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Home My WebLink AboutTR-8192 � SOUTH, John M. Bredemeyer III, President pF®� Town Hall Annex Michael J.Domino,Vice-President ® 54375 Main Road P.O. Box 1179 James F. King, Trustee Southold,New York 11971-0959 Dave Bergen,Trustee ® a� O Telephone (631) 765-1892 Charles J. Sanders,Trustee l/ycou Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1134C Date: July 14, 2015 THIS CERTIFIES that the demolition of existing dwelling and construction of new two-story f2,325sq.ft. dwelling with attached garage, and a 401 sq.ft. deck; new hot tub; new sanitary ystem landward of dwelling with f6'6"high concrete retaining walls; new pervious driveway; add±27c.y. of clean fill to beach area within 15' of foundation to raise the elevation and protect oak trees; and a retaining barrier will be put in place to protect the three oak trees on the beach; with the conditions the project conforms to Chapter 236 of the Town Code-Storm Water Management; and that the area on the seaward side of dwelling is to remain as a stone non-turf buffer. At 4245 Bay Shore Road, Greenport Suffolk County Tax Map#53-6-23 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 19, 2013 pursuant to which Trustees Wetland Permit#8192 Dated May 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 demolition of existing dwelling and construction of new two-story f2 325sq.ft. dwelling with attached garage, and a 401 sq.ft. deck; new hot tub; new sanitary system landward of dwelling with±6'6"high concrete retaining walls; new pervious driveway add±27c.y. of clean fill to beach area within 15' of foundation to raise the elevation and protect oak trees; and a retaining barrier will beup t in place to protect the three oak trees on the beach; with the conditions the project conforms to Chapter 236 of the Town Code-Storm Water Management; and that the area on the seaward side of dwelling is to remain as a stone non-turf buffer. The certificate is issued to RICHARD & SUSAN MEYERHOLZ owner of the aforesaid property. Irv% 1Z. Authorized Signature John M. Bredemeyer lll,President g11fFU(�- Town Hall,53095 Main Rd. Michael J. Domino,Vice-President �� Gy P.O.Box 1179 o James F. King y x Southold,NY 11971 Dave Bergen 4;,-k ♦ !� Telephone(631)765-1892 Charles J. Sanders Ol * Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, silt fence 1St day of construction '/2 constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: CC#: C15-45737 COUNTY CLERKS OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 11/13/2015 under Liber D00012840 and Page 783 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 11/13/2015 SUFFOLK COUNTY CLERK JUDITH A.PASCALE SEAL, / f ,t I / i 1111111 I IIII VIII VIII VIII VIII VIII II III VIII IIII IIII IIIIIIIIIIIIIIIIIIillllll SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 11/13/2015 Number of Pages : 4 At: 03:24 :39 PM Receipt Number : 15-0158938 LIBER: D00012840 PAGE : 783 District: Section: Block: Lot: 1000 053.00 06.00 023.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20 . 00 NO Handling $20.00 NO COE $5 .00 NO NYS SRCHG $15 .00 NO TP-584 $0 .00 NO Notation $0.00 NO Cert.Copies $5.00 NO RPT $60 .00 NO Fees Paid $125.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1/ F]F-21 �':C.�1 �PF�? ,riber of pages 2015 Nov 13 03,24.3' PM JUDITH A. PASCALl' This document will be public CLERK O record. Please remove all L 0,00012840 Social Security Numbers P 3 Prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit. Notation . or EA-52 17 (County) Sub Total Spec./Add. EA-5217 (State) TOT.MTG.TAX Dual Town Dual County — Held O U(� ® Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affi it Mansion Tax The property covered by this mortgage is ertified Cop or will be improved by a one or two �' family dwelling only. N uicharge 15. 00 Sub Total _ YES or NO Other Grand Total �' If NO,see appropriate tax clause on page# of this instrument. -5 -7- 4 1 Dist. 3042316 1000 05300 0600 023000 5 Community Preservation Fund Real Property p T S I II�101 VIII VIII ILII II��I III9I ILII IIII I9�I _ Consideration Amount $ Tax Service R LPA A Agency 13-NOV-1 CPF Tax Due $ Verification Improved 6 SI List Property Owners Mailing Address ' V y tECORD &RETURN TO: Vacant Land TD l� S 1"e-aJ TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Na e www.suffolkcountyny.gov/clerk Title# 81 Suffolk County ecording & Endorsement Pa e This page forms part of the attached t'C ,� ��c A ( 0 v<,-� e.,..-,�s made by: l (SPECIFY TYP OF INSTRUMENT) The premises herein is situated in �jv 5 M-e t_4-4 ��l z_.. SUFFOLK COUNTY,NEW YORK. TO In the TOWN of d cel C� In the VILLAGE or HAMLET of BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104..10/08kk (over) DECLARATION OF COVENANTS THIS DECLARATION made this 7th day of August, 2015, by Richard and Susan Meyerholz, residing at 692 Donna Drive, Upper Brookville, New York, hereinafter referred to as "DECLARANT(S) " : W I T N E S S E T H WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located 4245 Bay Shore Road, Greenport, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 53, Block 06, Lot 23 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required the area on seaward side of the dwelling is to remain a stone "non-turf buffer" adjacent to and landward of top of slope; NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained as a "non-turf buffer" as defined by Chapter 275 of the Town Code; and as depicted on the survey plan dated September 9, 2012 and stamped approved on May 15, 2013, see Exhibit A attached; and 2) These covenants shall run with the land and shall be binding on the DECLAR.ANT(S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this d_5'o Ll 2 0 (7WER I S TGNAT E OW ryN,ERR IS qGNATE7R0 STATE OF `�Q ` s s., COUNTY OF On the W day of in the year 20 /Z"—, before me the undersigned, a Notary Pub] c in and for said State, personally appeared 2�v�cr c, Y)� �„ a)� personally known to me or proved to me on the basis of satisfactory evi ence to be the individuals) whose names) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signatures) on the instrument, the individual or the persons on behalf of which he individuals) acted, executed the instrument. Notary Public FRANCINE STOTT NOTARY PUBLIC My COMMISSION EXPIRES JUNE 30,2096 2 i _ 6 ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being at Arshamomaque,in the Town of Southold,County of Suffolk and State of New York,known and designated as and by Lot numbered seventy-seven (77) on a certain map entitled, "amended Ma A, Peconic Bay Estates, situated d Arshamomaque ._,Towp of Southold,New York",made by Otto Van Tuyl and filed in the Suffolk County Clerk's Office as Map Number 1124 on 5/19/33. SUBJECT TO covenants,restrictions,agreements and easements ofrecord,if any. BEING AND INTENDED TO BE the same premises conveyed to the , recorded on 5/15/2007 in liber D00012305 y grantor herein by deed dated April 21, 2007 and page 882. Said premises are also known as and by Section 053.00 Block 06.00and Lot 023.00 '147 An� TOGETHER with all right, title and interest, if any, of the party of the first part in "Iostreetsd d� -�.}!}ino_y4,r....,q..,_._..h L�-9-�-.•_.... -44n•-T�4-... t�.,,....z •rt--+•tee'.�-�.�lS�....-.�-.+.-.—...-._.n John M Bredemeyer III September 10, 2015 President, Board of Trustees; Town of Southold Southold Town Hall 53095 Route 25, PO Box 1179 Southold, New York RE: Meyerholz Property located at 4245 Bay Shore Road Permit Number: 8192 SCTM#• 53=06-23 Dear Mr. Bredemeyer, It has come to my attention that Authorization received from the Board of Southold Town Trustees, permit 8192; dated May 15, 2013 for property located at 4245,Bay Shore Road, Greenport, include a descriptior(„regarding the,protection of oak trees located on the seaward side of the property. I am writing to you to advise that, while 3 oak trees are located on the northeast side of the property, only one tree isactually located on my property. The other 2 trees are on the property of my neighbor to the north as shown in the site plane and photographs attached to this letter. I want to make sure you are aware of this error so that your file can be properly documented. I already created a stone barrier around the oak.tree on my property; as required. Please feel free to visually inspect the site,,40"confirm the location of the trees and stone barrier. Please let me know what to do. Respectfully, ho Richard Meyerholz ° Zai cv-�' N�v �J APPROVED BY 00AW OF TRUSTEESCW SIF513 DAE � TEST HOLE LOT COVERAGE: AREA c.a.a ,• �k (ETIRE( NLOT); 7526 5F, LOT 6 J'5V e.aw,s.,c+:�,c _� .. (DNS al .�••• ^ tv E45TING STRUCTURE HOU5E: 1052 5F. ` owr a� rawn+nma�N t c s �' t 05` (?6�' ® -^'c .-.. r:r°"nnixp.eb[:c,°.rrs"roa�erycnu,tims.+fl�.sp.roea'vc+0uuu°x QEkR�EOUS -5 fii �S��L.Tr 5_',9. �• "":'�H'oCr`.x7,t4r'�"Ot'txC�GYCCs�g's. �ti 40 t 5F.DECK: TOTALSNG OVER 77 A5F % 1453 5F. kl 19.3ZONE AE PROP05ED STRUCTURE 1 HOU5E: 1215 5F. PROPOSED HArR.C•nrCC�,,;;. •>r-'� '4`•1 ' t _L- �y'' • �P .O%' PLOD .w •� ` C4 DECK: 254 5f. ti<'Uha~ "ti` SES ADDITION OF GARAGE: 3 b 5F. k _ IS' 'BEA ri r�' 1 k '• r� 9, n MATERIAL CH 1T � FRONT OVERHANG F. 1 C :x• K}YO O TOTAL PROPOSED 25_ COVERAGE: 1509 51`, p —25.3% ov 25.3% . •„mnaVL�AM �„ , w-, •—”�i DRAINAGE CALCULATION S•, r etisa ruw ,_�.. �- -� TOTAL IMPERV.LOT COVERAGE• O I' .2 5.F.x,17':!=255 C.F. PROPOSED art I Wv u LOT 78 PROVIDE Zea.b'DW x 3'-GD. (DWELUNG UfC) EXISTIN Y OVER BASED ON EXISTING DECK DRY WELLS. o SURVEY OF PROPERTY AT ARSHAMOMOQUE NCn sr rcq 3 'VOMN v�nn:cwrtt• t3LU TOWN OF 5OLF.T10LJ H.FILL•+-81 C Y, 15LAN0 VIEW LANE SUFFOLK COUNTY.N.Y. I(=-53-06-23 FEBRUARY 9,2010 LAPR MARCH 03,2010(RLVI5ED) AREA-7.526 50-FT. T E F L A N TO TIE UNE PROP05ED SCALE: 09/25/2012 MEYERNOLZ RESIDENCE rxisvNG S7KLCfUf� i SCALE: 12/02120 Fa f I �scrar�z€a: REV. 5/3/11 RAL9fYY IO KA 'TIEA1 TrtdG REV. 2/21/12; 70 8E TO=V.8-0' LSECS t wx'rm Ox� .< Ex159NG GRADE 4'•7` Robert 1. Brown Architect, P.C. rROPMtO NAILIMLLOc�At.nMAACOr ��NO vv/ Fairweather-De5lgn A55oclate5, Inc. 5MAll.PR MANY.•AM NO LARGER 2a5 BAY AVENUE IMAM r70 VATCH U151DNG CR055 5FCT:ON, not to 5cale TOTALAFFROx 27C.r• GREENPORT, N.Y. 1 1944 Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Friday,August 02, 2013 3:23 PM To: 'Richard.Meyerholz@partnerre.com' Subject: RE:4245 Bayshore Road Mr. Meyerholz, With regards to your request below;Jim King, President of the Board of Trustees has reviewed it and determined that no permit would be required,and planting the tree is permissible within the area you requested. Please do not hesitate to contact our office if you have any further questions or concerns. Sincerely, Elizabeth Cantrell Clerk Town of Southold Board of Trustees -----Original Message----- From: Richard.Meyerholz@partnerre.com [mailto:Richard.Meverholz@partnerre.com] Sent: Wednesday,July 31, 2013 12:40 PM To: Cantrell, Elizabeth Subject:4245 Bayshore Road Elizabeth, I was in your office this past Monday inquiring about the guidelines regarding my interest in planting a While Oak tree near my deck at the above address. I would like to get direction from the Trustees regarding planting a tree on my property. I would like to plant an oak tree just off the SE corner of the deck between the deck and my Southern property line. Can you forward this inquiry to Mr. King for comment? I attached a site survey to provide you with a visual of the location. (See attached file: Meyerholz'Site Plan.pdf) Lcan be reached on my cell phone listed below or my home phone 516-922-4406. Thank you Rich Richard Meyerholz Senior Vice President Specialty Lines 203 485 4342 office 203 613 4693 cell 203 485 4343 fax _ 1 TE5T HOLE LOT COVERAGE: 212110 N ADJACENT AREA Duu eRoan�onv OL LO.\#7G147 g1. (ENTIRE LOT) 7526 5F pWELo1 AG) EX15TING 5TRUCTURE town no-ciA• PP, .GE ( �f' p HOUSE 1 052 5F " eRownc:4�s.Ncwrzaucw e x m �OpOyE�O G 6 5 A.. 1 N DECK 401 5F -s wnrzRinRoarvcnsnNcwrzox.Gw.ve:x5 P `^ s 'J\OV 5 \y� 53'•3" 5-DIA PROPO�ED :1 yZ TOTAL EXISTING pER RP 1 HOT TUB ON GkADE LOT#77 = COVERAGE 5F-%D 1453 5F `"se io co no SO13 PO 5 O 1 9 3% Rn Q' ern+ces ewru \ 1 e� P P I 1 = =p = Tn zo�Gw.vu sw R\�� p �7P TOZONE AE 0'40'Eq G) PROPOSED STRUCTURE8op (EL At t10V5P o '1 ` (� HOUSE 12 15 5F rRaVosm _- sy P PP.P 0 �, PROPOSED DECK 254 5F anrtx s=Rvc" t 33'-1 t' RYWE OP05E ?) rn z •\ (PR FLOO ADDITION OF ` G GARAGE 358 5F yECONp 0 18"Of BEACH { rn FRONT OVERHANG 82 SF N N PO5f-p o MATERIAL 1 G0-5" TOTAL PPOP05ED 2 £ PA p1�10G10 \ w COVERAGE 1 909 5F LP G 9 15SIN O = 25 3% �1 ccn Reit 1219'Dlu2D- p O OVEBa \ A LP LP 5 oc G pp E� G'OX3'-G"DDRYWELL FOR q. _ DRAINAGE CALCULATION a s" DRZaF,l HOT'-15 BACK WASH �••� islsD>e.zs _ ca L Q ucnwGroos ,o LP `'-0 ST -`'--- °-' i -= 14G 21' ew TOTAL IMPEKV LOT COVERAGE � �(\ \ tlN LP N snoaxR � � wGosuxitAD 1 a 150025F x I7xI= 255 CF Z O \0 `oo°w WO5 PROPOSED Q g� 583°11'08"W se nc,ann LOT#78 PROVIDE Zea 8'DIA x 3'-6"D \ (DWELLING U/C) BALCONY OVER DRY WELLS rn BASED ON EXISTING DECK 4�\ o SURVEY OF PROPERTY nore a_suRRouaD•G nVF11nGG V/in IN S° ATARSHAMOMOQUE rePu cnnaR PROPOSEDVOLUMN TOWN OF 50UThOLD BEACH FILL ±81 C Y ISLAND VIEW LANE SUFFOLK COUNTY,N Y 1000-53-OG-23 FEBRUARY 9,2010 MARCH 03, 2010(REVISED) AREA=7,52G 5Q PT S I T E P L A N TO TIE LINE PROPOSED SCALE I"=20'-O" 09/25/2012 t MEYERHOLZ RE51DENCE EXISTING STRUCTURE 59'-0" EXI5TING SCALE 1"=20-0" 12/02/2010 15'-0'APPROX REV. 5/3/1 1 FIR5T F_OOi EXISTING EXISTING GRADE 4'-7" REV. 2/2 1/12 TO BE RA15ED TO ELEV 8'-O" DECK MEAN H,GH WATER MARK _ Robert I. Brown Architect, P.C. PROPOSED ADDITION OF MAX 6" NATURAL LOCAL BEACH STONE,NO W/ Fairweather De51G�n Associates, Inc. 5MALLER THAN Y,"AND NO LARGER 205 BAY AVENUE MATCHTHAN 2'TO STING CROSS SECTION, not to scale � TOTAL APPROX 27 GREENPORT, N.Y. 1 1944 G3 1-477-9752 (Fax) G31-477-0973 James F. King,President O� FjkA co Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President P.O.Box 1179 Dave Bergen Southold,NY 11971 John Bredemeyer �y Telephone(631)765-1892 Michael J.Domino �1 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 15t day of construction _ '% constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8192 DATE: MAY 15,2013 ISSUED TO: RICHARD & SUSAN MEYERHOLZ PROPERTY ADDRESS: 4245 BAY SHORE ROAD,GREENPORT SCTM#53-6-23 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 May 15,2013,and in consideration of application fee in the sum of$250.00 paid by Richard&Susan Meyerholz 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 demolish existing dwelling,foundation, driveway and septic system and construct new foundation for a new two-story t2,325sq.ft. dwelling with attached garage, and a 401 sq.ft. deck; new hot tub; new sanitary system on landward side of dwelling with approximately 6'6" high concrete retaining walls; new pervious driveway; add±27 cubic yards of clean fill to existing beach area within 15' of foundation to raise the elevation and protect oak trees; and a retaining barrier will be put in place to protect the three oak trees on the beach; with the conditions that the area on seaward side of dwelling is to remain a stone non-turf buffer; and project conforms with Chapter 236 of the Town Code-Stormwater Management; and as depicted on the site plan prepared by Robert I. Brown,Architect, P.C., last dated February 21,2012, and stamped approved on May 15,2013. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee Richard& Susan Meverholz, residing at 4245 Bay Shore Road,Greenport,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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 ��OF SOUly� Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road y P.O.Box 1179 Dave Bergen T Southold,New York 11971-0959 John Bredemeyer G Q Michael J. Domino �� Telephone(631) 765-1592 �yCOU NT'1, ` Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 15, 2013 Richard & Susan Meyerholz 692 Donna Drive Oyster Bay, NY 11771 RE: RICHARD & SUSAN MEYERHOLZ 4245 BAY SHORE ROAD, GREENPORT SCTM# 53-6-23 Dear Mr. & Mrs. Meyerholz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 15, 2013 regarding the above matter: WHEREAS, RICHARD & SUSAN MEYERHOLZ 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 April 19, 2013, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policies 1 &4.1 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: area on seaward side of dwelling is to remain a stone non-turf buffer; to enforce Zoning Board of Appeals conditions outlined in File# 6556 in permit conditions which include the removal of oil tank from outdoors to indoors; and project must conform with Chapter 236 of the Town Code- Stormwater Management; and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 15, 2013, at which time all interested persons were given an opportunity to be heard, and, z . • WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of RICHARD & SUSAN MEYERHOLZ to demolish existing dwelling, foundation, driveway and septic system and construct new foundation for a new two-story t2,325sq.ft. dwelling with attached garage, and a 401sq.ft. deck; new hot tub; new sanitary system on landward side of dwelling with approximately 6'6" high concrete retaining walls; new pervious driveway; add ±27 cubic yards of clean fill to existing beach area within 15' of foundation to raise the elevation and protect oak trees; and a retaining barrier will be put in place to protect the three oak trees on the beach; with the conditions that the area on seaward side of dwelling is to remain a stone non-turf buffer; and project conforms with Chapter 236 of the Town Code-Stormwater Management; and as depicted on the site plan prepared by Robert I. Brown, Architect, P.C., last dated February 21, 2012, and stamped approved on May 15, 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, cz.'�5r James F. King President, Board of Trustees JFK/amn James F.King,President y Town Hall Annex Bob Ghosio,Jr.,Vioe-PresidentDave 54375 Route 25,P.O.Box 1179 John Bredem� r y pti Southold,MY 11971 `U1 `� Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN O/FnSOUTHOLD _� TO: I'G�1 Gt.i'd f ( i SGi YI I 1 ex- d Z Please be advised that your application dated , 3 has been reviewed by this Board at the regular meeting oand your application has been approved pencling the completion ot the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1" 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 computedbelow 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: James F. King, President Board of Trustees II 7�,- - 1 - - Wiz - 9� _ - - /i - 424, DTIV Iry E D _ Y Bud Of lustm I� ��gpFFD(,rc h O� Peter Young,Chairman Town Hall, 53095 Main Rd. Lauren Standish, SecretaryP.O. Box 1179 r_VV Southold,NY 11971 y� Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 8, 2013 the following recommendation was made: RICHARD 8r SUSAN MEYERHOLZ to demolish the existing dwelling, foundation driveway and septic system; construct new two-story dwelling with one-car garage and hot tub, deck, and sanitary system. Located: 4245 Bayshore Rd., Greenport. SCTM#53-6-23 NO ACTION - Proposed structure not flagged on the property. Proposed by Derek Bossen, seconded by Jack McGreevy. All in favor 0 suFFoc,r .lames F.King,President ,4 Q� C� P.O.Box 1179 Bob Ghosio..Ir.,Vice-President N y' Southold,NY 11971 Dave Bergen ? Telephone(631 765-1892 John Bredemeyer Fax(63 1)765-6641 Michael.1. Domino Southold Town Board of Trustees Field Inspection[Work Session Report DatelTime: RICHARD & SUSAN MEYERHOLZ request a Wetland Permit to demolish existing dwelling, foundation, driveway and septic system and construct new foundation for a new two-story ±2,325sq.ft. dwelling with attached garage, and a 401 sq.ft. deck; new hot tub; new sanitary system on landward side of dwelling with approximately 6'6" high concrete retaining walls; new pervious driveway; add ±27 cubic yards of clean fill to existing beach area within 15' of foundation to raise the elevation and protect oak trees; and a retaining barrier will be put in place to protect the three oak trees on the beach. Located: 4245 Bay Shore Road, Greenport. SCTM# 53-6-23 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 _other Type of Application: Wetland _Coastal Erosion _Amendment _Administrative_Emergency_ _Pre-Submission Violation Info needed: 6JS / NS Cj 717a1 d�- � S Modifications:_ �OY �a c G✓1� �( P� S� C` aJ Conditions: Present Were: /J. King ZB. Ghosio '-/D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: �• t s _ •',*,--�,'. z,'�' r '�� IF,z- •s�ssss„' '��"`` '''; -•1R,M� II- IV -I IV IVn"I 'rye. I IV BOARD MEMBETtS • ��F$llU ouuhold d-R Flab l 53p Road. PO.Bax 1179 Leslie ISavtes Weisman,Chairperson gyp' Southold,NY 11971-0959 James Dinizio,Jr t t QMQ u9onr Gerard P.Ooebrioger Town Annex/First Floor,Capital One Bank George Horning 54375 Main Road(at Yonrtgs AM* Zen Schneider Southold,NY 11971 httpWsoutholdtcwn.00tthfork.net ZONING BOAJW OF APPEALS TO'VPN Oki SOTITSOLD Tel.(631)'1651809•In(631)765.9064 FINDINGS,DELJBERA.TIONS AND DETERYMUTION MEETING OF JULY 19,2012 NAME OF APPLICANT:Richard and Susan Meywhoiz SCTM#1000-53-06-23 PROPERTY LOCATION:4245 Bay Shore Road(4.to Pipas Cove),Greenport,NY SSFF&s A'IION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type Il category of the Stafo`s List of Actions,without farther steps under SEQRA. ettsFO rntrNTY "Db'r"YfiTAAT1VE CO21?: This applicstlon was referred as required under the Suffolk County a dministrative Code 3ectioos A 14-14 to 23, and the Suffolk County Department of Maiming issued its reply dated March 6, 2012 stating that this application is considered a matter for local determination as than appears to be no significant county-wide or inter-coaununity impact. _ Ljt:.'t &kg" OLN: This application was referred for review under Chapter 268, WaWftout Consistency review of she Town of Southold Town Code and the Local Waterfrout Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated April 28, 2012. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this de vhue 4 as well as the records available to us,it is our recommendation that the proposed action is T INCONSIS with LWRP policy standards and therafore is INCONSISTENT with the LWRP. However, the Board finds slut the alterushve reWgreeted herein with rho conditions oiled below, will bring the appac4tion into greater, consistency with LWRP Policy standards 1, 4.1,and S.thereby making the application CONSISTENT with rho LWRP. PROPERTY FACTS/MME=- Subject panel is a 7,,526 sq. #t•noncouforniag lot iR due R-40 zone.It is improved with a out story scanval dwelling. It has 45.00 feet of frontage en Bayehore Road, 147.81 fear along the north property lime, 58.04 feet along Pipes Cove and 146.21 feet slang the southonc property line as abown on the site plan prepared by Robert 1.Brown,RA,dated 712/12. EAQ OF APPLICATION: Request for Variances from Article XXIII Code Section 280-124, based on an application for building permit and the Building Inspector's January 12, 2012, amended Jurra 18, 2012 Notice of Disapproval concerning proposed demolition and reconstruction of a single Emily dwelling, at; 1) less fhan the code required front yard setback of 35 feet,2)tens than the code required minimum side yard setback of 10 fed,3) less than the code required total combined side yards of 25 feet, 4)more bran the code permitted lot coverage of 20"/•maximum. BE=REQUOTED:TED: The applicant raquests variances to demount the wdsting dwelling and reconstruct a new two story dwelling with a single side yard setbvzk of 3.4 feet where the code requires 10 fmt and combined side yards of 9.9 fact where the code raquims 25 feet,a front yard Wbaek of 31.6 feet when the code requires 35 feet sad lot coverage of 28.9%where to code permits 20%maximum. PW2of3—July 19.2012 • • .V. • f Y . . ZBA M05556-MGYM stn CSM:100043-6,23 AMZ.NDLD APPLICATION: During the May 3, 2012 hearing,the applicant was asked to bring the plan into more conformity with the code. The applicant, on May 24, 2012, submitted a plan increasing the front yard setback to 32.5 feet,the single side yard setback to 5 feet,the combined side yard setback to 10 feet, and reducing the lot coverage to 26.9%.The applicant also removed the proposed spa on the southerly side and re-located it to a seaward posititm toward the north of the property The Board finds that this amended plan still requires significant varisnces for the aide yard,combined side yard and lot coverage.At the July 5,2012 public bearing the applicant was asked to bring the plan into mora conformity with the code for the setbaeks and lot coverage,and, to mitigate potential adverse environmental impacts,to comply with the recommendations Grade by the LWRP coordinator in his letter dated April 28,2012 n!1 DIUgN&,t_*,:°OP"AnO2i-Under ZBA file#414 in 1961,the property owner at that time was Vu*d a side yard setback variance for a one scary dwelling. At the May 3,2012,public baul &the adjoining property owners to the south stated they were not in favor of the requested variance and noted the close proximity to their dwelling and noise concern regarding the proposed hot tub location. The Zoning Board of Appeals held a public hearing on this application on May 3,2012,Juae 7,2012 and July 5, 2012,at which time written and oral evideam ware presented. Based upon all testimony,documcirtation,personal inspection of the property and surrounding neighborhood,and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Iawn&W 4267-b(MM YI Grant of the requested side yard variance will produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. What the applicant proposes in design and scope is not uncharacteristic of this neighborhood in which many homes have been renovated sad enlarged over time. However, most 2 story dwellings along the waterfront side of Bay Shore. Road are on larger lots with eonfom:ing lot coverage and setbacks. Bemuse of the size and shape of the applicant's small parcel, and the size and location of the proposed now two story dwelling indicated in the amended pians, the Board finds that the proposed close proximity that would be created by a 5 foot southerly side yard setback ffom the existing agjaoent two story dwelling to the south, would cause a detriment to both dwellings. The Board also notes that the applicant's lot is among rho smallest in the area and that the demolition of-the existing one story dwelling with a conforming 19.3%,lot coverage, and replacement with the proposed two story dwelling at 26.9% lot coverage per the amended site plan,Will substantially increase the degra of non-conformance on the subject parcel. 2. Town Law 6267-bOWMne benefit sought by the applicant cannot be achieved by some method,feasible for the applicant to purm, other than an area variance. The parcel is nonoonfornhfng at 7,526 square feet with a front yard width of 45 feet The proposed demolition and reconstruction of a larger dwelling than what exists cannot be located on this parcel where It waald dorregoire a variance. 3. Town Law 8267-b(31(bVU The variances requested in the amended plan, except for the front yard setback relief,are mathematically substantial.The roWacted tont yard setback of 32.5 feet represents a 7%relief from the rode required 35 feet, which is mot substantial. The requested side yard setback of 5 feet represents a 50'/. relief from the code,which is substaorial.The Board also notes that an outdoor shower and set of deck steps are proposed in the 5 foot southerly side yard setback. The requested combined aide yard rellef of 10 fed represents a 60%relief from the code,w'hieh is substantlai.The requested Tort coverage of 26.9%represents a 34.5%relief from t'te code, which is substantial. 4. Town ].aw 8267-b(3)(b)( Na evidence has been submitted to suggest that a varieace in this residential community will have an adverse impact on the physical or envirasmeatal conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's storm water menagemeirt code and the Town's drainage code and must obtain permits ffom FEMA and the Deparhnent of}health. -� -., ". L'i IL 'IV. LIV J • Paep3 of3-July 19,2912 • • ZRA FiW$56-maymhutr CTM.LOCO-53-0,23 :. Town Lew 8267-b(31(bla The difficulty has been self-c OD& The applicant acquired the parcel after the Zoning Code was in effect and it is preaamed that the applioadt bad actual or constructive knowledge of the limitations on the use of the peroel Udder the Zoning Coda in effect prior to or at the time of purthme. 6. p� 4 t3rant of alternative relief is the minimum action necessary end adequate to enable the applic�t to Meway benefit of a demolition and reoonsbuotion of a dwelling while preserving and protecting the cbwacter of the neighborhood and the health,safety and welfare of the community. R�FCnt LITTON OF THE 8S?ta$t2 in considering all of the above !Actors end applying the balancing test ander New York Town Law 267-B, motion was oft'emd by Member Sehaaider,seconded by Member Goehringer, and duly carried,to FP .1VY as applied for, and as fbtkmr. 1.Front Yard setback equal to or greater than 32.5 feet. 2. Side yard setback at northern property line equal to or greater then 6.5 haL 3.Side yard setback at southern property line equal to or greater[Lan 8.0 feet. 4. Combined side yard setback equal to or greater than 14.5 feet 5.Total lot coverage not to eutceed 26%. CODlT100N8: 1. The applicant must comply with Chapter 236 of the Town's storm water management end drainage codes. 2, The applicant mast install landscape wells around existing toes within the arta to be filed will: 18" of beachma�aiul perLWRprecommendation 3. The proposed hot tub and outdoor shows must be connected to a drywall for onsite control of drainage of spa and shower water. That the above OOA&dons be written tato At Building Inspector's Cerrpcata 4f Occupancy, when[trued li�ore ardyLaa rot a buUdlna Droit the applicant or agent must submit to the Board of Appeals for approval asld Was, nko cera of the!mal site plan,urlmtextual drawings and recalculation of lot coverage omforn utag to the shemative rohd Verged herein.lbe ZSA will forwtad ane set of approved,stamped dfawittgs to the Building Dapta+mmt.Failure to follow title procexhtra may teanit is the delay or denial of a buildlag pmm14 and may require s new application and public hearing before the Zoning Board of Appeals. Ary drviado»ftaa rhe variaws(()granted herein ret shown on the architectural drawings,site pian and'ornevey aired about,sxeh as alterations, actenstow, or de ndid ver, are nor authortred under this W.Pitcmton Wheat btvolvbw n nooq/bi ff jju at aonirtB dodo: 'That aatton dWndt aadrorb,-Or aandone 07 Ow"nt or future uta,setback or other feature ofdo suiyect property titer tatty vWare the Zoning Code,alba than such uses,setbacks and otherfeatttres as ars siprusly adatressed in this action. Tire Bond te,etves the rigetm subatmse a aitON dedF dire is do mldam to ume ft u sltmatimt nut deed rot ismmaew eegtee ofaontadetmirv, ime of Om Board: Ayes:AMsbers Webman(Chevperson),OaAHnaer.DrnwQ Seluteidq,Barnira. This R/w,,cl udzm war duly adopted Leslie Kanes Weisman,Chairperson Approved for filing /�� 12012 New York State Department of Environmental Conservation _ Division of Environmental Permits, Region One SUNY C Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 Imhof Phone: (631) 444-0365 Fax: (631) 444-0360 - Website: www.dec.nv.00v Joe Martens Commissioner Richard &Susan Meyerholz June 29, 2011 692 Donna Drive Oyster Bay, NY 11771 Re: Permit #1-4738-04003/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, p Eug�Zamojci J Environmental Analyst I G RZ Enclosure NEW 0 STATE DEPARTMENT OF ENVIRONMENTAL CO*ATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-04003/00001 6/29/2011 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental 6/28/2016 Conservation Law TYPE OF PERMIT W New n Renewal n Modification n Permit to Construct n Permit to Operate ❑ Article 15,Title 5:Protection of Waters ❑ Article 17,Titles 7,8:SPDES ❑ Article 27,Title 9; 6NYCRR 373: Hazardous Waste Management ❑ Article 15,Title 15:Water Supply ❑ Article 19:Air P61lution Control ❑ Article 34:Coastal Erosion ❑ Article 15,Title 15:Water Transport ❑ Article 23,Title 27:Mined Land Management Reclamation ❑ Article 15,Title 15:Long Island Wells ❑ 'Article 36: Floodplain Management ❑ Article 24: Freshwater Wetlands ❑ Article 15,Title 27: Wild, Scenic and ❑ Articles 1,3, 17, 19, 27,37;6NYCRR Recreational Rivers it Article 25:Tidal Wetlands380: Radiation Control ❑ 6NYCRR 608:Water Quality ❑ Article 27,Title 7; 6NYCRR 360: Certification Solid Waste Management PERMIT ISSUED TO TELEPHONE NUMBER Richard & Susan Meyerholz 516-922-4406 ADDRESS OF PERMITTEE 692 Donna Drive, Oyster Bay, NY 11771 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Richard & Susan Meyerholz, 692 Donna Drive, Oyster Bay, NY 11771 516-922-4406 NAME AND ADDRESS OF PROJECT/FACILITY Meyerholz Property, 4245 Bay Shore Road, Greenport, NY 11944 SCTM# 1000-53-6-23 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk I Southold Pipes Cove E: 720.5 N: 4551.0 DESCRIPTION OF AUTHORIZED ACTIVITY: Construct 1st and 2nd story additions, garage, balcony, hot tub, dry wells, deck elevation/extension, pervious driveway and upgraded sanitary system with retaining wall surround to the existing single family dwelling. Place compatible sized beach fill material as shown on the approved plans. All work shall be done in Laccordance with the attached plans prepared by Robert I. Brown Architect, P.C., last revised 5/3/2011 and NYSDEC approved on 6/29/2011. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified and any Special Conditions included as part of this permit. DEPUTY PERMIT ADMINISTRATOR: ADDRESS Susan V. Ackerman (GRZ) Region 1 Headquarters, SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790 - 3409 AUTHO ED SI ATURE DATE Page 1 of 5 / 6/29/2011 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CON NATION SPECIAL CONDITIONS 1. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of, and understand all terms and conditions of,this permit. Within 30 days of completion of project,the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 2. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete trucks,mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. 3. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands or protected buffer areas. 4. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 5. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 6. Clean Fill Only All fill shall consist of clean sand, gravel or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 7. No Beach Excavation For Fill No excavation of the beach is authorized for the purpose of obtaining fill or stone materials. 8. Straw Bales or Other at Tidal Wetland A row of staked haybales or other approvable erosion control devices shall be placed 35 linear feet from the tidal wetland boundary,prior to commencement of any regulated activities and remain in place and in good,functional condition until the project is completed and all disturbed areas are stabilized with vegetation. 9. Roof runoff shall be directed into dry wells a minimum of 75 linear feet landward of the tidal wetland boundary for immediate on-site recharge. 10. No Drywells in or near Wetland Dry wells for the hot tub shall be located a minimum of 65 linear feet landward of the tidal wetland boundary. 11. No Hot Tub Discharges to Wetland There shall be no draining of hot tub water directly or indirectly in tidal wetlands or protected buffer areas. 12. Driveway/Parking Area of Pervious material Driveways and parking areas shall be constructed of NYSDEC-approved pervious materials. DEC PERMIT NUMBER Page 2 of 5 1-4738-04003/00001 NE RK STATE DEPARTMENT OF ENVIRONMENTAL RVATION SPECIAL CONDITIONS 13. Direct Runoff Away from Tidal Wetland and Buffer Roads,driveways, and parking areas shall be graded to direct runoff away from tidal wetlands and protected buffer areas. 14. Sanitary System above Groundwater Sanitary systems (bottom of the tank and leaching pools) shall be located a minimum of 2 feet above seasonal high groundwater. 15. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. DEC PERMIT NUMBER Page 3 of 5 1-4738-04003/00001 NEW Y K STATE DEPARTMENT OF ENVIRONMENTAL CO VATION GENERALUDNDITIONS —Appi to ALL AuthgXed Permits: 1. Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3).The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms,conditions or requirements contained in such order or determination. 3. Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator, Region 1, SUNY @ Stony Brook,50 Circle Road, Stony Brook, NY 11790. 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for Freshwater Wetlands,Tidal Wetlands and Rivers' permits. 5. Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b, failure by the permittee to comply with any terms or conditions of the permit; C. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions,orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfers Permits are transferrable with the approval of the department unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives,employees, and agents("DEC")for all claims, suits, actions, and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with,or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions,or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims,suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits,approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title,or interest in real or personal property held or vested in a person not a party to the permit. DEC PERMIT NUMBER Page 4 of 5 1-4738-04003/00001 NEW OAK STATE DEPARTMENT OF ENVIRONMENTAL C ERVATION ADDITIONAL GENERAL CON ONS FOR ARTICLES 15(TITLE 5),24, 4 AND 6NYCRR PART 608 1. If future operations by the State of New York require an alteration in the position of the structure or work herein authorized,or if,in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health,safety or welfare of the people of the State,or cause loss or destruction of the natural resources of the State,the owner may be ordered by the Department to remove or alter the structural work,obstructions,or hazards caused thereby without expense to the State,and if,upon the expiration or revocation of this permit,the structure,fill,excavation,or other modification of the watercourse hereby authorized shall not be completed,the owners,shall,without expense to the State,and to such extent and in such time and manner as the Department of Environmental Conservation may require,remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 3. All necessary precautions shall betaken to preclude contamination of any wetland or waterway by suspended solids, sediments,fuels,solvents,lubricants,epoxy coatings,paints,concrete,leachate or any other environmentally deleterious materials associated with the project. 4. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles,ridges across or along the bed of a waterway or floodplain,deposits within any regulatory floodway,or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 5. There shall be no unreasonable interference with navigation by the work herein authorized. 6. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require,remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 7. If granted under 6NYCRR Part 608,the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302,303,306 and 307 of the Clean Water Act of 1977 (PL 95-217)provided that all of the conditions listed herein are met. 8. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project,the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 9. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by Robert I. Brown Architect P.C.,last revised 5/3/2011 and stamped NYSDEC approved on 6/29/2011. DEC PERMIT NUMBER Page 5 of 5 1-4738-04003/00001 TICE OF COMMENCEMENT OF CONSTRU N AMRETURN THIS FORM.TO:COMPLIANCE Or Fax to: 631444-0297 AM Bureau of Habitat-TW 50 Circle Road - Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME &PROJECT ADDRESS: CONTRACTOR NAME &ADDRESS: TELEPHONE: Dear Sir: Pursuant to the special conditions of the referenced permit, you are hereby notified that the authorized activity shall commence on We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit, permit sign, and approved plans will be available at the site for inspection in accordance with General Condition No. 1. (Both signatures required) PERMITEE: DATE CONTRACTOR: DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANY ASSOCIA TED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut along this line x x NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0297 AM of Habitat-TW 50 Circle Road Stony Brook, NY 11790-3409 NOW PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME &PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on .We have fully complied with the terms and conditions of the permit and approved plans. (Both signatures required) PERMITEE: DATE CONTRACTOR: DATE THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/ORA COMPLETED SURVEY, AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. 95-20-1(11/03)9d New York State Department of Environmental Conservation NOTICE The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of the approved work and any Department conditions applied to the approval, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator Permit Number _7 I ROGERri�'A�S Expiration Date D M, NOTE: This notice is NOT a permit COUNTY OF SUFFOLK • t STEVELEVY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES HUMAYUN J.CHAUDHRY,D.0.,M.S. COMMISSIONER PERMIT The attached plan, when duly signed by a representative of the Department, constitutes a permit to construct a water supply and/or collection system for the property as depicted. The applicant should take note of any conditions of approval, which may be indicated on the plan or enclosed herein. Construction must conform with applicable standards including "Standards for Approval of Plans and Construction for Sewage Disposal Systems for Single Family Residences" and "Standards and Procedures for Private Water Systems." Omissions, errors or lack of details on the plan does not release the applicant from the responsibility of having the construction done in conformance with applicable standards. The permit (plan) expires three (3) years after the approval date. Any modifications which may affect the proposed sewage disposal or water supply systems requires submission of a revised plan and additional fees (if applicable) for reapproval prior to construction. No inspections will be performed by the Department on expired permits. Permits may be renewed, extended, transferred or revised in accordance with the procedures described in "Submission Requirements for Approval of Sewage Disposal and Water Supply Facilities for Single Family Dwellings"(Form WWM-041). It is the applicant's responsibility to call the department at 852-5754, in advance, to arrange inspections of the sewage disposal and/or water supply facilities prior to backfilling. These include inspections of the sewage collection and disposal systems, water supply system components and piping, and final grading as shown on the approved plans. In certain cases, inspections of the soil excavation may be required to determine the acceptability of the soils for sewage disposal systems. The Department must be notified at least 24 hours in advance to schedule an inspection and excavation inspections must be confirmed by calling 852-5700 prior to 9.30 A.M., the morning of the inspection. Article VII of the Suffolk County Code, "Septic Industry Businesses,"requires that all installers of septic systems within Suffolk County shall possess a valid license from the Suffolk County Wice of Consumer Affairs. This office can refuse to perform inspections or grant final approval for the construction ofprojects that are installed by an unlicensed individual. It is, therefore, in your best interest to utilize a cesspool contractor with a valid license to avoid substantial delays in your project. FINAL APPROVAL ISSUED BY THE DEPARTMENT IS NECESSARY PRIOR TO THE OCCUPANCY OF NEW BUILDINGS, ADDITIONS TO EXISTING BUILDINGS OR FOR THE USE OF SEWAGE DISPOSAL OR WATER SUPPLY SYSTEMS. WWM-058 (REV. 3/07) PAGE 1 OF 2 ♦DIVISION OF ENVIRONMENTAL GUALITYIOFFK:E OF WASTEWATER MANAGEMENT*360 YAPHANK AVENUE,SUITE 2GYAPHANK NY 11980# PHONE:(631)852.5700 FAx:(631)852-5755 4NSTRUCTIONS FO]WINAL APPROVAL OF COATRUCTED SYSTEMS It is the applicant's responsibility to call the Department to arrange inspections of the sewage disposal system and water supply facilities prior to backfilling. These include inspections of the soil excavation for the sewage disposal system, when required, and inspections of the water supply well,well lateral,public water supply line, disposal system, piping and final grading. Other inspections may be required. Following satisfactory construction and inspections: 1. The applicant must submit 4 prints of an as-built plan (up to and including 11"x17"), by a licensed design professional,of the subject property showing the following: a. the lot location and metes/bounds description; b. the lot number(s)and the name of the subdivision,if applicable; c. permanent structures(i.e.,buildings,driveways,walkways, swimming pools, decks,retaining walls, etc.) d. the exact location of the private well and lateral, if applicable (give at least 2 dimensions measured from the comers of the building to the well); e. the exact location of the public water line, if applicable; f. the exact location of the septic tank and leaching pool(s), if applicable (give at least 2 dimensions measured from the corners of the building to the covers of the septic tank and each leaching pool); g. the exact location of the sewer line from the dwelling to the street; if applicable; and h. have a clear area at least 3" x 5" for the Department's approval stamp. 2. If any new subsurface sewage disposal system components have been installed, the applicant must submit a certificate(Form W WM-078 or equivalent) from the licensed sewage disposal installer, attesting that the system has been constructed according to the criteria of the Department. If a certificate from the installer cannot be obtained, form W WM-073 completed by a licensed architect or engineer may be submitted. 3. If a well has been installed as the potable water supply, then the applicant must submit a well water analysis completed within one(1) year by a certified lab, and a well driller's certificate completed by a licensed well driller. If the well or water quality does not conform to standards,corrective measures will be required as described in the Department's "Private Water System Standards." Please note: water treatment units may not be installed without prior approval of the Department. 4. If any pre-existing subsurface sewage disposal system components have been abandoned or removed, the applicant must submit a Certificate of Abandonment (Form W WM-080) from a licensed contractor attesting that the previous system has been abandoned according to the criteria of the Department. If a certificate from the contractor cannot be obtained, form W WM-073 completed by a licensed architect or engineer may be submitted. 5. If public sewers are utilized for the dwelling, the applicant must also submit one(1)copy of the sewer line inspection approval from the sewer district. In districts operated by Suffolk County, one(1)original of Form S-9, duly executed by the Suffolk County Department of Public Works, and one (1) copy of a Suffolk County Department of Public Works field sketch are required. 6. If public water is utilized, a tap letter from the appropriate water district indicating that service has been completed to the dwelling will be required. 7. In certain cases, the applicant will be required to submit a certification from a licensed design professional, attesting that all components of the sewage disposal system, retaining wall or sewage collection system have been properly inspected and constructed according to the approved plans and permit conditions. Refer to "Certification of Constructed Works" (Form W WM-073). Other documents may be required as indicated on the permit to construct. HEALTH DEPARTMENT REFERENCE NUMBER MUST BE ON ALL CORRESPONDENCE OR DOCUMENTS SUBMITTED. SUBMIT ALL NECESSARY FINAL PAPERS AT THE SAME TIME. PHOTOCOPIES OF DOCUMENTS WILL NOT BE ACCEPTED. WWM-058 (Rev. 3/07) PAGE 2 OF 2 S i4 Iwo f (Ohl r ri R., r,w r 1-4 All i Fir • r �� IV Ll µ n - ,yyD{ha R Y! 'RA fir - ir I It ry' a � n S L� A V t �.S IL fi y / Y o .Wg 1 . 91�) f ,.pig • . / rrr _ ♦ a ♦ f v �♦' /r re 4+ ♦ ty t lt;� r �, •4 Vn tt 4 t • y Y 1. At / t♦ Rt. t, tc ]♦ ♦ Ota ,�♦ ♦ - _ t)},_ a ♦ t t. a ♦�_ ,` nor 4a tt ♦" w♦ ♦ � {o.. yo 3 j ^ro �� ♦+a M �'• o — ME �crun mew.= ve.ra., � .w.rw.,r.. V OFFICE LOCATION: ��OF SOUTy� MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 i, Southold, NY 11971 (cot. Main Rd. &Youngs Ave.) y �1-c Telephone: 631 765-1938 Southold, NY 11971 app Fax: 631 765-3136 o�yCOU�,N� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM Q � I V E Ill To: Jim King, President n ' Town of Southold Board of Trustees MAY 1 4 2013 LJ From: Mark Terry, Principal Planner LWRP Coordinator Southold town Board of Trust-es Date: May 14, 2013 Re: Proposed Wetland Permit for RICHARD & SUSAN MEYERHOLZ SCTM#1000-53-6-23 A Zoning Board of Appeals decision (File# 6556) was issued on July 12, 2012. RICHARD & SUSAN MEYERHOLZ request a Wetland Permit to demolish existing dwelling, foundation, driveway and septic system and construct new foundation for a new two-story t2,325sq.ft. dwelling with attached garage, and a 401sq.ft. deck; new hot tub; new sanitary system on landward side of dwelling with approximately 66" high concrete retaining walls; new pervious driveway; add ±27 cubic yards of clean fill to existing beach area within 15' of foundation to raise the elevation and protect oak trees; and a retaining barrier will be put in place to protect the three oak trees on the beach. Located: 4245 Bay Shore Road, Greenport. SCTM# 53-6-23 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 determination that the proposed action is INCONSISTENT with the below listed LWRP polices and therefore INCONSISTENT with the LWRP: 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." Policy 4.1 "Minimize losses of human life and structures from flooding and erosion hazards." The following management measures to minimize losses of human life and structures from flooding and erosion hazards are recommended: specifically A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. 3. Move existing development and structures as far away from flooding and erosion hazards as practical. Maintaining existing development and structures in hazard areas may be warranted for: a. structures which functionally require a location on the coast or in coastal waters. d. sites where relocation of an existing structure is not practical Based upon the newly published FEMA maps (published September 25, 2009) the parcel is at risk of flooding and storm surge. More specifically the parcel is located in a Moderate Wave Action Area (the approximate landward limit of the 1.5 foot breaking wave) and AE EL 6 Flood Zone. The expansion of an existing structure 28.9%; 8.9% over the permitted 20% lot coverage by code is inconsistent with the above policy—the area is subject to potential storm surge and/or flooding. Further, the residential structure does not functionally require a location on the coast and is not water dependent. Although due to lot size, configuration and area of unbuildable lands located on the lot the relocation of the existing structure is not feasible. In the event that the action is approved it is recommended that the Board reiterate the Zoning Board of Appeals conditions outlined in the File# 6556 in permit conditions. 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 �OOF SOVlyO/_ Town Hall Annex Bob Ghosio,Jr.,Vice-President `0 54375 Main Road P.O. Box 1179 Dave Bergen #[ * Southold,New York 11971-0959 John Bredemeyer o Q Michael J. Domino :M �O Telephone(631) 765-1892 �yCOU Fax(631) 765-6641 N1'I,N BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Office Use Only _Wastal Erosion Permit Application etland Permit Application Administrative Permit _Amendment/Trans r/E tension E C E ! V E D _eceived Application: eceived Fee:$ Z-1�01,bo H ✓Completed Application _Incomplete APR 1 9 2013 _SEQRA Classification: Type IType II Unlisted ou a own _Coordination:(date sent) Board pf Trustees � eLWRP Consistency s ssmt Form 3 '✓ AC Referral Sent: \./Date of Inspection: S 13 _Receipt of CAC Report: _Lead Agency Determination: Tj_ ethnical Review: ublic Hearing Held: 5 Resolution: Name of Applicant (1`��' q�C3 S\ SCn r� M i I/e( 0)Z_ Mailing Address ( Z IXOD n C, r.,Fc Q tj S to Phone Number:M Z Z- .y 4 b p Suffolk County Tax Map Number: 1000 - J 3 - 0 6� - .2 Property Location: 2 f& r ew (provide LILCO Poe#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: CO-�� Bc* of Trustees Application • GENERAL DATA Land Area (in square feet): i Area Zoning: R-t Previous use of property: (�p __11Q.- _r,, Intended use of property: 2A S 1 � $ k u� Covenants and Restrictions on property? Yes V, No If"Yes", please provide a copy. 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 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 71=C_ (y 102 Ct ) 1 SQ oCA, -CawNs ) a�_� �layl/Z 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 ifnecessary):_�_2.--Q_ � Meyerholz Property 4245 Bay Shore Road Greenport, New York 11944 Suffolk County Tax Map Number: 1000-53-06-23 General Description of work— Demo the existing 3 bedroom, 1.5 baths home, including existing foundation, driveway and septic system. Additionally, we will remove only the necessary trees to accommodate the new foundation, septic system and 2 drywells. We will border the site with hay bales to prohibit soil erosion and runoff into the street and adjacent property. The existing one story home is approximately 1052sf and the deck is 401st. The planned new residence is a 2 story, 3 bedroom, 31/2 bath home with a one car garage. The driveway leading from the street to the garage will have a pervious surface to allow water to absorb naturally into the ground. With DEC approval, we will add 27cy or natural beach material to the existing beach within 15 of the foundation. The plans require landscape protection around the three oak trees on the beach side prior to adding the new beach material. The proposed residence with also have a small hot tub located on the NE corner of the home. The new total living space with be 2325sf with a 401 sf deck. The dimension of the existing home is 34'11" x 42' and the new residents will be 34'11" x 53'2". The lot coverage will increase from 19.3% to 25.3% but the total side-yard distance will increase from 10' to 14'6"under the new plan approved by the Southold Zoning Board. How will the work be done? Foundation — The existing foundation will be excavated and a new foundation poured to 8' elevation to conform to the DEC flood elevation code. The crawl space under the house will be graded to the same elevation as the land to the NE side (water side) of the foundation wall. The graded crawl space will have a concrete skim coat to inhibit moisture and proper flood baffles will be added as required. Structure —The new plan calls for 2x6 frame construction with a ceiling height at 9' throughout the first floor and 8' on the second floor of the house. Gutters will be attached to the base of any descending roof slop to capture rain water. All runoff water will be channeled to the drywell in the NW corner or SE corner of the house. Additionally, the drain water from the outside shower and/or the hot tub will be piped to the SE corner drywell. Attached Garage - The existing structure does not have a garage. A new garage will be constructed using 2x6 framing. The foundation of the garage will be constructed to • • support the living space above the garage. The floor of the garage will be a poured concrete slab set at 6'6" elevation. Deck—The existing deck will be replaced with a new deck with the same dimensions. The foundation will be 8'diameter concrete piers. This will eliminate CCA wood from coming in contact with the beach. The deck will be raised to accommodate the new elevation of the house based on the DEC specifications. Hot Tub—The hot tub will rest on grade with the required foundation to support the weight. The hot tub will have access to a drain connected to the SE drywell to capture water from the tub. Beach replenishing - During the early stages of the construction process, the new beach material will be brought to the site by truck then delivered onto the beach via backhoe or wheel barrel. The material will be hand raked to the proper elevation approved by the DEC. A retaining barrier will be put in place to protect the three oak trees on the beach. Septic System —The septic system will be installed in accordance with the Suffolk County Health Department permit issued for this project. The septic system installation will require that the top elevation of the land will be approximately 6'6". The current elevation of the property in the vicinity of the proposed new septic system is 47.5". The septic system will have a concrete retaining wall built to specification by the engineer on the west side and north side of the leaching pools. The south side of the property already has a septic system retaining wall for the leeching pools installed by the homeowner to the south. Time line — see attached. 0 Schedule of proposed activities September 2013: • Clear necessary trees from property to accommodate the new foundation and new septic system. • Disconnect the water and power service then remove the existing home, foundation and driveway. • Deposit the 27cy of beach material within the boundary set by the DEC. • Install appropriate sediment runoff barriers to contain soil and debris on the site. October 2013: • Construct the new foundation November 2013 — March 2014: • Build the house and garage • Run new water line to the house • Bury and reconnect the electrical service April/May 2014: • Install new septic system including required retaining wall • Install drywell system to capture water runoff from the roof June 2014 • Landscaping, exterior painting and finishes • Apply for Certificate of Occupancy Boa•of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ' .q 5� 11 '1' ,9 U i e Area of wetlands on lot: &n rX square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: :!�C) 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? SS' cubic yards ,N How much material will be filled?^ .`Z�"iU cubic yards Depth of which material will be removed or deposited: cA 'feet �_or Proposed slope throughout the area of operations: 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 reason of such proposed operations (use attachments if appropriate):_ y 1Cvn �C C7f -� �leC lA)G✓Lt1.a �l) i / PROJECT ID NUMBER • 617.20 • SEQR 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 \ m eI &PROJECT LOCATION: Lgzgi ii S)", 12J Municipality ., I County 4.PRECISE LOCATION: treet Addess and Road Intersections, Prominent landmarks etc or provide map 5.IS PROPOSED ACTION: FzKew Expansion El Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: 7.AMOUNT OF LAND AFFECTED: Initially . acres M. Ultimately / q acres 8.WILL PROPOSED CTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes No If no,describe briefly: p « j no - Ga.,�-1-�r' -)-a cac 0 i 9.WHA S PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) esidential 0 Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open Space ❑Other (describe) i 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL ' AGENCY (Fede I, to or Local) E�resIf yes, list agency name and permit / approval: C = G 11.DOES ANY ASPE T OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APP VAL? es If yes, list agency name and permit / approval: r'o� S"SiF I k "eye'-I 4, '64 D o,. f V 11 DyesA RESU F PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFIC ION? Des No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Spon ame . Date: Signature 7 If the action is Co tal rea, and you are a state agency, complete the Coastal Asses ent Form before proceeding with this assessment Meyerholz Property 4245 Bay Shore Road Greenport, New York 11944 Suffolk County Tax Map Number: 1000-53-06-23 General Description of work— Demo the existing 3 bedroom, 1.5 baths home, including existing foundation, driveway and septic system. Additionally, we will remove only the necessary trees to accommodate the new foundation, septic system and 2 drywells. We will border the site with hay bales to prohibit soil erosion and runoff into the street and adjacent property. The existing one story home is approximately 1052sf and the deck is 401sf. The planned new residence is a 2 story, 3 bedroom, 31/2 bath home with a one car garage. The driveway leading from the street to the garage will have a pervious surface to allow water to absorb naturally into the ground. With DEC approval, we will add 27cy or natural beach material to the existing beach within 15 of the foundation. The plans require landscape protection around the three oak trees on the beach side prior to adding the new beach material. The proposed residence with also have a small hot tub located on the NE corner of the home. The new total living space with be 2325sf with a 401 sf deck. The dimension of the existing home is 34'11" x 42' and the new residents will be 34'11" x 537. The lot coverage will increase from 19.3% to 25.3% but the total side-yard distance will increase from 10' to 14'6"under the new plan approved by the Southold Zoning Board. How will the work be done? Foundation —The existing foundation will be excavated and a new foundation poured to 8' elevation to conform to the DEC flood elevation code. The crawl space under the house will be graded to the same elevation as the land to the NE side (water side) of the foundation wall. The graded crawl space will have a concrete skim coat to inhibit moisture and proper flood baffles will be added as required. Structure —The new plan calls for 2x6 frame construction with a ceiling height at 9' throughout the first floor and 8' on the second floor of the house. Gutters will be attached to the base of any descending roof slop to capture rain water. All runoff water will be channeled to the drywell in the NW corner or SE corner of the house. Additionally, the drain water from the outside shower and/or the hot tub will be piped to the SE corner drywell. Attached Garage -The existing structure does not have a garage. A new garage will be constructed using 2x6 framing. The foundation of the garage will be constructed to 0 9 support the living space above the garage. The floor of the garage will be a poured concrete slab set at 6'6" elevation. Deck—The existing deck will be replaced with a new deck with the same dimensions. The foundation will be 8'diameter concrete piers. This will eliminate CCA wood from coming in contact with the beach. The deck will be raised to accommodate the new elevation of the house based on the DEC specifications. Hot Tub —The hot tub will rest on grade with the required foundation to support the weight. The hot tub will have access to a drain connected to the SE drywell to capture water from the tub. Beach replenishing - During the early stages of the construction process, the new beach material will be brought to the site by truck then delivered onto the beach via backhoe or wheel barrel. The material will be hand raked to the proper elevation approved by the DEC. A retaining barrier will be put in place to protect the three oak trees on the beach. Septic System —The septic system will be installed in accordance with the Suffolk County Health Department permit issued for this project. The septic system installation will require that the top elevation of the land will be approximately 6'6". The current elevation of the property in the vicinity of the proposed new septic system is 47.5". The septic system will have a concrete retaining wall built to specification by the engineer on the west side and north side of the leaching pools. The south side of the property already has a septic system retaining wall for the leeching pools installed by the homeowner to the south. Time line — see attached. 0 0 Schedule of proposed activities September 2013: • Clear necessary trees from property to accommodate the new foundation and new septic system. • Disconnect the water and power service then remove the existing home, foundation and driveway. • Deposit the 27cy of beach material within the boundary set by the DEC. • Install appropriate sediment runoff barriers to contain soil and debris on the site. October 2013: • Construct the new foundation November 2013 — March 2014: • Build the house and garage • Run new water line to the house • Bury and reconnect the electrical service April/May 2014: • Install new septic system including required retaining wall • Install drywell system to capture water runoff from the roof June 2014 • Landscaping, exterior painting and finishes • Apply for Certificate of Occupancy PART It- IMPACT ASSESSMENT o be com feted!!y Lead Agency) A. DOES A(.il EXCEED ANY TYPE tTHRESHOIO IN 6 NYCRR,PART 61-.47 I yes.coordinate the review process andusethe FULL EDF. ❑Yes ONO No B. V10.L ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative dedatago"nay,be superseded by another involved agency. Yes 21W C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers maybe hardwrfl N Mg iMe) . C1. Existing ak quality,surface a grourdwatea quality ar quantity.noise levels.existing traffic Pattern,add waste Production or piterNial for eroston,drainage or flooding problems? Explain briefly-, ct�o ' C2. Aesase64 49111aAlura6 archaeological,Irmmle,or Other nak"or ctdbxal resources:or comsmpll[y ar hborhoorl character?Explain brW. C3. Vegetation w fauna,fish,shelifis 'm wildlife species,significan(habilals,of threatened of endangered species?Explain briefly. C4. A eornmuniiyb existing pians or goals as officiary adopted,eracha"g a in use or intens? of use o(lard or otner natural resources? d FxpWin Mkay: _ C5. Growth,aubsequenl development,or related activities likely to bo induced by the proposed action?Explain briefly: C6. long term,short term,cumulative,or other effects not identified in C1-059 Explain briefly: C7:Other impacts f2cludingthan es in use of either uantil or t e of,e, E Iain briefly;-- -- - - - - --. O. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CFA 7 If s,a ain brief : - Q Yes Me No it— E IS THERE,OR IS THELE LIKELY TQCONTIROMRPJATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACM If oyes ONO . . PART M-OE7EAAAWAT ION OF 8M>4I1ICANCE(To be cxxttplated by Aaency) INSTRIICTTONS: ForeachadverwsftdMmgRedalbova.de*n*iewhelherkisaubsbmftkMMe,NrNortan(oroowwbes:igMCanL Each elFact Should be assessed In eonneEtlon with its(a)settling(Le.urban or rump (b)t Y of oc tlrralg:(o)duration (d)imerelabi6y (e) wArsojenIdefai to ahOW t*99 rGWmd adverse 'add maftbeen k or tefe�lce aeppolft matedegs. Galata tat e)planagam eowAkt- . kapeds have heart identified and adequakly adderreed. IfWasOm d ofpwtl was dlgdoed yes lhadebmdna8onofslgnifaeflDann)stt9v1lu8a SPotantWMryradoftlleprq=WaooMontlaw&mnenWohafacteristicsofOMCEA Cho&1 eboxIrYou(aMrOoneormaepe ylargeorelgrAtcantadverseImpacts EAF and/ wMfiMAYaoaw.ThartMocaeddYectlYblhe orprepare a Positive declemil n. Check IIIA box If YOU have delfflni eid,based on Ile k)fon 436on and analysis above and any supporting doaanadation,tryst Ire WILL NOT result in any significant adverse emkwarwisI impacts AND provide, proposed determination. on attachments as necessary, the reasons supporting Iii Board of Trustees �{fJy 3 Name of LeadCAgency Date )9 �f '"'A) President Pnrd or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer > 9t 2' ,— ure of Re "P,'uw Officer in Lead _. erwY Slenalure o(Pmnarsr 06/10/2013 13:10 6317656641 SOUTHOLD TRUSTEES PAGE 01/01 • 'fF0j,t James F.King,President 'town Hall,53095 Main Rd. Bob Ghosio,Jr..V1co-Picaident p}s P.U.Box 1179 Dave Bergen F Southold,NY 11971 John Bmdcmcycr Telephone(631)765-1892 Michael J. Domino Fax eawFax(631)765.(641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ------------------------------------------------------------- ln the Matter of the Application of RICHARD& SUSAN MEYERHOLZ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 1 TO BCOMPLETED IOMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, I� G��r n d V Y I L,a residing at/dba I=n� 2 n r v�- being duly sworn, depo and say: �L That on the day of mlG�I1hnrY 2013 T personally posted the property known as 2 Li (�In 6 r �T by placing the Board of Tiustees official po terwhere 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,May 15,2013. Dated: (-'/A01 /3 (signature) Sworn to b#bre me this /01 OPUUX20/-'3 44z�- Public FRANCINE STOTT NOTARY PUBLIC MYCOMMISSION EXPIRES JUNE 30,2016 INOTICE 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. a R;c�cicxc� E Sin OWNER(S) OF- RECORD: Y1Qyer notz To demolish existing dwelling, foundation, driveway SUBJECT OF PUBLIC HEARING: and septic system and construct new foundation for a new two-story t2,325sq.ft, dwelling with attached garage, and a 401sq.ft. deck; new hot tub; new sanitary system on landward side of dwelling with approximately 6'6" high concrete retaining walls; new pervious driveway; add ±27 cubic yards of clean fill to existing beach area within 15' of foundation to raise the elevation and protect oak trees; and a retaining barrier will be put in place to protect the three oak trees on the beach. TIME & DATE OF PUBLIC. HLARING: Gc &Wso6 ,s', aol 3 - a1- o� oma+ S'3o P/y) 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 durinq normal business days between the hours ofp8 a.m and .4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: PAC' o / 0 C N � STATE OF NEW YORK 6� COUNTY OF SUFFOLK // \ C� ti - , residing at �1 e4 y do t 2� I being duly sworn, deposes and says that on the d m G , 20ja, deponent mailed a true copy of the Notice set forth in the Board of Trfttees 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 Officeat woe �� Q,-T-, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this /y Day of 20 V4 � � Notary Public FRANCINE STOTT NOTARY PUBLIC MY COMMISSION EXPIRES JUNE 30,2016 Boo of Trustees Application County of Suffolk State of New York 2, C n(Ar a 1 t 'f,U 44 L )]Z 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. F�=o Signature ofPropert wner SWORN TO BEFORE ME THIS DAY OF /G/ C _,20 AY vvwn�� - Notary Public FRANCINE STOTT NOTARY PUBLIC MY COMMISSION EXPIRES JUNE 30,2016 � s APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emolovees.The PRWse of this In 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. l cc YOUR NAME: m� /Q C�u 12- �2 C L A �• Jy�Cn ri (Last hame,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) - - NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If You answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); _B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); - C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thi I ayof 201� Signature Print Name ip ' Form TS I bo SUFyr Town of Southold ® Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: s.c.T.N.x: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Ol ()(„ STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN IT)s n eronc _910= or of 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? 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within S j Generated by a Two(2")Inch Rainfall on Site? the Scope T Work for Proposed CleariConstng cion) .\` This item will include all run-off created b site b. What is the Total Area of Land the p (S.F./Acres) ( y clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of (S.F./Acres) construction activity? impervious surfaces.) 2 Does the-Site Flab Survey h l ProposedPROVIDE BRIEF PROJECT DESCRIPTION (PWgnYPa9euNedfen Drainage Structures Indicating Size&Location?This Item shall Include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion sediment Control practices that will be used to -- - - control site erosion and storm water discharges. This item must be maintained throughout the Entire -- Construction Period. 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 Material within any Parcel? rj Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand �— (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes Larger ❑ — are part of a Laer common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to including Construction activities involving sod disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES peril is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPOES General Permit 8 Will Driveways,Parking Areas or other Impervious ❑ — for Storm Water Discharges from Construction activity-Permit No.GP-040�001.) Surfaces be Sloped to Direct Storn-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the Not.The NOI shall be into and/or in the direction of a Town right-Of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erasion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ — required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit.in addition,the SWPPP shall Area?MIS Nam will NOT rnowa eM weuamn or oriw.ay Aprons.) potential sources of pollution which may reasonably be expected to affect Ne quality of storm water discharges. NOTE: if Any Answer to questions One through Nine Ia Answered with a Check Mark 3.All SWPPPs that require the postconstmction storm water management practice in a Box and the construction site disturbance is between 5,000.S.F.81 Aero in area, component shah be prepared by a qualified Design Professional Licensed in New York is Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable in the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of My Building Permit. (NOTE: AcheA Mar,(4) andlur Answer for each Question is Required for a Conplele Application) STATE OF NEW YORK, COUNTY O�FM...........................................SS That 1,._11:�!!`�i�. r i t Q c� ,,,,,,,,,,,,,,being duly sworn,deposes and says that he/she is the applicant for Perini[, (Name of inGvidual signag Donrmenl) Andthat he/she is the .....0&)lY`.e.. . . . . . ......................................... ............................................................... (Owner,Convector,Agent,Corporele INficer,elc.) 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 forth in the application filed herewith. Sworn to before m this; ...........`.. .. .. .......clay Of ....... �( 20.1 n Notmly Public ......... .... ... .. f('�V .................. (Signature of Appli nq FORM - 06/10 NOTARY PUBLIC MYCOMMISSION EXPIRES JUNE 30,2016 Meyerholz Property 4245 Bay Shore Road Greenport, New York 11944 Suffolk County Tax Map Number: 1000-53-06-23 General Description of work— Demo the existing 3 bedroom, 1.5 baths home, including existing foundation, driveway and septic system. Additionally, we will remove only the necessary trees to accommodate the new foundation, septic system and 2 drywells. We will border the site with hay bales to prohibit soil erosion and runoff into the street and adjacent property. The existing one story home is approximately 1052sf and the deck is 401sf. The planned new residence is a 2 story, 3 bedroom, 31/2 bath home with a one car garage. The driveway leading from the street to the garage will have a pervious surface to allow water to absorb naturally into the ground. With DEC approval, we will add 27cy or natural beach material to the existing beach within 15 of the foundation. The plans require landscape protection around the three oak trees on the beach side prior to adding the new beach material. The proposed residence with also have a small hot tub located on the NE corner of the home. The new total living space with be 2325sf with a 401 sf deck. The dimension of the existing home is 34'11" x 42' and the new residents will be 34'11" x 53'2". The lot coverage will increase from 19.3% to 25.3% but the total side-yard distance will increase from 10' to 14'6"under the new plan approved by the Southold Zoning Board. How will the work be done? Foundation — The existing foundation will be excavated and a new foundation poured to 8' elevation to conform to the DEC flood elevation code. The crawl space under the house will be graded to the same elevation as the land to the NE side (water side) of the foundation wall. The graded crawl space will have a concrete skim coat to inhibit moisture and proper flood baffles will be added as required. Structure —The new plan calls for 2x6 frame construction with a ceiling height at 9' throughout the first floor and 8' on the second floor of the house. Gutters will be attached to the base of any descending roof slop to capture rain water. All runoff water will be channeled to the drywell in the NW corner or SE corner of the house. Additionally, the drain water from the outside shower and/or the hot tub will be piped to the SE corner drywell. Attached Garage - The existing structure does not have a garage. A new garage will be constructed using 2x6 framing. The foundation of the garage will be constructed to support the living space above the garage. The floor of the garage will be a poured concrete slab set at 6'6" elevation. Deck—The existing deck will be replaced with a new deck with the same dimensions. The foundation will be 8'diameter concrete piers. This will eliminate CCA wood from coming in contact with the beach. The deck will be raised to accommodate the new elevation of the house based on the DEC specifications. Hot Tub —The hot tub will rest on grade with the required foundation to support the weight. The hot tub will have access to a drain connected to the SE drywell to capture water from the tub. Beach replenishing - During the early stages of the construction process, the new beach material will be brought to the site by truck then delivered onto the beach via backhoe or wheel barrel. The material will be hand raked to the proper elevation approved by the DEC. A retaining barrier will be put in place to protect the three oak trees on the beach. Septic System —The septic system will be installed in accordance with the Suffolk County Health Department permit issued for this project. The septic system installation will require that the top elevation of the land will be approximately 6'6". The current elevation of the property in the vicinity of the proposed new septic system is 47.5". The septic system will have a concrete retaining wall built to specification by the engineer on the west side and north side of the leaching pools. The south side of the property already has a septic system retaining wall for the leeching pools installed by the homeowner to the south. Time line— see attached. • f Schedule of proposed activities September 2013: • Clear necessary trees from property to accommodate the new foundation and new septic system. • Disconnect the water and power service then remove the existing home, foundation and driveway. • Deposit the 27cy of beach material within the boundary set by the DEC. • Install appropriate sediment runoff barriers to contain soil and debris on the site. October 2013: • Construct the new foundation November 2013 — March 2014: • Build the house and garage • Run new water line to the house • Bury and reconnect the electrical service April/May 2014: • Install new septic system including required retaining wall • Install drywell system to capture water runoff from the roof June 2014 • Landscaping, exterior painting and finishes • Apply for Certificate of Occupancy Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the-preparer of this-fornkshould 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 simg frcant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following;places: online at the Town of Southold's website (southoldtown.northfork.net), the Board 9'fTrustees Office, the Planning Department, all local libraries and the Town Clerk's office. "El B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# U - 3 � n 23 PROJECTNAME owwn The Application �+ L'Y Buhas been submitted to (check "appropriate response): Town Board L. Planning Board ilding Dept. ❑ Board of Trustees 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: Nature and extent of action: , Meyerholz Property 4245 Bay Shore Road Greenport, New York 11944 Suffolk County Tax Map Number: 1000-53-06-23 General Description of work— Demo the existing 3 bedroom, 1.5 baths home, including existing foundation, driveway and septic system. Additionally, we will remove only the necessary trees to accommodate the new foundation, septic system and 2 drywells. We will border the site with hay bales to prohibit soil erosion and runoff into the street and adjacent property. The existing one story home is approximately 1052sf and the deck is 401sf. The planned new residence is a 2 story, 3 bedroom, 31/2 bath home with a one car garage. The driveway leading from the street to the garage will have a pervious surface to allow water to absorb naturally into the ground. With DEC approval, we will add 27cy or natural beach material to the existing beach within 15 of the foundation. The plans require landscape protection around the three oak trees on the beach side prior to adding the new beach material. The proposed residence with also have a small hot tub located on the NE corner of the home. The new total living space with be 2325sf with a 401 sf deck. The dimension of the existing home is 34'11" x 42' and the new residents will be 34'11" x 537. The lot coverage will increase from 19.3% to 25.3% but the total side-yard distance will increase from 10' to 14'6"under the new plan approved by the Southold Zoning Board. How will the work be done? Foundation —The existing foundation will be excavated and a new foundation poured to 8' elevation to conform to the DEC flood elevation code. The crawl space under the house will be graded to the same elevation as the land to the NE side (water side) of the foundation wall. The graded crawl space will have a concrete skim coat to inhibit moisture and proper flood baffles will be added as required. Structure —The new plan calls for 2x6 frame construction with a ceiling height at 9' throughout the first floor and 8' on the second floor of the house. Gutters will be attached to the base of any descending roof slop to capture rain water. All runoff water will be channeled to the drywell in the NW corner or SE corner of the house. Additionally, the drain water from the outside shower and/or the hot tub will be piped to the SE corner drywell. Attached Garage - The existing structure does not have a garage. A new garage will be constructed using 2x6 framing. The foundation of the garage will be constructed to 0 0 support the living space above the garage. The floor of the garage will be a poured concrete slab set at 6'6" elevation. Deck—The existing deck will be replaced with a new deck with the same dimensions. The foundation will be 8'diameter concrete piers. This will eliminate CCA wood from coming in contact with the beach. The deck will be raised to accommodate the new elevation of the house based on the DEC specifications. Hot Tub—The hot tub will rest on grade with the required foundation to support the weight. The hot tub will have access to a drain connected to the SE drywell to capture water from the tub. Beach replenishing - During the early stages of the construction process, the new beach material will be brought to the site by truck then delivered onto the beach via backhoe or wheel barrel. The material will be hand raked to the proper elevation approved by the DEC. A retaining barrier will be put in place to protect the three oak trees on the beach. Septic System —The septic system will be installed in accordance with the Suffolk County Health Department permit issued for this project. The septic system installation will require that the top elevation of the land will be approximately 6'6". The current elevation of the property in the vicinity of the proposed new septic system is 47.5". The septic system will have a concrete retaining wall built to specification by the engineer on the west side and north side of the leaching pools. The south side of the property already has a septic system retaining wall for the leeching pools installed by the homeowner to the south. Time line—see attached. Schedule of proposed activities September 2013: • Clear necessary trees from property to accommodate the new foundation and new septic system. • Disconnect the water and power service then remove the existing home, foundation and driveway. • Deposit the 27cy of beach material within the boundary set by the DEC. • Install appropriate sediment runoff barriers to contain soil and debris on the site. October 2013: • Construct the new foundation November 2013 — March 2014: • Build the house and garage • Run new water line to the house • Bury and reconnect the electrical service April/May 2014: • Install new septic system including required retaining wall • Install drywell system to capture water runoff from the roof June 2014 • Landscaping, exterior painting and finishes • Apply for Certificate of Occupancy Location of action: 1-f 2-V S G ti U J k clu J�ca 6 -Aa, 7 0 A+ 4N Site acreage: f Present land use: Present zoning classification: ICID 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: (b) Mailing address: (c) Telephone number: Area Code( ) (d) Application number, if any: Wiii the action be directly undertaken,require funding, or approval by state or federal agency? Yes ❑ No R�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 FJ`NotApplicable 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 1-1Yes 1:1 No U Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III-Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section H!-Poiiciess Pages a through i6 for evaluation criteria Yes ❑�" No W iVot Applicable c 1'�dy3 _ i�.:II �c C� �a..aCA �o C,J.fr^.4- ST I- r� _ pr=t 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 11 No U 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. F1 Lt/- Yes No Not Applicable 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. ub 1=J Yes ❑ No ❑ Not Applicable L� CA '� a SNu 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. ❑ YesD No Not Applicable Attach additional sheets if necessary f WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Slee"LWRP Section III-Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No �' J Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Townn waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ElYes E] No U 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 eevval�uation criteria. 1-1Yes ElNo� 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 PREPAREDBY <�chc.-d VyJYuz I,�l�r TITLE_ 0LJn.g.4 DATE 3 /' APPROVED BY SOMD OF TRUSTEES TOWN OF SOUMLD DATE 75T HOLE r LOT COVERAGE: 212110 N ADJACENT AREA LOt�7G j8 , (ENTIRE LOT): 7526 SF. p7 EX15TING 5TRUGTURE GpRPGf �: -� a HOU5E 1052 5F. cu "oma ROp05f006.6 s, � .�..-..\� m N DECK: 401 5F. 0\3 TOTAL 5 Py'\Sf fL \nor ruBIAFRo ct tee. �, 1 crn TO AL EX15TING 1453 5F. _ LOT B 77 -13 Py f 4 �,„s�.,.,. I \I \ ZONE AE 5U = 19.3% \ f 3 0 k76OO,A� �'/ TOR( l �� —'\ (EL. G) 3 PPOP05ED 5TRUCrURE _. OMf NOUSE a N .\ O HOUSE: 1215 5F. fPROP05E0 p0Rl n c ADDITION OF \. O GARAGE: 358 5F. seg N SfGONDr. n 18"OF BEACHR\ FRONT OVERHANG: 82 5F. N\ • ..v N� �\ _ PROPOON TO o r MATERIAL \\ N TOTAL PPIOP05ED \ Z Up 5-IA COVERAGE: 1909 5F. D \ 0 = 25.3% (p LP .� FF°f BA _ GOX3.G-DDRwEu_ PDR _�. > DRAINAGE CALCULATION O `. � ` MOT TUB BACK W0.5H� `p LP LP '� ST 46.21' Ya \ TOTAL IMPERV.LOT COVERAGE: 1500.2 5.F.x.17x 1= 255 C.F. 'z On e Q �? 583° I'08'W 11111'IN' LOT x 78 PROPOSED PROVIDE Zea.8'DIA.x 3'-6"D. (DWELLING U/C) BALCONY OVER EXISTING DECK DRY WEU-5. 4\ BA5ED ON 9 0 SURVEY OF PROPERTY AT AR5HAMOM000E 'a ? 5ED VOLUMN TOWN OF 50UTHOLD B H FLL: ±81 C Y. 15LAND VIEW LANE SUFFOLK COUNTY,N.Y. Dqp ! 1000-53-06-23 FEBRUARY 9,2010 I MARCH 03, 2010(REVI5ED) APA 19 2013 AREA- 7,526 5Q.FT. S I T E P L A N TO TIE LINE Southold Town PROP05ED 5CALE: 1°=20-0" Roard ofTruste 09/25/2012 MEYERHOLZ RE51DENCE Ex15TING 51RUCTU E 59'a EXISTING SCALE: I"=20'-0" 1210212010 AFPROX. REV. 5/3/1 1 E1�T fto REV. 2/21/12 EXISTING GRPDE 4'-T FTO BE RA15ED TO CIF/,8'{ EXISTING MEAN HIGH DECK WATERMARK Robert 1. Brown Architect, P.C. FROP05ED ADDITION OF MAX.G' NATUWA LOCAL BEACH 5TQNNE.NO w/ fairweather De5lcgn A55ouate-5, Inc. 5MAUER THAN Y.-AND NO IARC.ER 205 BAY AVENUE THAN 2-TO MATCH IX15TING. CP.055 SECTION, not to scale TOTAL APFROx.27 C Y. GREENFORT, N.Y. 1 1944