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HomeMy WebLinkAboutTR-8189 James F. King, President O~~QF ~~VlyOl Town Hall Annex Bob Ghosio, Jr., Vice-President ~ ~ 54375 Main Road P.O. Box 1179 Dave Bergen # ~ Southold, New York 11971-0959 John Bredemeyer G Q Michael J. Domino ~ ~O Telephone (631) 765-1892 Fax (631)765-6641 ~~OOUNi'1,~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0894C Date: August 21, 2013 THIS CERTIFIES that the removal of the cinder block cabana; reconstruction of 21'x1 l'deck and 4'x5' stairs At 7180 Great Peconic Bay Blvd., Laurel, New York Suffolk County Tax Map # 126-11-9.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated Apri123, 2013 pursuant to which Trustees Wetland Permit #8189 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 removal of the cinder block cabana; reconstruction of 21'x11'deck and 4'x5' stairs. The certificate is issued to MARGARET PISANI owner of the aforesaid property. .'ra+W O~ Authorized Signature James F. King, President gF,tffO(,r Town Hall, 53095 Main Rd. O~~ CO Bob Ghosio, Jr., Vice-President ((y P.O. Box 1179 Dave Bergen ~ ~ Southold, NY 11971 John Bredemeyer ~ - Telephone (631) 765-1892 Michael 1. Domino y~o! * `>100 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 8'y~ DATE OF INSPECTION: ~ ,~j O Zoi 3 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 151 day of construction Yz constructed Project complete, compliance inspection. INSPECTED BY: t lL ~y U' COMMENTS: CERTIFICATE OF COMPLIANCE: ~ 7 James F. King, President o~ea?Ef0(~c Toum Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President ti~ P.O. Box 1179 Dave Bergen ~ Southold, NY 11971 John Bredemeyer '.y ~ Telephone (631) 765-1892 Michael J. Domino '~Oj ~ 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 APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line _ 15t day of construction _ Yz constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT N0.8189 DATE: MAY 15.2013 ISSUED TO: MARGARET PISANI PROPERTY ADDRESS: 7180 GREAT PECONIC BAY BLVD.. LAUREL SCTM# 126-11-9.1 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 Boazd of Trustees adopted at the meeting held on Mav 15.2013, and in consideration of application fee in the sum of $250.00 paid by Marearet & Edwin Pisani or authorized waiver of Town Board and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove the existing cinder block cabana; reconstruct deck and 4'x5' stairs; with the condition that the cantilevered deck be downsized to 21'x11'; and as depicted on the site plan prepared by Margaret Pisani, received on May 28, 2013, and stamped approved on May 31, 2013. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. A$I?fF~(~'~ ti~ c ~lpl ~ ,Iao~ TERMS AND CONDITIONS The Permittee, Margaret Pisani residing at 7180 Great Peconic Bav Blvd.. Laurel. New York as part of the consideration for the issuance of the Permit does understand and prescnbe to the following: l . 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 betweeghigh and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President ~~OF SOU~yO Town Hall Annex Bob Ghosio, Jr., Vice-President /~0 ~ 54375 Main Road Dave Bergen yy P.O. Box 1179 T Southold, New York 11971-0959 John Bredemeyer Michael J. Domino %~0 ~ ~O Telephone (631) 765-1892 ~y~,ou~v,~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES May 15, 2013 TOWN OF SOUTHOLD Ms. Margaret Pisani PO Box 657 Laurel, NY 11948 RE: MARGARET PISANI 7180 GREAT PECONIC BAY BLVD., LAUREL SCTM# 126-11-9.1 Dear Ms. Pisani: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 15, 2013 regarding the above matter: WHEREAS, MARGARET PISANI 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 23, 2013, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application to remove the existing cinder block cabana be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the LWRP Coordinator recommended that the proposed application to reconstruct existing 21'x17' deck and 4'x5' stairs be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered the Local Waterfront Revitalization Program policy 6.3 to the greatest extent possible through the imposition of the following Best Management Practice requirements: issuance of a permit on structures; cantilevered deck to be downsized to 21'x11' deck; and, z ~ • 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, 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 APPROVES the application of MARGARET PISANI to remove the existing cinder block cabana; reconstruct deck and 4'x5' stairs; with the condition that the cantilevered deck be downsized to 21'x11 ;and as depicted on the site plan prepared by Margaret Pisani, received on May 28, 2013, and stamped approved on May 31, 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, o°~ 1~~ James F. King President, Board of Trustees °~~~~~~e°°s James F. King, President h ~ Town Hatl Annex Bob Ghosio, Jr., Vita-President WO ~ 54375 Route 25, P.O. Box 1179 ' Dave Bergen .y Southold, to 11971 John Bredemeyer '~Pj ~ ~@ Telephone (631) 765-1892 Michael J. Domino Eax (63 f) 765-6641 BOARD OF TOWN TRUSTEES r TOWN OFSOUTHOLD Please be advised that your application dated 3 has been reviewed by this Board at the regular meeting of S .and your application has been approved pending the completion of a Ilowing items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 15~ Oay of Construction ($50.00) Yz Constructed ($50.00) Final Inspection Fee ($50.00). Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed. below accorcling to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The foAowing-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 OUE: $ SD. DD BY: James F_ King, President Board of Trustees ~o~OgpFFO(,~co ~ ~s Peter Young, Chairman ~ ~ Town Hall, 53095 Main Rd. Lauren Standish, Secretary ~ T N.O. Box 1179 'F Southold, NY 11971 ~~'Ol ~.bO~ 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: MARGARET PISANI to remove existing deck and cinder block cabana; rebuild existing deck and replace existing stairs. Located: 7180 Peconic Bay Blvd., Laurel. SCTM#126-11-g.1 NO ACTION -Insufficient information, no site plan gUFFO(~. James F. king, President ~ CA- P.O. Box 1179 Bob Ghosio, .Ir., Vice-President Southold, NY 11971 Dave Bergen ~ ~ Telephone (631 765-1892 .Iohn Bredemeyer ~ Fax (631)765-6641 Michael J. Domino ~,j. 'yol ,~aor. Southold Town Board of Trustees Field Inspection/VVork Session Report Date/Time: ~~ry i!g~ zv73 9:So MARGARET PISANI requests a Wetland Permit to remove existing cinder block cabana; reconstruct existing 21'x17' deck and 4'x5' stairs. Located: 7180 Peconic Bay Boulevard, Laurel. SCTM# 126-11-9.1 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: Modifications: s~Wl.?A~c r~ siD.~ vl ~.zPCK JX/y ~ ~vrt o v~ Ca Nc^~'F 7~ 6~ r~ ii'.c~ ~ Conditions: Present Were: ~ King _B. Ghosio D. Bergen, J. Bredemeyer ? Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: Mar are}- ~i san i 2 to-I I-Q. I :i~. - ~ . f .t-a. _ ,tea - - - . _ ; _ - } . ry.~.;:. r ;.r ` ~ >7 .~'~t ~ A k~. . ~ _ - ' ~ ~ ' f . gUFFU(k James F. king, President C P.O. Box 1179 Bob Ghosio. Jr.. Vice-President ~ Southold. NY 11971 Dave Bergen ~ ? Telephone (631 765-1892 .lohn Bredemeyer ~ Fax (631) 765-6641 Michael 1. Domino ~ 'LC Southold Town Board of Trustees Field Inspection/VVork Session Report o Date/Time: > ~ 2 t?L l ~ ' MARGARET PISANI requests an Administrative Amendment to Wetland Permit #7606 to repair an existing 21'x17'x14'x9' deck, 4'x5' platform, and 8'x12.3' cabana; replace 3' wide steps to beach; and for the existing 4'x17' wood walk and 4'x10' wood stairway. Located: 7180 Great Peconic Bay Boulevard, Laurel. SCTM# 126-11-9.1 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 t/Administrative_Emergency Pre-Submission Violation Info needed: Modifications: ,UI`~' ~ °1b //P%~~ r°d ~ - ~ y C- L d,y ~ T"L ~3 r? f~ dl's!' ~ I T ~vq q~ f itiorl,s' ~~dr~ ~PC~= x/'Y SPs,~c.~Ns~A _Spc7`~p~ Present Were: ?J. King y'B. Ghosio !~D. Bergen, _~f J. Bredemeyer ~ Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: BOARD OF SOUTHOLD TOWN TRUSTEES SbUTHOLD, NEW YORK PERMIT N0.7606 DATE: AUGUST 24.2011 ISSUED TO: EDWIN & MARGARET PISANI PROPERTY ADDRESS: 7180 PECONIC BAY BOULEVARD. LAUREL SCTM# 126-11-9.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trusttxs adopted at the meeting held on Aueust 24.2011, and in consideration of application fee in the sum of S25o•00 paid by Edwin 8c Mar¢aret > and subject to the Terms and Conditions as stated in ttie Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct asecond-floor addition and alteratlon on south side of dwelling; one-story addition on west and north sides of dwelling; setrond-floor addition and alteration on north side of dwelling; new porch on north tilde of dwelling; and install drywalls to contain roof run-otf; and as depicted on the site plan prepared by Mark K Schwartz, Architect, last dated June 17, 2011, and stamped approved on August 24, 2011. 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 es of tltia date. ti~~~ v r ~,r i 0.ENSIONS'. N/O/F IOAN SHANNON OWFLUNL ~ IYUBLK WATF0.1 EL \ C EL.. - 344.32' 18Q ? EL E< O eA~ 'aa I6.9~ N 21° IS' 40" W ~ _ F •~.p ~-_I I ~ GAG c^ Ly ~ 8 i y{g~ 3 ,j e E ~ E.,, ~ m ~ . o n GREAT 'Z o-. n '~t,m..ti.m a PEC ONIC E ° ~ ~W°~ i ~ G ~ n..m i .......a.. o~w i - ~ T z ~ 'si _ _ < RIGHT OF WAY RILHT O/F WAY ~ N ' \ Z EL ° EL. S 20° 44' 00" E 345.76' :o`.r ~ s.v eL lnr N/O/F A 10° JOHN HINSCH cxwNL SITE PLAN IBUBUC WATERI SGIE: 0.033• = l' orxn"mu SCTM Jl 1000-126-11-9.1 `r~ o LOCATION: AMEA: LarcovFRAGE: MBAAMItf: ~ i ~ ~ p0.0PE0.TT: 3].61] p. FT. O.B63 AC0.Ff AREA TO BULkHEAD ~ ? 1 i FX/f]/AG HIX/X.' !130.0 K1, rT CAM~IEW --L~G,-;_._.__. lO IX. NOUEE w/ADp}gNt 30]8.0 SQ. FT. s.1% FeBe H1. FT. ACdnONEI R" 6 iOWN OF SOliit.._ ~ - Exm]ANG raavraaacN: Hasa. rr. 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Main Rd. & Youngs Ave.) Southold, NY 11971 G Q Telephone: 631 765-1935 ~ i~ Fax: 631765-3136 ~y00UNi'I,Nc~ LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President ~ i `J/~ Town of Southold Board of Trustees p u MAY 1 4 2013 From: Mark Terry, Principal Planner LWRP Coordinator SoumuidTown a r f Tmste Date: May 14, 2013 Re: Proposed Wetland Permit for MARGARET PISANI SCTM#1000-126-11-9.1 Permits for deck or stairs were not found. MARGARET PISANI requests a Wetland Permit to remove existing cinder block cabana; reconstruct existing 21'x17' deck and 4'x5' stairs. Located: 7180 Great Peconic Bay Boulevard, Laurel. SCTM# 126-11-9.1 The proposal to remove the cabana is recommended as CONSISTENT with the LWRP. The proposal to reconstruct existing 21'x17' deck and 4'x5' stairs are INCONSISTENT with LWRP Policies 6.3 (below) and therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The structures were constructed without Board of Trustee review or a Wetlands Permit. Further, pursuant to Chapter 275 Wetlands and Shorelines, the proposal to reconstruct the 315 square foot unpermitted deck is not a permissible action pursuant to 275-11 Construction and operation standards( below). The unpermitted deck is oversized and is located seaward of the top of bank bluff (figure 1) 275-11 Construction and operation standards. A. Genera/. The following standards are required for all operations within the jurisdiction of the Trustees: (6) Platforms. (Amended 10-11-2005 by L.L. No. 17-2005; 10-9-2012 by L.L. No. 12-2012] (b) Platforms may not exceed 200 square feet and must be landward of the top of bluff. O Figure 1. Subject parcel showing deck. y 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 ~ ~y~OF SO(/j~o ~ own Hall Annex Bob Ghoaio, Jr., Vice-President ~O ~ 54375 Main Road P.O. Box 1179 Dave Bergen ~ ~ Southold, New York 11971-0969 John Bredemeyer G Michael J. Domino ~~O Telephone (631) 766-1892 0~' Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _~as[al Erosion Permit Application ? Wetland Pemut Application Administrative Permit _AmendmenUT f r/Ex Sion ~eceived Application:r~ eived Fee:$ ~mpletedApplica[ion D f[? 8 -Incomplete e~ LS N _SEQRA Classification: i Type IType IIUnlisted ' j°Ordination:(date sent' APR 2 3 2013 ?LWRP Consistency Asse ent orm ~AC Referral Sent: i~~~Z~ ,tl Southold Town ~[e of Inspection: ~ -Receipt of CAC Report: Lead Agency Determination: ~chnical Review: ?Public Hearing Held: Resolution: Name of Applicant /IIQR.sARE7 c'~.cser~ / Mailing Address gip, c~crz,/ ~ ~ ~~,eE/~ /TJ,/ //q~/~ Phone Number:( ) / 9~• y~ Suffolk County Tax Map Number: 1000 - ~ ~(a - ~ ~ - q, ~ Property Location: ~'J~'D ~gU,«/ //J~ l/~i~~ (provide LILCO Pole distance to cross streets, and location) AGENT: (If applicable) Address: Phone: - I1~ ~I~ Boa~of Trustees Application • GENERAL DATA Land Area (in square feet): .3 'r lo/ S~ ~t Area Zoning:~~= ~ ~ / Previous use of property: S ~ ; r~Pd C~° Intended use of property: ~~Si~En ~ ~ 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 Boazd 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 ~No prior permits/approvals for site improvements. Has any permiUapproval ever been revoked or suspended by a governmental agency?_~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): ipp„~,~ ~ _ 06 ~ i9-ia 7~ L'an)c~ yob/ a,~//!v / /~S~i~/G GYPC`,C aad ~IQ~C .dy/is~i,1' J l/Tff//P S p~//[G4P~ ~b(/ l~///(,~GJ '7.L~/' ~ ~ ~ / sf9~~s y x Boar~f Trustees Application . WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ,ceixoo~ euis~i o~ir DER ~zcL ahw,~.~. Lleroc~~ Ri~ui/~1~(fi ~i.ra ~ ,e .Pr?3~~ " -~G~ i Y~yKS 7i ~?/w6~!'D 'b y -S/1/! Y Area of wetlands on lot: O square feet Percent coverage of lot: ~ Closest distance between nearest existing structure and upland edge of wetlands:~~ 7. S feet Closest distance between nearest proposed structure and upland edge of wetlands: 7, S feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet 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): /f~0/1 /1 PROJECT ID NUMBER • 617.20 • SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME hJA.PVF.~f ~'~f / ~SIn~ .7~re/c ? _.S-f-GFt 2II 3.PROJECT LOCATION: %/~O ~P[LYCiC t3f/y '.t3/~" Municipality l->~V ~ County t~J~~~~K 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map ~i~~ ~~oorz/e ~Ay /a~~~-~ ~v~ 5. IS PROPOSED ACTION : ? New ? Expansion I~'~ Modification /alteration 6. DESCRIBE PROJECT BRIEFLY: ~.I ,PE$Gy/j)J G/~IOU RE/rtoat Wra6/,~y e/~d~c tdc~.t es~hn.~4 a -tics /~5 ~i~' SfA/,es y ' S/ 7. AMOUNT OF LAND AFFECTED: lfJnn AO>< yP~~ r / -frc l~cy.E'/Nfj. 621 Initialty acres Ultimately acres ~ p/ 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes ? No If no, describe briegy: CG~~j BPS 4i/~ /~~/a/ /1~.~/Yl/fS 9. WHAT IS PRESEN/T LAND USE IN VICINITY40F PROJ(E/CT? (Choose as many as appty.) ,'Residential ? Industrial ?Commercial Agriculture ? Park /Forest /Open Space ? Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, SFate or Locap ?Yes M yes, lis£agency name and permit /approval: 1 i. DOES AN,,,...Y...___LLL,,,ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ?Yes t~rl NO Ii yes, list agency name and permit /approval: 1II2--.--lLA""S A R [SU~1L~T OF PROPOSED ACTION WILL EXISTING PERMIT! APPROVAL REQUIRE MODIFICATION? I-I~es CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant /Sponsor Name Date: Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART If -IMPACT ASSESSMENT To be com feted b Lead A enc A DOES AC110N t7CCE~ ANY TYPE f 7TiRESHOID IN 6 NYCRR, PART fi1T.47 ti yes, coordinate the review process ard~use the FULL F.AF. Yes Q No 0. VNLL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negaflve deaaration may be superseded by anottxx invdved agency. Yes tJo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be hardwrllten, ff le9~le) Ci. F~dstMg ak Quasty, sudace «graatdwater quality «quantlly, noise levels. rxls(ing traffic peflem, satid waste produaion « erosion, drainage « dtsposaL . flooding problemsy Explain atefly: C2. Aesihetio, agrkultraal, archeedegk:aL historic, «otil« natural «cultural resaaces; «com «neighbofiood atarsaen ExplaYl MieAy: C3. Vegetation «fauna, fish, shellfis 'or wadl'despecies, sigMficant habitats, or Uaeatened or erdamgered species? ExpWM briefly: C4. A community's existing plans ar goals as o(fidaay adopted. «a-change in use or intensity of use of land or other natural resources? Explain briefly: C6. Growth, §u65equent developmen( or related activities likely to be induced by the proposed action? Explain briefly: C6. Long tertm, short term, cumulative, or other effects not rdenbfied in C7-C5~ Explain bnefiy: ~ C7: Other i ads ndudi than es in use of either uantil or ( e of ever ? E air briefl ; - - D. VYILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA 7 If es, ex lain briefl Q Yes Q No EIS THERE, OR IS THERE 4K~Y TO B RELATED TO POTENTIAL E ENVIRONMENTAL IMPACTS? tt Yes ~ No PART Iql - DETERMINATN)N OF SIGNIFICANCE (fo be rwtnpfeted by Agency] ~ . INSTRUCTIONS: Foreadladverseeffodiden(ifiedabove,detelminewhetheritlssubstaatiaLlarge.impotteMoroUtetw~esignNicant Eadt efled should be assessed in conraedien with its (a) srellrlg p.e. urban «lurep; (b) PrebabifdY d occurring; (cj duration; irreVereblAty; (e) gaographk: scope: and (0 me9nNlda. N necessary. add aUaalments a reference suPPaNn9 nlatettals. Ensure chat explanatioro contain - atdfldentdetaBbshowthataprelevantadversepttpaasltsvobeanidengfiedaMadaquaklyaddre~ad. UQuastlorldofpartFwasd>ridced fees. the detennNtadon of sl9nificanoa must ewduatetlta pofetltial knpaaof the proposed action on the el~psne~(oharaderistks of lha (~A Check fhb bmtsyouflalre klentilied ono«mae polentiatiylarge«sigrlificaMadverseimpadswlddf MAYoogrr. Thenprooaed directlytotlle EAF and/« prepare a positive dedars6on. Check tllls box ayou~trave dawrtlined, based at the inf«mation aM analysis above and any supporting documerdation, tltat the proposed a IltflLl NOT result M any sigrrecant adverse ernironmental knpaas AND provide, on attachments as necessary, the reasons supporting fld determination. Board of Trustees © y LJ~ 3 Name of Lead Agency Dafe J~9u+Es F. J~inJL~ President ~ Pnnt or Type Name of Respons161e Officer Lead Agenq Title of Responsible Officer nalu~Responsrbk ORC r in Le gency Sgnature of Preparer (If dlfferen! from responsible officer) n ~ ~ ~ ~ ~ ~ Iunu~ D. PROOF OF MAILING OF NOTICE MAY 1 3 2013 - ATTACH CERTIFIED 1VIAIL RECEIPTS Southold Town B r Tr Name: Address: /J1AR6,9~rE'T ~iSn~ri~ ~j~o ~n~~2i~ ~Y t3~~9° la~,~~r ~y //9~ STATE OF NEW YORK COUNTY OF SUFFOLK ~ ~ A9fhPb ,¢c~ T/SB~7 ,residing at ~/d'D J~ ~p,r ~~y y ',~yc~ ~/9vr2P/ /~j/ //ly S/ ,being duly sworn, deposes and says that on the day of /y1/3-~/ , 20/3 ,deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons aze the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at L~-v/1 t ~ ~i~( ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. _ ~ Swom to before me this (3T N- Day of /~i~y , 20~ ~7 UBL~IC~SiA OFNEIM~ d COMM 5310P~R ~MAY31~ a er 5~ Notary Public ~ - - - - o it ~a~N ~ ~ ~r., ~ Peerage g f0.66 Q946 o Postage s f0.66 0948 ~ Certified Fea f3,10 Certified Fee f3.10 05 ~ ~ O Postmark ~ Retum Receipt Fee Postmark ~ Return Receipt Fee f2 ~ Here ~ (Endorsement Requlretl) f2.55 Here O (Endoreement Requlretl) O i~ Restdc[etl Delivery Fee ResMCtetl Delivery Fee p (Endorsement Requlretl) f0,(~ ~ iEntlorsement Required) ~ ~ f6.31 05/02/2013 ~ Total Postage 8 Fees $ fb.31 05!02/2013 ~ Total Postage 8 Fees $ 0 O _ ~ Sent To ~ Senf TO~~~~n?~..... O Shee~/JO.~.'~ ~y p Street, AP[NO.; yyyyyyyyyyyy ~p.I~/y~/~I ~~fJj Jam/ or PO BOx NO.--'//~•• /i lilUl---~/~------- rv or PO BOx No. ~___L.Yfr!~ CM Ste ZIF41d-. 5.117.[5. Clry stale, ZfP+ /J //ff{/OOVJ V ~ N~ :rr ~ ' I n.l r,. ~ Q. m - I ~ ~ '6 P t~ fi Q- ~ ~ ~ ~ o- ~ ~ Postage a f0.66 0946 -n Postage s f0.fi6 0946 0 O CertHletl Fea Certified Fee f3.10 05 O f3.10 ~ PostmeM C7 ~ Postmark ~ Retum Receipt Fae Here ~ Retum Receipt Fee Here ~ (Entloreament Required) f2, ~1. (Endorsement Required) f2,55 O O Restricted Delivery Fee Restricted Delivery Fee ~ (Endorsement Required) p (Endorsement Requlretl) f0.00 ~ ~ Tots! Pgetage a Feea $ fb 1 05!02/2013 r~ Total Postage 8 Fees $ f6.31 05/02/2013 ~ O ~ Senf TONN,~ po p 1J yyy '1 ~ Sent Ty/. ra __....1!'~5~r~__-T/~ ~~1 ra ~~~,7/({~.(...~.___. Street Apt. NO.; O Street Ap[ o.; M1 or Po Box No. /p~~d~~C ~Y ..L... _ .+~`f'- CI Slate, IP+4 - - - - by ~i9 CiN, stet zi~ y :rr r. 7~ OgUFFO(,~ ~~0~ dpG~ ,lames P. King. President ti ~ Town Hall. X3095 Main RA. Rob Ghosio..Ir.. Vice-President r,. ~ N.U. Boa 1 I79 Dave Bergen ~ ~ Z' Sowhold, NY 11971 John Bredemeyer ~Q ~~~1' Telephone (63I) 765-1892 Michael J. Domino ~ Fax (631) 765641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD D p ECEIV D BOARD OF TRUSTEES: TOWN OF SOUTHOLD MAY i 32013 In the Matter of the Application of MARGARET PISANI COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPL FTED AFTF,R POST/NG REMA/NS IN PLACE FOH LIGHT DAYS 1, C/Id}RG,9/Li~'7 ~rL% ,residing at /dbaf/d'D ~PFis3'JN_. ~i,B~i ~m~ L~~rcl ry y ~i9~aJ being duly sworn, depose and say: That on the ~j day of 121fi~ 2011] I personally posted the property known as by placing the Board of rfficial poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday. May 15, 2013. Dated: r l 3 ~ o ! ? (signat Sworn to before me this /3t/t-day of /~Wr 20 13 Q MEl1NDA I.IOPPINCrNOTARY Notary Public COMMISSIONDI~IRESMAY31/ 2ofS NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. • OWNER(S) OF RECORD: (~a~ ~e~- J~.'san~ SUBJECT OF PUBLIC HEARING: To remove existing cinder block cabana; reconstruct existing 21'x17' deck and 4'x5' stairs. TIME & DATE OF PUBLIC HEARING: 1~Jeclln~sday, ~y ~S, ao~3 - o~~o.b~~t-s-~3o i°r~ a If you have an interest in this project, you are invited to view the Town file(s) which are available for insppection rior to the day of the hearing during normal business days between the hours ofp8 a.m and 4 p.m BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Bosrd of Truataes Application County~of Suffolk Stste o~~ York /~/%~aA~rr9 e ~sy~ / BEING DULY SWORN l DBPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HF,REIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONB IN THE MANNER S$T FORTH IN.THIS APPLICATION ANA AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THB TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID FERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR j TZEPRESEIJTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT' THE PREMISES IN CONJUNCTION W1TH REVIEW OF THIS APPLICATION. ~ . i Si lure of Property Owner ; SWORN TO BEFORE ME THIS~_DAY OF ~w~c~ ,2(113 N Tic ISAAC JON ARRIAGA NOTARY PUBLIC, STATE OF NEW YORK Registration No. 01AR6271167 Qualified in Kings County Commission Expires Oct. 29, 2016 d~~ Town of Sout Id Erosion, Sedimentation 8t Storm-Water Run-off ASSESSMENT FORM ~j~®~ PROPERTY LocanDN: s.c.T.M. a: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A '4(~ ~ /dop ~ STORM•WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN s-6 tTr act n ~x C t CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK -PROPOSED CONSTRUCTION ITEM # /WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? ~ Will this Project Retain All Storm-Water Run-Off (Indude Total Area of all Parcels boated within ' the Scope of Work for Proposed Construction) G SA'Y~ Generated by a Two (2') Inch Rainfall on Site? D ts.F. (This item will include all run-off created by site b. What is the Total Area of Land Clearing clearing andlor construction activities as well as all ~l andlor Ground Disturbance for the proposed ~ Site Improvements and the permanent creation of construction acdvilyT impervious surfaces.) (S.F. / Aaos) PROVIDE BRIEF PROJECT DFSCRIPI'fON trrwN. AamAww Peaea a, NetlMl 2 Does the Site Plan andlor Survey Show All Proposed Drainage SWdures Indicating Size & Loratlon? This Item shall Indude all Proposed Grade Changes and Slopes Controlling Surface Water Flow. ~ ,eE/n0"~= '3 Dces the Site Plan andlor Survey describe the erosion ~ , oe ~ ~ Ej~ and sediment control practices that will 6e used to / / ~ / _ / _ ~ control site erosion and storm water discharges. This l~ /yAL ~~~i~O( StJ1~.~S Cfl3Lf~-Y~1 item must be maintained throughout the Entire ~~C~,~~~tt,,,,,,,, Construction Period. q~~r!-~y 4 Will this Projed Require any Land Filling, Grading or ? q ' ~ Excavation where there is a change to the Natural , Dv_~ /C ~ / ~ / Existing Grade Involving more than 200 Cubic Yards ~ of Material within any Parcel? t.SfA~i1 ~ ~ ~ 5 Will this Application Require Land Disturbing Activities ? Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? s Is there a Natural Water Course Running through the ? Site? Is this Projed within the Trustees iudsdidion Gerreral DEC SWPPP RegulremeMS: or within One Hundred (100') feet of a Wetland or Submission of a SWPPP b required for afl Conslmdion adiviges involving soil Beach? disturbances of one (1) or more acres; induding dlsturbaxes a lass then one acre mat Will there be Site preparation on Existing Grade Sopes are van of a larger common plan mat wit uNmatety disNrb one or more acres of land; which Exceed Fifteen (15) feet of Vertical Rise tO x induding Construction ectivigas invoAdrg sod disNrbances of less then one (1) acre where One Hundred (100') of Horizontal Distance? the DEC has delertNned mat a SPDES partnH a required br storm water discharges. t 3WPPP's Shall meet Ma Minimum Requirements of tlw SPDES General Permit $ Will Driveways, Parking Areas or other Impervious ? for Storm Water Dlachargss from Conatruelion aetlvly -Permit No. GP-0.10-007.) Surfaces be Sloped to Direct Storm-Water Run-Off 1. The SWPPP chap be prepared briar to the submittal of me NOI. The NOI shall be into andlor in the direction of a Town right-of-wa)/? ' submgted to the DepaMient pr'ror to Ure commencement of constmGion aclivgy. 2. The SWPPP shall deaonba me eroabn end sedlrneM control practices arM where 9 Will this Project Require the Placement of Material, ? required. post-construction storm warer management pracgces mat writ be used and/or Removal of Vegetation andlor the ConsWction of any constructed to reduce the polutanb in storm water dbeharges and to assure Item Within the Town Rightof-Way or Road Shoulder compliance with the tams end conditlons of thb permit In addilbn, me SWPPP shall Area? DM1b a.m wlq NOT Ircbtle uw imNxaum a odveway Awom.l itlenly potentlal sources o(pogugon which may reasonabty he expected to aHed the quality o(stortn water tllschergea. NOTE: If My Mswx to Ouaatlons One through Nlrw la Answarod wNh s Chock Mark 3. AN SWPPPS that require me posfconsWCtfon storm water management preclice In a Box and ma conatruNOn alre dlaturbanca la between 5,000. S.F.81 Arn In aru, ii component shag be Drepared by a quallged Desgn Professional Lir»nse0 in New York a Storm-Water, Grading, Drelnaya 8 Eroalon Control Plan la Required M Ora Town of ~i That is knaMedgeabla m the pdndples and predices of Smrtn Water fdanagament Soumold and Must be Submitted roc RaWew Prior to bsuana of Arty Bulldlrrg Permit (NOTE: ACheck Mark(.1)andlar Aneww tw each Wexbnis Required Agra (:ompkta AppliuAm) ~ STA1T OF NEW YORK, i' COUNTY OF._5~.1'~.!.:~? SS I 7-hat I, .~1~'(rf/.~:~....~~l.Srff../dl being duly sworn, deposes and says that he/she is [he applicant for Permit, L (Name of individual aignirg DoammQ And that he/she is the ........,.F..~....L?~°..:~ (Owner, Contractor, Agem, Corporate Officer, eti.j 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 ut this application are hue to the best of his knowledge and belief; and that the work will be performed in the manner se[ forth in the applicaion filed herewith. Sworn to before me this; II .......a~- d. Dr...........~.1....... zal.3 Notary Public: ~~~?1'~~.~~........... ~ ~.~~L.y.,{..... iIw.111R V iif~+rv~i(. (aignature or AppACanr) FORM - 06/10 jy~,ppq~ OtrrN Y>ll~lokCpryt Coflllni~bn epetr« Od. H, ~fl l ~j . Town of Sontho~ LWRP CONSISTENCY ASSFS.4MEN'P FORM A. BYSTRUCTIONS I ; I' 1. All applicants for pentrits' including Town of Southold agencies, shall complete this CCAF far k'. proposed acilems that are subject to the Town of Souhhoh; Waterfront Cry Review Law. This assesses is iomestdod to p supplennett other ieSormatien used by a Town of Southold ageocy in r. mnioog a determination of ewnY• `Except nt4ior Gxearpt aatons irx:lndire~r 8 Permits and other ministeriaipermits mot loaQted within the Coastal Erosion Htaarddma. 2 Before answering the questions in Section C, the puepater of this form shoald review the exempt ~ tumor action list. Policies and explanations of each policy contained in the Town of Sondwld Local ! i~ Wamadtunt Rcvimlirsition Ptogrnm. A-PS4P~ action will be evaluated as to its sigma i; benelxaal and sdvrrse effects npon the coastal area (which htcdudes all of etr,ld Town) j 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will 111'i.. affect the ~ of the LWRP policy staodetds and oonditioos centained is the co~tmcy l review law. 1~, sash seswer resat be embuaed i deMil. lrrt~ bolt set i ~porthm facts. ff an aaroa caveat be certified as consistent wi@? the LWRP policy shmdffids and Coad>ti°Oa,1t~t no~~ ~ A copy of the LWRP is available in the followi ~ ng places: online at the Town of Soutitold's + r wettaite (southoldtowa.norad'ork.~t), the Board of Tn~sbees Office, the P i ' ~g+~ iii local h'brarles and the Town Clerk's office. D ~ ~ 2 ~ ®t B. DESCRiP1'ION OF SITE AND PROPOSED ACTION ~ tS t! ' i _ SCTM# -rj. / APR - 1 2013 i~i+~ I! PROJECT NAME A~e ' °r~e e ~i~P 4rr ~ i ~ ` err of Tra to s ~ ~ The Applsica~iae boa been snbmttted to (check appdopriate ~ j Tara Board ? Plannies Board ? Badbtieg Dept. ? Board atTruatea 1. Category ofTown of Southold agency action (check apprQpriate'respoese): (a) Action tmdettaken directly by Town agency (e.g. capital ? ! . Pig Y. ag~Y regulation, bad traction) ? ~ ~ (b) Fmmeiat assiatanoe (eg. f37~, loan, subsidy) I ' t (c) Petmit, approval, license, certification: Nature and extarrt of action: i.~ ~S iHS ~e~rza~P~ 6 S I i +I I ~Ec°,~ /s o2 ~ ~ X / ~I /Ui ~ ~ ~SP~ ~/an 5 ~ i~ I:! i ~i I Pro'ectDescri tion use attachmentsifnecess J P ~ azY)~ cPPr~nr Oa/~-o4 y~CZTc i /~iec~ ~acL' to-~Jii~ . ,,~~./c~ ¢t~is~ii/~ c~Pl°.C aad ~i/¢c~e -O~/isfirs ~ J / l!T/}1R5 aN//llr4P/~ S~Rjy/ SfAilS X u~ • • Locationofaction:~/d'a ~eL!c~.eii~~~4,i ~'b/~~* JadeB~ //9~ Site acreage: . ~~0 3 Q ~ Present Land use: ~PSidrn CG ;j Presertzoningclassification: RES/~r~s L ~±i_ 2. If an applicari~ for the proposed action ha bem filed with the Town of SoaWaid ageeny, the liaibwirrg i'. infosmffiicm shall be provided: (a) Nam of appiic~ /r/l3~o~L~7 ~/sdn~ I;; (b) Marling address: ~ D . ,trial Co~7 jay,e~l, /y //9~ i ! . (c} Telephone number. Area Code ~P ~ / Z 9 d~ ' `~3 ~S (d) Application number, if nay: i Will the action be dirxtty undertaken, req~e funding; ~ apptrn+al by a state or federal agency? ' ~ 'Yes ? No~ If yes, which state or fedetat sgency7 f C. Edatryah the project to the fotlowh~g policies by amslyrAfiss haw the project wld fr,rtier support or i j ! . not support the policies. Provide all propatd Bat MtaaLeaeat PnrcHoa tlsat w~ further each potiey. Iacompkke answers will require that the fora be retaraed for eoaphtion. ~ • , ~13VELOPED COAST POLICY Policy I. Foster a pattern of dattdopm~t is tis Town of 3aedhoW tick mhaaea roamanity eharaehr, preserves open space, make e1~"iesent use of idkaatractnre, malts 6aneBcid nee of a eoasta[ h?eatian, and I mmimiaes adverse effeda of development, ate LWItP 3eetlan III - Pilioa; Page Z for evalaa8oa ~ i. criteria. 1 ~ . ?Yes ? No Not Applicable i ; I . it !t Attsrb etlda~eael sheets dffiy , ~ P Z. and reurve hi:tortc sad obry p archaeological resources of tit Toga of Soadrokl. See i LWRP III =Policies Pages 3 through 6 for eva>asatroa criteria ! ? Yes No,~ Not Applicable ~ ' i Attach addidama) sheets ifneceassy i;; Policy 3. Enhance visual geatity and protect scenic rraouroes thronglant the Town of 3oathohl. See ~ j . LWRP Seetioa III - Polkks Pages 6 throagh 7 for evahratloa criteria ' ? Yes ? No,~Not AppHcabk is j;; iii Attach addttionsl shats if Y ~ ~ , NATURAL COAST POLICIES Policy"4. Min~rire toa of lids, stracturev, and nsttsral r+esomres from flooding and erosion. See LWRI' 3eeffon III - Policies Pages S throngh 16 for evaluation criteria ? Yea ? No"~Not Applicable ~I i.;; Attach sdditia®sl sheds ifnacesaa<y M I i Policy 5. Protect and improve water quality and aappky io the Town of Southold. See LWRP Section ID - PoNciea Pages 16 through 21 for evaluatlon criteria ii ? Yes ~ No~Net Applicable J< Iii Ii ' ~I Attach ad~OSel sheds if I ' ~ Y ~ il' I':i Polity 6. Protest and restore the geatity and function of the Tows of Southohl arosystems mdodhtg $tl~aiflrynt Coastal Ieuh and Wildlife Habitats and wetlands. See LWRP Section III - Polieka; Pages 22 ~ through 3Z for evaluation criteria. ? ? Yes No Not Applicable is Attach additional sheds if aeaasary i, tP Policy 7. Protext aael improve air gntdily m the Town of So~hoM. See LVYRP Section III - Ptdi~ ~ ,i Pages 32 thraogh 34 for evaluatloa criteria. ~ ' i f Yes Q No~Not Appfleable I i ~s Attach additional sheeffi if necessary t.! i Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous sabstances and wastes. ace LWRP 3extion III -Policies; Pages 34 tbroagh 38 for evalaation criteria. Yes ? No-~ Not Applicable ~j ~ i> i PUBLIC COAST POLICIES tip Policy 9. Provide for pnbfie access to, and recrmtioaal sae of ewastal waters i i' + , pablle lands, and pablic i cresouras of the Tenrn of Southold. See LWRP Section III - Potieiey; Pages 38 throngb 46 for evalaatioe ± i i n YeaO Nai~NotApplicttble s Ili Ilj ;fj Attach addidoml sheds if necessary i, i i, WORKING COAST POLICIES Policy 20. Protect SoathoW's water-depeadett uses sad promote sittng of new water-d~dent uses in j snitabk locations. See LWRP Section III - Policies; Pages 47 dtrough S6 for evntnation criteria. ~ , ? Yes ? No~ Not Applieabk j ~ j: Attach eel! sAeeb ifnecasesry Policy 1!. Promote srshinttbk eae of Hvint marine resources in Long IsLnd,Soand, the Pecaeie ~ Estaary and Town waters. Bee LWRP Section III - Potidea; Pages 57 through 62 for evaloatios eriteria. j'1 ? Yes ? No Not Applicable is Attach additional eheeta if necessary Policy 12. Protect agrIcaltaral laude in the Town of Soat6old. See LWRP Section III -Policies; Pages 62 throa$h f5 for evaluation criteria. ? Yes ? Na~Not AppNnbk ~ Y I 1 ' .1 i f''. III Atlarb additiwal sheets iffy ~ : ~ Polley 13. Promote appr»priatc use and development of eaergy and mineral resoar+xa. See LWRP Sect[on III -Policies; Pages ti5 through 68 for evaluation criteria. i ? Ya ? No~ Not Apptlcabk ~ t 1 ~I J is i'i ~f PREPAREn BY %~~~T ~ ~s~/ Triz.E - HATE 3/e9/rte i. F. P~e.ldaot ~,11F SOViI ~ xau~ seh Gho.ia a~., v~ee-Pt ~O~' y06 64376 ~ iaosd Dave Berea # # Southold, New York 11971.0969 aaha Br~edemeyer Michael. d. Domino Tie (88]) 766-1882 78S6Bl1 ''`~uNr'.'~ p E C~ I V E ~A>~oF~~~u D ~rowxoFSOVTHOrn APR - 1 2013 of own APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATE 3~~ ~~,~0/3 OWNER ///Aa~Ailcc i '~/S~'e/ PFIONE //r3 / •o~9d~-:~35/~ ADDRESS a'D ~PPr~iL~i~ i ? /dam! ~1,u.4t~ ilJ~/ J/9~/~ AGENT PHONE ADDRESS PROPERTY LOCATION ~'l~oN/C° 13!}~ ~yG~ ~C»/t~ /u~//~/~~~ r TAX MAP NO. 3 ~'d' i UWe 77///aP/,yrvi C ~,cse/d/ request 4rri Amenclmeat t0 Permit # ~ O i J I '~G~aL ~n~ ~oR Fi.J is-1-i~ Sfair~v¢y, i C~116~.Ka i~ //'Pr~E~b i i Southold Town Board -Letter Board Meeting of March 26, 2013 ;t®~ RESOLUTION 2013-280 Item # 5.44 ADOPTED DOC ID: 8695 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION N0.2013-280 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MARCH 26, 2013: RESOLVED that the Town Board of the Town of Southold hereby waives Trustees' permit fees for any repairs or construction, that in the sole discretion of the Board of Trustees, are determined to be related to Superstorm Sandy, until May 1, 2013. ~Q~°'`~+ Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS) MOVER: Jill Doherty, Councilwoman SECONDER: William Ruland, Councilman AYES: Dinizio Jr, Reland, Doherty, Talbot, Evans, Russell ,:,,q ~ ~ x w ~y A rY r~ ~ ; { ,/Z y ~ y, g R r/ Cl~~ 8 ~ 4 ono - M Page 2 APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD S 31 3 T/j~POr>b/~/ '~bDL TF~ ~ az ~d ~eA F~ooR ~~~/st s i~ , /lo ° D. C . y~/!'~f~- I 8~b' CCA 9as~5 ~ EJ~3 x /Z cC'A b/h'~ ~ ----~7 ~ . c»ch SiDt iy.eo~a// 3~~t~~b IL ~l ~ ~D y' l~/G'-lJ ~t L'k ~~.1 /y/~ ~ ~ ~ APPROVED BY j 80ARD OF TRUSTEES TOWN OF SOUTHOLD DATE s131 ~3 I RBi~/~65 %o ~ Cc,LD9r - 3G Hi~i To comer G~fti/i~6s Tv i~>~ae ~ l'as f ~~,oh~e ~ - z. S~i9,a~ES lc~ ~2~ 71~~k~q [r Tv 8 `c I PL' HhD/oR Compc611g > ~ eun-~ Le UC-~ ~Loo~ ~ n~5~s -i-~ he Z X to ~cE} /(Pp ~~rp,~~ L (~IK>JeRS I~ ~ Iz ccl~ ~Z ?c~rz t~'L'-~s* ~T'os4s --Fo ~6c S~ a' ~ c ff min to ~ 13a1o~v ls.cj+,~ ~~X~STIJlLr '.~jULK titAA Gf~.ac.o le~tl I / E~ 1 S-1• I>16- ~ 61~C~/iP LEVY 1 e ~~,,e,~ ~ ~ BvLI(NCA~j i I r /~rtte~,,,, ~I,S~iA~ ~bvIKHeA,~ ~ I ~ (~RlJ.~S SEC'/O~ .I~~C%\ t I I r ~ ~y ~ ~ I SURVEY OF PROPERTY �� �v SITUATE O N / ° 2DS LAUREL TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK Un �O � �P //dry" x2D S.C. TAX No. 1000- 126- 11 -9. 1 G0 / / o, SCALE 1 "=20' ID — _ + / �. MARCH 1 , 2011 A� I ;�r^;/ �J \x O NOVEMBER 26, 2011 FOUNDATION LOCATION N O� AREA = 37,612 sq. it. A /{1, / \ (TO BULKHEAD) 0.863 OC. /% x20.9 \ Fa \ I � Southol Town x� \ \ YA el of Tnslacs \ Il �a x2D.5 2¢ x \ x20.S \ \ x229 \ 3d 1.: \ xzLu 4a \ \' 27X x c o \ + \ \ xYa.e\ ♦q 2c� \ x2 pic fP x \ 2Pa 1^ I1p1 I pT•F.. / \ xaa4 fRpPOE aA��f %� \ v. DFI.,L1y / 0 195x / x 19 J TL /xzo.o 46 IJx Q m x� APA 2 3 2013 N o O x195 Southold Town Board of Trustees _ 9"4 YC ��, 20.1 \ \ DATE Z o R5 G- \ F / \ p p0.V Ap� 22 a \e \ 111 H�5f 19z % NOTES: /No 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM wd Fw' \ •�j / \+' EXISTING ELEVATIONS ARE SHOWN THUS:-U EXISTING CONTOUR LINES ARE SHOWN THUS: FFL — FIRST FLOOR G.FL. — GARAGE FLOOR TB — TOP OF BULKHEAD BE — BOTTOM OF BULKHEAD /T TC — TOP OF CURB BC — BOTTOM OF CURB PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FORTITLE SURVEYS As ESTAEUSHEO ss SY THE LI.A.LS. AND APPROJED AND ADOPTEDMR x ^,�• TIRES ASSOCIATION.UCH USE BY THE NEW YORK STATE FN oaf qAAr E _ w N.Y.S. Lic. No. 50467 ` / / ZQ1 �' •^e� ".1!•. UNAUT9OSU ERVEV ITA VOUTON OFOR mON WTO Nathan Tfift Corwin III ESECTION 7 DUCATIIONO AWa THE NEW YORK STATE Land Surveyor COPIES OF THIS SURVEYMAP NOT BEMINC \Y THE LAND SURVEYOR'S'S INKED SEAL OR SI Y EMBOSSED LID RUESI-1C NOT BE CONSIDERED ryry9 Cw TO BE A VALID TRUE COPY. As CNLY TO INDICTED HEREON THE S RUN SMCCw99or T0: Stanley J. Bokser, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY A / .(/- Joseph A. ngBgnO L5. Is PREPARED. AND N HIS BEHALF TO THE 14 ��Q J 6.F — TRLE COMPANY, I OVERNMEm'AL AGENCY AND FO YY Title Surveys — Subdivisions — Site Plans — CODshUafi00 Layout LENDING ISSIGNE11ON LISTED HEREON. AND TUITION. ASSIGNEES ME NOT LENDING NTRMSFEFl PHONE (631)727-2090 Fox (631)727-1727 OFFICES LOCATED AT 941UNG ADDRESS THE EXISTENCE OF RIGHTS OF WAY 1586 Main Road P.O. Bax 16 AND/OR EASEMENTS OF RECORD, IF Jamesport, New York 11947 Jamesport, New York 11947 ANY, NOT SHOWN ARE NOT GUARANTEED. B/ Sp