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HomeMy WebLinkAboutTR-8158A James F. King, President SQU~I`O Town Hall Annex Bob Ghosio, Jr., Vice-President 'lam ~p 64375 Main Road P.O. Box 1179 Dave Bergen ~ ~ Southold, New York 11971-0959 John Bredemeyer ~ ~ ~p~ Telephone (631) 765-1892 Michael J. Domino l'•r'~U~ ~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0899C Date: September 11, 2013 THIS CERTIFIES that the installation of an 8' high deer fence along the side vazds and rear of property. At 3180 Mill Lane, Peconic, New York Suffolk County Tax Map # 67-5-1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 18, 2013 pursuant to which Trustees Administrative Permit #8158A Dated Mav 15, 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 an 8' hieh deer fence along the side yards and rear of rP onertX. The certificate is issued to HUGH SWITZER owner of the aforesaid property.. Authorized Signature lames F. King, President O~~tfFOj~CO Town Hall, 53095 Main Rd. Bob Ghosio, )c, Vice-President G~ P.O. Box 1179 Dave Bergen ~ : Southold, NY 11971 John Bredemeyer ~ - 'Ze Telephone (631) 765-1892 Michael 1. Domino y~Ol * Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ~ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/2 constructed Project complete, compliance inspection. INSPECTED BY: J ` ~ ~ F~^n~ COMMENTS: , CERTIFICATE OF COMPLIANCE: 9/~ /J ~ g~ APP. 3 ~~jo S. L,w.a, ~ ~U ~ ~~/foA'v Hugh and Susan Switzer 3180 Mill Lane n ~ ~ ~ ~ ~ ~ ' PO Box Z83u'r',I( Peconic, NY 11958 Ll 631-765-3296 ~UL 2 4 2013 404-401-0578 outhod own To Whom It May Concern, July 21, 2013 We are requesting a variance from the Town Zoning Board ofAppeals to extend our deer fencing from the westerly end of the approved fence lines, so that both the north and south fence lines will extend closer to the westerly property line, that borders on Mill Lane (please see the enclosed Site Plan). This will allow us additional protection from the deer and resulting tick borne diseases that we have incurred numerous times. This is a very important health issue for us as well as for our children and grand children who are not allowed to visit due to the serious health implications. Should you have any questions please contadt us (above). [f you concur with our requested variance we will appreciate your contacting the Zoning Board to indicate your support. Thank you in advance for your support of ow request, ~ 17~ ~~,9,~Y Sincerely, ~ ~-S ~vw~T Hugh and Susan Switzer ~ 1 9 1 ' BOARD MEMBERS "'`V z`~'a - Southold "Ibwn Hall Leslie Kanes Weisman, Chairperxrn ' ~Q~~~©~'~r. 53095 Main Road • P.O. Box 1179 ab ~p'~j Soutlw]d,NY 11'Yl1-0959 Eric Dantes ~ ~ ~ Office Locat~n: Gerard P. Guehriuger 1z ,C Town Annex /First Florn•, Capital One Bank George IIorning 1t:,. G°".:• • 54375 Muiu Road (at Youugs Avenue) Ken Sclwcidcr µ~p~~~~~~~ Suulhold, NY 11!)71 ht[p://soulhuldWwn.nurihlurk.nel n ZONING BOARD ON APPEALS 'unlUh TOWN OF SOUTHOLD JUL 2 4 2013 ~ 'Ital. (G31) 7G5-1809 • Fax (631) 765-9064 Southold Town LEGAL NOTICE n` z ~ ~ 30UTHOLD TOWN ZONING BOARD OF APPEALS THURSDAY, AUGUST 8, 2013 PUBLIC HEARING NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and Town Code Chapter 280 (Zoning), Town of Southold, the following public hearing will be held by the SOUTHOLD TOWN ZONING BOARD OF APPEALS at the Town Hall, 53095 Main Road, Southold, New York 11971-0959, on THURSDAY. AUGUST 8. 2013: 11:15 A.M. -HUGH SWITZER #6669 -Request for Variance from Article XXII Code Section 280-105 based on an application for building permit and the Building Inspector's May 20, 2013 Notice of Disapproval concerning a permit to install deer fencing, at: 1) Fence height at more than the code permitted 4 feet when located in the front yard; located at: 3180 Mill Lane (adj. to Goldsmith Inlet) Peconic, NY. SCTM#1000-67-0-1 The Board of Appeals will hear all persons, or their representatives, desiring to tte heard at each hearing, and/or desiring to submit written statements before the conclusion of each hearing. Each hearing will not start eaHier than designated above. Files are available for review during regular business hours and prior to the day of the hearing. If you have questions, please contact our office at (631) 765-1809, or by email: Vicki.TothCc~Town.Southold.ny.us Dated: July 15, 2013 ZONING BOARD OF APPEALS LESLIE KANES WEISMAN, CHAIRPERSON By: Vicki Toth 54375 Main Road (Office Location) 53095 Main Road (Mailing/LISPS) P.O. Box 1179 Southold, NY 11971-0959 1 i ~ ~L r-~~1 EovN~ p. 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MG N IA'I !WprCYP'i M1EI YCE - ]M S I y 10i4 IMR IO! fX151w0 45i0FxFE uN iuPROrEUCNJZ - 1.766 S ' ~ MRCENiN[ Of LOi CM2MG[ wiM nROPoSFO iuvNO.tu[xIs / , ~ s vsn ~ :~?r Y / .N ~ [L[WipNS SNGbI MERCON ML ix laii xoLU RWO WSVa4KF MiF YY Is MON 14VFL Ial M lo3a wI MUMIFM NIO%Olal G [rRCrM WR Wv I/9! n/I IrM uILL ROID LLG 9UIpK [lL`MMR1 W4 iu.rNr rKa~ rtf w fuu .w Ww M1IXM E1FV . }i.0' Rr m M /VV N M/ altar iW Ci H/S RIpaE I' OYV MO a w Irw n Irf COe110115F N tOMVa iMYN°t .LK. q IIWC 10. a' 'vO°.i°a'M""+vuiL'°ri9i0Dia.Le'°~'w e. Jn~t ~Lloci so.e~ .unarm r nr waw°wrar m si~EE ~o Msi[wr .evaarN r.°aaa w nas°:r erns suRrtr w we.e' M,I,,,~ ~~~r ° gyp, a a4 DESCRIBED PROPERTY a"'a' ° ~ xtl'1° ° n°a un ° sRwrt SURVEYEp: 08 6ER}CUBER 1006 "R"~~'N"~"""' PECONIC, 70WN OF SOUTHOLD M"°"aa'""p""" SUFFOLK COUNTY, N.Y. srxE I•_.o' fir. MFA IM,19J SE OR SURVEYED FOR: HUCH KENT SWI7ZEft a11e IcREs ru/ laoa-oat-os-ooi SURVEYED BY STANLEY J. ISAI(SEN, JR. P.0. B X 291 NEW FFDLK. N. Y. it cuuuxiECD ro: BJ1- J4-5875 - - HUGH MERr SWIiZEP '°"^'°°°°aa'°'^'"°'IT"^ar`awn ICENS ND S OR r ws a ror r aau agar mmm. .a® uws ° m RMa. NYS L+c. No. 142 J O6R1521 ' gUFW~ lames F. King, President ~p~ ~pGy Town Hatt, 53095 Maio Rd. Bob Ghosio; Jr., Vito-piesident o ~ P.O: Box 1179 Dave Bergen Southold, NY 11971 W. John Bredemeyer O Telephone (63 L) 765-1892 Michael J. Domino ~P,(~ ~@~ Fax (63l) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PR10R TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR APRE-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~ day of construction _ %z constructed Project complete, compliance inspection James F. King, President ~QF S~(%ry Town Hall Annex Bob Ghosio, Jr., Vice-President O~ ~ 54375 Main Road ~ ~ P.O. Box 1179 Dave Bergen J~[ ~ Southold, New York 11971-0959 John Bredemeyer G C ~ ,p Telephone (631) 765-1892 Michael J. Domino 0 Fax (631) 765-6641 ~~"~ourm ~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8158A Date of Receipt of Application: Apri! 18, 2013 Applicant: Hugh Switzer SCTM#: 87-5-1 Project Location: 3180 Mill Lane, Peconic Date of Resolution/Issuance: May 15, 2013 Date of Expiration: May 15, 2015 Reviewed by: John Bredemeyer, Trustee Project Description: To install an 8' high deer fence along the side yards and rear of property. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Hugh Switzer, received on May 6, 2013, and stamped approved on May 15, 2013. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is~n''o`t`'a determination from any other agency. G James F. King, President Board of Trustees svFFaL,r lames F. King. President Cp~ p.p. Box 1179 Rob Ghosio. Jr., Vice-President ~ Z Soutliold, NY 11971 Dave Bergen ~ ~ Telephone (631 765-1892 John Bredemeyer ~ ~ ~ Fax (631) 765-6641 Michael I. Dominn y~o1 ~ ,~aor. Southold Town Board of Trustees Field Inspection/VVork Session Report DatelTime: S 9 ~ 3~ HUGH SWITZER requests an Administrative Permit to install an 8' high deer fence along the side yards and rear of property. Located: 3180 Mill Lane, Peconic. SCTM# 67-5-1 Type of area to be impacted: -Saltwater Wetland -Freshwater Wetland -Sound -Bay Distance of proposed work to edge of wetland P~f Town Code proposed work falls under: _Chapt.275 _Chapt. 111 -other Typ of Application: Wetland -Coastal Erosion -Amendment _Administrative_Emergency -Pre-Submission Violation Info needed: Modifications: Conditions: cep !P~-C 9r !~~^^1 f~~~ ~,~~3 of P.rt~c ~ 6_eh /1l ar @in inLuv~1-q 7.~ i~,~b eXiJfi+'~ Pre~efit Were: J. King B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filed o tin a field by J i Mailed/Faxed to: Date: . ~ i , ' 1'' m - ~ ~ ~ . - ~ xr~ t. rte, ~ ~Z,;' 1. 'r ~ ~ - ~ ~r ~ r ~ SSA ~ ~ 5 f p ` ~r .,y. .!~Spa~ !~R 'Y f ~i~' ~ try r t ~ ~ , ~ ~ #y • R f # Ma A ~ b Y ~ t f ¢ . r. ~ x 'T M fi P } ~ 4 ~ f ~k°. y . . ~ ! ~ y~y .i ~ , ~ 1' a ~ ~ ~ Vic. t ~ i~ , c b° 11I ~,~y,~ 7 3 'fi a~ ~wt.K ~,sy~A ~ ~ ' ~t. ~ ~ ~ 5n ~ y K . F i'r tt ~ ~ . ~ t \ ~`s' N~ . f f ,y - . « ~ sip ` . ~..;f~ ` e~1~ ~ ~ ~ ~ - . w -s ~s~ T t , a, _ e ~ g' ~a. R t * ^c r ~ as ~N}~~ ~ ~ ~ ~ 1" ~~R ~ ' ~ ~ qtr -~g~ ; 3~~• ;r . ~ w _ 4t tF £:1~ ; K +.r ~ ~ # ~f'r ~~a ~ '4 ji€ ti f~ fi v y• /C '~I~ 4 x X96 '38i Y i' M, 5 .«N~'~~YCfi ~ rte,.. f.': r. ms`s ~ ` y 1~ _ • a : ~A i 8 W 4 L ~',y ~ 2 Kn '7 « i ~ ~ i \ N ~ " : ~ 9 ~ / F; , . i /h'~ ~ ~ ~.fv . Z , r s e ' s A ! r ~ A ~ A e P Bx Pte. A ;f•; ~ I .e e y A F hET f r C;P r ~~r ~ ~ spy. ~ ~ ~ m°s ~ 11 l r, ~ Rb ' s - t r. A ~i ~ '~.r a y , r ~ P e. f ~ t ~ ~ . e _ ~ ~ ~x/ ® x ~ ~ e©x` ADO Wfl + M ~ i,~,. _ _ ~ ~ _ - ~p.~ COUNTY OF SUFFOLK © . a c.wxo . . . ~ M ~ OFFICE LOCATION: ~~OF SO(/TjfrO MAILING ADDRESS: Town Hall Annex h0 l~ P.O. Box 1179 54375 State Route 25 y i, Southold, NY 11971 (cot. Main Rd. & Youngs Ave.) T T Southold, NY 11971 G Q Telephone: 631 765-1938 ~ ~0 Fax: 631765-3136 ~y00UNT1,N~ LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM n ~~~0~~' IunL~ To: Jim King, President MAY 1 3 2013 Town of Southold Board of Trustees From: Mark Terry, Principal Planner Southold town LW RP Coordinator Boa~dotrr~ tees Date: May 10, 2013 Re: Proposed Wetland Permit for HUGH SWITZER SCTM#1000-67-5-1 HUGH SWITZER requests an Administrative Permit to install an 8' high deer fence along the side yards and rear of property. Located: 3180 Mill Lane, Peconic. SCTM# 67-5-1 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 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 ~ ~QF SQ~ Town Hall Annex ~ 54375 Main Road Bob Ghosio, Jr., Vice-President ,`O lp P.O. Box 1179 Dave Bergen 1~ * Southold, New York 11971-0959 John Bredemeyer r/' ~ G ~ p~ Telephone (631) 765-1892 Michael J. Domino~~ ~ Fax (631) 765-6641 ~~OOUNTI,~~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Oftice Use Only Coastal Erosion Permit Application Wetland Permit Application ? Administrative Permit _Amendment/Trans /Ext nsion Received Application:~~_~ ee Received Fee:$ D ~ ~ I V G t~ompleted Application Incomplete _SEQRA Classification: APA ~ 8 2~~3 Type (Type ? Unlisted_ _ Coordination:(~ete sent) I ~LWRP Consistency Assessment Form I / ~_~1.3 uthald own ?CAC Referzal Sent TTT"` ate of Inspection: _ Receipt of CAC Report_ Lead Agency Determination: ~ethnical Review:~~, Public Hearing Held: `-711.51 1~ Resolution: Name of Applicant ~ UC ~L s l ~ ~ ems, Mailing Address 3 `$(7 41x1 iLL ~ ~A>•A - . l~C~~ Z$~3 I 1 C's c~4~ l(? ~ ~ -I ll9 S~ ~ (aS-3 ? ~I ~~Phone Number:(C~ Lk ~ - y C~ 1 - ~ J 'Z Suffolk County Tax Map Number: 1000 - ~ (off - Q 5 - OC`> ~ p Property Location: 3 1 ~ ~7_ ~t LC_ tiP PCSp'~I.JLC' ~l l~ ~(Z.~ ~,I~us~ o ~ !k?~.~, zw~T- 1-~c-.1c~ _~~n~ 2t~tET- C~OIa:~ , Nd(~Tl~ To (provide LILCO Pole distance to cross streets, and location) Gp~pStyt tZ~{ 4"~~4C-t~-, AGENT: (If applicable) Address: Phone: Boa of Trustees Application GENERAL DATA Laud Area (in square feet): ~ ~ Z Area Zoning: - y~ Previous use of property: 1Z~5 i D~~J i ~`A ~ Intended use of property: (~~C l~~ 1 r4C_ Covenants and Restrictions on property? Yes ? No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? l~ 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 ? 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 _~No Does the structure (s) on property have a valid Certificate of Occupancy'? ? Yes No Prior permits/approvals for site improvements: Agency Date ~,7.n~ ~:Z~-tSreeS Y~uc~. LZ.., ZyU~ k~c7US2.. R-eNOU~4Tlu~~ _ 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: ' ~ I Project Description (use attachments if necessary): j. }s~Tpr(,,C., D~fZ_ b-2~C.~, Ia P~ I~~(, ~I ~ Z i ~f7 St1726 -1-CZP~k~ e~r (~~2c>C~(Z\~. ~ TA-t--L~ i Board of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: j p }~Q~Q ~P~l~;,~ ~~L(I~U I/Jt4 ~ e- l \C,tL ~lictt-~ 7j ~~'S ~--t~~2 FAA-uvui~..~~ '~2s~J-~1~.5 (wP t,~-Klt,e ~t ~,e.~d~ eA t-a~ ~~c>;k- 1..~lt~e ~ T t w~.5 ~ l Area of wetlands on lot: IJJtA- square feet Percent coverage of lot: r'~- Closest distance between nearest existing structure and upland edge of wetlands: ~-1- feet Closest distance between nearest proposed structure and upland edge of wetlands: i.) feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated?_ 1-~~1!~cubic yards How much material will be filled?___~J~~ cubic yards Depth of which material will be removed or deposited:__~1~~, feet Proposed slope throughout the area of operations: t.1 ~ Manner in which material will be removed or deposited: U~ di- 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): iJc» , PROJECT ID NUMBER 6t7~20 SEAR 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. PROJECT NAME k- . ,rL ~~uZ ~.t~c~ 3.PROJECT LOCATION: 31FS`o NAI~.~ Lra Municipality County 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map ~~Fsc~ wn~tt___~. t~we-~e„ ~=c~i.~tc, I.~~( ~~q5~ P-e - t~S ~ Os, T s~ ~la~zT T ~ 5. IS PROPOSED ACTION : ? New ~ Expansion ®Modification /alteration ~oa~tM tT'tt- 3~f} 6. DESCRIBE PROJECT BRIEFLY: C ~r 7At_.(_. ~ (~-Pn fZc7x "Z Z 1 Ns~' ~ a ~ S t YES Ze+4 u"L a t2 O~ e 2 ~ ~ Ze~~ce /~vu i t~,w~Z e -s-~c~~ 3 a n~ 7 tsc.~sz s . CUJ e ~~e.- g e-e~ s~f ~-c~ waSe9 w ~~Itn+~L q vu-~s -t- v4-cZ~ ~..tt~~ sY. ~ ~c~c...~.y jo Ze~~~~?e.cJ,4,7eS o `sH,2~{ ~-k-1ACLvv~~ ~ ~ ~ ~ P' t t-~ _ bYl Pi a 6~S . 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes ? 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 ?Olher (describe) tO.DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Locap ®Yes ?NO If yes, list agency name antl permit /approval. TO W ~ O ~ ~ c~'-LT6ke~ T_IIOES~CN~ASPECTOF7FiE 7CCTfOI~TTAVE~CURRE1TrL~VALID PERMIT OR APPROVAL? ?Yes I~NO If yes, list agency name and permit /approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? n' es No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant /Sponsor Name Date: SignaWre ~ I If the action is a Costa rea, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART U - IMPACT ASSESSMENT To be com feted Lead A en A DOES AC71tN! EXCEED ANY TYPE t THRESHOLD IN 8 NYCRR PART 617.47 Ayes. coordinate Ate review process and nse Ate FULL FJiF. Yes a No B tfNLL ACTION RECEIVE CppRDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 t4YCRR, PART 617.67 If No, a negative dedaradat maY be superseded by arrotlter itvdved agency. Yes No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOGATEO WITH THE FOLLOWING: (Answers may be hardwdtter6 A legible) C7. FJdsilrig air qualigF, surface or graaMwater quaAty or quaMAy, noise levels, existing traffic pattern, solid waste produdion a disposal, potential for erosion, drainage or flooding problems? Explain brlofiy: CL. Aestl+ad4 agridAWral, ardtaeobgkal, ftistoda or oAter natural or ddlrxal reswrces: or cam or rte~llbodtood chowder? EJgdain MteAy: C3. Vegetation a fauna, Gsh, shellGs ~or vdWNte-species, sigrtiflcant habitats, or Atreatened m endangered spades? ExplaM briefly: C4. A community's existing plans or goals as o(ridatly adopted. or a-change-in use or intensity of use of land or omer natural resouroas7 Explain bdeay: C5. Growth, subsequent development, or related adivfties likely to be induced by the proposed adion? Explain briegy C6. Long term, shaA. term, atmuialive, or othec effects not ideMifietl in C7 CS? Explam briefly: ~ C7.~ Other impads tndudin flan es in use of either uanUt or t a of ever ? Ex lain bnefl : ~ ~ O. WILL THE PROJECT HAVE AN IMPACT pN THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA 7 If s, a lain briea Q Yes Q No E. IS THERE, OR IS THERE LIKELY TO 6 REIATFA TO POTF14TkIL E ENVIRONMENTAL iMPACT57 if Yes Q No PART NI - OEiERNtINAT10N OF S16NIFICANCE (fo be campletod by Agency) ~ . INSTTtUCT10NSs FaeachedYerseeffedidentifredabove.detelminewhetherAissubstaedal,taiga.,importanlorothelwisesignificent Eech ailed aholAri be aases;sed in cdnnecAon Mfltll its (a) adAng (Le. urban a ratan: NI Pre~AY d eocurrillg; {cj duretlon; (d) iaeversbiMy; (e) geographic >AOpe: and to magnAtltle. If necessary, add attadmlants a reference sflpporfing materials. Ensure that efq>tarwtions contakf - - rtfffidelRdataAtefshowthatagrelevatitadvereahllpadshavebeenidentifiedandadequatelyaddressed. UquesAondofpartAwasdlgdced yes, the detertnlnaAon of slgnificancemust evaluatelhe potonAal Nnpadofthe plaposed adion en the enrGaranental aharaderistks of Af a CE/l Chadctttla boxAya, htitfe identiAed one ormore pdterdiadylarge orsigrtlficard adverse knpaclswhich MAY oma. Then proceed direcaylo the FAF aridfar prepare a posAhre dedawGon. Gleck tlss boz Ayou~have detertMned, based an the infarma6m and analysis above and any supporting documerdaAon, that the proposed a Will NOT result M any significant adverse environmental impads AND provide, on attachmeMS as necessary, Ate reasons supportng Ati determination. Board of Trustees p - ' Name of Lead Agency Date President p Print or Type Name of Responsible Officer in lead Agency Tifle of Responsible Officer Signatwe of Responsible Officer in Lead Agency Sgnature of Preparer (If different from responsible officer) d~~r Town of Southold ~ Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM ~ PROPERTY LOCaT1oN: s.c.r.M. N: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN ~ ~ 3~ 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? ~ Will this Project Retain All Storm-Water Run-0fl (Indude Total Area of all Parcels bored within ~ t2 ~ es Generated by a Two (2") Inch Rainfall on Site? the Sope of Work for Proposed ConsWction) Is r r Ass (This item will include all runoff created by site ~ ? b. What is the Total Area of Land Clearing ) clearing andl« consWCtion actlvi6es as wep as all and/or Ground Disturbanc for the proposed ~ Site Improvements and the permanent creation of construd'lon ad)viry7 impervious surfaces.) ( F. r 2 Does the Site Plan and/or Survey Show Ail Proposed / PROVmE BRIEF PROjECI DESCRIPTION tAwMa AdaAar+Pp«,. wa.a.al Drainage Sfrudures Indicting Size & Location? This 1~ ? Item shall include all Proposed Grade Changes and ~ ~ t(Z__ ~_e P Sbpes Controlling Surface Water Flow. 3 Does the Slte Plan andlor Survey describe the erosion ? ~ ~ C t ~cc -t-- ~A-vL p ~ and sediment onirol pradices tttat will be used to ? centrd sfle erosbn arW storm water discharges. This PP ~ ~7 / G item must be maintained throughout the Entire ConsWction Pedod. 1 Tf.~,-~.lJ ~ ~ 4 Wilt Mis Projed Require any Land Filling, Grading or ? Excavation where there is a change to the Natural Existing Grade Involving more Nan 200 Cubic Yards of Material within any Pamel? 5 WII this Applic[ion Require Land Disturbing AdiviOes ? / Encompassing an Area in Excess of Five Thousand ? (5,000 S.F.) Square Feet of Ground Surface? s Is there a Natural Water Course Running through the Site? Is this Projed within the Trustees jurisdidion General DEC SWPPP Reguiremems: or within One Hundred (100') feet of a Wetland « Submission of a SWPPP b repaired M1or all ConsWCtion activities involving soil Beach? ditWrbarwea a one (t) «more sues; OrchrdOp disWrbMwes o/ less man one acre mat 7 Will there be Site preparetion on F~tis6rg Grade Sk><Aes ~ - am pen Pr a larger Ixamron pbn tlml 001 uMmetdy di.turb one «mom avea d bM; whkh Exceed Fifteen (15) feet of Vertlcel Rise to ? intluding ConsWCdon ectlvitias mvoNirg soA dbturbances or bss man one (i) arx where One Hundred (100') of Hodzontal Distance? the DEG has tletemaned mat a SPDES pemJl is required for slonn water discharges. (SWPPP's Shall twN iM Minimum Requlremenb of me SPDES General Permit $ Will Driveways, Parking Areas or other Impervious for Storm Wabr Dheharges hom COnstnrctbn actlv(y • Partnil Nc GP-0.70-007.) Satiates be Sloped to Direct Storm-Water Run-Off 7. Tne SWPPP sheq be prepared prior m the subndttal d the NOI. The NOI shag be into andlor in the direction of a Town rightof-way? submitted to the Department pd« b d,e mrmlancemenl of construction activiy. 2. 7ne SWPPP shMl describe the enxibn and sedimem contrd practices and where 9 Will this Project Require the Placement of Matedal, repulreq pOSicorutrudbn sbrm water management praulces mat wAl be used andl« Removal of Vegetation andlor the Consbucdon of any ~ ? constmded to reduce tlAe poWlaMS F storm water dhcharges end to assure Item Within the Town Rlghtoi-Way or Road Shoulder compibrice wlm the temp aM mndaiow a 0+'u: pemil in addabn, dre SWPPP shall Areal fn,u k.m wle Nor I„cNea m. weuwla„ w pnw.y aPr=,w.r identity Pobnliel sources of polutlon which may reasonably be exP,xkM b amer.Y dre queby of storm vnbr dbcharyes. NOTE: Ir My Mawer to Questions One mmugh Nine is MswarM wim a Otreok Mark 3. M SWPPPe mat requke me posFCOnstruubn storm water management practice in a aox end me wmWCaorl sib dialurber,ce b IMtween 5,000 a.F. a 7 Aae In eroa, corrlponem 51w1 be prepared by a qualified Design Pm/esslonM Licensed in New York a abmr•Water, Grading Oremage a Erosbn control Plan h rOpuired by ties Town o/ That b knowbdgeabb h the pMriples ant Dractices M $rglll Water Managertlem. aoumold and Muel M Submkbd for Wview Pd« b bawrrp of My aWMirg PMmit (NOTE ACMdrMn ldl wWOr Maver Mearlr Rapwed lore Coraptero Appimdon) STATE OF NEW YORK, Notary Publi0. State o ew o No. 01 BU6185050 COUNTY OF SS Ghaa}ified in Suffolk County `1J , Commics'rOn Expires April 14, 2SL/ 7'ha[ I, ..~C~,~1:..«.~4.g~g...~'~.1'.Z being duly sworn, deposes and says that he/she is the applicant f~ Permit, And that he/she is the (owrrx, COnbaclu, Avant. Corporate OM«r, etc) Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file 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 fords in the application fded herewith. Sworn to before me this; I. .day of r ..1 . `lQ~.j Notary Public:. ~~.121.\.'Snk.....,,~._~..~.~..L.~ (Signature d A Il FORM - 06/10 Boarr~f Trustees Application . County of Suffolk State of New York 5' ~ t 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. Sig lure of Prope Owner SWORN TO BEFORE ME THIS ~ S~ DAY OF 20~ ~r~~ ~ ~lti~~. Notary Public CQNNtE D. BUNCH Notary Public, State of New York No. 01605185050 Qualified in Suffolk County Commission Expires April 14, 2~~ APPLICANT/AGENT/REPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town otTicers and employees The ouruose 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. C YOUR NAME: Jl~ l ~ ~~~--'IZ-- ~ ~A F lk r (Last name, first name, Middle initial, wless 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 J NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee t~ Change ofZone 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 coq~orrtion in which the town otfiicer or employee awns more than 5% of the shares. Y6S NO If you anse~ered "YES", complete the bnlana; 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/agenUrepresentative) and the town officer or employee. Either check the appropriate Tine 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) [he 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-corpomte entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OP RELATIONSHIP Submitted this ~ day of~_2(IO l 3 I Signature Print Name lc,1L ~ ate, Form TS 1 Town of Southold • • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that aze 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 Ha2ard Area. 2. Before answering the questions in Section C, the prepazer 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 standazds and conditions contained in the consistency review law. Thus, each answer must be explained in detail listin¢ both supportine and non- supportine 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 SCTM# O~o-7 - OS - OOJ_ PROJECT NAME ~~C2. The Application has been submitted to (check appropriate response): 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: APP 2Dv2 I tJSTr~I t ~Yt ~rJ o ~eelL FC'~CC, , V Location of action: ~~$~j~^(~~~`, L, K1-~-~ ~ r ~t ~y Site acreage: 3, Z ~ Present land use: 2P~ i i V'R~ Present zoning classification: Z ~ ~ 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: 1-~r U C-~ 41- ~L, ~ t ~ (b) Mailing address: ~Zl~[~ Y~A~~ t ~~~-l~~ ~ 3~'Zg3 ~ C'r»tc i J-~ 111 ~ ~ (c) Telephone number: Area Code ~ ~Z.9 ~ ) ~S d~(_ ~ \ -~,5 (d) Application number, if any: Will the actiongbe directly undertaken, require funding, or approval by a state or federal agency? Yes ? No ~ If yes, which state or federal agency? 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 ST i,11 ~t P (LC-~S s? R C T>~e-- i 4 v~ e Jt S'~ arc y__S n ~~c ~Z-?~ R Attach addn~onal sheets ~f 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 A-c~c~-a..9 , t~ C'rz~s.ecz~~ ~2~ c^cut"~-' 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 T'r" l t t ~ vt~ t e-~ iA-~ '14- u c P ~ li-- 'Ps, c cyA t 'c c> > (Z l.ue~~L t tz -i-- 1 Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including 5igni5cant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III -Policies; Pages 22 . . thr~ou{gh 32 for evaluation criteria. ILY ? ? ~es No Not Applic~ • -k- C2 ~ uC E 'Pc~LS- (.1T1 1~ u~ `"C 7 Q t+J 1-~ C~ -~~~1'Z'T"~4~.~ r redtS Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III -Policies Pages 32 through 34 for evaluation criteria. Yes ~ No ® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III -Policies; Pages 34 through 38 for evaluation criteria. Yes ~ No ~ Not Applicable T (~4c t c ~ t t-P'CL° ~ P Q .c, C~ an, ~ ~ ter-- 1 T"S 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~ Nom` Not Applicable Attach additional sheets if necessary "WORHING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III -Policies; Pages 47 through 56 for evaluation criteria. ® Yes ? No ? Not Applicable , t t_.c~ ~.~w. ~ ~ ~T e, Pa ~~-l.Tl.'t~tJ a F- ~~,f~-Y PJL 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 T ~ t » et?~ vVt v 1J tRTt' Q? S o F-- L~eSt_ ~~m Pii i 1 0.~ T ~ L ~ n~ I eJ~ tM e4-fL A-~ iZE5~"` U dLL~~ 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 i COUNTY OF SUFFOLK °+.". N '25'20'Ic 762520•E 2 ZONE AE-11 O TIDAL WETLANDS BOUNDARY AS DELINEATED BY EN—CONSULTANTS, \ INC., B-23-06 �1,+ SwF\\ \\ 'p so\\� '• sem, �- \\\\ '••�sem. �q � I z \ s L + ss \ 0 =- 6 I oar dTo ee APPROVED BY BOARD OF TRUSTEES pp \ R O �cf " \� ••.SSS. TOWN OF SOUTHOLD S 69.46'31"E DATE S JS 3 41.61' 57S 2722'50"E ° \\ 30.27' a \ S 49'07'59"E ti I 39.76' ro - X S 22'06'22"W 54.01 ' i •WI •• S 5422 9D' y NOTES, --127,0" \ 7 ZONING FOR THIS RESIDENCE IS R-40. *000 �/ •''§ 35'42'01 "W 50'41'39W 2 PERCENTAGE OF LOT COVERAGE ALLOWED IS 205 36.58 3 ' 1B.13' 3. ZONING SETBACKS ARE:c A. FRONT 60' '54'2.38' W B, SIDE$ 30', BOTH SIDES 60' 0. REAR � BS' C .Q, 52'36 S 4 AREA'S OF STRUCTURES: o- Z / ZONE AE - y Q0 6 HOUSE-1,037 S.F N `• / / ^N W GARAGE-777 S.F. SHED-431 S.F N .V'Oj TOTAL EXISTING-2,245 SF N AREA OF PROIMPROVEMIN ROA D SIDE = 280 S.F." TOROP IMPROVEMENT TER S PTOTAL AREAFOR EXIISTINGRESIDENCE AND IMPROVEMENTS 2,789 S.F. I :IW PERCENTAGE OF LOT COVERAGE WITH PROPOSED IMPROVEMENTS ll'l°°• M ape IS. 1.9895 201 CA y i S 6x1.2 00 W 168.03 ,p ELEVATIONS SHOWN HEREON ARE IN 1929 NGVD FLOOD INSURANCE RATE MAP IS FROM PANEL 167 OF 7026 �D N/F 2700 MILL ROAD LLC MAP NUMBER 36103CO167 G, EFFECTIVE DATE MAY 4, 1998. II i BUILDING ELEVATION DATA: MAIN FLOOR ELEV - 27.0' TOP OF N/S RIDGE m 47.7' OUARANWS INDICATED HERE ON "U. MIN TOP OF DOGHOUSE a Y To Mf P 50W f AHOW ME SUR1EY (SAME SIOE ON ROOF n�LC AWY',fAWA WS�A'�f{ro Y... HIGHEST RIDGE) WERIDGE - 50.6' LOIGNO WSDNRON, F MSTEO NE .. ANO ro DE AS.WOWI S OF ME IENOWO MSMOOV. E/W RIDG ON EASTERLY ONARANRFS ARf NOT MANS AME To SURVEY OF SIDE OF HOUSE - 48.6 A=O WSRMDgsGSWSEWLNYOANERS DESCRIBED PROPERTY UNADRIOMM ALR MADN ON AWIDON TO MIS ZWY IS A 9aArTON c WCom 7"of SITUATE SURVEYED: OB SEPTEMBER 2006 TNf NEW 1 STAT ED NnOW LAW. PECONIC, TOWN DF SOUTHOLD IX FS OF THIS SWWY MAP NOT IFAMNC SUFFOLK COUNTY N.Y. SCALE 1"= 40' NOT E CCNo WS�W W A VAro'Rrmrc�Au AREA = 140,193 S.F. ro Y. OR SURVEYED FOR: HUGH KENT SWITZER 3.218 ACRES TM# 1000-067-05-001 SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX294 NEW Sj1FF0LK. N.Y. 11 GUARANTEED TO: 631-1134-5635 HUGH KENT SWITZER 3 02 xw 07 UXWX Pawn caxumE rama2wx (ururw. ONLY). AICENSIEV LXND S �EYOR 2T. 20 NL o7 A= PAwwm x SASLMp2T AVO WM A UWG TTAMW `�NYS Lic. No 492 3 06R1524 IS 0cr w SXOW ceOPwm tounOP w AJCF wwa..