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HomeMy WebLinkAboutTR-8136John M. Bredemeyer III, President ®F S0 Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee ® �pQ oI�CQ fwili BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 CERTIFICATE OF COMPLIANCE Telephone (631) 765-1892 Fax (631) 765-6641 # 1083C Date: December 23, 2014 THIS CERTIFIES that the installation of "HESCO" concertainers approximateIL wide x 54' long along the shoreline with a 3' wide x 12' long concertainers at each end extending landward; each to be filled with sand and planted with beach grass At 920 Ruch Lane, Southold, New York Suffolk County Tax Map # 52-2-32.4 Conforms to the application for a Trustees Permit heretofore filed in this off ce Dated March 26, 2013 pursuant to which Trustees Wetland Permit #813'6 Dated April 17, 2013, was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the installation of "HESCO" concertainers approximately 6' wide x 54' long along the shoreline with a 3' wide x 12' long concertainers at each end extending landward; each to be filled with sand and planted with beach grass. The certificate is issued to LAURIE KRATOCHVIL owner of the aforesaid property. Authorized Signature John M. Bredemeyer 111, President Michael J. Domino, Vice -President James F. King Dave Bergen Charles J. Sanders BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD i DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre -construction, hay bale line/silt boom/silt curtain I" day of construction /2 constructed _X_ Project complete, compliance inspection. INSPECTED BY: f�i �'rsvv t�f-%hAft HCAMO- Town Hall, 53095 Main Rd- P.O. dP.O. Box 1 179 Southold, NY 11971 Telephone (63 1) 765-1892 Fax (631) 765-6641 CERTIFICATE OF COMPLIANCE: James F. King, President Bob Ghosio, Jr., Vice -President Dave Bc%w John Bredemeyer Michael L Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 0 Town Hall, 53095 Main Rd- P.O: Box 1179 Southold 4Y 11971 Telephone (631) 765-1892 Fax (631) 7656641 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 I'day of construction % constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8136 DATE: APRIL 17, 2013 ISSUED TO: LAURIE KRATOCHVIL PROPERTY ADDRESS: 920 RUCH LANE, SOUTHOLD SCTM# 52-2-32.4 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 April 17, 2013, and in consideration of application fee in the sum of $250.00 paid by Spaces Landscape Architecture 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: Wetland Permit to intstall "HESCO" concertainers approximately.6' wide x 54' long along the shoreline, with a 3' wide x 12' long concertainer at each end extending landward; each to be filled with sand and planted with beach grass; and as depicted on the site plan prepared by Susan W. Wilcenski, Registered Landscape Architect, last dated March 25, 2013, and stamped approved on April 17, 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. 0 • TERMS AND CONDITIONS The Permittee , Laurie Kratochvil residing at 920 Ruch Lane, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 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. 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 17, 2013 Ms. Susan Wilcenski Spaces Landscape Architecture PO Box 456 Quogue, NY 11959 RE: LAURIE KRATOCHVIL 920RUCH LANE, SOUTHOLD SCTM# 52-2-32.4 Dear Ms. Wilcenski: 0 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1592 Fax (631) 765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 17, 2013 regarding the above matter: WHEREAS, Spaces Landscape Architecture on behalf of LAURIE KRATOCHVIL 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 March 26, 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 found that the proposed application be Consistent with the standards of the LWRP, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 17, 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, 0 0 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of LAURIE KRATOCHVIL to intstall "HESCO" concertainers approximately 6' wide x 54' long along the shoreline, with a T wide x 12' long concertainer at each end extending landward; each to be filled with sand and planted with beach grass; and as depicted on the site plan prepared by Susan W. Wilcenski, Registered Landscape Architect, last dated March 25, 2013, and stamped approved on April 17, 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 Ve truly yours, James F. King President, Board of Trustees JFK/amn 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 1110 w Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Please be advised that your application dated 3�Z has been reviewed by this Board at the regular meeting of I and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre -Construction Hay Bale Line Inspection Fee ($50.00) 1't Day of Construction ($50.00) %2 Constructed ($50.00) ,Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ So. Do BY: James F. King, President Board of Trustees • FF01A.c �o o� h Peter Young, Chairman Lauren Standish, Secretary �. .Zc Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 At the meeting of the Southold Town Conservation Advisory Council held Wed., April 10, 2013 the following recommendation was made: Moved by Derek Bossen, seconded by Doug Hardy, it was RESOLVED to SUPPORT the application of LAURIE KRATOCHVIL to stabilize shoreline bank damaged by storm using a wire grid structure filled with sand and planted with beach grass. Located: 940 Ruch Lane, Southold. SCTM#52-2-32.4 Inspected by: Jack McGreevy, John Stein, Derek Bossen, Doug Hardy The CAC Supports the application with the Condition drywells are installed to contain the roof run-off. Vote of Council: Ayes: All Motion Carried wV 501 - t a i f woeep;OR�O� i ti AIV James F. Kind, President Bob Ghosio, Jr_. Vice -President Dave Bergen John Bredemeyer Michael J. Domino y a Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: P.O. Bos 1179 Southold -NY 11971 Telephone (631 765-1892 Fax (63 U 765-6641 Spaces Landscape Architecture on behalf of LAURIE KRATOCHVIL requests a Wetland Permit to intstall "HESCO" concertainers approximately 6' wide x 54' long along the shoreline, with a 3' wide x 12' long concertainer at each end extending landward; each to be filled with sand and planted with beach grass. Located: 920 Ruch Lane, Southold. SCTM# 52-2-32.4 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound Zay 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: Present Were:'J. King -B. Ghosio D. Bergen, J. Bredemeyer v Michael Domino D. Dzenkowski other out j"e field by Mailed/Faxed to: 0- Al 1 m T A I f __., N11- t fnya,•. S 9 1, • a � 1 A m T A I f __., N11- 4 C. —. I Isom- t. N 0 ,,,� I I I I I I .. I to I I I 11 I COUNTY OF SUFFOLK © ids Peel Property Tu Serum Agenry v •1 0 0 Cantrell, Elizabeth From: Randolph, Linda Sent: Friday, April 12, 2013 10:26 AM To: Cantrell, Elizabeth Subject: LWRP's Hi I just spoke with Mark. He said to tell you all the LWRP's this month can be marked "inconsistent." Linda 1 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit _Amendmentrrransfe /Este ion eceived Application:S D eceived Feel2 Completed Application I� _Incomplete _SEQRA Classification: Type I_Type II_Unlisted oordination:(date sent) WRP Consistency Asse en Form A 11-3 C Referral Sent: Date of Inspection: _Receipt of CAC Report: Lead Agency Determination: technical Review: r/Public Hearing Held: Resolution: 0 Town Hall Annex 64375 Main Road P.O. Boz 1179 Southold, New York 11971-0959 Telephone (631) 766-1892 Fax (631) 765.6641 )i MAR 2 6 2013 Southolu town Name of Applicant_ f _ LX V j21 �� J -Q C I-� V I L Mailing Address 4 0 C I-{ LxQr,! Sp UIt 0 Q�-D Phone Number:( ) 1 1-7 — 9 5 '205b Suffolk County Tax Map Number: 1000 -S Z — (7 2 — 3 + Property Location:01 4 0 fZV���O V D 1�D) D P90Pf---R:1M Is 9 -) 0" VAST -or-- N 09414E V -D (C1248, AGENT: S U (If applicable) #, distance to cross streets, and N W ILCEWSl✓I�SFA S k1\0P&t4 PEX-r s n N C'gq�-} I S Phone:65) - S9145yo 0 Board of Trustees Application GENERAL DATA Land Area (in square feet): f 1 D C)!21 F S� Area Zoning: t��a Previous use of property: Intended use of property: �-S 1.17 £ r4 -n Ati Covenants and Restrictions on property? Yes _K_No If "Yes", please provide a copy. C� Will this project require a Building Permit as per Town Code? Yes No If "Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes —4—No If "Yes", please provide copy of decision. Will this project requir any demolition as per Town Code or as determined by the Building Dept.? Yes —No ,( Does the structure (s) on property have a valid Certificate of Occupancy? � \ Yes No Prior permits/approvals for site improvements: Agency Date 'z- Pe'"I r CAP -o-12 -ov(, X_ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary):S T" i (,1 Zr-_ N > >Z � + )✓ F3 Y�yI� pN-rv)r41VA-drzlCWMat= SA—v0—) 13"1 UIS l"G1 �Pry-=SCv � A- W I r -v=_ U✓ 1 t� STt+J 17 P t irrtT7c� cnU 1B G E-ir%S • SlhaYl���il� przpY CTIo>,{ 1=i2�rv� sropzm�,�,�V1u fibl(triYv+Wl�T��rL V -V rJ D 1= r= -4 rl Arr I v t t tag i T'1� —h-1�� w I w 15 M as V154V"m\/C.E -ra w .rLK?J�y G ✓twn7�.r (01 w11� A Ste}' WSJ(,, v✓/ 2 S Ivt S 3'wD A 12 1 Lor�1.1 Board of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: W�K =��L1"l�l� � i✓ C�>\1 UM i c�/�1� 1'12 fisc il -v>� �I�?� l.l= 1' 1ZaV l D 1 � �-, J�'tfii'-/'�-fi►� NA'►"1y� 1��PN1-I- G1'��S 13��_ Area of wetlands on lot: square feet r'r—p Ll w p� — » L) "-F 13AIP.,K. ,s 400 s� Percent coverage of lot:_ _% Closest distance between nearest existing structure and upland edge of wetlands: 1 1 t feet w o o er Closest distance between nearest proposed structure and upland edge of wetlands: t feet Iz p {� o S �A G° )1 L �' I'7� T'�✓ 1 Does the project involve excavation or filling? No iC Yes 3� If yes, how much material will be excavated? cubic yards 13'1 Ikthv i� How much material will be filled? '4'0 cubic yards Depth of which material will be removed or deposited: (0 feet xtsfilNL, '"DrE Iznuc.#= s ZS }. 30-/. Proposed slope throughout the area of operations: -7 T a Manner in which material will be removed or deposited: 13 1�1 Y1 iv I7 13ow >3rmnc J, W/ sl�it�S=�z Fca�oy 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): W i " 13 V)=�rui W e'r --M-4v_" CAI -_-j r-vLy 'TC) P►ZO171F G/ -hty t i1�lC� M r tZ6 S t oN S)5-1-21 M �1i" G o tt t Nyv)) n( oly Y�fi fi VIP WE2a Aa,:4_> S-rDw' 1 Sti P K --b I P) >vL. Sri a yv\ "1'j V'F-r- C0).l M»> lJ ray >_ 3�n r Gam} r7S\, 0 0 61720 SEAR PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only DAFT I - RRO.IFCT INFORMATION (To be comolated bV ADDlicant or Project Sponsor) L. APPLICANT/ SPONSOR SVSIYIV W11,Cj:;�'JSrA 2 -PROJECT NAME Pib (tcS W""WF_ AW M wc" YZ 3.PROJECT LOCATION: 940 ('L-uc (-+ J- KJ 9J\J Olt OLP Municipality V L county �( ' D� K- t' S 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or orovide mao oi-q o pu (> i.+ 1 -N)' -F__ is q-) o' t t=A--s1' o r— N o ir- -64- iz oxT:> cc g-446 � o r( R sz-s t _1A rvl 9 m )k- a r_ po i40 - 5AS PROPOSED ACTION: New ❑Expansion ❑ Modification /alteration 1M���,�-� 6. i3 DESCRIBE PROJECT BRIEFLY: S�il3l V 1 Z.� S N pYC->✓U) 1J�= A -J )C-' � A-L5E+/ Ja`) R\igz I C/Pc)-I VS J___ N)w 44-3iG--SC D ' C 0 TJ G 5*—f_ X7 N �c — P, VV 1 YZ E )E�-1 17 C Al l�rl IE, W 14-W r'lL/A� � vol rs-JE-7� G w I -s5 - Tw o &V,,F S 0_"opo �D`tt-1-► Dfiv7V-2 w/ A 14 0,nfiF�n-- P3,) h 74D 1- S f31 L, 12fW) aN -p V? S Nl X117 i cT C Qv�iS YC- 6 T2:rlw VVKT F (ZL/ND1='P Gflr`(?Y�ol. �i�'rCl�(-1mfi r'-vs�--�6nrcx-F C,t-q�S bx�4'cor,U /2Sw)_=s Q-A co>Jc, 7. AMOUNT OF LAND AFFECTED: Initially 1130 O,¢ acres •2 ft Ultimately 1000 S(r acres 2 • 3 At, 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Dyes ❑ No If no, describe briefly: [IQ 0117- Sv ✓ -f 9. IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as appy.) RAT esidential ❑Industrial ❑Commercial ❑Agriculture❑Park/ Forest l Open Space ❑other (describe) 1` >L4 S fi ))-J L, S ) IJ C, tri= 1=(WYl I L, `1 Le. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) "Fi7'lYes ❑No If yes, list agency name and permit / approval: NISt7F�-. 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? E]Yes I71 No If yes, list agency name and permit I approval: SUUL 11A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? 1A"S DYes Des No I CERTIFY THAT THE IWI~TION PROVIDED AB IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: 0�0 Signature If the action Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment 0 PART It - IMPACT ASSESSMENT (To be completed by Lead Agency} 0 A DOEs Adrim EXCEED ANY TYPE tTHRESHOLD IN 6 NYCRR PART 61TA? If yes, coordinate the review process and use the FULL EAF. ElYes Q No 8. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN NYCRR, PART 617.6? It No, a negative declaration may be superseded by another Involved agency. E] Yes Q No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOV41NG: (Answers may be handwritten, If legible) C1. Edsft air quality. surface or groundwater quality or quantify, noise levels. existing traffic patem, solid waste production or disposal, ential for erosion, drainage of flooding problems? Explain briefly: C2. Aesthetic, agricultural. archaeological, (historic, or other natural or cultural resources; or commuRyor neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species. significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted. or a change in use or intensity of use of land or other natural resources? Explain briefly C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Longterm. short term, cumulative, or other effects not Identified in Ci C5? Explain briefly: C7: Other impacts(including changes in use of either quantitX or type of ever ? Ex lam bdefl : -- - - - D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA? If yes,explain briefly: El Yes Q No E IS THERE, OR IS THERE LIKELY TO , CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? if "a explain: ❑ Yes Q No - PART III - oETERMINATION OF SIGNIFICANCE (To be completed by Agency) ffflSTRUCMNS: For each adverse elfelidentifiedabove, detenhlinewhethertissubstantial, larga,Important orothelwisesignificant Each effect should be assessed In connection wth its (a) setting (Le. urban or rural): (b) probabigly of occurring: (c) duration; (d) kmvefsblAly. (e) geographic tom: end (1) magnitude. N necessary, add attadmlents or reference supporting materials. Ensure that explanations contain su(fwient detat to slaw that all relevant adverse hripads have been identified and adequately addressed. Ifquestion d of partll was cbedced yes, tthe detenf drnaton of stgn fi'aance must evaluate the potential hnpactof the proposed action on the ernkon pentad aharadedstics of the CFA. Check this box tiyou have idendfied one ormore potentially large orsignifxxrdadverse impacts which MAY occur. Then proceed dhectlyto the F EAF atWor prepare a positive declaration. Check tls box tyou-have determined, based on the Information and analysis above and any supporting documentation, that the proposed ar WILL NOT result M any significant adverse environmental Impacts AND provide, on attachments as necessary, the reasons supporting determination. Board of Trustees Name of Lead Agency S !c. /6A) yon '/o 7-a/3 Date President 0 Title of Responsible Officer Signature of Preparer (If different from responsible officer) • �J G`� n* I'�c�e.r i�'eS sa-a- 31 Sa-a `33.1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL. RECEIF Name: �Is�Y1 S L )iFSL 'r 2 t= 17 13 ovfil S (.hvizl� KY-rrTou-kylL STATE OF NEW YORK COUNTY OF SUFFOLK Address: PD tsrb,( 133 < DPQj-fi-DL1.> i }J� I)�1-11 poUC��hS fD)\(� ),j`4 113L2 (ol ,SA>JE ST. SPT i5(, S J S AT/ \N I L C t=ip 7 SY 1 residing at S pP�c� S 1 l�T1DS CICS' hYcc rt I Cfivt� 1= Pb F3D?t 4�b� aUOCn{£ N� 1199 being duly sworn, deposes and says that on the to day of ^ F'1Z I � , 20_[-3, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this`J Day ofjkN,,� 20]j_ uT7rl/n... /" AlR7L.it ri� -'Notary PLOC PATRICIA E HOOARTV Notary Public, Stets of New Yak No. 09H0814SD67 OuelW*d In Nassau Commissbn °g 014- , ea Jannes F. King. President Bob Ghosio, Jr. . Vice -President Dave Bergen John Brederne%er Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of LAURIE KRATOCHVIL COUNTY OF SUFFOLK) STATE OF NEW YORK) 0 1 ovn Hall- 53095 Main Rd. 11.0. Box 1179 Southold.NY 11971 Felephone (631) 765-1892 Fax (631) 765-6641 AFFIDAVIT OF POSTING TO BE CO3V1PLETFD A FTER POSTTVG REATAINS LN PLACE FOR EIGHT DA YS V S A-YA VJ residing at /dba S FA -C r-- S ?0 131 c;N1 4s- Iwo I Q \) 1D 0 V E , )-j -1 1101 S-cj being duly swom, depose and say: That on the (o day of AV F— I L, 2013, 1 personally posted the property known as 4P— 14P PLUcl,4 LAnJr—=,�;0\JTHDL�lD by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, April 17, 2013. Dated: 4-/ f ^3 (signatu /WS orn to before me this day oflm'20 Notary PWic PATRICIA E HOGARTY Notary Public, State Of N@WY0Ik No. ol H06145057 Qualified In Nassau 0011 commission Expires Way 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. ,♦ OWNER(S) OF RECORD: Zowir;r. Kr400hvi I SUBJECT OF PUBLIC HEARING: To intstall "HESCO" concertainers approximately 6' wide x 54' long along the shoreline, with a T wide x 12' long concertainer at each end extending landward; each to be filled with sand and planted with beach grass. TIME & DATE OF PUBLIC HEARING: WieilArleu6y. 191r; 117,2 013 - ok+. or o hcw►-' S: 30 PM 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 o.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Board of Trustees Application County of Suffolk State of New York l kLA,V'A 0C-V\V l (p A A 0, �nC��O CJ��" v BEING DULY SWORN DEPO ES 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. L4��.� 7-""-NaTT CL)J Signature of Property Owner SWORN TO BEFORE ME THIS Q,� QDAY OF 0_a Notary Public KAREN L NAMLIN Notary Public -State of New York N0.01HA6194340 Qualified in Queens C unt My Commission Expires �9 0 • Hoard of Trustees Application AUTHORIZATION (where the applicant is not the owner) t, LIU RA kkR t QCHV t Lxmiding at 9q0 iitC t �cl/we (print ow. of property) __.. _ . _ .. (mailing address) S O IBJ" 1 `yt (J i NSW 1() l k L do hereby authorize S (AS Cl VL V )O C e A k - (Agent) CCS ' L.CLvtf�SG1�-PJj to apply for permit(s) from the Southold Board of Town Trustees on my behalf C7 Q J� (Owner's signature) a • APPLICANT/AGENT/REPRESEN'TATIVE TRANSACTIONAL DISCLOSURE FORM YOURNAME: 15V5" MUF-NS��SP>10ES I-/�'s S</�'PF haz-Cif 1?F-cTVrZ)= (Last name, first ruam;piddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone _ Approval of plat Exemption from plat or official map Other (If "Other, name the activity.) Building Trustee X Coastal Erosion Mooring Planning 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, marriaga or business interest. "Business intcresr 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 x a(a] Ifyou answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold d o N A Ll7 Title or position of that person< N--�si r�►_m�,j OF �=— r 1_ MJ 0-j J v f Describe the relationship between yourself (the applicanUagmt/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"/0 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-corponne 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 I -f I -kW DD >J O")"' D D Pbu S I a r e S S vi I" Submitted this 2-1 of M, KW 1-F Zp� 13 Signature-// Print Warne'S V S lett W )l, rJ S 1 FOM IS I 0 • FORM - 06/70 DENISE MICHALOWSKI Notary Public, State of New York Qualified in Suffolk County No.0IM162333621 My Commission expires L 27 I Town of Southold 115 ® Erosion, Sedimentation & Storm -Water Run-off ASSESSMENT FORM PROPERTYtocAT sc.T.1l THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM.WATER, 'R! ORADINO. DRAINAGE AND EROSIONCONTROL PLAN -auwr 3ii2 e�Tx Tl—' CERTIFIED BY A DESIGN PROFESSIONAL IN THE WFAT15 Of NEW YOM SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM N / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within II O O 1 Will this Project Retain AX Storm -Water Run -OR Generated by a Two (T) Inch Rainfall Site? the e Scope of Work for Proposed Construction)) (S.F./Apss) on is item will include all run-off crested site X fm by ❑ b. What te the Total Area of Land Clearing clearing andlor construction activities as well as all and/or Ground Disturbance for the proposed13 O O $ Site Improvements and the permanent creation of construction activity? r (s F /Arns) impervious surfaces.) . 2 Does the Site Plan and/or Survey Show Ati Proposed Drainage Structures Indicating Size&Location?This ❑ Rom all Include all Grade and Water PROVIDE BRIEF PRO]ECr DESCRIPTION p+sdoe Adeaa,d Pw..�x�a.ah >< r_u W ST h81 1, I Z 1= S 1-t J L'�1= t_1 )J � E37c�J) Slopes Contru ng Surface Flow. $ Does the Site Plan and/or survey describe the erosion � ❑ and sediment control practices that will be used to �/ 47 /N r" ttt! I� B f )-4 J r2i1C /�TiE $mJ10�1 / WlI-►£S C O A G F_(.,—TP9 )`lE(C•$ j control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Period. W) Ghf )✓S Y—A t. L' G47 VV/ 5 A-)' y 4 Will this Project Require any Lard Filling, Grading or Excavation where there is a change to the Natural PiG4.-'1,(}�7 W/ 1371 fi Cr lz�" Existing Grade Involving more than 200 Cubic Yards ❑ of Material within any Parcel? 1 1 (o CY 5 Will this Application Require Land Disturbing Activities ❑ Encompassing an Area in Excess of Five Thousand `J I_p op— 1IV I ('L' 131✓ M I N 1 P')) 2 ��(.� / (5,000 S.F.) Square Feet of Ground Surface? () Is there a Natural Water Course Running jurisdiction the ❑ _ Site? N er Is this Project within e Trustees w within One Hundred (100') feet of a Wellandor CA-T?/N V—U0 OFF /y1-,0'rJW W Gerwral DEC &PPP Reoalmm tis: submission of a SWPPP Is required for all Condmation activities svolva9 soil Beach? disturbances of am (1) or more acres including disturbances of baa than one ape that am part of a larger common plan that will deme tory one or rope ages of 7 will there be Site preparation on Slopes hvoNsg son antes save w construction edthat which Exceed Fifteen (15) teat of Verocel Rise to VertExistical Rise t ❑ theInclDEC as dot a k Is required faratomr wretertlbtlaigei (filal l Shall traveling Binhnum Requkenas of the SPDES Gaesrai Pwmk 8 Will Driveways, Parking Areas or other Impervious for Swmr Wales Discharges from Construction activity • Permit No. GP-0-de-0Ut.) Surfaces be Sl v opdi to 1. The SWPPP De be prepared priortothe submVel of the Na. Then ac ata0 as submltlad w Me Daperbhxnt prior to tie carmBxertxnt of cawtructbrh activity. Into and/or In the direction of a Town right -0f -way? — ion of Town rioter f-wis 2TheSWPPP shalldacasa the erasion and earmacrea practicesandwhere 9 Will this Projact Require the Placement of Material, required,puetbonsMrctlon storm water management pmesses did will be used andbr Removal of Vegetation and/or the Construction of any epwtnhded to reduce the polteards In dam, water discusses and to asxrre compliance, with Ute brmc and conditions of this pennit- In addition, dor SWPPP shot— Item Within the Town Right-ohWay or Road Shouider Identify potential sources of pollution which may reasonably be expected to affect the AreaT(m.x.mwtx xor uah,d.whroosatlm ererivawaYhMoral gWly of storm water dbGreges. NOTE: NAny Am arto Questions Onethrough Nlneb AnewaredvxM actual, Mark 3. M SWPPPo that require tla poetiomtrucllon slam watermanagement practice conppwM slag be prepared by a qualMad Design Pmfim lorel Liceneed in New York nn a Box and aur mmbxMton We maturWnw fir beMaen a.000 S.F. a 1 Ape in aiy a StonaWww, Grading, Drainage a Emalon covered Plan Is RegWwd by the Toww of that Is knowledgeable an the principles and practices of Storm Water ManagorcenL Seathold sed Must be SebmNbd for Revtevr Prior b Iaauann ai'Any SuiMrg Pen, IROTE: Ached xeik(il wglerAmwr(pMtl, Qlnibnw RWJled bra Cxnptale Appltutlon) STATE OF NEW YORK, ��� 1 SpA COUNTY OF ... ................................ SS lbat 1-5.9's ....}�4� ..W..� =i 44..S�.......... being duly swbm, deposes and says that be/she is the applicant for Permit, (Wme'of Nbdviid al sigma IbwnmM1) And that he/she is the......A..,..'..:.-.................... ....OMcer, (Omror, an.....aaeor, Agent. corpmte......................... et.........a) .................................................................. Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have perfortned the said work and to make and fide this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; z............................clay oF..... l..t U.: rCh................... , 20. Notary Public:......_.(...-.�......Y.1_`.^.� :?' 1,k?.�................... ....... ... ................................... (Sxymhre dApp&am) FORM - 06/70 DENISE MICHALOWSKI Notary Public, State of New York Qualified in Suffolk County No.0IM162333621 My Commission expires L 27 I 0 Town of Southold 0 LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. 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. A proposed action will be evaluated as to its significant 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 mast be explained in detail, listine both sunuortine and non- suaportine 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. Irl L n a B. , DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#Iov,D- 52 _ 02-32.* PROJECT NAME >zAc.toC 1-1/1 L The Application has been submitted to (check appropriate response): MAR 2 6 2013 Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trustees X 1. 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: @51 Nature and extent of action: , S }� D IZ lel t ➢1= 13 Doti iG. 5 T X51 L 1 Z Kn ()Tl 1s1hYV1 iCLsi=�1� 13�yNlzt C-/cl�� StMD�� v s 1 1J � �1�i� sc. 9' Comet c.F.�c.-trn 3.tF_.e_S � W IIZF_ NF -S" SAST\1 o FI LLL= -,17 01.1113 p"-)4TjV p W le l+ 1? ( I1 Jx} S tel' co�7G, t.1/ L S Iv S s'lr D 7t 12-' t_05-- C . Location of action: 14 z> t-- GciH L ,s� 1= , S V17 3 O LI7 Site acreage:• r -:Z a I A C Present land use: 5 10 G 1.1= 1=/tM 1 G'I sz 1= S i P Cf -- Present zoning classification: K — 4) D 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: SUS/;'Y-1 W IUA( ENSS LhTiL;S0 7 AgC-tiIMC-Nr-E (b) Mailing address: -PO 9DX 4S L o , G�J J G \J t= r )-]-A . 1195-1 (c) Telephone number: Area Code O � 3 I • $ q q • 4 —0 L) D (d) Application number, Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes M No ❑ If yes, which state or federal agency? -IJ H S —VI!, G 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 "KYes ❑ 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 • 0 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 El Yes ❑ No ❑ Not Applicable ` 5 0FT-' !STKvC,f-VYZ-(;, uWlL4, 5TKf 51 U (ZG $hrl Sa 1?' W i W N Of— 1�—fLoD A-- JCJ r J V ial .S tt�n1S) Tit V l= W F1fL K>`1 i7 S PE G 11=S AT' 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 M Not Applicable Attach additional sheets Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section 131 — Polities Pages 16 through 21 for evaluation criteria 0 Yes ❑ No ❑ Not Applicable IRM Attach additional 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 S 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. rV ❑ Yes ❑ No tAj, 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. ❑ Ye --1 NoLMP4 Not Applicable Attach additional sheets if necessary 0 WORIQNG COAST POLICIES E Policy 10. Protect Southold's water -dependent uses and promote siting of new water -dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable 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 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 1:1 No lLllYot 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 D4,Not Applicable PREPARED BY SU 5 A-11 VV I Ul/F �lU TITLE AT.-, F t4T DATE—3 21 1? -Z 2- w i m- 7'01' 'j'o If-G�dp WtD� �3��-c,�-I U Y2�ss 1� 5�►rJ woo s1-F-f'S UDR- `^ x 1A Al 11 I{€ lit 3 I OkH D c4I SS CI 3'X y ' ix7o*naM f5f,AcH C<iwq' S , 1 ), i-1 lid i -{'ESC a C -D JGf-�1'J�1N -t2S 1we LO `i NT5 -j , Zs. j,:j MAR 2 6 2013 sysaII/r0. r Jd � as'3k � 1a � rt CJ ;P4 5`' 4. ,2 .i.. IL 'SSV. Photograph number and view location Kratochvil Residence WNTOW I.MS AAE IMMENM M AMM ARE4 S 14009 8q r{. to tie km FLOOD ZOIWE LOES FRAM FM 36/03COt38 6 MAY 4y 1998 as SURVEY OF PROPERTY AT ARSHAMOMAOUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NY RM -52-02- 32.4 SLE 1" = 20f AM 17, IM JMY 15, 2002 ( rov(skml AUG. 5, 2002 1 revk1on = property Nne 1 OCT. 16, 2008 C rovkka J APRIL 16, 2003 1 e/C J N.Y.S. LIC. NO. 49618 - 5020 FAX (631) 765 - 1797 909 VELER STREET 4 N.Y. 11971 an - 117 APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE 3 r 52' V, Ib 1 4wo -To MMV\IN ��r'i✓ I�t1�IGltil-f�i i4' 1� C4- - W S 55°Is'bo"s �cK`(j�htitb 4j �'r1N f�t<caUN��-L S1-jt`Uf55 T� 1Z�M�clhi � � • . hlo pls'I"IJ1�A�[ cit • F* Pt flriy"L) GOiJ C.+ -1z 1 h I NT--r<— q/ Yr<.`l 11�SUJ G°N�Iz."I"hlf.Y�f�-, I BA`�1L �"�•c� 3'x3'%1; bG�r�� fibYf� BISNI� (7 ''X3' I' Top p�•� �} s � 1� 3'x 3'.� 12 ToP • ,105+ l0•5 fi _—\ �P Io lift 33 b' tAL{ le,1I-i Lcyl tc �i�l� i►�s. �Io cY GL��N S��D PILL Iz' t� ova I..aWA kpD T-sl\NfiJ w ota:Aui c-I"s J13"W Mi vvm -of Dfi��—�- �I . ��1� F}UizIG\N � Shl-I� I�J�IZ` ' • `1• r' X3`1- - Q66vrLs-- p�Cal l Ic SuW=, PCS 125 T'v�tb.\flrLE.� ST. GC)Q'h4OW>, tv+-1 i1�11i 'SC -TM 1t-1DaO- s -02--3214 _ I L 140 c µ Irl, C tou-n } o -b• sl lorz l lug Sfi1�811-IZAI {'In box -4Gb, 1 X31- sq °1-�b� I^=1 dd� 3 2s' 13