS 2 Oak Knoll Road, Mendham, NJ 07945
AGENT En-Consultants PHONE 631-283-6360
ADDRESS 1319 North Sea Road, Southampton, NY 11968
PROPERTY LOCATION 500 Birch Drive South, Laurel
TAX MAP NO. #1000-128-4-7
I/We En-Consultants for Janet T. Soukup Lifetime Trust request an Amendment to Permit # 8100
to increase size of previously approved 8' x 10' platform to 10' x 10, as depicted on the project plan prepared by
En-Consultants, last dated May 8, 2013.
Signed By: L
Robert E. Herrmann, Coastal Management Specialist
Board of Trustees Application
AUTHORIZATION
(where the applicant is not the owner)
residing at (print owner of property) (mailing address) G Y ~J
do hereby authorize
(Agent)
61 - CO0sk (frt~1-}-S to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
46wner's signature)
•
Board of Trustees Application
County of Suffolk
State of New York
BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE O THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY
BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT
AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES
HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
Signature
SWORN TO BEFORE ME THIS DAY OF r, q~ 20
Notary Public
TERESA K.MCCALL
NOTARY PUBLIC OF NEW JERSEY
My Commission Expires is
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 emPlovees The purpose of
this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
kk ~
YOUR NAME: -S
(Last name, first time, middle initial, unless you are applying in the time of
someone else or other entity, such as a company. If so, indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If "Other", name the activity.)
Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee
of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business,
including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation
in which the town officer or employee owns more than 5% of the shares.
YES NO k
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check
the appropriate line A) through D) and/or describe in the space provided.
The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply):
__A) the owner of greater than 5% of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
B) the legal or beneficial owner of any interest in a non-corporate entity (when the
applicant is not a corporation);
C) an officer, director, partner, or employee of the applicant; or
•N. D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitte~thi
s
_day of 2001
Signature
Print Nam _
Form TS I
•
EN-CONSULTANTS
May 21, 2013
REQUEST FOR ADMINISTRATIVE. AMENDMENT
p ~CEIVE(I~JI
IV
Town of Southold ?iIAY 2 3 2013
Board of Trustees
Post Office Box 1 179
Southold, New York 11971 tholdTown
Re: Janet T. Soukup Lifetime Trust
500 Birch Drive South, Laurel
SCTM #1000-128-4-7
Dear Board Members:
In regard to the above referenced property, enclosed are the following for the Board of Trustees review:
1. Three (3) Request For An Amendment Applications,
2. Three (3) copies of Authorization & Disclosure Forms.
3. Three (3) copies of project plans prepared by En-Consultants, last dated May 18, 2013,
4. Application fee of $50.00.
I trust this information shall allow you to process our permit request. Should any additional information
be required, please do not hesitate to contact our office.
Sin erely,
Rob E. Herrmann
Coastal Management Specialist
/khs
Enc.
1319 North Sea Road Southampton- Ncw York 11968 I p 631.283.6360 f 631.283-6136
ltal Ci~lSlilCi'l(I
James F. King, President ~p~OgOFfO(t COG Town Hall, 53095 Main Rd.
Bob Ghosio, Jr, Vice-President S
. Dave Bergen P.O. Box 1179.
Southold, RY 11971
John Bredemeyer o
Michael J. Domino Telephone (631) 765-1892
1 >c 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
1 st day of construction
constructed
Project complete, compliance inspection
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD, NEW YORK j
i
i
PERMIT NO. 8100 DATE: MARCH 20, 2013
ISSUED TO: JANET T. SOUKUP LIFETIME TRUST
PROPERTY ADDRESS: 500 BIRCH DRIVE SOUTH, LAUREL
SCTM# 128-4-7
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 March 20. 2013, and in
consideration of application fee in the sum of $250.00 paid by En-Consultants or authorized waiver of Town
Board and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of
Trustees authorizes and permits the following:
i
Wetland Permit to reconstruct t3'xt20' timber stairway down embankment;
reconstruct at top of stairway a storm destroyed 8'x10' wood deck previously located at
base of stairway; and construct 4'x8' steps to beach in place of storm destroyed steps,
and as depicted on the site plan prepared by En-Consultants, last dated February 25,
2013, and stamped approved on March 20, 2013.
IN WITNESS WHEREOF, the said Board of Trustees hereby catises its Corporate Seal to be affixed,
and these presents to be subscribed by a majority of the said Board as of this date.
~~O~g>pFFO(,~co
A/Z
a
TERMS AND CONDITIONS
The Permittee Janet T Soukup Lifetime Trust residine at 500 Birch Drive South, Laurel, New
York as part of the consideration for the issuance of the Permit does understand and prescribe
to the following:
1. That the said Board of Trustees and the Town of Southold are released from any and all
damages, or claims for damages, of suits arising directly or indirectly as a result of any
operation performed pursuant to this permit, and the said Permittee will, at his or her own
expense, defend any and all such suits initiated by third parties, and the said Permittee
assumes full liability with respect thereto, to the complete exclusion of the Board of
Trustees of the Town of Southold.
2. That this Permit is valid for a period of 24 months, which is considered to be the estimated
time required to complete the work involved, but should circumstances warrant, request for
an extension may be made to the Board at a later date.
3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to
maintain the structure or project involved, to provide evidence to anyone concerned that
authorization was originally obtained.
4. That the work involved will be subject to the inspection and approval of the Board or its
agents, and non-compliance with the provisions of the originating application may be cause
for revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of the work
herein authorized.
6. That there shall be no interference with the right of the public to pass and repass along the
beach between high and low water marks.
7. That if future operations of the Town of Southold require the removal and/or alterations in
the location of the work herein authorized, or if, in the opinion of the Board of Trustees,
the work shall cause unreasonable obstruction to free navigation, the said Permittee will be
required, upon due notice, to remove or alter this work project herein stated without
expenses to the Town of Southold.
8. That the said Board will be notified by the Permittee of the completion of the work
authorized.
9. That the Permittee will obtain all other permits and consents that may be required
supplemental to this permit, which may be subject to revoke upon failure to obtain same.
James F. King, President ~~f so Town Hall Annex
Bob Ghosio, Jr., Vice-President OHO 54375 Main Road
P.O. Box 1179
Dave Bergen l~f Southold, New York 11971-0959
John Bredemeyer CA
ae
G 0 Telephone (631) 765-1892
Michael J. Domino ~O Fax (631) 765-6641
~ycoulm,
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
March 20, 2012
Mr. Robert E. Herrmann
En-Consultants
1319 North Sea Road
Southampton, NY 11968
RE: JANET T. SOUKUP LIFETIME TRUST
500 BIRCH DRIVE SOUTH, LAUREL
SCTM# 128-4-7
Dear Mr. Herrmann:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, March 20, 2013 regarding the above matter:
WHEREAS, En-Consultants on behalf of JANET T. SOUKUP LIFETIME TRUST
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 February 27, 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 recommended that the proposed application be
found Inconsistent with the LWRP, and,
WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront
Revitalization Program to the greatest extent possible through the imposition of the
following Best Management Practice requirements: the issuance of a permit on
structures; and
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on March 20, 2013, at which time all interested persons were given an
opportunity to be heard, and,
2 •
WHEREAS, the Board members have personally viewed and are familiar with the
premises in question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standards set forth in Chapter 275 of the
Southold Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that for the mitigating factors and based upon the Best Management
Practice requirement imposed above, the Board of Trustees deems the action to be
Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5
of the Southold Town Code, and,
RESOLVED, that the Board of Trustees approve the application of JANET T. SOUKUP
LIFETIME TRUST to reconstruct ±3'x±20' timber stairway down embankment;
reconstruct at top of stairway a storm destroyed 8'x10' wood deck previously located at
base of stairway; and construct 4'x8' steps to beach in place of storm destroyed steps,
and as depicted on the site plan prepared by En-Consultants, last dated February 25,
2013, and stamped approved on March 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: $0.00
Very truly yours,
)m^" off .
James F. King
President, Board of Trustees
JFK/amn
~o~ggFFO(,(.co
ti
Peter Young, Chairman Town Hall, 53095 Main Rd.
Lauren Standish, Secretary P.O. Box 1179
Southold, NY 11971
y~fl O' Telephone (631) 765-1892
Fax (631) 765-6641
Conservation Advisory Council
Town of Southold
At the meeting of the Southold Town Conservation Advisory Council held Wed., March 13,
2013 the following recommendation was made:
Moved by Doug Hardy, seconded by John Stein, it was
RESOLVED to SUPPORT the Wetland Permit application of JANET T. SOUKUP
LIFETIME TRUST to reconstruct storm damaged 3'X 20' timber stairway down
embankment; reconstruct at top of stairway a storm destroyed 8'X 10' wood deck
previously located at base of stairway; and construct 4'X 8' steps to beach in place of
storm destroyed steps.
Located: 500 Birch Dr., Laurel. SCTM#128-4-7
Inspected by: Derek Bossen
The CAC Supports the application with the Condition of a 15' non-turf buffer.
Vote of Council: Ayes: All
Motion Carried
r rr' _P , -
J
I
J u MAR 1 a 2013
SauthalC Town
Boartl of hi,iecs
4°vsurro~k
James F. King, President ,G'QQ~ COG P.O. Box 1179
Bob Ghosio. Jr., Vice-President S Southold. NY 11971
Dave Bergen o Telephone (631 765-1892
John Bredemeyer, Fax (631) 765-6641
Michael J. Domino
Southold Town Board of Trustees
Field Inspection Worksession Report
Date/Time: /
En-Consultants on behalf of JANET T. SOUKUP LIFETIME TRUST requests a
Wetland Permit to reconstruct storm damaged (Hurricane Sandy) ±3'x±20' timber
stairway down embankment; reconstruct at top of stairway a storm destroyed
8'x10' wood deck previously located at base of stairway; and construct 4'x8'
steps to beach in place of storm destroyed steps. Located: 500 Birch Drive
South, Laurel. SCTM# 128-4-7
Type of area to be impacted:
-Saltwater Wetland -Freshwater Wetland -Sound -Bay
Distance of proposed work to edge of wetland
Par of Town Code proposed work falls under:
_Ghapt.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 fillgd o) tFya e)
Mailed/Faxed to:
Date:
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JANET K. SOUKUP LIFETINI I,: TRUST, 500 BIRCH DRIVE SOUTH, LAUREL
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B 2 7 2013
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Figure 1. Looking northwest from beach (over adjacent storm damaged bulkhead to be replacedl and hack jillrcll al %fairivay to be replaced.
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Figure Z. Looking southeast from top of bank over stairway to be replaced.
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JANET K. SOUKUP LIFETIME TRUST, 500 BIRCII DRIVE SOUTH, LAUREL
• _
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Figure 3. Looking southeast from top of bank at present location of storm destroyed deck to be reconstructed at top of stairw(q.
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Figure 4. Looking northeast along top of embankment at top of stairway and location of reconstructed deck.
JANET K. SOUKtT LII+ETIME TRUST, 500 BIRCH DRIVE SOUTH, LAUREL
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Figure S. Aerial view of subject property prior to Hurricane Sandy. Photo by Microsoft Corporation.
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OFFICE LOCATION: OF SO(/jho MAILING ADDRESS:
Town Hall Annex P.O. Box 1179
54375 State Route 25 Southold, NY 11971
(cor. Main Rd. & Youngs Ave.) T
Southold, NY 11971 G C Telephone: 631 765-1935
.'nc i4zS Fax: 631765-3136
COUNTi,Nc~
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM D E Q E i V E
D
To: Jim King, President D
MAR 2 0 2013
Town of Southold Board of Trustees
From: Mark Terry, Principal Planner uthod own
LWRP Coordinator
Date: March 19, 2013
Re: Proposed Wetland Permit and JANET T. SOUKUP LIFETIME TRUST
SCTM#1000-128-4-7
No permits were found for the proposed actions.
En-Consultants on behalf of JANET T. SOUKUP LIFETIME TRUST requests a Wetland Permit to
reconstruct storm damaged (Hurricane Sandy) ±3'x±20' timber stairway down embankment; reconstruct
at top of stairway a storm destroyed 8'x10' wood deck previously located at base of stairway; and
construct 4'x8' steps to beach in place of storm destroyed steps. Located: 500 Birch Drive South,
Laurel. SCTM# 128-4-7
It is my recommendation that the proposed actions are INCONSISTENT with LWRP Policy 6.3 (below)
and therefore, INCONSISTENT with the LWRP.
6.3 Protect and restore tidal and freshwater wetlands.
A. Comply with statutory and regulatory requirements of the Southold Town Board of
Trustees laws and regulations for all Andros Patent and other lands under their
jurisdiction
1. Comply with Trustee regulations and recommendations as set forth in Trustee
permit conditions.
The structures described were not constructed pursuant to Southold Board Trustees
permit under Chapter 275 Wetlands and Shorelines regulations.
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
• O~g~FFO(~.c
James F. King, President Town Hall, 53095 Main Rd.
Bob Ghosio, Jr., Vice-President P.O. Box 1179
Dave Bergen Southold,NY 11971
John Bredemeyer Telephone (631) 765-1892
Michael J. Domino 1 Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
-Wetland Permit Application Administrative Permit
-Amendment/Trans, /Exte lion
?Received Application: J 2
_Received Fee: IZ QO IZ
7Completed Application -L D L_S N% LS II 11
Incomplete II
SEQRA Classification: ILII Il
Type I Type It Unlisted F E B 2 7 2013
_ Coordination: (date sent)
LWRP Consistency Asses m nt Form
CAC Referral Sent:3 Board of l'sN
Date of Inspection: 3 oat I ~ta s
-Receipt of CAC Report:
-Lead Agency Determination: _
Technical Review:
2Public Hearing Held: ,
Resolution:
Name of Applicant Janet T. Soukup Lifetime Trust
c/o Janet T. Soukup, Trustee
Address 2 Oak Knoll Road, Mendham, NJ 07945
Phone Number: 973 543-7677
Suffolk County Tax Map Number: 1000 - 128-4-7
Property Location: 500 BiNh S 1 5-00 rC4~ 17f J un
(provide LILCO Pole distance to cross streets, and location)
AGENT: En-Consultants
(If applicable)
Address: 1319 Notch Sea Road, Southampton, NY 11968
Phone: 631-283-6360
113
ooarcl of Trustees Applicat*
GENERAL DATA
Land Area (in square feet): 11,654
Area Zoning: R-40
Previous use of property: Residential, one-family dwelling.
Intended use of property: No change.
Covenants and Restrictions: Yes X No
If "Yes", please provide copy.
Does this project require a variance from the Zoning Board of Appeals Yes No
If "Yes", please provide copy of decision.
Will this project require any demolition as per Town Code or as determined by Building
Dept. Yes X No
Does the structure(s) on property have a valid Certificate of Occupancy -Yes-No
Prior permits/approvals for site improvements:
Agency Date
Southold Trustees #4820 October 30,1997
NYS DEC #1-4738-01763/00001 December 2, 1997
NYS DEC #10-30-97
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):
Reconstruct storm damaged (Hurricane Sandy) +/-3'x +/-20' timber stairway down embankment; reconstruct at top of
stairway a storm destroyed 8'x 10' wood deck previously located at base of stairway; and construct 4'x 8' steps to
beach in place of storm destroyed steps, all as depicted on the project plan prepared by En-Consultants, dated
February 25, 2013.
B0d of Trustees Application.
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
To reconstruct previously existing stairway and deck that were damaged or destroyed during Hurricane Sandy.
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?
X No Yes
If yes, how much material will be excavated? N/A cubic yards
How much material will be filled? N/A cubic yards
Depth of which material will be removed or deposited: N/A feet
Proposed slope throughout the area of operations: N/A
Manner in which material will be removed or deposited:
N/A
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):
The project consists of the reconstruction of a deck and stairway that were damaged or destroyed during Hurricane Sandy.
The stairway is being constructed down a bank, which pursuant to Town of Southold Wetlands Permit No. 8035 is being
renourished, revegetated, and maintained as a nonturf buffer in association with the reconstruction of the adjacent storm
damaged bulkhead located to the south of the subject property. The deck and stairs are consistent in scope and location
with many others present along this stretch of developed shoreline, including those present on the adjacent parcel to the
east, reconstruction of which was also approved by Wetlands Permit No. 8035. Thus, together with the work being
conducted on the adjacent lands, the project will maintain previously existing site conditions and will have no adverse
impact on the adjacent beach or tidal waters.
• 617.20 • SEQR
PROJECT ID NUMBER APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
PART 1- PROJECT INFORMATION (To be completed by A plicant or Project Sponsor)
1. APPLICANT / SPONSOR 2. PROJECT NAME
Janet T. Soukup Lifetime Trust by En-Consultants
3. PROJECT LOCATION:
Municipality Laurel County Suffolk
4. PRECISE LOCATION: Street Address and Road Intersections. Prominent landmarks etc - or provide map
500 Birch Drive, Southold, Laurel, Town of Southold, SCTM #1000-128-4-7
5. IS PROPOSED ACTION: ® New ? Expansion ? Modification / alteration
6. DESCRIBE PROJECT BRIEFLY:
Reconstruct storm damaged (Hurricane Sandy) +/-3'x +/-20' timber stairway down embankment; reconstruct at top of stairway
a storm destroyed 8' x 10' wood deck previously located at base of stairway; and construct 4'x 8' steps to beach in place of
storm destroyed steps, all as depicted on the project plan prepared by En-Consultants, dated February 25, 2013.
7. AMOUNT OF LAND AFFECTED:
Initially 11,654 s.f acres Ultimately 11,654 s.f acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
®Yes n No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
® Residential Industrial Commercial Agriculture []Park / Forest / Open Space Other (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local)
®Yes ? No If yes, list agency name and permit /approval:
NYS DEC Hurricane Sand Emergency General Permit
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
?Yes ®No If yes, list agency name and permit /approval:
1f5 A T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
Yes No
I CERTIFY TH T THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant / Sponsor N obey E. Herrmann, Coastal Management Specialist Date: February 26, 2013
Signature-
If the action is a Coastal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
PART II - IMPACT ASSESSMENT To bi completed b Lead Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF.
0 Yes IZI No
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative
declaration may be superseded by another involved agency.
Yes V/ No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, If legible)
Cl. Existing air quality, surface or groundwater quality of quantity. noise levels, existing traffic pattern, solid waste production or disposal,
potential for erosion, drainage or flooding problems? Explain briefly:
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources: or community or neighborhood character? Explain briefly:
C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
F
C4. A community's existing plans or goals as officially adopted, or a change in use or Intensity of use of land or other natural resources? Explain briefly:
F
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly:
C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly:
C7. Other impacts (including changes in use of either quantity or type of energy? E lain briefl : -
E
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA CEA 7 If es _explain briefl :
Yes ? No
E. IS THERE, OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es explain,
Yes 0 No F- I
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 (a) setting (i.e. urban or rural): (b) probability of occurring; (c) 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. Nquestion d of part if was checked
yes, the determination of significance mustevaluate the potential impact of the proposed action on the environmental characteristics of the CFA.
Check this box Hyou have identified one or more potentially large wsignificant adverse Impacts which MAY occur. Then proceed directly to the FU
EAF andfor prepare a positive declaration.
Check this box if you have determined, based on the Information and analysis above and any supporting documentation, that the proposed actlo
WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi
determination.
Board of Trustees p ' j,'4X 8 O~ 3
Name of Lead Agency Dale
d3 M e 5 President o
Print or Type Name of Responsible Officer'n Lead Agency Title of Responsible Officer
r~
Sig ure of Responsible Officer in lea gency Signature of Preparer (If different from responsible officer)
9 %-%If FBI 4- 10
,~ti
James F. King, ]'resident y - Town Hall, 53095 Main Rd.
Bob Ghosio, Jr. , Vice-President A P.O. Box 1179
Dave Bergen • Southold, NY 11971
JohnBredemcycr Telephone(631)765-1892
Michael J. Domino ~ Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
R E E VE D
BOARD OF TRUSTEES: TOWN OF SOUTH OLD MAL20 013
In the Matter of the Application of
BmtridlifThistil"
JANET T. SOUKUP LIFETIME TRUST
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
TO R6 COMPLETED AF7ER POSTING RENIA/NS IN PLACE FOR EIGHT DAYS
1, Robert E. Herrmann z&siAin@2k/dba En-Consultants
1319 North Sea Road, Southampton, NY 11968
being duly sworn, depose and say:
That on thel 2thday of March 2013, 1 personally posted the property known as
500 Birch Drive South, Laurel, NY -__scn4.#1ono-178-4-7
by placing the Board of Trustees official poster where it can easily be seen, and that 1 have checked
to be sure the poster has remained in place for eight days prior to the date of the public hearing.
Date of hearing noted thereon to be held Wednesday, March 20, 2013.
Dated:
(signature)
Sworn to before me this
~C day of 44t4-20 4
r ub Ic
NIM H. STEPfl ENS
NOTARY FOOLIC
STATE OF I'EW YORK
COMMISSION NO. 5015931
QUALIFIED IN SUFFOLK COUNTY
EXPIRES AC GUST 2. 20«
NOTICE OF HEARING
NOTICE IS HEREBY GIVEN that a public hearing will be held by the
SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road,
Southold, New York, concerning this property.
c~ne~ T Sot~ku
OWNER(S) OF RECORD:
SUBJECT OF PUBLIC HEARING:
To reconstruct storm damaged (Hurricane Sandy) ±3'x±20' timber stairway down embankment; reconstruct at top of stairway a storm
destroyed 8'x10' wood deck previously located at base of stairway; and construct 4'x8' steps to beach in place of storm destroyed
steps. TIME & DATE OF PUBLIC HEARING:
4"eSJcty* j11"tk ao. ao13 - a4-or&bou4S%30
If you have an interest in this project, you are invited to view the Town file(s)
which are available for inspection rior to the day of the hearing during normal
business days between the hours ofp8 a.m and 4 p.m.
BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892
P F OF MAILING OF NOTICE
AAH CERTIFIED MAIL RECEIPT*
Name: Address:
Joseph Connelly and others (Joint Ownership) P.O. Box 337
Laurel, NY 11948
Robert J. Kar Irrevocable Trust 3806 Tarawood Court
Spring, TX 77388
Cheryl Prochilo 2539 Washington Avenue
Oceanside, NY 11572
Annamarie & Jonathan Becker 628 76th Street
Brooklyn, NY 11209
Katherine Congdon Caldwell, James Congdon, c/o Patricia Congdon O'Brien
John Congdon, & Carla Congdon Leone 5000 Great Peconic Bay Boulevard
Laurel, NY 11948
SPATE OF NEW YORK
COUNTY OF SLJFFOL K
Robert E. Herrmann doing business at En-Consultants
1319 North Sea Road
Southampton, NY 11968 being duly svwrn, deposes and says that on the
5th day of March 20 13 , deponent mailed a true copy of the Notice
set forth in the Board of Trustees Application, directed to each of the above named
persons at the addresses set opposite their respective names; that the addresses set
opposite the names of said persons are the address of said persons as shown on the current
assessment roll of the Town of Southold; that said Notices were mailed at the United States Post
Office at Southampton that said Notices were Mailed to each of said persons by
(certified)(recgisvetwt) mail.
Robert E. Herrmann
Coastal Management Specialist
Sworn to before me this 5th KIM H STEPHEN S
day of March 2013 NOTARY PUBLIC
STATE PF NEW YORK
COW,, I;~I'J1 NP 5015931
OUALIFIEO I'I SUFFOLK COUNTY
Not4Fy Public EXPIRES AUGUST 2, 20[3
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rru Postage $ rru Postage IS CJ Certified Fee O Certified Fee
C3 Postmark O Postmark
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C3 (Endorsement Required) O (Endorsement Required) Here _
Restricted Delivery Fee Restricted Delivery Fee
C3 (Endorsement Required) O (Endorsement Required)
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Total- - Q• M
Total Postage & Fees $
Katherine Congdon Caldwell, James & San" ~ Sent T, ra John Congdon & Carla Congdon Leone r-1 Annamarie & Jonathon Becker
o street, c/o Patricia Congdon O'Brien 3 saes, 628 76" St. s
M1 or PO M1 or o
5000 Great Peconic Bay Blvd
c'b. s cs" 3 Brooklyn, NY 11209
Laurel, NY 11948
Postal Postal -13 CERTIFIED MAILT. RECEIPT C3 CERTIFIED MAIL-rn RECEIPT
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f1J (Domestic Only; No Insurance Coverage Provided) (Domestic S
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Postage IS Postage $
C3 codified Fee U3 Cadillac! Fee
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sem Delivery Fee Restricted Delivery Fee
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C3 (Endorsement Required) O (Endorsement Required)
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O Total P-rano A Foo. Q C3 Total Pmu ne R Fees
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ru $e' Cheryl Prochilo Sent To Joseph Connelly and others
O srn
r-1 - 2539 Washington Ave. o rR1
Siii i,; P.O. Box 337
M1 o" Oceanside, NY 11572 M1 _ grPO6 Laurel, NY 11948
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Postal ServiceT.
CERTIFIED MAILTu RECEIPT I
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C3 Tnfal Pn[fana k Fac<
ru se Robert J. Kar Irrevocable Trust
ra
C3 sip 3806 Tarawood Ct.
r` or Spring, TX 77388
C,
•
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
Janet T. Soukup Lifetime Trust SCTM# 1000-128-4-7
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a Permit from the Board of
Trustees to:
Reconstruct storm damaged (Hurricane Sandy) +/-3'x +/-20' timber stairway down embankment;
reconstruct at top of stairway a storm destroyed 8' x 10' wood deck previously located at base of stairway;
and construct 4' x 8' steps to beach in place of storm destroyed steps, all as depicted on the project plan
prepared by En-Consultants, dated February 25, 2013.
2. That the property which is the subject of Environmental Review is located
adjacent to your property and is described as follows:
500 Birch Drive South, Laurel
3. That the project which is subject to Environmental Review tinder Chapters
%,111 and/or 275 of the Town Code is open to public comment on:
DATE: March 20, 2013 @ 6:00 P.M.
You may contact the Trustees Office at 765-1892 or in writing.
The above-referenced proposal is under review of the Board of Trustees of the Town of
Southold and does not reference any other agency that might have to review same
proposal.
Janet T. Soukup Lifetime Trust
PROPERTY OWNERS NAME: c/o Janet T. Soukup, Trustee
MAILING ADDRESS: 2 Oak Knoll Road, Mendham, NJ 07945
PHONE#: 973-543-7677
AGENT: En-Consultants
MAILING ADDRESS: 1319 North Sea Road, Southampton, NY 11968
PHONE 631-283-6360
Enc: Copy of sketch or plan showing proposal for your convenience.
ca e~~
25
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Notes:
1. Purpae: Pedestrim access down embajn"n'
2. Datum: ANW
_ 5. 5tairwm to 6e ca~tnxted with treated timber
PRpGE materjA5; all hardware to be hotdipped oAvmiwd steel
G G - 4. 5tauwai provides access down embakmert to be
rerarished, revegetated, ad maintained as nwtaf
buffer pur5a t to fown WeA r& Permit No. 8035,
o issued to adlja rt ax wner5
- 5. Plan ad crossview diawans are 5dwmatlc In nonce ad are
Intended oily to establish project laratm, scope, ad basic
SjORY canhucticn details fcr permittkq m po5e5 ad are not
2 fRPU'E intended to serve as a sukAute for agweri q or
HOUSE J. DECK ca 6tructom plans for cor6bl4tion pvpose5
STAIRS 6. Project location: 500 Birch Drive 5wth, larel;
_ 5CfM No. 1000-126-4-7
o
O ,\4
PROP. 8' x 10' DECK Q PRESENT LOCATION OF STORM DESTROYED
IN PLACE OF EX. PLATFORM (HURRICANE SANDY) 8' x 10' WOOD DECK
(PREVIOUSLY LOCATED AT BASE OF STAIRWAY)
CJ^~~ qOJ G TO BE RECONSTRUCTED AT TOP OF STAIRWAY
~"zo• RoiN
P P~ ADJ. STORM DAMAGED BULKHEAD BEING
REMOVED AND REPLACED AND RENOURISHED
TO PRE-SANDY GRADES BEHIND BULKHEAD
(SEE SEPARATE APPLICATION BY
of ` CONNELLY, CONGDON & OTHERS)
toy
±3' x 20' STORM DAMAGED WOOD PROP. 4' x 8' STEPS
7~ 1
STAIRWAY TO BE RECONSTRUCTED GREA T PE COA ~ y I C BA Y
4 GR°jN PPOF05R? MCON51 WION OF MCK
E N - CC %'r,!ILTA r 13 AN12 5TAIWAY FOR JAW T, 5OUKUP
1319 V_'lR;TH C A :r' , LIM M VU5T ON GMAT P~CONIC
i Y 11 > 63 PAY. LAUJT~, 5UFFaK COUNTY, NY
631 2 3 x 0 5H~ff I OF 2 21 25/ 0
5FC11ON Tfl FFWP05~P PF9 & 5TAF5 FVLACFMFNT
F,pOpOSEb P.ECONSi~1CiED DECK SiGRM OAMAGEY151PoFWAv
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6Y ..ONN'EL_„ ..ONG170N & Oil£5) FKOF. 55E.5
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PrOP05rP ITCON5TUTION OF MCK
ANP 5TA PNAY FR JANET T, 5OUKUP
I, ff'1MF TRU5T ON G1AT PFCONIC
PAY, ~AU~L, %ffOUK COUNTY, NY
SNFFT 2 OF 2 21 25/ 13
Board of Trustees Application
County of Suffolk
State of New York
(J Cc u J BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE I THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY
BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT
AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES
HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
Signature
SWORN TO BEFORE ME THIS__~~
DAY Y OF r' ,20~
iotaPublicc
TERESA K.MCCALL
NOTARY PUBLIC OF NEW JERSEY
My Commission Expires--11:0-
n ECEIVE D
D
MAR 2 0 2013
u own
To Whom It May Concern: Trustees
%ard of I/We. -Mary Cai~jjdi
am/are joint owner(s) of a property located off Great Yeconic Bay Boulevard, Laurel, known as
SCTM No. 1000-128-4-6, which is located adjacent to and on the southerly/waterside of land
owned by the Janet K. Soukup Lifetime Trust. I/we have been made aware of and have no
objection to an application being made by Ms. Soukup to reconstruct a deck and stairway down
the embankment and steps to the beach, which are located partially or entirely on the jointly
owned property. Our consent is offered with the understanding that all present and future
expenses associated with the construction and maintenance of these structures will be borne
entirely by Ms. Soukup and/or by her successors in interest and not by the undersigned.
Signed
N a rY l~Q Name
Signed
Name
-13
Dated
E Q E I V E
D
MAR 2 0 2013
To Whom It May Concern: Southold Town
Board of Trustees
T/We.odec~
am/are joint owner(s) of a property located off Great Peconic Bay Boulevard, Laurel, known as
SCTM No. 1000-128-4-6, which is located adjacent to and on the southerly/waterside of land
owned by the Janet K. Soukup Lifetime Trust. I/we have been made aware of and have no
objection to an application being made by Ms. Soukup to reconstruct a deck and stairway down
the embankment and steps to the beach, which are located partially or entirely on the jointly
owned property. Our consent is offered with the understanding that all present and future
expenses associated with the construction and maintenance of these structures will be borne
entirely by Ms. Soukup and/or by her successors in interest and not by the undersigned.
W~
Signed 11 l
cOc'V-k Hue II
Name
Signed
Name
,3 ~ao 13
Dated
p ECEIVE
MAR 2 0 2013
mm
To Whom It May Concern:
Uwe. -%QSEP1t S, q'Ltz rF6~ a tf I ~NNEI
am/are joint owner(s) of a property located off Great Peconic Bay Boulevard, Laurel, known as
SCTM No. 1000-128-4-6, which is located adjacent to and on the southerly/waterside of land
owned by the Janet K. Soukup Lifetime Trust. Uwe have been made aware of and have no
objection to an application being made by Ms. Soukup to reconstruct a deck and stairway down
the embankment and steps to the beach, which are located partially or entirely on the jointly
owned property. Our consent is offered with the understanding that all present and future
expenses associated with the construction and maintenance of these structures will be borne
entirely by Ms. Soukup and/or by her successors in interest and not by the undersigned.
Signed O V
AO,6F,O - S, ~piuNt7=L~ 7
Name
L~~~~,aJ,v~lJ
Signed
F// zabe -[--h 06r AlA/ELL Y
Name
3/el/ 3
Dated
fl!Q To Whom It May Concern: UWe,~l
am/are joint owner(s) of a property located off Great Peconic Bay Boulevard, Laurel, known as
SCTM No. 1000-128-4-6, which is located adjacent to and on the southerly/waterside of land
owned by the Janet K. Soukup Lifetime Trust. I/we have been made aware of and have no
objection to an application being made by Ms. Soukup to reconstruct a deck and stairway down
the embankment and steps to the beach, which are located partially or entirely on the jointly
owned property. Our consent is offered with the understanding that all present and future
expenses associated with the construction and maintenance of these structures will be borne
entirely by Ms. Soukup and/or by her successors in interest and not by the undersigned.
0-7 113
Signed
O,U CCA, a\ y
Name
Signed
Name
I
Dated
rBoaro aTf
To Whom It May Concern: ami a:r owner(s) of a property located off Great Peconic Bay Boulevard, Laurel, known as
SCTM No. 1000-128-4-8, which is located adjacent to r ~'-'Cfslac. , i land
owned by the Janet K. Soukup Lifetime Trust. I(:. have been made aware of and have no
objection to an application being made by Ms. Soukup to reconstruct a deck and stairway down
the embankment and steps to the beach, which are located partially or entirely on the jointly
owned property. Our consent is offered with the understanding that all present and future
expenses associated with the construction and maintenance of these structures will be borne
entirely by Ms. Soukup and/or by her successors in interest and not by the undersigned.
Sign
~q`yT 4/ / M1~2
Name
Signed
Name
Awf~_-Izo/ l
Dated
E Q E VE
MAR D
2 0 2013
Southold Town
To Whom h May Concern: 1
I/We, -~Q, MA \
am/are joint owner(s) of a property located off Great Peconic Bay Boulevard, tire], known as
SCTM No. I(1U0-128-4-6, which is located adjacent to and on the southerly/waterside of land
owned by the Janet K. Soukup Lifetime Trust. I/we have been made aware of and have no
objection to an application being made by Ms. Soukup to reconstruct a deck and stairway down
the embankment and steps to the beach, which are located partially or entirely on the jointly
owned property. Our consent is offered with the Understanding that all present and future
expenses associated with the construction and maintenance of these structures will be borne
entirely by Ms. Soukup and/or by her successors in interest and not by the undersigned,
Signed
~3 R ~ r~bv ~ . C~ CA u R k4 ct~
Name--
Signcd
Name
Dated
p E C E I V E
MAR 2 1 2013
To Whom It May Concern: own
Me,
am/are joint Owner{s} of a pr0Pcrty located off t rrcat Pectrnic Bay Boulevard, Laurel, known as
SGTM No. Its-I -A-fi, which is :located adjacent to and on the soutterlylwaterside of land
owned by the Janet K. Soukup lAtetime-Trust. I/we have been mate aware of and have no
abjection to an application being made by Ms, Soukup to redoonstruct a deck and stairway down
the embankment and steps to the beach, which are located partially or entirely on the jointly
owned prqxdy. Our consent is offered with the understanding that all present and future
expenses associated with the construction and maintenance of these structures will be home
entirely by Ms. Soukup and/orbyher successors in interest and nut by the undersigned.
Name
Signed
Name
Mted
i
i
j
Board of Trustees Application
AUTHORIZATION
(where the applicant is not the owner) r
I, _j ~ r~ u residing at_~ 4,~ ~n LI I`ca( ~N ~r cCk, &L
(print owner of property) (mailing address)
do hereby authorize
(Agent)
~h - C'OO5t'L (lct-7 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 provide information which can alert the town of possible conflict of interest and allow it to take whatever action is
necessary to avoid same. 11
YOUR NAME:
(Last name, first time, middle initial, unless you are applying in the name of
someone else or other entity, such as a company. If so, indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If "Other", name the activity.)
Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee
of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business,
including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation
in which the town officer or employee owns more than 5% of the shares.
YES NO
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check
the appropriate line A) through D) and/or describe in the space provided.
The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply):
A) the owner of greater than 5% of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
B) the legal or beneficial owner of any interest in a non-corporate entity (when the
applicant is not a corporation);
C) an officer, director, partner, or employee of the applicant; or
_,D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this 2 day of 200 L-I-
Signature
Print Nam
Form TS I
Town of Southold . •
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
I . All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
2. Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. AAproposed 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" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus, each answer must be explained in detail, listine both supportine and non-
supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions, it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the 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 E G E ~ V E
SCTM# 128 - 4 7 t
F E B 2 1 2013
PROJECT NAME Janet T. Soukup Lifetime Trust
Southold Town
The Application has been submitted to (check appropriate response): Board of Trustees
Town Board ? Planning Board[:] 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:
Reconstruct storm damaged (Hurricane Sandy) +/-3' x +/-20' timber stairway down embankment; reconstruct at top of stairway a storm
destroyed 8' x 10' wood deck previously located at base of stairway; and construct 4' x 8' steps to beach in place of storm destroyed
steps, all as depicted on the project plan prepared by En-Consultants, dated February 25, 2013.
Location of action: 500 Birch Drive South, Laurel
Site acreage: 11,654 s.f.
Present land use: Residential, one-family dwelling
Present zoning classification: R40
2. If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: Janet T. Soukup Lifetime Trust
(b) Mailing address: c/o Janet T. Soukup, Trustee
2 Oak Knoll Road, Mendham, NJ 07945
(c) Telephone number: Area Code 973-543-7677
(d) Application number, if any:
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes ® No El If yes, which state or federal agency? NYS DEC Hurricane Sandy Emergency General Permit
C. Evaluate the project to the following policies by analyzing how the project will further support or not
support the policies. Provide all proposed Best Management Practices that will further each policy.
Incomplete answers will require that the form be returned for completion.
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation
criteria.
?Yes ? No ® Not Applicable
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP
Section III - Policies Pages 3 through 6 for evaluation criteria
? Yes[--] 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
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
? Yes ? No ® Not Applicable
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22
through 32 for evaluation criteria.
® Yes[:] No ? Not Applicable
The project consists of the reconstruction of & and stairway that were damaged or destroylu-ing Hurricane Sandy. The stairway
is being constructed down a bank, which pursuant to Town of Southold Wetlands Permit No. 8035 is being renomished, revegetated,
and maintained as a nonturf buffer in association with the reconstruction of the adjacent storm damaged bulkhead located to the south of
the subject property. The deck and stairs are consistent in scope and location with many others present along this stretch of developed
shoreline, including those present on the adjacent parcel to the east, reconstruction of which was also approved by Wetlands Permit No.
8035. Thus, together with the work being conducted on the adjacent lands, the project will maintain previously existing site conditions
and will have no adverse impact on the quality or function of the adjacent beach or wetland ecosystem, consistent with Policy 6.
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 ? NON 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 ? No ® Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation
criteria.
? Yes ? No ® Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold's watependent uses and promote sitingeew 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 ® 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
PREPARED BY TITLECOASTAL MGMT SPECIALIST DATEFeb. 26, 2013
ROBER E. RRMANN
Amended on 811105
-n/
EN-CONSULTANTS
February 26, 2013
Town of Southold RD E Q ;
Board of Trustees 54375 Main Road FE:IVE
Post Office Box 1 179 Southo
ld, New York 1 1971
Re: Janet T. Soukup Lifetime Trust 500 Birch Drive, Southold
SCTM #1000-128-4-7
Dear Board of Trustees:
In regard to the above referenced property, enclosed are the following for the Board of Trustees review:
I. Three (3) Wetland Permit Applications including:
a) Short Environmental Assessment Form;
b) Authorization & Disclosure Forms;
c) project plans prepared by En-Consultants, dated February 25, 2013; and
d) survey.
2. One (1) set of site photographs.
3. Application fee of $250.00 wetlands.
4. Three (3) LWRP Consistency Assessment Forms including:
a) project plan.
I trust this infonmation shall allow you to process our permit request. Should any additional information
be reohired, please do not hesitate to contact our office.
SincO ely,
Roe . Herrmann
Coastal Management Specialist
/khs
Fnc.
1319 North Sea Road I Sou rhamlll on. New Yrrrk 11968 [)63128363601f6312836136
RESOLUTION 2013-189
®'~f 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 bonstruction, that in the sole discretion of the Board of Trustees, are
determined to be related to Superstorm Sandy, until April 1, 2013.
0~as44.~
Elizabeth A. Neville
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Jill Doherty, Scott Russell
SECONDER: William Ruland, Councilman
AYES: Dinizio Jr, Ruland, Doherty, Talbot, Evans, Russell
56L`
1319 NORTH SEA ROAD-PH. SOUTHAMPTON, NY 11968
/ ~1( 50-666.214
~
PAY
TO THE
O+1DER F b(w)Vl !1 l DATE ~
DOLLARS 8
BRIDGEHAMPTON ,.o xwwrmx now
NATIONAL ~ourxwx~rox, xr ~ee n
BANK Jant~"p"(',°(JJ~f~ j [~C
v
A
"Trustees APPROVED
B `
BOARD OF TRUSTEES TOWN OF Zip HOLD ~ JI 51- cPCa55 VIA
Su6~cf
50' DATE 3 Zv
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Suffok Cw4 Naassrom Map 46
KCIrw p, z +2000'
I P, I TTrtst ~ T
err rocgbl~ _
N_otes: -
I. Purpose: pedestriai xcess dam embarkment
2, Vatum: AM
3. Stairway to be car tructecl with treated timber
PRpGE materials; all hardware to be hatdipped oAvmiwd steel
G - 4. 51tairwa4 prowdes access dam embakment to be
rer 14wd, reveWtated, ad maintained as ronW
buffer pursuat to fawn Wetly xk Permit No. 8035,
slued to adjarent a downers
5. Plat ad crossview &&Tans are schematic In nahre and are
intended only to estaWlsh project lorat&, srnpe, ad basic
=t Y catAructacn details for permittirq p rposes ad are rot
2 S 0 intended to serve as or substitute for ergineenrq or
~uSE J. DECK constriction plan for construction pirposes
STAIRS b. Project location: 500 Birch Prive 5adh, Laurel;
SCfM No. 1000-128-4-9
PROP. 8' x 10' DECK PRESENT LOCATION OF STORM DESTROYED
IN PLACE OF EX. PLATFORM (HURRICANE SANDY) 8' x 10' WOOD DECK
(PREVIOUSLY LOCATED AT BASE OF STAIRWAY)
TO BE RECONSTRUCTED AT TOP OF STAIRWAY
C`. App G
~X2p. RO/N
x P~ ADJ. STORM DAMAGED BULKHEAD BEING
REMOVED AND REPLACED AND RENOURISHED
4 TO PRE-SANDY GRADES BEHIND BULKHEAD
~oQ (SEE SEPARATE APPLICATION BY
of ' CONNELLY, CONGDON & OTHERS)
to`"
±3' x 20' STORM DAMAGED WOOD PROP. 4' x 8' STEPS
STAIRWAY TO BE RECONSTRUCTED N GREAT PECVNl C BA 1
r~ Ap? pRp/N FFOP05W Q~CONSTFUCTION OF MCK
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DAY, I AM, SUFFOLK COUNTY, NY
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PROPOSED RECON5WEV DECK 5TORM VAMAaV 5TA AWAY
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4" . 4" P0515 ( IW.)
E N - CONSULTANTS
1319 NORTH SEA RD,
SOUTHAMPTON, NY 11968
631-283-6360
PROP05W MCON5T.lCTION OF MCK
ANP 5fA kVVAY FR JAWf t. 50"
LIME TM5T ON GMAT PPCONIC
PAY. I ML, 5 FFOLK COUNTY, NY
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V v3 S6O ` / O 400 Ostrander Avenue, Rlverhead, New York IIg01 te1. 631.721.2303 fax. 651,727.0144
adminagoungenglneering.aam
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p °F'~~, N 41tt'~~ ~ ~4~#S~~
Howard W. Young, Land Surveyor Thomas G Walpert, Prafesslonal Englneer
Y- s~ Douglas E. Adams, Prol`esslonal Engineer $ 4 4
~ ar\y I s Radert C. Fast, Archltect
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NOTES
-'4,
N S S AREA = 11,654 50. FT.
q°rm prolI 1e\y~ p\\ 69yr or
Q 0etta Nvo\~ \°m * VERTICAL DATUM = KA V. DAFNM (1988)
/
4Ormer\y \1 \o~
` a\ y
\ n°w or Navra O 60' \
1 1~;¶ Pmt, ~L ~Le
/ 1
/ O 9
\ O M
Ar O
O 1 p4 \ Sp 7
WI o 0
\ i9s 3 to S o C~3 \ o cn moo
1 9- N \ 5_ N 9 O
\ S 1\ S , SURVEYOR'S cERTIPICATION
op N n
oS - * WE HEREBY CERTIFY TO JANET T. 5OUKUP THAT THIS
/ 9 SURVEY WA5 PREPARED IN ACCORDANCE WITH THE CODE OF
PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF FROFES5IONAL LAND SURVEYORS.
b \ ' J ` 0 '1
~N
\ 9 W @ °we
CO Yry,
\ ~7~ to ~9\ L.f'N N
E
1\ N'j3~5pO' ~ 9.9= pro I a+_.a6= +f"v °Vi-~ `lf . ~~C 45893
Y 9.99 3~9 HOWARD W. YOUNG,N...L.S.NO.45695 \.~LA-
6a ri A
1,IW 'b WIyYe 3L l9,,gq
n E G E u V D sU1zvEY ~or~
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} ,y ~o y°a 14 n' ra. a .f9" ivi/ . d 4 ~y_ rn
Z 23AN D~ c D3 ~19,$• WPr 11~i~/" q 49ldSV bg,voM M FED 2 7 201 JANET T. SOUKUP
E 6 iN, ~6D l Qwp 9 (R Q'%;'//1.14 r 6 u4 Q, , L =Ob4 / 34 2.56 Southold own at Laurel, Town of Southold e Suffolk county, New York
966 SM/y, _ N y 151E °33 " 5 If
0 1400 Y£ ~F Y9 ODW 616 Cb Jwop O YN°_ p% 96M1 9 ° p 1
1 a ~4. ~h=o 1D4~ 993 639
BUILDING PERMIT SURVEY
County Tax MOP Dlsmct 1000 sectlmr 125 amcx 04 Lot 7
D; FIELD SURVEY COMPLETED DEG. 18, 2012
o a;' ~m h~!• D54 O z9%J a'Qt `o~~ '1L y'~\h r MAP PREPARED DEG. Ig, 2012
0 Record of ROVI51On5
RECORD OF REVISIONS DATF
p ' ADDED REMAINS OF WOOD DECK FEB. 05, 2018
s F C C Qoi ap pcp ~
m / y ~ u r
]969(/ ~ i c0\r0
1 -6~9 rpcUpcpc n V
68, p\Q ~a 40 O 20 40 80 120
/ 9,10 'apt r a 9~3 ~ ~ ~~P
990 Scale: I" = 40'
0 = MONUMENT 5CT ¦ = MONUMENT FOUND A= STAKE SC-T . = 5TAKE FooN 360q q' O JOB NO. 2012-0262 DWG. 2012_0262_bp I OFI