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HomeMy WebLinkAboutTR-8111 James F. King, Presideut Bqb Ghosio; Jr., Vice-PlCesideat .'DaveBergea "' - · John Bredemeyer Michael J. Domino Town Hall, 53095 Maia Rd. ' P.O. Box 1179 $ou~ld, NY 11971 Telephone (63 l) 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 1 st day of construction Y~ constructed __ Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8111 DATE: MARCH 20~ 2013 ISSUED TO: EUGENE BURGER~ JR. PROPERTY ADDRESS: 2385 PINE TREE ROAD~ CUTCHOGUE SCTM# 104-3-2 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 $250.0Q paid by Burger Construction, Inc. and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trastees authorizes and permits the following: Wetland Permit to construct a 131 square foot wood deck along existing timbers at top of bank with new steps down to beach area; install new 2' high rock revetment wall and returns on either side of wall; area between retaining wall and top of bank to be planted with native vegetation; and as depicted on the site plan prepared by Burger Construction, last dated March 21, 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 Eugene Burger, Jr., residing at 2385 Pine Tree Road, Cutchogue, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittec 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 $outhold. 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 thc Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 March 20, 2013 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Eugene J. Burger PO Box 934 Cutchogue, NY 11935 RE: EUGENE BURGER, JR. 2385 PINE TREE ROAD, CUTCHOGUE SCTM# 104-3-2 Dear Mr. Burger: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 20, 2013 regarding the above matter: WHEREAS, Eugene J. Burger on behalf of EUGENE BURGER, JR. 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 15, 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 March 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 decumentation 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 EUGENE BURGER, JR. to construct a 131 square foot wood deck along existing timbers at top of bank with new steps down to beach area; install new 2' high rock revetment wall and returns on either side of wall; area between retaining wall and top of bank to be planted with native vegetation; and as depicted on the site plan prepared by Burger Construction, last dated March 21,2013 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, President Bob Ghosio, .Ir., Vice-President Dave Bergen John Bredemeyer Michael 1. Domino Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ~//5/l~ , , has been reviewed by this Board at the regular meeting of ~/2_D/L~ and your application has been approved pending the completion of th(~ foll(~Wing items checked off below. __ Revised Plans for proposed project __ Pre-ConStruction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) F/i Constructed ($50.00) hal 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 Southoid. 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 m-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $. ~), bO BY: James F. King, President Board of Trustees Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (63 ! ) 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 Audrey Horton, seconded by Doug Hardy it was RESOLVED to SUPPORT the Wetland Permit application of EUGENE BURGER, JR. to construct 131 sf. of wood deck along existing timbers at top of bank with new steps down to beach area and install new rock revetment wall 2' high. Located: 2385 Pine Tree Rd., Cutchogue. SCTM#104-3-2 Inspected by: Audrey Horton, Doug Hardy The CAC Supports the application, however, has concerns with the location of the deck at the top of the bank. The CAC recommends a 15'-20' non-turf vegetated buffer along the top of the bank. Vote of Council: Ayes: All Motion Carried MAR ! 4 2013 Board of rrusteos .Fames F King, President Bob Ghosio. Jr, Vice-Presidenl Dave Bergen .Iohn Brcderneyer Michael J. Domino P.O. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631 ) 765-6641 Date/Time: Southold Town Board of Trustees Field Inspection/Worksession Report Eugene J. Burger on behalf EUGENE BURGER, JR. requests a Wetland Permit to construct a 131 square foot wood deck along existing timbers at top of bank with new steps down to beach area; install new 2' high rock revetment wall. Located: 2385 Pine Tree Road, Cutchogue. SCTM# 104-3-2 Type of area to be impacted: _~altwaterWetland __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 __Administrative__Emergency Coastal Erosion Amendment Pre-Submission Violation Modifications: Conditions: / Pre~.sent Were: ~ J.~g /B. Ghosio '~D. Bergen, · J. Bredeme-'~r Mi~ael Domino D. Dzenkowski Form filled out in the field by Mailed/Faxed to: Date: other Jill M. Doherty, President Bob Ghozio, Jr., Vice-President JameS F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN Tit'USTEES TOWN OF SOUTHOLD April 20, 2011 Mr. Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959-0447 RE: EUGENE BURGER, JR. 2385 PINE TREE RD., CUTCHOGUE SCTM#104-3-2 Dear Mr. Just: The following action was taken at the Southold Town Board of Trustees Regular Meeting held on Wed., April 20, 2011: RESOLVED, that the Southold Town Board of Trustees APPROVES the request for a Transfer of Wetland Permit #7417 from Davies Family Trust to Eugene Burger, Jr., as issued on September 22, 2010, and, BE IT FURTHER RESOLVED that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit #7417 to construct a 4'X 59' fixed catwalk, 3'X 20' ramp, a 6'X 20' floating dock with a 2'X 4' bump-out float, in an "L" configuration secured by two batter piles and a proposed fie-off pile, with the Condition the overall length of the docking facility doesn't exceed 84' to the seaward side of the floating dock, and as depict, ed on the plan prepared by J.M.O. Environmental Consulting last revised April 21,2011 and stamped approved on April 25, 2011. If you have any questions, please contact our office at (631) 765-1892. Sincerely, JMD:lms LITTLE ~F LOOD PROG.~, ZO' P ~ ~.-PROR(2~'BATTER PILES FLOAT "~J----'--- ~.~,, 0t~' ~R TIE O~ RLE P~ e 2'X ~' '~Bu~ ~ ~OP. S~X20' rLOAT~/ ~ ~ CATW ~LK 4/ I~ ~ TWL ~ALL AHW, ALW & TWL Depths located by G. Just 0730 Hrs. 11/9/10 STY Applicant: Eugene Burger Purpose: Private Re~.ational Docking Location: 2385 Pine Tree Road Datum: Apparent Low Water 'Locus: 72027, 41°0]' S.C.T.M.No. 1000-104-03-002 DR IVE APPROVED BY Applicant propoaea to construct q 4'x 59' catwalk utilizing open grate docking secured by 6" piles, 3'x 20' ramp, 2'x 4' bump out float, 6'x 20' float secured by two ~ piles and a tie offpile. At Little Crew.~ Cutchogue, Town of Southold, Suffolk Couaty, N~v Yoi'k SCA LE 1-30 ,. ' ~O EN~RONMENTAL CONSULTING QUOGUE, N.Y. SHEET IOF2 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 741'/ DATE: S PTEMBER 22 2010 ISSUED TO: DAVIES FAMILY TRUST PROPERTY ADDRESS: ~ SCTM# 104-3-2 AUTHORIZATION Pursuant to the provisions of Chaptar 275 and/or Chapter 111 of the Town Code of fig Town of Southold and m accordance with the Resolution of the Board of Trustees adopted at the meeting held on ~, and in consideration of application fee in the sum of $250.00 paid by~ and subject to the Terms and Conditions as stated ia the Resolution, the Southeld Town Board of Treat,s authorizes and permits the following: Wetland Permit to construct a 4'x60' fixed elevated catwalk; 3'x15' hinged ramp and a 6'x20' floating dock on the eastern sberel~' of ~he sqbject ProPerty, with the condition of the use of open grate decking, and as depicted on the site plan [ by Suffolk Environmental Consulting Inc., last dated October 14, 2010, and stamped approved on October 25, 2010. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Con,rate Seal to be affixed, and these presents to I~ subscribe:6 by a majority o f the said Board as of Ibis date. DA VIES FAMILY TRUST ~Jlperty ~ Proposed Dock Structure ~ SITE PLAN DETA IL DA VIES FAMILY TRUST l~fferty ~ Proposed Docl~ Structure ~ SOUTH ELEVATION Scale 1"= 10' AHW, ALW & TWL D~ths located by G ~ust 0730 Hrs. 11/9/10 - FIXED C ALI( PROP, 3t~20 RAM P STEPS fl'. ~. ~ ~ '~ ~ FLOAT ON~L~ ~E~IO~G/' RILES ~ PROR TIE OFF PILE ~m Applicant: Eugene Burger Purpose: Private Rec~'e~ional Docking Location: 2385 Pine Tre~ Road Datum: Apparent Low Water Locus: 72o27, 41001' S.C.T.M.No. 1000-10403-002 Applicant prOlX~es to ~mm~ct q 4'x 59' catwalk utilizing open grate decking secured by 6" piles, 3'x 20' ramp, 2'x 4' bump out floag 6'x 20' float segamd by two batmr piles and a tie offpile. At Little Creek, Cutchogue, Town of Southold, Suffolk County, New York SHEET 2 OF; OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cur. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator EC;E VE MAR 1 3 2013 Date: March 13, 2013 Re: Proposed Administrative Permit for EUGENE BURGER, JR. SCTM#1000-104-3-2 Eugene J. Burger on behalf EUGENE BURGER, JR. requests a Wetland Permit to construct a 131 square foot wood deck along existing timbers at top of bank with new steps down to beach area; install new 2' high rock revetment wall. Located: 2385 Pine Tree Road, Cutchogue. SCTM# 104-3-2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F. King, President 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~wOaStal Erosion Permit Application etland Permit Application Administrative Permit __AmendmenUTrans f~r/E~tension AZ~Received Application:~ ~eceived Fee:$ ~_~'/) ~D {) f t V/Completed Application __Incomplete __SEQRA Classification: Type I Type I1 Unlisted __Coordination:(date sent) v'/LWRP Consistency Assessment Form --V'/C/AC Referral Sent: ~]l ~/4Date of Inspect on: __Receipt of CAC Report: __Lead Agency Determination: ublic Hearing Held: Resolution: FEB 1 5 2013 Name of Applicant ~__~-~ :~1~ C Mailing Address ~ '~'~ ~ CCJ~"3 (_90'~ ){~ Phone Number:( 0- Suffolk County Tax Map Number: 1000 - Property Location: (provide LILCO Pole #, ~listan[e to cro~ss streets, and location) AGENT: (If applicable) Address (~-~O Board of Trustees Application Land Area (in square feet): Area Zoning: I~ ~0 ~ - Previous use of property: Intended use of property: Covenants and Restrictions on property? __ Yes If"Yes", please provide a copy. GENERAL DATA ~ No Will this project require a Building Permit as per Town Code? Yes ~._No If"Yes", be advised this application will be reviewed by the Building-Deptfp6or to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? __Yes ~>~ 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? '>< 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? If yes, provide explanation: No Yes Project Description (use attachments if necessary): OC)V'3~'~G,~O(_.-JC Boj of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ('~(3~,.gr..fir ~ uDt"~ZX~ Area of wetlands on lot: Percent coverage of lot: square feet % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No /h( Yes If yes, how much material will be excavated? How much material will be filled? Ig4' a~ cubic yards cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: ~_~ Manner in which material will be removed or deposited: feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER 617,20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 1. APPLICANT / SPONSOR 2. PRO~ECT NAME ,.PROJECT LOCAT,ON: O O[3 4. PRECISE LOCATION: S~et ~ddess and Road Intersec~ons. Prominent landmarks etc * or p~vide mad SEQR 5. IS PROPOSED ACTION: ~ New [] Expansion [] Modification / alteration · DESCRIBE PROJECT BRIEFLY; 7 AMOUNT OF LAND AFFECTED: Initially , O ~. acres Ultimately . C~' ~ acres 8. WILL PROPOSED ACTION COMPLY WiTH EXISTING ZONING OR OTHER RESTRICTIONS? ,~Yes [] No If no, descdbe bdefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~'Residential E~lndustrial E~Commercial E~Agriculture []Park/ForestlOpenSpace r~other {descdbe) 10, DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. AGENCY (Federal. State or Local) ]Yes [~"No If yes, tist agency name and permit / approvak NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL 11 DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? /~Yes [~No if yes. list agency name and permit / approval: 12. AS A EF[ESULT 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 Applicant / Sponsor Name Date: I Signature ~'"~--~.~.,~ ~'f~,.,..,,~ ~- ~2- ~t If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT [1'o be completed by Lead Agency) A. ores ACTION EXCEED ANY TYPE I TI4RESHOLD IN 6 NYCRR, PAR[ 617~47 If)'es, coordinate the review process and use the FULL EAF. OY:s 17I.o B. ~q~ll I /~.CTICk%I RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by am~thor involved agency. OYes C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED VVlTH THE FOLLOWING: (Answers may be handwritten, If legible) C1. Existthg air quality, surface or groundwater quality or quantity, noise levels, e~.efing traffic pafforn~ solid waste producUen or disposal potential for erosien, drainage or flooding problems? Explain briefly: C2. Aestheflo, egdcu tm*a, ologlcal, historic, or other natural or cultural resources; or communliy or neighborhood character? Ex.b1 bdelly: C3. Vegetation jr fauna, lish. shellfish or wildlife species, significant habitats, o~' I~, reatened or efldangefed species? Explain briefly: C4. A c~-nmunlty;s e~dstin~plans or goals as officially ad~ ed. or a change m use or in enst~ o~'use';'~ la~d or other nature reseumes? Explain 10defly: Cfi. Growth, ~iubsequent development, or related activities likely to be induced by the proposed action? Explairl C6. Long term. short term, cumulalive, or other effects not identified in C1 -C57 Explain briefly: I I O. VVILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVSRONMENTAL AREA (CEA)? (If)~es, explain briefly: E. IS THERE, OR IS THERE UKELy TO 8E~ CONTROVERSY RELATED TO POTENTIAL.,~'ERSE ENVIRONMENTAL IMPACTS? If *LeS PART III - DETERMINATION OF SIGNIFICANCE (To be ~ompleted bY Agency) IN$1RUCTIOI~IS: F~eachadvemee~ec~de~T~Jab~ve~determinewhether~tissubsta~tiaL~a~g~imp~dant~r~s~n~ Each effec~ shoukl be assessed in co~ with Its (a) setting (i.e. urban or rdral); (b) probebifity of oocurdng; (~) duration; (d) kmversibl~. (e) geographic soope; and (0 magnitude. If neoessa~y, add a~achments or refeeence suppo~ng materials. Ensure that explanations oontaln .. suffldent de~ll to show that all relevant ad,~me Intpac~s ha~e been Identified and adequately adda~sed. If question d of part II was checked EAF and/or prepare a positive dedaraeen. Check ~ box lfyou have delemdned, based on ~e Infonnatlen and analysis above end any euppodleg documen~tlon, that the proposed actl~ WlLL NOT resuff in any significant adverse en~irenmental Impacts AND provide, on attachme~s as necessapj, the reasor~ supporting Board of Trustees I~ ,,~ }<~[/~ ~ 'Z-ol '~ Name of Lead Agenoy ~ Date J F, President print or TYpe Name of Responsible Officer ~ Lead Agency Title of Responsible Officer SignOre of Respensib e Officer in Lead.~ency Signalure of Prepare~ (If different fi-om responsible officer) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAlL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~'~cc[~a ~o6~0 , residing at P~h ok4 ~ /M/q_, k~a4~ ~od~] , being duly sworn, deposes and says that on the , ~-~b. - day of L~. ~ ,20 I'~, deponent mailed a tree copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ~.-'~CLak,kc~t ck ~ K-~ , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of ~ (~ ,20 Notary Public $1.12 $3.10 $2.55 ~.® _$ $6.?? U S E 0971 O2 Postr~ark S1.12 0971 $3.10 02 Postmark $6.?? 03/06/2013 Pos(ag. ] $ $1.12 0~1 Return Receipt Fee Postmark Rest dcted 8elive~ Fee .Iohn Bi cdcmcb el' Michael .I. Domino I tl\~ll I lall. 53095 Mahl Rd P.() Box 1179 Southold. NY 11971 Iclcphonc (631) 765-1892 Fax { 631 } 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of EUGENEBURGER~JR. COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 1'0 BE COMPLETED q I:TER I~O,~;?'I,~,G RILtl41,N~' /N PL4CE FOR EIGIIT DA 1. '~Wcff-,k o Fco.~A'"~'"ff% . residing at/dba being [luly sworn, dcpos~ and say: Old That on thc/2today of ~-.C~ ,2017>, I personally posted the property known as oy ptacin~ [ne ~oaro oi'~rustees official poster where ~t can easily be seen, and that 1 have checked to be sure the poster has remained in place tbr eight days prior to thc date of the public hearing. Date of hearing noted thereon to be held Wednesday~ March 20~ 2013. Dated: (signature) Sworn to before me this ~-~O4~ day offl~t~0 ~ Notary Public NOTIC OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD:,~'~¢ne'~,r~e,r, ,DC SUBJECT OF PUBLIC HEARING,. To construct a '13'1 square foot wood deck along existing timbers at top of bank with new steps down to beach areal install new 2' high rock revetment wall. TIME & DATE OF PUBLIC HEARING: . If you have an interest in this 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 of Trustees Application State of New York u (Q c BEFOG DULY SWOm4 DEPO~rES AI~ID AFFIRMS THAT H~SHE IS ~E ~PLIC~T FOR THE ~OVE DESCRIED PE~(S) AND ~T ~L STATE~NTS CONT~ED HE~ ~E ~ TO THE BEST OF HISSER ~OWLEDGE AND BELIEF, ~D T~T ALL WO~ W~L BE DONE ~ ~E MA~ER SET FORTH ~ THIS APPLICATION AND AS MAY BE ~PROVED BY THE SOUTHOLD TO~ BOARD OF TRUSTEES. THE ~PLICANT AGREES TO HOLD THE TO~ OF SOUTHOLD AND ~E TO~ ~USTEES H~MLESS AND FREE FROM ANY AND ALL DAMAGES A~ C~IMS ~IS~G ~DER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN CO~LET~G ~IS APPLICATION, I HEREBY AUrORaE ~E TRUSTEES, THE~ AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO ~SPECT ~E PREMISES ~ CONJU~ION WITH REVIEW OF THIS APPLICATION. Signature of Prop~y O~er / Notary Public - State of New York NO. 016t/6269074 (luali~led In New York ['muBty / My' Commlss*on Ex;) res ~7,.'~/~ Bo~ of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, ~~ ~residing at Z;~Sc-~ ,'~wp (print'owner orproperty) (mailing address) hereby authorize (Agent) '~¢(0oZ( to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Ox0ner's-signatiare) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM TI~$ Town of Southold's Code of Ethics nmhibits conflicts of interest on the ~ of town 0fficom and emolovces. The oumose of this form is to nmvide information which can alert the town of oossible conflicts of intcm~t and allow it ~ take whatever action is [Last n ~ne, fu~t name,~niddle initia~ unless you are applying in the name of somcune else or other entity, such as a company. If so, indicate the other pcmon'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 (lf"Othcr", name the activity.) Do you pemunally (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 coq~oration in which the town officer or employee owns more than 5% of the shams. YES NO ~ lfyou 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 appticanffagen~/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) thc oy~ner of greater than 5% of the shares of the corporate stock of the applicont (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 1 Submitted this J=~day of ~;~r, r.~ 200 [_~ Signature ~ f~ PrintName ~l~l.n~ot- ~ ~[._~t~/-' Town of SouTold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A /~O /~ 0'~ C~ STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN District~ecti~n Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within I Wilt this Project Retain Ail Storm-Water Run-Off the Scope of Work for Proposed Construction) ~ ~ ~ ~'~ Generated by a Two (2") Inch Rainfall on Site? r'"l (s.F. ! ^c~s) (This item will include afl run-off created by site b. What is the Total Area of Land Clearing clea~ing and/or construction activities as well as all and/cr Ground Disturbance for the proposed ZJ/~ (,~ .~' Site Improvements and the permanent creation of construction activi~ impervious surfaces.) (S.F. / Acres) 2 Does the Site Plan and/or Survey Show A~I Proposed PRO¥I])E BE~-~' PROJECT DESCRIPtiON (Pmldde Ad~J~'mlal Pages as Needed) Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and -- ('~CTC)~t~(~-~" t'~Z)LX) LADOC~ C~,~ SlopesControllingSurfaceWaterFIow. . 3 Docs the Site Plan and/or Survey describe the erosion ~-~Oy%C:~ ~4.~['~'~ (~ ~tN~f)0~f~ ,~ andsedimentcontrolpracticesthatwillbeusedto ~' · control site erosion and storm water discharges. This ~)('-c~t~ C~-L~- ~ (~ ¥) CLa~ ¥,~, item must be maintained throughout the Entire · Construction Pedod. Excavation where there is a change to the Natural ¥~-~' ~d~ ~t ~lr 'f~t ~> ~/¥~t'' ~.~ ~k.~ ~O~n~ Existing Grade Involving more than 200 Cubic Yards [_ of Matedal within any Parcel? v ' 5 Will this Application Require Land Disturbing Activities ~ Encompassing an Area in Excess of Five Thousand (5,000 SF) Square Feet of Ground Surface? 6 is there a Natural Water Course Running through the Site? Is thls Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland or STATE OF NEWYORK,Q~,~ :~ C.~QUi'CI'Y OF~..~....~..tf......~TE..... SS That l ....... ~.-~..~-..~,,~--.L~... being duly sw6rn, deposes ,~nd says that he/she s the app cant br Permit, (~a~e of individual s~jnin9 Documenl~ And that he/she istJthe .............. ..O.~~ ........................................................................ Owner and/or representative of the Ovmer or Owners, and is duly authorized to perform or bare performed the said work and to make and file this applicalion; thai all statements contained in this application are true to the best of his knowledge :md belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ........................ .............. ........................... '~ VlSI TOTX _. FORM - O6/10 VlSI TOTX Notary Public. ~ of Ne No. 01106190696 Qualified in Suffolk County I Commission Expires July ~8 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). 3~ If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detaii~ listing both supporting and non- suooorting 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 TrusteesOffic:~~h~,~ ~ n local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION I/Il }:[~ I § 2013 1 o,-/ - o'z ! PROJECT NAME ~ C)~ 0.~ ~ ~ ('-C)C..~ L.ID~ The Application has been submitted to (check appropriate response): Towu,oard 7] Pla.n~gBo.rdU] ,ui,dingDept. ~ ,oardofTruste, Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) Co) Financial assistance (e.g. grant, loan, subsidy) Nature (c) Permit, approval, license, certification: and extent of action: Location of action: Site acreage: Present zoning classification: Ch O r~ - ~__~OcxCCT~Coc~ ~v-~.3 If ~ application for ~e proposed action h~ been filed M~ ~e Tom of Sou~old agency, ~e follo~g ~o~afion s~l be provided: (a) N~e of applic~t: ~~ ~) M~l~gad~ess: ~ ~ ~r ~ (o) Telephone nmber: ~ea Code ( ) ~q ~-- I ~ ~ (d) Application nmber, iffy: ' Will ~e action be directly ~de~en, req~re ~d~g, or approval by a state or f~er~ agency? Yes ~ No~ '~ Ifyes, whch state or federalagency?~E~ 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 completibn. 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. F~/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 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 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 Atlach 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 Apl At~ach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Poli~ieS' Pages 32 through 34 for evaluation criteria. [] Yes [] Not App,ieable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southoid 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. 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 HI- 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 TITLE DATE SITE I NffOf~l'vlA-I- I~N WAT,=_..P.) SU~VI~y~R.: P'~_~-ONI~- ~URV~_Y~--~, P.~.. 60LIT'H~LP, N.Y. 11~71 5U~VEy,~;:~: dI. JN~ I0, N 87° 01'20" E S 87° 01'20" W 1; 6 4 2 / f 276' I ¢ ~,?¢3,95' 64 2 N