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HomeMy WebLinkAboutPawlowski, PaulSOUTIIOLD, TRUST Issued To..~d~~ Address ~ ~t . ' ' THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 Jill M. Doherty, President Bob Ghosio, 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 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 __ Ist day of construction % constructed __~ Project complete, compliance inspection Jill M. Doherty, President l]ob Ghosio, 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 TRUSTEES TOWN OF SOUTHOLD TO: Please be advised that your application dated ~ / ~ [/ , has been reviewed by this Board at the regular meeting of 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) __ 1st Day of Construction ($50.00) ~ Constructed ($50.00) Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: Jill M. Doherty, President Board of Trustees Jill M. Dohe~ty, President Bob Ghosio, Jr~ Vice-President James F. King Dave Belgen John Bredemeyer P.O. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: PAUL PAWLOWSKI requests an Administrative Permit to install a 6' fence surrounding the rear yard. Located: 2404 Camp Mineola Rd., Mattituck. SCTM#122-9-7.20 aof area to be impacted: Itwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ~jTccapt.275 Chapt. 111 other Type of Application: P'/"Wetland __Coastal Erosion ~Administrative__Emergency Pre-Submission __ ~Amendment Violation Info needed: Modifications: Conditions: Present Were:_ J~.King. __(" J'~. D0h e rty __~' J"~.J. Bredemeyer B.Ghosio, D. Dzenkowski other Form filled out in the field by Bergen Mailed/Faxed to: Date: BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6620 DATE: MAY 16,2007 ISSUED TO: DAVID SHAMOON PROPERTY ADDRESS: 2404 CAMP MINEOLA ROAD EXT. MATTITUCK SCTMg 122-9-7.20 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapte~ 111 of the Tov~a Code of the Town of Southold and in 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 David Shamoon and subject to the Texn~ and Conditions as stated in the Resolution, the Southold Town Board of Trastees authorizes and permits the following: Wetland Permit to construct a single-family dwelling, deck, driveway, and sanitary system with the condition that the dwelling and deck be on pilings, installation of gutters and drywells to contain roof runoff, no fill except for the sanitary system, no additional and/or nor further expansion to dwelling will be permitted, a pervious driveway, and a line of staked hay bales to be installed prior to construction, and as depicted on the survey prepared by Nathan Taft Corwin IH, last revised July 12, 2007, and received on August 20, 2007. 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. SURVEY OF PROPERTY MATTITUCK TOWN OF $OUTHOLD ~ / ...... ./- _._ KRAUS ROAD CROSS-SECTION OF PROPOSED COHC, RETAINING WALL FOR I Nathan Taft Corwin III Land Surveyor Board of Trustees 54 Was there anybody else in the audience who wants to comment on this application? (No response.) We had asked for dudng construction of it for hay bales to be placed between the pavilion and the waterway. And we have down here there is an opportunity for plantings to be done between the pavilion and what is listed here as the bluestone walkway. What is planned dght now in that area between, I believe there is a six-foot area there; were there any plans that the applicant had as far as plantings between that area between the pavilion and walkway?. MR. CIBULSKI: The plantings that were planned would be on the other side all the way around to the flagpole with all the native species because basically you have the walkway and a very short buffer area and then have the bulkhead. So any plantings there might tend to get a little bit messy with debris and anything else. It would be a lot cleaner this way, it would be maintained a lot better since there is an existing walkway. This is the way we thought we would present it, with sufficient plantings and everything on center according to the DEC suggestion. TRUSTEE BERGEN: And that bluestone walkway would create a non-turf buffer that is already there. MR. CIBULSKI: Yes, it will. TRUSTEE BERGEN: Are there any other comments from the Board on this application? TRUSTEE KING: I went out and looked at it initially when we all went out. I didnl have a problem with it. TRUSTEE BERGEN: If there are no other comments I would like to make a motion to close the public hearing. TRUSTEE GHOSIO: Second. TRUSTEE KING: All in favor? (ALL AYES.) TRUSTEE BERGEN: I would like to make a motion to approve the application of Alpha Consulting on behalf of the Brewer Yacht Yard at Greenport as indicated with the inclusion of leaders and gutters to address the road runoff into the drywell as depicted on the plans. And the inclusion of hay bales during construction between the pavilion and waterway, the bulkhead. TRUSTEE DOHERTY: Second. TRUSTEE KING: All in favor? (ALL AYES.) MR. CIBULSKI: Thank you. TRUSTEE KING: Number 12, Suffolk Environmental Consulting on behalf of DAVID SHAMOON requests a Wetland Permit to construct a single-family dwelling, deck, driveway and sanitary system. Board of Trustees 55 May 16, 2007 Located: 2404 Camp Mineola Road, Mattituck. Is there anyone here to speak on this application? MR. BARRON: Sean Barron, Suffolk Environmental Consulting for applicant. Mr. and Mrs. David Shamoon are also here tonight. If I could, Bruce asked me to give you a copy of the DEC permit for this. I'm not sure if you have that in the file. It's a title wetland permit. It's for a larger, actually house, garage, swimming pool, deck. It's tidal wetlands as the state doesn't regulate any freshwater wetlands on this property. I have the original copy but- TRUSTEE KING: I think a lot of concerns with the Board is this one lower area where this deck was proposed. This was one of our concerns. MR. BARRON: I'm coming into this late in the game. As I said before, Bruce had some other important stuff to deal with. Where exactly was this left off with you guys? TRUSTEE KING: We talked about reducing, shifting the house a little bit to get it further away from the wetlands. We talked about downsizing the size of the house. TRUSTEE DOHERTY: He was going to try to have plans for us tonight to look at showing what we discussed in the field, which was to downsize it and move it further back. TRUSTEE BERGEN: The question was, there was a comer of the house as well as the deck which was into a depressed area where I know that there has been some question as to whether or not that is wetland area or not. But what we wanted to see was the house either shifted or moved so the corner of that house was definitely out of that -- I'll call it simplification purposes - a depressed area. MR. BARRON: I mean, we are dealing with, unfortunately, a problematic lot that, as you know, it's obviously filled land. There may have been a wetland there at some point. Somebody did a bad job filling it in the '60s apparently, when they were probably dredging the marina or the channels out there and we are left with, unfortunately, what remains; which is some upland and something else, I guess. I have been out to the property several times. MR. SHAMOON: I'm David Shamoon. i'm the owner. My daughter is getting married. I promise her this land. And we have been two-and-a-half years. We spent so many surveyors, so many times, and so many times we have appeared here, the Suffolk Environmental was here, and we did -- whatever you want us to do, we'll do. But it's two-and-a-half years. I mean. TRUSTEE KING: You have to understand this is a very, it's really a sensitive piece of property and we just trying to do our best here MR. SHAMOON: I understand. He didn't tell me. TRUSTEE KING: Of course it's inconsistent with LWRP. The proposed Board of Trustees 56 May16,2007 distance to the new residence from the freshwater water wetland boundary is 20 feet. Proposed distance from the deck to the wetland is 15 feet. The proposed distance to the new residence from the tidal wetland is 60 feet. Everything requires a minimum setback of 100 feet. The proposed residence is in an AE flood zone elevation. Please require the applicant amend the application to meet the above policy to the greatest extent possible. Those are the comments from the LWRP coordinator. The CAC found a discrepancy with the flagging of the proposed location of the structures compared to what was being proposed on the plans. The flags appeared to be too close to the wetlands. TRUSTEE DOHERTY: That was the old flags were still there. That's what confused us. That's what postponed it another month; because the old flags were never taken out. Old stakes. Since we didn't get the new plans showing what we discussed in the field, I think we should table this until we get the new plans. We want to see if it works. So we need to see that. MR. BARRON: I have some revised plans that Bruce had me work on that we were a little reticent to bring forward. Mr. Shamoon is not happy with it. If you look at the information on the survey, I put a copy of the site plan. It's not that good. You notice ground water elevation is 5.1 feet. The survey shows some topographic areas that are five feet and below, actually. Presumably when the ground water is at five feet, that's where a wet spot is going to be. This proposal shrinks the house back an awful lot. It's a dwelling with a footprint of 1,210 square feet, plus or minus; 525 square foot deck; then the area for the sanitary system which of course is going to be contained with a retaining wall system. Everything you notice is behind the six foot contour which is why I mention the groundwater elevation of 5.1. Presumably this brings it all out of that wet area. And actualiy, a little bit of graphics, and I have to find my aerials. TRUSTEE KING; Any plans for any fill being brought in? MR. BARRON: No, with the exception for the sanitary system where they may need - the wall is going to be about two feet above grade. This shows 10.6 top of well elevation in an area about eight or nine feet above sea level. So there will be fill brought in for the sanitary system. The structure is proposed on pilings as well as the decks, so we don~ need any fill for the structures themselves. I made a graphical rendering showing the subject property with the proposed improvements on the revised site plan we are looking at. The property with respect to most of the other improved properties, it's an acre, which is bigger than most of the stuff Board of Trustees 57 May 16, 2007 that is around there, and the proposed improvements are in general smaller than what is around there, too. There is actually a closeup of the two foot. You guys know the area, it's obviously highly developed residentially, there is even a giant marina right across the way. TRUSTEE KING: Originally that was all wetlands. I have been there from the '60s. This was all wetlands and then what happened is someone did the dredging and then it was all fill. MR. BARRON: Right, and somebody filled it in. The DEC regulates the tidal wetland -- TRUSTEE DOHERTY: This was wetland here. MR. BARRON: That was before anybody thought to regulate that stuff. TRUSTEE KING: That was all done in the '60s, before you were born. MR. BARRON: It was subdivided in the late '70's, eady '80s, that was approved by the town and planning board, which adds another wrench to the whole problem what to do with the land. I'm sure it's been assessed and taxed as a buildable property as well and Mr. Shamoon is looking to get some sort of improvement for his daughter. TRUSTEE BERGEN: So this new set of plans shows proposed dwelling footprint of approximately 1,210. TRUSTEE KING: 850 is the minimum in Southold Town. It's well above the minimum size. TRUSTEE DOHERTY: This drawing shows what we asked for. TRUSTEE KING: Is this a two-story home? MR. BARRON: It would be two stories. Figure 800 or so square feet on the second floor. Total of about two grand, gross floor area. TRUSTEE KING: I don't think we could do a lot more with it. MR. BARRON: It's a difficult lot. If it was a pristine, untouched wetland, it might be, it would certainly be a different story. TRUSTEE KING: There tidal wetland boundary as per Southold Town Trustees, what does this line indicate closest to the house here, with two little "X's," what is that? MR. BARRON: That's apparently where the flags were. That's just a tracing of what was on the previous survey which is shown basically two arcs of wetland flags by the town. I have it on the Ingegno survey last revised March 5, 2007. That's when they set to lay it out for you guys to inspect. But presumably somebody from the trustees flagged it. I don't know. TRUSTEE DOHERTY: Maybe from all the discussions. TRUSTEE KING: I think it was more or less from all our discussions. TRUSTEE DOHERTY: I think Bruce just marked it from what we said. TRUSTEE GHOSIO: I think this addresses more, most of our concerns. TRUSTEE KING: We need to see drywolls for roof runoff shown on the survey. TRUSTEE DOHERTY: We need a better survey. Board o f Trustees 58 May 16, 2007 TRUSTEE KING: I don't think we could do much moro. MR. BARRON: Also, incidentally, it complies with the zoning setbacks. TRUSTEE DOHERTY: We would just need to see the gutters, leaders, drywells, all that stuff. MR. BARRON: Okay. TRUSTEE KING: Was there a swimming pool proposed? MR. BARRON: No. MR. SHAMOON: I would like to have a swimming pool. TRUSTEE DOHERTY: We could say no further expansion on this. TRUSTEE KING: Any other comments from anybody else in the audience on this application? (No response.) I'll make a motion to close the headng. TRUSTEE GHOSIO: Second. TRUSTEE KING: All in favor? (ALL AYES.) TRUSTEE KING: Okay, we have been at this a long time. I think the new drawings reflect what we discussed in the field as far as trying to downsize this. We'll do what we can do to mitigate everything. I don't think you can do anymore. I don1 think the Board can do much more with this. Based on these new drawings I would like to make a motion to approve the application. TRUSTEE BERGEN: One comment. I think with the changes that have been made here, that would mitigate the LWRP inconsistency, with the inclusion of the gutters, hay bales during construction also. TRUSTEE KING: We've maximized all the setbacks we could get. We've downsized the house. We'll have gutters to drywells for roof runoff. The septic system is out of our jurisdiction. I would make a motion to approve as submitted with the stipulation there would be no further additions to this structure in the future. No additions. TRUSTEE BERGEN: As per the plan dated May 16, 2007. TRUSTEE DOHERTY: Do you want to see new plans showing - TRUSTEE KING: Yes, a revised plans showing gutters and leaders and drywells for roof runoff. It's a pervious driveway. We need a set of hay bales on the -- ten feet beyond the six foot contour. That will give them enough room to work around the house. Anything else? (No response.) No fill to be brought in, with the exception of the sanitary system. No fill to be brought in on the rest of the property. Do I have a second? TRUSTEE BERGEN: Second. TRUSTEE KING: All in favor?. (ALL AYES.) Board of Trustees 60 TRUSTEE KRUPSKI: I'll make a motion to table the application. TRUSTEE DICKERSON: Second. TRUSTEE KRUPSKI: All in favor?. ALL AYES 12. Suffolk Environmental Consulting, Inc. on behalf of DAVID SHAMOON requests a Wetland Permit to construct a 36' by 60' single-family dwelling with 12' by 34' wood deck attached to the east side, install a 20' by 40' pool to the north of the proposed dwelling, construct a 30' by 24' garage, and install a sanitary system with a retaining wall. Located: 2404 Camp Mineola Road Extension, Mattituck. SCTM#122-9-7.20 TRUSTEE KRUPSKI: Before we start this, there's no LWRP review on file. We can't make a decision on this tonight. We can't act on this. We don't have the LWRP form. We'll take some brief comments from the public. We'll reopen it next month at the same time. MR. ANDERSON: I was made aware that there's a Iow spot that water collects. I'm going to take a look, maybe even delineate it on a survey and come back with something for you at the next meeting. Other than that, we have two adjacent neighbors that are here. I'd just a soon hear what they have to say, and we'll see you next year on this. TRUSTEE KRUPSKI: Any comment? TRUSTEE FOSTER: Jeff? MR. STRONG: I'm Jeff Strong, president of Strong's Marine. I don't know if you want me to read through, I gave you a copy of what it is. In short, my property is directly adjacent to the proposed application. And my primary concern is that the way that the house and pool are suggested to be situated on here, it puts the pool only 15 feet from my property line. And the 15 feet is one aspect of it, there's no drawing of trees or anything on here which, unfortunately, I did not make mention in my letter, but there's a whole row of birch trees that's probably somewhere in the 30 to 40 foot range that acts as a good buffer right now between residential property and my commercial property, and there's no mention of that at all. So I can only presume that they're planning on removing those trees, which would leave no buffer at all, which I'd hate like heck to be here a couple years from now having this house here and then they tell me, you know, the commercial property that's been there for a very long pedod of time is a nuisance to them. The other concern I have is the elevation. They're Board of Trustees 61 December 21, 2005 proposing to raise the elevation within that 15 foot border of the pool to my property almost four feet, and the grade of that will go from the pool towards my property. And they're suggesting to mitigate that by putting in a 75 foot concrete wall, and the concern I have about that is twofold. One is the 70 foot wall at the end of either one of those walls, the grade is still going to be fairiy significantly pitched toward my property, so the water's going to work its way around that wall onto that, and then potentially into the creek. Secondarily, if you will look on that plan that they have, the way the wall is designed, the grade would be approximately three foot above my finished grade, right at the road line and the top of their finish grade would be right at the very top of that wall, meaning that water again, would have no choice but to spill right over top of that. So that didn't seem like a groat situation. TRUSTEE KRUPSKI: Thanks. TRUSTEE POLiWODA: I wouldn't worry about the pool too much. MR. STRONG: l'm not worded about the pool, I'm worried about all the ground adjacent to the pool. TRUSTEE KRUPSKI: It's always been our policy in the code that they have to contain their own runoff. So this plan would have to be to-tooled to accommodate that. MR. STRONG: Yeah. Because right now the way the whole grade is not towards their drains it's away from their drains, away from the pool and toward my property. TRUSTEE POLIWODA: As far as the concrete unsightly, maybe they can put a four foot lattice up against it. TRUSTEE KRUPSKI: I just want to explain something to Peggy. We walked out hero to where the septic was staked, we walked out hero to where the garage and pool is proposed. There's a drop off, I don't know if we have a picture of it, but there's a real drop off about two and a half feet down into that aroa. We looked at that whether that was a wetland or not, yet to be determined, however it certainly is once an artifact of an aroa that hadn't been filled. We thought it was about two and a half foot of drop off, which would have put it into groundwater, if you look at the test hole -- MR. ANDERSON: What I think you saw was the land that was filled but not smoothed out. I will tell you this, what we want to do here is identify -- nothing else but runoff control because that seems to be Mr. Strong's -- just retool it. MR. STRONG: You're referring to the area around 6 ~ Board of Trastees 62 December 21, 2005 Mr. Tufano's property. TRUSTEE KRUPSKI: No. When we walked in here, as you walk towards your parking lot, the area drops off, and I tded to find it on the survey because it really drops off steeply because that's why the garage and pool are in that lower area, it shows two and a half feet to water at the test hole, you're going down two and a half feet of water, it's almost groundwater. Then our concern was maybe the house should be built on pilings, so you wouldn't have to bring in any fill. MR. STRONG: Also indicated in my letter was maybe because of setbacks, could the whole thing not be situated a little more central to the lot. I think we can do that. MR. ANDERSON: I think we can retool it to satisfy any concerns you might have. MR. TUFANO: Let's get this straight, they put him through the dnger I want this house built. It's a legal building lot. William Tufano, 2482 Camp Mineola Road, Mattituck, mailing address, P.O. Box 1744 in Mattituck. My property is next to the proposed building site. I want to go on record that I have no objection to the proposed house that is planned quote, "as is," with one restriction that if any deviation from this plan here should be applied for, then I rescind that statement that I want the house built there. We had a very sad situation with another incident of which I don't want to take the time here. TRUSTEE KRUPSKI: Thank you. MR. TUFANO: But I find the way this is there's no objection on my part, except I just noticed here that in the lower left-hand corner, they're applying for a well. If they go and put that well there, and it's not going to be needed, there's Suffolk County Water available on the road, if he goes and puts that well there and when I get ready to build a house for my children on my lot, it may require me to move my septic system if we have to put it in that area. Secondly, I don't know where he's going to get good water over there. MR. ANDERSON: If you're saying there's public water available down there? MR. TUFANO: Yes. TRUSTEE FOSTER: That will be a requirement. The Health Department will require them to hook up to public water if it's available. MR. TUFANO: It's available, okay. TRUSTEE KRUPSKI: Thank you, I would just advise you to stay Board' of Trustees 63 December 21, 2005 in touch with the Board, certainly come to the next month's Board meeting. You should stay in touch with the application to make sure there aren't any changes that you would find objectionable. MR. TUFANO: The only thing I don't appreciate here with this thing, you people designate to the applicant to hire an environmentalist to designate wetlands and conveniently they go and blame the wetlands on my property but not theire. So I want to be on record. TRUSTEE KRUPSKI: The applicant hires the wetland designation. MR. TUFANO: But you force the applicant to hire the environmentalist. TRUSTEE KRUPSKh That's true, someone has to designate. MR. TUFANO: And the DEC wants no part of these two lots. They have a 400 foot jurisdiction, but they don't want no part in designating. That's your responsibility. TRUSTEE KRUPSKI: That's okay. That's home rule. That's okay. I'll make a motion to table the application. TRUSTEE POLIWODA: Second. TRUSTEE KRUPSKI: All in favor?. ALL AYES 13. Suffolk Environmental Consulting, Inc. on behalf of DARREN PFENNIG requests a Wetland Permit to construct a 4' by 100' bluff stairway, including three 4' by 4' platforms within the northern section of the subject property. Located: Oregon Road, Cutchogue. SCTM#72-2-2.3 TRUSTEE KRUPSKi: Is there anyone here who would like to speak on behalf of this application? MR. LOHN: William Lohn, Suffolk Environmental Consulting on behalf of William Pfennig, who is also here with us this evening. As you know, this proposal is to construct a bluff stairway within the northern section of subject parcel in order to access the shoreline. Stairway is going to measure 4' by 100', 125 foot actual. The stairway will include three platforms measuring 4' by 4' and will be supported by 32 posts measuring 6 by 6. Pretty standard application. We feel it speaks for itself and I'm here to answer any questions. TRUSTEE KRUPSKh Thank you. TRUSTEE DICKERSON: It's consistent with LWRP. TRUSTEE KRUPSKh CAC recommended disapproval because the bluff is a steep angle and the bluff will not support stairs at this time. The CAC recommends a five year planting plan ~m ....... ,~, _. ~ ................. · ................. ~T~CE ~ CDUNTY OF SUFFOL~ ....... S~IHOLD m OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. 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 To: Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: March 21,2011 Re: Proposed Wetland Permit for PAUL PAWLOWSKI SCTM#1000-122-9-7.20 PAUL PAWLOWSKI requests an Administrative Permit to install a 6' fence surrounding the rear yard. Located: 2404 Camp Mineola Rd., Mattituck. SCTM#122-9-7.20 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 INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 6.4. Protect vulnerable fish, wildlife, and plant species, and rare ecological communities. The plans fail to identify the type of fence, method of construction within the buffer and mitigation to enable the mi.qration of wildlife (reptiles1 amphibians) between habitats. 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 Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application ~ ~Amendment/Trans fqr/E~tensio~ ~q Received Application: 31fi'ltl · Fee:$ <'7~ Y,I Received .~.x .. ..~2ompleted Application '~] ~ ~ / / I Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~6WRP Consistency Assessment Form ..~,Jt~] CAC Referral Sent: Date of Inspection: Receipt of CAC Report: __Lead Agency Determination: Technical Review: ~Public Hearing Held:~.~.l~ Resolution: Name of Applicant /~ [ Administrative Permit Address Phone Number:( ) &~/ - ~/c/.5---Y-~ Z'~? Suffolk County Tax Map Number: Property Location: r~Y3/vT/ ~¢~ ,~: ;Ur'd~/;~ (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: rd of Trustees Applicatio0 Intended use of property: Covenants and Restrictions: If "Yes", please provide copy. GENERAL DATA Land Area (in square feet): V ~/ ~' / '~ --~ Area Zoning: ~ 4. w.~ z3.~52 Previous use of property: Yes /No Does this project require a variance from the Zoning Board of Appeals __ If "Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency Date Yes Y No __ 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): of Trustees Applicati¢ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: -7~ '~ square feet Percent coverage of lot: . I~ % 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 Yes If yes, how much material will be excavated? How much material will be filled? ' (~ cubic yards cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: feet Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by mason of Sudl~p~opos~d op~ations (Use ~t~a~hmen~s if ~ppropri~t~i - PROJECT iD NUMBER PART 1 - PROJECT INFORMATION 1 APPLICANT / SPONSOR 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2~ PROJECT NAME SEQR 3.PROJECT LOCATION: ~,0~./L'T-J'~/]~ -r-~-~-v ~ PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide mae IS PROPOSED ACTION: [] New [] Expansion ,,~fication / alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [Z]']Yes [] No If no, describe briefly: 9 W AT iS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose asmanyasapply.) [~RAesidential []]]industrial ~Commercia, ~Agriculture []Park/Forest/OpenSpace []O,her (describe) IO.'DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal State or Local) ~i~7]Yes I~]No if yes, list agency name and permit / approval: 11. Uu~:~5 ANY A~P'ic(.;I (JP iht AL;lION HAVE:'A ~URRENTLY VALID PERMIT OR APPROVAL? i~Yes [~]Ho- If yes, list agency name and permit / approval: 12. AS A RESr.~,I~T~OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ~Yes ~ No CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Ifth~ action i$ a ¢o~tal Ama, and you am a ~tat~ a~*ncy, ¢ompl~t~ th* Coastal ~e~m~nt Form bo[oro pro¢*oding with this assossmont Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPEI~[Y ~.OCATIOH: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN Dte~lct Section BZOCk Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEff YORK. SCOPE OF WORK - PROPOSED CONSTRUc'rlON ITI~VI # / WORKASSESSMEtqT ] Yes No a. What is the Total Area of the Project Parcels? Total Area of all Parcels Iocatad withini~l",uO~ I ''~ I Wit/this Project Retain All Storm*Water Run-Off (Include Generated by a Two (2') Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will include all mn-off created by s~e b. What is the Total Area of Land Cleadng (S.F. / AC,~) clearing and/or construction activities as well as all -- and/or Ground Oistu~oance for the proposed ~*-I~J ~ Site Improvements and the permanent creation of construction activity?'- impervious surfaces.) (s.F., ~.,) 2 Does the Site Plan end/or Survey Show All Proposed PROVIDE BRIEIZ PROJECT DESGRIPTION (P~a' ~ P~ "~ Drainage Structures Indicating Size & Location? This ~ ['~] Item shall include all Proposed Grade Changes and ~/1 { '~/ · X · /~/) ~t ~' / i ~"~ Slopes Controlling Surface Water Flow. .... v- ~ ' '--'" 3 DoestheSitePlanandlorSurveydescdbetheerosfon .~)/, t ~'~-~/--~4.~ (.~,~ and sediment controlpracticesthatwillbe used to ~ - -~ -/ control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Pedod. 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five ThousandL~ (5,000 S.F.) Square Feet of Ground Surface? 6 Is them a Natural Water Course Running through the Site? Is this Project within lhe Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland or which Exceed Fifteen (15) feet of Vertical Rise to including Construc~on activiUes involvir~j so~ disturbances of less than o~e (1) acre where One Hundred (100') of Horizontal Distsnce9 SwPPP'$ Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Ames or other Impervious U 2. The SWPPP shall d~scHbe the erosion and sediment contm~ practices end where 9 Will this Project Require the Placement of Material, constructed to reduce the poi~utsnts in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder STATE OF NEW YORK, ~.~, , ~C--n i [: That I,. ............................. :.k.........~ .................. L¥....:....~2~..~--mg duly sworn deposes and says that he/s ~e s the app cant for Permit, Owner and/or representative of the Ovaier 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 hue to the best of his knowledge and belief; and hat the work will be performed in the manner set forth in the application filed herewith. Sworn to befo$,e me this; FORM - 06/10 No. 0 I'BE'~)~ §3 ;I ~- Qualified in Suffo k Coun y..^, Commission Expires Sept. 29, o~U J J of Trustees Applicat~n County of Suffolk State of New York 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 I-IlS/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 ARIS1NG 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. SWORN TO BEFORE ME THIS G/.~Si~ture ~ (~r) DAYOF~(~ ,20 // PENNY BEDELL Notary Public, State of New York No. 01BE6099317 . ~ atified in Suffoik Co_u_nty -~,~ ~. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nrohibits conflicts of interest on the hart of town officers and emolovees. The nuruose of ~lli~ form is to omvidc information which can alert the town of oossible conflicts of intem~t and allow it to take whatever action is neceasarv to avoid same. YOUR NAME: '~t"k L~ (~_ ~.- ~ t.._~,~<~,.~ ,~,,~( (Last uame. first name,~niddle initial, tmless you are applying in the name of someone else or other entity, such as a cempany. If so. indicate, the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooting Exemption from plat or official map Planning Other (If"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest'~ means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5%~)e'~hares. YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicanffagent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); ___B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); ___C) an officer, director, partnei~, or employee of the applicant; or D) the actual applicant.. DESCRIPTION OF RELATIONSHIP Form TS 1 ard of Trustees Applicat~ AUTHORIZATION (where the applicant is not the owner) residing ~ailing ' (print' owner 6f pr~erty) at ,/~ ~O~address)-7~ % do hereby authorize (Agent) to app];/ for permit(s) from the Southold Board of Town Trustees on my behalf. ( Owner ' s signature) / / / 8 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for pemaJts* 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 (wkich includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listing both supporting and non- suooortin~ 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 The Application has been submitted to (check appropriate response): Tow. Boar P,anningBuarO B il ing e,t.< 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: Location ofaction: Site acreage: [ Presentland use: Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following (a) Name of applicant: (b) Mailing address: information shall be provided: (c) Telephone number: Area Code ( ) (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [--] No ~"/Ifyes, 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 Southoid 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. ~-~es [--] 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 ~-3 No'Not Applicable / Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southoid. Sce LWRP Section III - Policies Pages 6 through 7 for evaluation criteria Yes NoApplicable 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 Pa~ges 8 through 16 for evaluation criteria ~ Yes ~ No[7~t_2 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 throng[21 for evaluation criteria ~] Yes [--] No17~t~ Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Apl~ble 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 ~t 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 ~ot Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ Yes~ N~Not Applicable Attach additional sheets if necessary WORKING COAST POLICIE~ 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 L,~ot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconie Estuary and Town wate/ys. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~-~1 I 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 65 through 68 for evaluation criteria. [--~ Yes ~ No~-~l/] Not Apphcable-- KRAUS ROAD SURVEY OF PROPERTY SITUATE MATTITUCK TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-09-7.20 SCALE 1 "=30' JULY 24, 2004 AREA = 40,817 sq. fl. 0,937 ac. NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM SEPTIC SYSTEM TIE MEASUREMENTS ~ HOUSE HOUSE CORNER [] CORNER E~ SEPTIC TANK COVER 1 70' 57' LEACHING POOL COVER 2 83' 48' LEACHING POOL COVER 3 79' 42' LEACHING POOL COVER A 77' 38' LEACHING POOL COVER 5 85' 46' LEACHING POOL COVER S 92' 56' LEACHING POOL COVER 7 83' 50' FLAG LOT COVERAGE DATA (OVER URLAND ADJACENT AREA 40,045 sq DESCRIPTION AREA % LOT COVERAGE EXISTING HOUSE 1,258 sq. ff. 3.1% EXISTING DECK 561 sq. ff. 1.¢% TOTAL EXISTING 1,799 s9. ff. 4.5% PROPOSED GARAGE 360 sq. ff. O.9% PROPOSED POOL 512 sq. fl. 1.3% TOTAL EXIST. & PROPO. 2,671 s9. ff. 6.7% NOTE: AREA OF WETLANDS = 752 sq. ff. UPLAND ADJACENT AREA = A0.055 sq. fi. S 84°50,50" W 150.00' TEST HOLE DATA (TEST HOLE DUG BY McDONALD GEOSCIENCE ON MAY 11, 2005 AT 12'OOpm) 23' o NN UNAUTHORIZED ALTr' TIOM OR ADDITION TO THIS SURVEy IS ~ VIOLATION OF THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED, Nathan Taft Corwin III Land Surveyor Successor To: Stanley J Isaksen, Jr, LS, Joseph A Ingegno LS, PHONE (651)727-2090 Fax (631)727-1727 30--126~