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TR-8207
John M.Bredemeyer III,President �*®E SOUdyO Town Hall Annex Michael J.Domino,Vice-President ti0 lQ 54375 Route 25 P.O.Box 11 Glenn Goldsmith i[ g Southold,New York 11971 A.Nicholas Krupski i5 Q Telephone(631) 765-1892 Charles J.SandersO a Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 19, 2016 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: • JOAN R. CHISHOLM 200 MACDONALD CROSSING, LAUREL 1000-145-4-16 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 19, 2016: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8207 for the construction of approximately 58 linear feet of vinyl bulkhead; a +/-54' vinyl return in lieu of proposed 100 linear feet of Hesco Barriers; backfill/re- nourish area landward of new bulkheading with approximately 215 cubic yards of clean sand fill to be trucked in from an approved upland source; plant the 15'wide non-turf buffer with Cape American beach grass 18" o.c.; construct a shore-parallel 4'x6' landing and 4'x6' steps to beach _ off bulkhead in lieu of proposed shore-perpendicular platform with stairs to beach; replace as needed +/-16'x20' on-grade masonry patio; eliminate the proposed replacement of existing retaining wall; and to correct the dimensions of the existing wood deck to be replaced from 13'x23' to a 10'x22'wood deck attached to dwelling; and as depicted on the site plan prepared by En-Consultants, dated September 15, 2016, and stamped approved on October 19, 2016. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, An � � o'M_ . Bredemeyer III President, Board of Trustees JMB/dd V V —7-7 U1Vi 'Ai"PROVED BY E N �=NSULTANTS BOARD OF IRUSTEES 131.9 NORTH SEA RD, 36 OIJT�IAM 0 JO PT N, NY 11968 WN OF,SO —1-31-283-6360 DA #crow I TE %'ve" 5hf(ACa55 VIA 5L1 ,f ;> MOMM aid MA090W9 M. r so' 0 41 .14 Ply 1:71 5ffdk G"*Aj Haa*om Map-46'_ co Nfa .yP - +2000' PROP. +54' VINYL RETURN IN PLACE OF PREVIOUSLY EXISTING 0" +44' TIMBER RETURN DESTROYED +10' DURING HURRICANE SANDY 44' EX. 16' x 20' CONCRETE PATIO TOC-) BE REPAIRED/REPLACED AS NEEDED ARE; TO BF �® qo EX. 10' x 22' WOOD DECK BACKFILLED TO BE REMOVED & REPLACED ;C3 v 15' I Purpose:IZ6car,t ion in-place)of bulkhead destroyed durincl Hurricane Sandy for flood protection PROP. +58' VINYL BULKHEAD IN PLACE 2, PaWm: 1968 NAW9 "cro5lon control C"'p, 4'' OF PREVIOUSLY EXISTING TIMBER BULKHEAD 5, New bulkhead to be con5trudcol wa virql 5h6athirq 6' 4'6DESTROYED DURING HURRICANE SANDY and CCA-treated 9tnXtUrA tAMbCr5;all ha-dWa-C GREAT PECONIC BAY to 126 hot-dipped 6OVallZed steel 4, Appra,215 cq clean 5aldq fill to be trucked in PROP. 4' x 6' PLATFORM from alapprGved upland source for backfill Poi AND 4' x 6' STEPS TO BEACH 15' wiffff Wer Momt to reconstructed bulkhead to be plated with Cape American beach q-a55(18" o.c.) 6. All w5tirq structures depicted hereon have been E E I V E transcribed from survey of property pr6pa-ed by Yam&Yam dated July 15,2016 1`05FT MCON5fMC11ON OF 5fOU I. Plan and cro5sview dlacran5 ae schematic in nature ad ar N4 to establish prod basic project location, scope,aaid SEP 19 2016 OYR? 13ULKHM9 FOIZ JOAN k, Intended O ca6tructfon details for per mftrq pwpo_,,e5 aid are not CHI OW ON 6MAf PFCONIC 13AY, Intended to serve as Or 5U,A&Ae for cNineerinci or7T_0utR_dT0_wn — t construction plans for cm5trwtion purposesFO�K COUNTY, NY 8. Project location:200 Macdould Crossing, �f I OF 2 9-15-16 Laurel;5CfM No. 1000-145-4-16 en � o -o � o m o rn �� 5�CVON TWU FFWP05�P P,�CON5TFUCTION OF 5fOFM J 5?OY 19 D I.KNFAP 5TOpM EPOVW Mf A tO 6E PACKPILLEW PENOUP15[ft?WITH APPPDX,215 CY CLEAN 5ANP 6' PLATFOFM �--15' NONfU�f3f�FER 4591 5 S 211 CAP t--1 4"1/x`16/"`1t/O`P CLAMP r ' T pP0'P,.GP,f�7�•• ' ;, (3),{ x 6'!•W�5•. .. EX.pEt,WALL EX,GE ANW= 2' -1" Vt 0A, MIN.6' 8" PEAPMAN 8" 8PIf.ES(WP.) LAYI,06 12' PW C1 � + O QS PPOP,VINYL PUI.KHEAV IN PLACE OF PpEVIOU5.Y EX1511% 10" x 16' PIES N O tIMP3 P,13UI"A717E5fPOYW PUPING HUFPICANE 5ANI2Y 1/2" x 10" x 14' O l VINYL 51-fATHIN6 n Ca nom` a O ; z � � � c � w Cantrell, Elizabeth From: Robert Herrmann <rherrmann@enconsultants.com> Sent: Monday, October 17, 2016 1:37 PM To: Cantrell, Elizabeth Cc: Bredemeyer,John Subject: Chisholm Attachments: Hesco baskets.JPG; 20161003101127.pdf,Joseph - Laurel - GP NOI.pdf Liz, I am writing to follow up on our conversation regarding Joan Chisholm's application to reconstruct her historically existing bulkhead,which pre-dates 1973,as depicted on the attached survey. After the bulkhead was destroyed during Hurricane Sandy,the NYSDEC issued an emergency permit for its replacement(copy attached). After later being approached by a salesman, however, Mrs. Chisholm was talked into proposing"HESCO barriers" in place of the destroyed bulkhead and obtained a permit from the Trustees accordingly. That permit presently remains valid through June 19,2017. Because Mrs. Chisholm could not finance the installation of the bulkhead or the stone baskets at the time, however,she unfortunately had'to delay taking any action to restore her property until now. The DEC has indicated to me verbally that because of the historically existing nature of the bulkhead and the bulkheaded nature of the surrounding shorelines,they would issue a permit for its reconstruction presently. In fact, had their 2013 approval been issued as a standard permit rather than as an emergency permit,that permit would still be valid. The Army Corps of Engineers has similarly indicated that the bulkhead may be reconstructed presently pursuant to their Nationwide General Permit No. 3,which allows for the in-place reconstruction of a historically existing shoreline structure destroyed during a storm event. See below email from Randy Piersol of the New York District: -----Original Message----- From:Piersol, Randy T NAN Sent: Thursday, October 13,2016 3:00 PM To:Robert Herrmann Subject:RE:[EXTERNAL]Hurricane Sandy/NW#3 question Robert, based on the information you attached to this email, in my review of the documents you have proven the existence and location of the historic bulkhead,prior to super storm sandy.As per our Nationwide Permit#3, the homeowner may proceed without any further notice or documentation from the Corps of Engineers provided they follow the permit specifications and regional conditions. Thank you. Randy Piersol The only other regulatory hurdle for Mrs. Chisholm is the modification of her Trustees permit to authorize reconstruction of a bulkhead rather than installation of the previously approved HESCO baskets. With installation of either device,the effect will be the re-hardening of the subject shoreline in the same location as the prior bulkhead and backfilling of the property,so really the only question before for the Board is which is the more appropriate structure to install,a traditional bulkhead or HESCO baskets. I have attached a picture of HESCO baskets,which occupy a much larger footprint than a bulkhead;are unsightly;and if installed would be the only such installation along the neighboring shoreline. Further,they are not to my knowledge engineered for long term erosion control purposes and designed to protect residential homes from intense beach erosion during avulsive storm events like Hurricane Sandy. Rather,in addition to other military installations, it appears they are engineered primarily for flood control,e.g., holding back the flood waters of a rising river. They are essentially steel mesh baskets filled with sand,gravel,or rock that sit on existing beach grade and have no below grade penetration. Therefore, unlike vertically driven bulkhead sheathing, if the beach grade elevation drops over time or there is reflective scour at the base of the wall that occurs during a storm,the baskets have no sub-grade penetration to protect their integrity. In short, I don't believe these baskets are a desirable or effective solution as a shoreline protection structure in place of a traditionally constructed bulkhead at this location. Rather, like all the other bayfront homeowners who were permitted to reconstruct their legally preexisting bulkheads that were damaged or destroyed during Hurricane Sandy, I believe that Mrs.Chisholm should be granted the same right and should not be effectively punished for having been talked into a bad deal or not having had the finances to replace her shoreline protection structure three years ago. By twice renewing her permit,she has maintained her intent to proceed with restoring her shoreline protection, so I believe the Board should allow her to do so in a manner that will be effective rather than forcing her to pursue installation of the HESCO baskets,which upon failure would place both her dwelling and property and her neighbors' dwellings and property at serious risk of flood and erosion damage during the next major storm event. Finally,with respect to how the application is being processed,you will recall that after you suggested that the amendment request could be processed administratively, I asked you to confirm that with Jay because I did not want to risk having the application tabled at the October meeting. Mrs.Chisholm is anxious to start work as soon as we can complete the permit process, and the recent destruction caused to the Southeast coastline during Hurricane Matthew has only increased her anxiety about her home remaining unprotected any longer. Therefore, it is my sincere hope that given the above information and circumstances that the Board will see fit to approve the modification request as applied for. Please call me to discuss further as needed. Best, Rob Robert E.Herrmann,MEM Coastal Management Specialist En-Consultants 1319 North Sea Road Southampton,NY 11968 Phone:631-283-6360 Fax:631-283-6136 Email:rherrmann@enconsultants.com www.eticonsultants.com 2 1 -k xt, - z s ++:t* S Sc 3 .. i T 43 Y 0 G f: CI. rw pU, R r-+ C CD O 0i g.. 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IO N A VALID TAID 7T TLAAMrceu Ir4;IC47to tgftuK 111Au w JNLT TO""MASON r0A'FNON MI Un. O NIrAAea,ANO ON NO/.HALF 10 rNI rIM COrA,ANv.OGVtINmj,4AL AGING A, ` "t-iG./1.1111VTION UlTio MMON Art O IID.ASSIG•.ifl;Ol rld aNIILNG oam ,ION WALANTNS All 001 h AlIOnITN,AI"-naIOPQ OR tir VILA, '` +� Z e► 1'� � 0 �o ^' 7. 0 �r � � P C Q� A�ar�1 •�MONdA/ENT LOT XwsrB.v j!-. M MAf4POf "ISPOW IERE PAAff R4 EDINW OfI�ACEOf'rNECLEIPKOFSt/FFGKX G>a'AVTY ON.fIlLYF,l9d/AS MAP IM rt8. REVISIONS YOUNG A YOUNG 400 OSTRANDER AVENUE. RIVERHEAD, NEW YORK ALDEN W.YOUNG HOWARD W.YOUNG PROFESSIONAL ENGINES"AND LAND/YRVEYON • LAND EURVEVOq,N.Y.D.UC.NO.12845 N.Y.S.Uc.NO.458*5 SURVEY FOR: JOAN R.CHISHOLM ,t W. ,LOTNO.1laPARTOFLOTNO.12 MAPOFEDGEMEREPARK" �i AT LAUREL GUARANTEED TO; LONG ISLAND NJMNAL BANK Q TOWN OF SOUTHOLD THE TITLE GUARANTEE Co. LAI SUFFOLK CO., N.Y. by SCALE: 1,1 a 301 DATE. FEB.8,1973 NO.73-101 so , i, x� I it rte' sv i rit.i3�r 70 OeC Permit No. qt r,14;atl 'orae of i4rtkrr« •. '-,Io*h P tilt Mess: P.08=1Z pftm Gbtr tx-�►rd ` Stdt*: NY 2-W, 11946 _ Pennit Ceovstaw6t v diflatooA foam APPka Poxsaw4 lbO4M%P Fwwe rllatiftiq Address, -P,O 1CU EMU'll: owwy r iidbuil writ Citi: yr � Stat' rev gip: 11 9 Praiect Location: ro awOftx jRd Tmvn of:Sozf-Nld&Mw zp; tisa ewrity Of: Stir*. Autt"Lzation'hype: t^r�9n�iter 4d�> r�ds +� a�r�an�dill in � �&s�rs � �°.�" �3�9itjr Ceeh� i'�rt ArOde;24A NYM 663 Artielo 15,6 cftp 401.�t�qn�hT�i�rA�•� i, a waw 'sures D=ks ;dW NIm irgs EM"�"s D cans .-M* nt` Prp j,pct Description: fs �Ki .i fir ctaan Ct Unlgi2 2w� T Of project 1 1*kT+,l b=inq:*riO Q CMWAFUM60h of a;'aWjW wW�06ca4iwary lo Qewus,err"od d fis _ 0 tnr.-, l -p f up to fout"s of sen6m or 9 Wbk^ Nd"O .at ` ;q qtr m. rYf qO ONCW or.eraide i eq4'"' . icarat' F�anctJar`'• � t�. 'ice^rzaa ��t-k�i� �f ��,. t��: '13 Repair, rst > 'o ff�ft�re.t-ticara�-�ri - ' 0- Rep;*or-fl:;c6nismxtion orexLsffng oobl1G dges,t,f6tlges .r3"�§igr�t�bf i:I�� itatO�Yakc 0 Rr:pa��ir`or rc wnstnacticart of Ovof i. #�ii�r. �;ear i a u t say6xor .t� ist7,+rvrtla r3 j.£c t ur :as: tr1-kid -fair gear arc aai�icCion of rks, t1 ihi dere izrc�enk to it 'I hIvo read this permit sand wift oonstrua this pre t in t omglln *6 se>terms;gnd cpndi' is t Wri •paTMi(and we EnVaonmontal S atfi6r' t 1d plical rrr t t n . 1 understand that,",tialse•or-ar - �teertCs t3F1�!irr spplcxn�igri I per*aro iSl- t¢' 5 � rtaar �- tiorrf Permit. {a,cmpt ftf logia r4s r�.bDity,far''all do►m .dtjt ct 1,of hatalei%e6e asid�y whOrDev of wffored,arising out of the pr+ rA do-saibed twrein arid,. reo to-indamrgn rpt. rsr��t t le8�frrsrai seri,, •�r:tia�l�s,+d�� �.r�' ry�e�It�d�ptir�� ' 'i� tii�al ifai�p � ' 8y r. ambv lhi.b".I #ay ire*i 1 tqn sic -no„ ir9 Awr-;*for.i3-rpt, 6Mp,.(—ns-8600-9LOZ\SMP\8600-9102\9102\:u :31U 9M0 WdLO:z — 9lOZ 'Ol 6nV 31Va iold )i-A8 03LL0'Id I d0 I fionJne—gbp0-910L'9MQ F o eb00-910L'oN GlOr �' 61,851'ON'91'S'.l'N'GWIOA'M CSYMOH 'OZ = J '0IVIG, e ob oz OI O Oz �m ,c �ti•-= va �" b'1-IVNOISS3d021W-40 NOJlb'100SW 0 31\fQ SNOISIA3S d0 CWO-;) ?J �dCtS�V2lO7L 3N OQIf SJ.3h2V15 QNb�1 T�Od 3'JIl'�tJd e> suo�s�ne� Jo pJOIGN C4 -to 3EIl WaaJ0,;W NI 0-::TWd3�!W SYM AaAlaM g S 1 Cl •a N v o r Ol J-41.Ua30 J.GaS3H 3N1 r 91oz'6I A1nr Q3ayd3al dyW 't &I I�( IdllZ{�'� s�ZIOJI�ll2lfis 00 _EE tai 91 m j�O a-:9 rst�l ucaoas 0001 l"'lsia doy,l xV1 fi;unov �= 3��14�J`d'3sv1'V 4JBG� ;aAains JaouJ6u3 112u0Jsso40J j'swopy-3 svJ6noQ JoouJ6U3 louOJSSodOJd'IJodloM.V svwoyl J015G"ng puvl'6Un0A'M pJvm0H �IIJo,�, MON 'FilunOV -111044n5 aNaH 94a� ZI Lo-i =10 LNVCI V II 10-1 a w0o'6UJJoeUJ6u96unofi®uJwpv g"Ntb10•LZL•189.X0¢E06Z LZL•IE9'I H'IOHSIHV .N Nvo^ IObll �IJo�,MaJy'pvaLijeAl lonuony JspuvJ;so 00*tr Noy kaAws _ QNnOzi 135 3WIG ='V QNnOd 1NaWN0W 135 1N37= EI 1 IL'I+ OL'S \\ z� (88bI)WN•b`Q'n'b''N = WfLLdQ 1b'OJ1213/1 • �o „d O�j>n\ ti9'I LQ•5 Zft-'ON 3114 Sy,IEbl'Z A-Irr NO "N=:I10zUn5 d0 Nlamlo 3H1 d0 3VJzw0 31-11 NJ Q311d t>Wcl 3631439Q3u - NOISV ICIGM 6e I+ 0 NO \ s3lON FF 940 A' 24 FS a '153 ti g or � o z \\\ ^c 5 99L of +zz•z � Lti �\ 6e'9 �/ \ d rGe O \ big LZ'L + 96'816 6 d s \ r $� IS' 10'e+ Cyd Qe� �' \ Y � \ tio'9 \ Sb'S+ %-%go yell L6'9 Y y�� 60'9. � \ �•`y�, rRip g a n 1 P 1 �'S� �� � a 1zl9 b . `\ b lIMOj pl0l{1n0$ 3 O S + �•� 20L 9102 6 d3S W -Al ze ti 000 F� , a nn W �O04 a \0 II.9 VVVV �` o� . oqg 'a< ' ZU �O Town Hall John M.Bredemeyer III,President �SF���• 53095 Route 25 Michael J Domino,Vice-President �d�' �(�� P.O. Box 1 179 James F.King,Trustee �� Southold, New York 11971-0959 Dave Bergen,Trustee q Telephone (631) 765-1892 Charles J.Sanders,Trustee d Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT DATE September 16,2016 OWNER Joan R. Chisholm PHONE 631-298-9668 ADDRESS P.O.Box 1225,Mattituck,NY 11952 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road, Southampton,NY 11968 PROPERTY LOCATION 200 MacDonald Crossing,Laurel TAX MAP NO. 1000-145-4-16 I/We En-Consultants for Joan R.Chisholm request an Amendment to Permit# 8207 to permit the construction of approximately 58 linear feet of vinyl bulkhead and a+54'vinyl return in place of a previously existing+/-58'timber bulkhead and+/-44'timber return destroyed during Hurricane Sandy(all in lieu of the previously approved 1001f of"Hesco Barriers")and backfill/renourish area landward of new bulkheading with approximately 215 cy of clean sand fill to be trucked m from an approved upland source;to plant previously required 15'nonturf buffer with Cape American beach grass(18" o.c.);to construct a shore-parallel 4' x 6'landing and 4'x 6'steps to beach off bulkhead(instead of previously approved shore-perpendicular 3'x 6' landing and 3'wide stairs to beach);to repair/replace as needed+/-16'x 20'on-grade masonry patio;to eliminate the proposed replacement of the existing retaining wall;and to correct the dimensions of the wood deck to be replaced from 13'x 23'to 10'x 22',all as depicted on the project plan prepared by En-Consultants,dated September 15,2016. p � Signed By: SEP 1 9 2016 G Southold Town K ,f Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, TLoCL&SR. e- X1$ 6�M esiding at P- O• e 0 x ( , � (print owner of property) (mail' address) ado � CLU Crross/in irQ ) �l7.s a do hereby authorize t!�— CvCit. (Agent) M� ' apply for permit(s)from the Southold Board of Town Trustees on my behalf. 6 a.,c, W. ( er's signature) a Board of Trustees Application County of Suffolk State of New York 'j©iN�(, �.Tc I Z+1 O Li'l 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 WIT REVIEW OF THIS APPLICATION. PeLj1AA1v(, Signature SWORN TO BEFORE ME THIS �� DAY OF Pry ,20_jto �/ary Public Robert B.Pace Notary Public,State of Newyork No.01PA6147440 QualiCommissifon Expires June 5,biz 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 employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. _I YOUR NAME: C )�l i-.-z- klo n 04(% R (Last name,first name,middle in ial,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 h� 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 _ 11!� 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 Submitte his aQ da�f 2A Signaturea.4A— - ,E�, 4 Print m 4W Form TS 1 1 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 employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Herrmann Rnhert F (Last name,first name,middle 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 X 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 X 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 16 Se tember 2001 16 Submitted this y of 1? — Signature Print Name - E. Herrm3m Form TS 1 ID ECtsCCVE EN-CONSULTANTS I f SEP 1 9 2016 r Southold Tnarn y September 16,2016 RF.QITF,ST FOR AN AMENDMENT Town of Southold Board of Trustees Post Office Box 1179 Southold,New York 11971 Attn.: Elizabeth Cantrell Re: Joan R. Chisholm 200 MacDonald Crossing,Laurel SCTM#1000-145-4-16 Dear Ms. Cantrell: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Four(4)Letter of Request for Amendment application including: a) authorization&disclosure forms, b) project plan prepared by En-Consultants,dated September 15,2016, and c) Survey prepared by Young&Young, dated July 13,2016. 2. Copy of Permit#8207. 3. Photographs. 4. Application fee of$50.00. I trust this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sinc hely, Rob E.Herrmann Coastal Management Specialist • Enc. 1319 North Sea Road Southampton,New York 11968 1 p 631.283.6360 f 631.283 6136 www.enconsultants corn environmental consulting v-a--d-=o MAY 2 5 2016 Southold Town John M. Bredemeyer III, Presic`_ pSUFFO(1(C - Town Hall Annex Michael J. Domino, Vice-Presiaent ��o� �Gy54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o ® Southold, NY 11971 Charles J. Sanders 'y,�j o� Telephone (631) 765-1892 dal fir ' Fax (631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Io�i�f IG3-,30 Completed in field by: En-Consultants on behalf of JOAN R. CHISHOLM requests an Administrative Amendment to Wetland Permit#8207 for the construction of approximately 58 linear feet of vinyl.bulkhead; a +/-54' vinyl return in lieu of proposed 100 linear feet of Hesco Barriers; backfill/re-nourish area landward of new bulkheading with approximately 215 cubic yards of clean sand fill to be trucked in from an approved upland source; plant the 15' wide non-turf buffer with Cape American beach grass 18" o.c.; construct a shore-parallel 4'x6' landing and 4'x6' steps to beach off bulkhead in lieu of proposed shore-perpendicular platform with stairs to beach; replace as needed +/-16'x20' on-grade masonry patio; eliminate the proposed replacement of existing retaining wall; and to correct the dimensions of the existing wood deck to be replaced from 13'x23' to a 10'x22' wood deck attached to dwelling. Located: 200 MacDonald Crossing, Laurel. SCTM# 1000-145-4-16 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 v// Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission ✓ Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: �Gi�'d5 -1,✓�,�.� c_�oy-1• b�c�o ng �l.e �"���.�� lvnlb�c an -E�,� ad.ia�n-� �,����,�ec/ . TG an 01 me4e� �w �'� ��, fn / Present were. J. Bredemeyer ✓ M. Domino G. Goldsmith N. Kru pski C. Sanders Other Page 1 of 2 John M. Bredemeyer III, Presid,, ©�r�pS�FfDt�'�oG Town Hall Annex Michael J .Domino, Vice-Presidents yq 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A. Nicholas Krupski o *� Southold; NY 11971 Charles J Sanders yyj o��^� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: En-Consultants on behalf of JOAN R. CHISHOLM requests an Administrative Amendment to Wetland Permit#8207 for the construction of approximately 58 linear feet of vinyl bulkhead; a +/-54' vinyl return in lieu of proposed 100 linear feet of Hesco Barriers; backfill/re-nourish area landward of new bulkheading with approximately 215 cubic yards of clean sand fill to be trucked in'from an approved upland source; plant the 15' wide non-turf buffer with Cape American beach grass 18" o.c.; construct a shore-parallel 4'x6' landing and 4'x6' steps to beach off bulkhead in lieu of proposed shore-perpendicular platform with'stairs to beach; replace as needed +/-16'x20' on-grade masonry, patio; eliminate the proposed replacement of existing retaining wall; and to correct the dimensions of the existing wood deck to be replaced from 13'x23' to,a 10'x22' wood deck attached to'dwelling. Located: 200 MacDonald Crossing, Laurel. SCTM# 1000-145-4-16 t Ch. 27542 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=*. A. Adversely affect the wetlands of the Town: ,B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion,in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H.'Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X,or Comment A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely-to'cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 - - ." ..F.:r fes•-•--.a0"�.=`- .. - - � - .. _ - J _ AwJoan R.Chisholm ` 200 MacDonald Crossing,Laurel SCTM#: 1000-145-4-16 l 'F - JOAN CHISHOLM,200 MACDONALD CROSSING, LAUREL l i �� 4 -�,y ♦til.' n1� �3t►. fes.'[ :t �i� � `:'� ti�L .,i.� }' Figure 1. Aerial view of subject property with bulkhead and return prior to Hurricane Sandy on March 6,2012. • Photo by Google Earth. AILI ..nalds Cro r 200 Madddn.alds Crossing r Google-earth Figure 2. Aerial view of subject property and adjacent bulkheaded shoreline on May 11,2016. • Photo by Google Earth. JOAN CMSHOLM,200 MACDONALD ROAD, LAUREL w j _ �:ry , Figure 3. Looking northwest from beach toward adjacent westerly return and two remaining piles from previously existing bulkhead on subject property destroyed during Hurricane Sandy. k`a Y -mop-- Figure4 Looking northeast from beach toward location of proposed bulkhead reconstruction on subjectproperty and at adjacent bulkheading to west and east. JOAN CHISHOLM,200 MACDONALD ROAD, LAUREL } . r Figure S. Looking east from adjacent westerly bulkhead over location of proposed bulkhead to be constructed in place of previously existing bulkhead destroyed during Hurricane Sandy. • t aJ}11 � Zc t !' ....:- y;�'.. -y cy _'- i�.. +J r�+t � _` 1. - -' �.�"_' .= � •.e.�k � �e�..,�..-� Figure 6. Looking west over adjacent easterly return toward location of proposed return to be constructed in place of previously existing return destroyed during Hurricane Sandy. : 79 I i _ • e r Oqom r i _ _10 - tir'. w John M.Bredemeyer III, President Town Hall Annex Michael J. Domino,Vice-President _' 54375 Route 25 P.O.Box 1179 Glenn Goldsmith C'* Southold,New York 11971 A.Nicholas Kru ski G p � �® Telephone(631) 765-1892 Charles J. Sanders ®l�i'0®UN i Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 15, 2016 Joan R. Chisolm P.O. Box 1225 Mattituck, NY 11952 RE: JOAN R. CHISOLM 200 MACDONALDS CROSSING, LAUREL SCTM# 1000-145-4-16 Dear Ms. Chisolm: The following action was taken by the Southold Town Board of Trustees at a Work Session held on Wednesday, June 15, 2016: RESOLVED that the Southold Town Board of Trustees grants the Last One-Year Extension to Wetland Permit#8207, as issued on June 19, 2013. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, John M. Bredemeyer III President, Board of Trustees JMB:dd John'M. Bredemeyer III, PresidentS�¢FQ1Keo Town Hall Annex Michael J. Domino, Vice-President Gy 54375 Route 25 Glenn Goldsmith i= �` P.O. Box 1179ZZ " A. Nicholas'Krupski o y' Southold,,NY 11971 Charles J. Sanders Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES b TOWN OF SOUTHOLD i Jbere Date/Time: 6 I Completed in field by- JOAN R. CHISOLM requests the Last One-Year Extension to Wetland Permit#8207, as issued on June 19, 2013. Located: 200 MacDonalds Crossing, Laurel. SCTM# 1000-145-4-16 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool,(cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: I. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1° II Unlisted Action Type of Application: Pre-Submission Administrative' Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years:.Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: - J.. Bredemeyer M. Domino G. Goldsmith N. Krupski C�nders Other Page 1 of 2 %®F SO�� John M. Bredemeyer III, President o� y�l Town Hall Annex ® Michael J. Domino,Vice-President l�[ 54375 Main Road P.O.Box 1179 James F. King, Trustee C/s Southold,New York 11971-0959 Dave Bergen,Trustee � Telephone (631) 765-1892 Charles J. Sanders,Trustee Coutm,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 20, 2015 Ms. Joan R. Chisolm PO Box 1225 Mattituck, NY 11952 RE: JOAN R. CHISOLM 200 MACDONALDS CROSSING, LAUREL C S TM# 145-4-16 Dear Ms. Chisolm: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, May 20, 2015: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit#8207, as issued on June 19, 2013. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, John M. Bredemeyer III President, Board of Trustees JMB/amn John Bredemeyer, .President gUFFOt,( Town Hall Annex Michael J. Domino, Vice-President °° °ay 54375 Route 25 James F. King y x P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen y�o! ,� �a°� Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: / /T JOAN R. CHISOLM requests a One-Year Extension to Wetland Permit#8207, as issued on June 19, 2013. Located: 200 Macdonalds Crossing, Laurel. SCTM# 145-4- 16 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 Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were: J. Bredeme er M. Domino J. Kin C. Sanders D. Bergen Y 9 en 9 Bay Constable Other Form filled out in the field byy /% Mailed/Faxed to: Date: yu-9 A4t ao% ice✓ L- APR 14 206 ► c / a9,F �� James F.King,President e FF9J/( Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President 042 P.O.Box 1179 Dave Bergen southold,NY 11971 John Bredemeyer 'A Telephone(631)765-1892 Michael J. Domino �Ol 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 1st day of construction _ % constructed Project complete, compliance inspection _ - BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK i PERMIT NO. 8207 DATE: JUNE 19,2013 ISSUED TO: JOAN R. CHISOLM PROPERTY ADDRESS: 200 MACDONALDS CROSSING, LAUREL SCTM# 145-4-16 AUTHORIZATION Pursuant to the provisions of Chapter 275 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 June 19 2013,and in consideration of application fee in the sum of$250.00 paid by Chris Howell and subject to the Terns and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove and replace existing f50' retaining wall; install Hesco Barriers for 100 linear feet on south and east sides of property butting up to adjacent property's bulkhead; fill proposed area to level 6' grade and install a 15' wide non-turf buffer area; Hesco Barriers to meet height of adjacent bulkhead and filled with sand, gravel and natural stone; install a 3'x6' landing with 3' wide stairs to beach; remove and replace existing 231x13' back deck attached to dwelling; with the condition the stairs to beach be retractable or removable for the winter season; and as depicted on the site plan prepared by OLDE South Development, received on May 28,2013 and stamped approved on June 19,2013. 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. � auFFoc,�oo ichae Domi -recused O .� 0 TERMS AND CONDITIONS The Permittee Joan R Chisolm residing at 200 MacDonalds Crossing, Laurel, 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 0 James F. King, President �QF so Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O� Ol0 54375 Main Road P.O. Box 1179 Dave Bergen # #[ Southold,New York 11971-0959 John G • Telephone(631) 765-1892 Michaelel J.J. Domino o '�� 00UNT'1Fax(631) 765-6641 �y ,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 19, 2013 Mr. Chris Howell OLDE South Development PO Box 75 Southold, NY 11971 RE: JOAN R. CHISOLM 200 MACDONALDS CROSSING, LAUREL SCTM# 146-4-16 Dear Mr. Howell: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 19, 2013 regarding the above matter: WHEREAS, OLDE South Development on behalf of JOAN R. CHISOLM 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 May 28, 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 be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 19, 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, 2 • • WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JOAN R. CHISOLM to remove and replace existing ±50' retaining wall; install Hesco Barriers for 100 linear feet on south and east sides of property butting up to adjacent property's bulkhead; fill proposed area to level 6' grade and install a 15' wide non-turf buffer area; Hesco Barriers to meet height of adjacent bulkhead and filled with sand, gravel and natural stone; install a 3'x6' landing with 3' wide stairs to beach; remove and replace existing 23'x13' back deck attached to dwelling; with the condition the stairs to beach be retractable or removable for the winter season; and as depicted on the site plan prepared by OLDE South Development, received on May 28, 2013 and stamped approved on June 19, 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 Very truly yours, James F. King President, Board of Trustees JFK/amn ��oydSUFFO14-e James F.King,President y Town Hall Annex Bob Ghosio,Jr.,Vioe-President 54375 Route 25,P.O.Box 1179 John Dave Bergen y'r 0� Southold,NY 11971 Y 1 Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: AL-DE SaAh D2v . : ate J a0 (, 66 7 Please be advised that your application dated 5 3 has been reviewed by this Board at the regular meeting of and your application has been approved pending the completion of t e 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) 1/2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 6a. to BY: James F. King, President Board of Trustees • ��pSUFFO(,pc • O� Peter Young,Chairman Town Hall, 53095 Main Rd. Lauren Standish, Secretary ; 0 T P.O.Box 1179 !� Southold,NY 11971 ��Oj .�$0 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., June 12, 2013 the following recommendation was made: Moved by William McDermott, seconded by Audrey Horton, it was RESOLVED to SUPPORT the application of JOAN CHISHOLM to remove and replace 50' retaining wall; install HESCO barriers 100' on south and east side of property butting up to the neighboring bulkhead. Install a 15' non-turf buffer; install a landing and stairs; and remove and replace existing back deck with a 23'X 13' replacement. Located: 200 McDonald Crossing, Laurel. SCTM#145-4-16 Inspected by: Audrey Horton, William McDermott The CAC Supports the application with the Condition the stairs are retractable and the specific location of the HESCO barriers is identified on the plan. Vote of Council: Ayes: All Motion Carried • i James F. King.President suFF94 CQ P.O. Box 1179 Bob Ghosio.Jr.,Vice-President � �� 6Z Southold,NY 11971 Dave Bergen ? Telephone(631 765-1892 .lobo Bredemeyer T Fax(631)765-6641 Michael J. Domino P 4t Southold Town Board of Trustees Field Inspection Work Session Report DaterFime: JOS' OLDE South Development on behalf of JOAN R. CHISHOLM requests a Wetland Permit to remove and replace existing ±50' retaining wall; install Hesco Barriers for 100 linear feet on south and east sides of property butting up to adjacent property's bulkhead; fill proposed area to level 6' grade and install a 15' wide non-turf buffer area; Hesco Barriers to meet height of adjacent bulkhead and filled with sand, gravel and natural stone; install a 3'x6' landing with 3' wide stairs to beach; remove and replace existing 23'x13' back deck attached to dwelling. Located: 200 McDonald Crossing, Laurel. SCTM# 145-4-16 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound !Bay Distance of proposed work to edge of wetland Part��f Town Code proposed work falls under: v�hapt.275 Chapt. 111 _other Type of Application: Wetland Coastal Erosion _Amendment E Administrative_ mergency —Pre-Submission Violation Info needed: Modifications: k) E Conditions: Awa ur 6e fG E/L au� Present Were: J. King _B. Ghosio D. Bergen, J. Bredemeyer 4--'Michael Domino D. Dzenkowski other Form filled out in the field by J Mailed/Faxed to: Date: 4 + A ..1._. .. �.�• -�."_ it -._``. r r. - F y.. { - Cif"* . -! '• , MAY 2 8 2013 Southold rpwn f 4%W- A / � s 8 / d F O / • � . s e i i i 0 d GPS A SLnb _ _ COUNTY OF SUFFOLK © d SECTION NO c -�— a1� Nm.a-v .nv TSem.�ggenn `a 145 OFFICE LOCATION: O��q SO[/lyol MAILING ADDRESS: Town Hall Annex O P.O. Box 1179 54375 State Route 25 # # Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Cn Southold, NY 11971 @ Telephone: 631 765-1938 Fax: 631765-3136 Cow LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM D E C E U E JUN 1 3 2013 Southold lawn To: Jim King, President Board of Trustees Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: June 13, 2013 Re: LWRP Coastal Consistency Review for JOAN R. CHISHOLM SCTM#1000-145-4-16. OLDE South Development on behalf of JOAN R. CHISHOLM requests a Wetland Permit to remove and replace existing ±50' retaining wall; install Hesco Barriers for 100 linear feet on south and east sides of property butting up to adjacent property's bulkhead; fill proposed area to level 6' grade and install a 15' wide non-turf buffer area; Hesco Barriers to meet height of adjacent bulkhead and filled with sand, gravel and natural stone; install a 3'x6' landing with 3' wide stairs to beach; remove and replace existing 23'x13' back deck attached to dwelling. Located: 200 McDonald Crossing, Laurel. SCTM# 145-4-16. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed actions are CONSISTENT with the LWRP Policies and therefore, CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney 0 James F. King, President oF sours Town Hall Annex �`� 54375 Main Road Bob Ghosio,Jr.,Vice-President P.O.Box 1179 Dave Bergen * Southold, New York 11971-0959 John Bredemeyer G Q Michael J. Domino Telephone(631) 765-1892 Fax(631) 765-6641 COW, � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application _Administrative Permit _Amendment/Transf /Ex cion Received Application: E IS IS Q 2 8 V 2 _✓ erved Fee:$ 2 l�9 w Completed Application � �r— _Incomplete uu MAY 2 8 2013 _SEQRA Classification: Type I_Type ll_Unlisted oordination:(date sent) `V Consistency Ass m nt Form J� Southold Town '////C///C C Referral Sent: S e ate of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: Public Hearing Held —Resolution:— Name esolution:Name of Applicant Mailing Address Phone Number:( ) '�3,// 98 966 8 Suffolk County Tax Map Number: 1000 - Property 000 -Property Location: 0200 (provide LILCOO Pole#, distance to cross streets, and location) AGENT: [/�OC J;24,7 . (If applicable)) Address: / 7 3� ��/✓//� /� / �� //9Y� ��✓ �✓C G rr-- qO �' q 7 Phone: Boo of Trustees Application • GENERAL DATA Land Area(in square feet): 0� LQ y Q Area Zoning: p e-S 1 Ol ti ri T I A / Previous use ofproperty: , Intended use of property: Covenants and Restrictions on property? Yes If"Yes", please provide a copy. y Will this project require a Building Permit as per Town Code? Yes X No If"Yes", be advised this application will be reviewed by the Building Dept. prior o a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes", please provide copy of decision. Will this project require emolition 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? es No Prior permits/approvals for site improvements: Agency Date 1'r LIS leZ-5 6;267/3 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): ,per_ ayt—o.an r_ems i 3,v 3 j i I Boa*f Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA � Purpose of the proposed operations: (/1 ja iv ✓b l ' yA LZ K6 e 10 A anY' NytS Ate / A C, l✓ � '��� Area of wetlands on lot: f i� square feet Percent coverage of lot—&4-0/1 Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between n est proposed structure and upland edge of wetlands: , _feet Does the project involve excavation or filling? No If yes,how much material will be excavated? — cubic yards How much material will be filled? 39® cubic yards Depth of which material will be removed or deposited:_ 5r _feet Proposed slope throughout the area of operations: aC L S T z. ! 6 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):: ����� Ala PROJECT ID NUMBER • 61720 • SEQR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORM TION To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR D 2.PROJECT NAME �/,O,r 3.PROJECT LOCATION: Municipality County 4.PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or Provide map Y8 5.IS PROPOSED ACTION: 1:1 New Expansion Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: L/N[nv /2G/y�D.�,G ,S ��,o�il� G ,�C�A/^�� L✓p�/ NSA//!<<-SGo iii r/ov'F/� /moi�os�� c.� fe �rv,o r r'n/ /✓vim %vrF /3vL✓ _-.,/csca f /�f/ q /o G✓//l Cc t`y�s wj �/�� v ,/'l d # /c✓S 7' S /,./GS / OC SA/tet G,� SAn T AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres &WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? INYes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ®Residential n Industrial O 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, State" Local) 1 dyes r_j No Iff yes, list agency name and permit / approval: 1 /J,4,l 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ElYes 14 No If yes, list agency name and permit / approval: 1�2–LA"S A RELUULJT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I—L as No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: Signature 3 If the action is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment �OO �eQo•v.9��C'�' �.Qvrc�/�� oe zex� ielf ,n Q I S Flan /s-X 3,r 3 w -1 let- X23 X/3 i i I I' PART II- IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE tTHRESHOLD IN 6 NYCRR,PART 61TA? If yes,coordinate to review process and use the FALL EAF. - 0 Yes a No o, viALL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No,a negative declaration nay be superseded by another Involved agency. Yes a No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING.(Answers may be handwritten,Illegible) C1. Existing air quality,surface Of groundwater quality or quantity,raise levels,existing traffic pattern,solid waste produaton«disposal, potential for erosion,drainage or flooding problems? Explakh briefly: Cz Aesdita ,agdeWhxal,archaeological,historic,or other natural or oaxal rasotaces:of or neighborhood eharadeR Explain C3. Vegetation«fauna fish,shollfis «wild e-species,significed habitats,or threatened«endangered species?M(sin bdefly: C4. A community's existing plans or goals as officially adopted,or a-charge in use or intensity of use of land«other rat«al resources?Explain briefly: C5. Growth,subsequent development,or related actWies likely to be induced by the proposed action?Erylain bdety: C6. Long term,shod. cumulative ,of cumulati ,oor ocher effects not identified in CI-CS? Explain briefly: C7:Other impacts indudin than es in use of either uanGt ort of ere I O. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSEDTHE ESTABUSHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA? If es, : E explain briefly Q Yes Q No E IS THERE,OR IS THERE LIKELY TO - RELATED TO POTENTIAL E Yes No I'NVIRONMENTAL IMPACTS? If . ❑ Q E s exatak PART M-DETEliMMMIM OF SIGNIFICANCE(To be completed by may) . MTRUCTI(M. Foreadtadversendfeatidentifiedabove.detenninewhetlertIssubstattal,large,knpartartt«otheivrtsesigttficriaL Each ebfsd Wxgdd be airs8ased in Conn®Won with is(a)setting(Le.urban or rural):(b)prebaWty of oocurdlg: dut (o) atlon:(d)kfeverslbirdy.(a) gaogreph�scope:and M anotsu ude. If neoassary,add atadlments or relarenae ppor ft maklriais. FJteute that e>gllattatons coatakt- s detat to show that all relevant adverse kryacts have been kiefltfiad and adequately adfkessed. U nwreon at enAatt wons coa ted M the daEanttirlatonofslgntfittaatloemustevaluatelheprHr lktlpadofthepreposedadi«IentheenVkonmenWaltaraCtedstcsoftteCFA Check aas box Ifyou have klenGted ane«more pd«Itagylarge craignificerkadverse Hhpadswfnich MAY occur.Then direcd btlne FAF and/or prepare a positive dedaralion. Pied y Check this box ItYou'have determined.based on to Infonnalkin and analysis above and any supporting documentation,that the proposed WILL NOT result In any slgniacald adverse environmental Impacts ANO provide, On attachments as necessary, the reasons supporting thi determination. Board of Trustees /-3 A Name of L/ea�d�Agency Dale President Print or Type Name of Responsible Officer in Lead Agency Tnle of Responsible Officer 6pr Sgnature or Responsible urn,,, Lead Agency_._ Sgnalhxe of Preoarer(I(ddferenl fmm raonnnc;l,rn..ro,nrl _ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: /0 I N ��b�� iIs Wog tf ��r �OC�Ui��a � Oee.k W c S Moc rJAIAs f o g�x 3su �a(c�L j }>,wch-�uect tj L Po 6 31, leu+el , Cure (03 �t��e_ NoAde � CNS�1' �U�s n- � STATE OF NEW YORK COUNTY OF SUFFOLK OwC l residing at O� being duly sworn, deposes and says that on the /g�2 day of , 20/3, deponent mailed a true copy of the Notice set forth in the B d of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Tow of Southold; that said Notices were mailed at the United States Post Office at / _ that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. f " Sworn to before me this 1 I Day ofc 20 1� �l CONNIE D. BUNCH rwQ n Notary Public, State of New York No. O1 BU618,5505Q OuaRied in Suffolk Counts Notary Public Corn Plsion Expires Apr;; 14.ZD/G Postal Postal CERTIFIED RECEIPT• AIL,� RECEIPT (DomesticOnly; M1 (D. Provided) � LAIA2EL NY 11948 LAUREL NY 11949 --- to I $0.46 0971 a P, t+eto $ '$0.46 9971- J;. nrn ree $3.10 Ori ccnl uCo $3.10 02 Holl Rc III — — ��irt.wrlc `� ---- I`oslnmrN 3 1 - -�p1ar Relum H :pt Fou } p Q.ndmsc IHnt ¢d) _ '� a ID (Lntlol' wot RrTmred) �•� R inctoo Col vop F e -.-, $0.0 (FRnedsotrirscetemdoDowry nimFo[10) jo•�Rag1 d) O 3 — .1 � ° Tctel Po, gr &r ; $3.56 � /10013 ° Titl PstnieRFeox $ $3.5G Ob10/ 013 O ri S t To a �n-4,k Imp -- � L � -7 v e (ApfNn ���p pPOOrnNn. -qS5 fNV . VAe 1 `'=�5� ��� _--( I� N-- ...��.. lY . .CIV Stale Z ,4 I N`/ ZIP44 t (s r :.r Postal ServiceT11 U.S. Postal ,• • • RECEIPT • CERTIFIED MAILT,, RECEIPT O • • O (Domestic D t . 7 � RI -n n ROCKVILLE CE1lTRE NY 11570 Ln TUCKAINIE NY 10707 D Pas4rgo $ $0.46 0971 Postage $ $0.46 0971 t l {FCc $3.10 02 o certiro t Fee $3.10 02 — - Posbppp��ar4 O 2ostmeB 3 HuWr Rc {IFno j -viV C Return R.,,Apt R>e _ 1!)�Apte (Entlursr ton Heyulrad) �•� '' ^`K\� � M (Rndorsamant Roqulr.d) $0.00 / , Restrict I DMI ry a (SFnn.dro rsemanI t R-�.e tvPlrFc.-d—l --$0.00 Jr`� lRasToned Dovemryi Feee JON O (Fndorsmont Roquird) - (ft$j0t.0* $ $3. O6/10/� p3 TW P . g oTatnt Postege&Fees $ $3.5� 6 To M SO` A J "06Y10 I33 , -- 7 Sf,,et,Apt Cr POH.No 1�Q - ---- - -- .-_ O -- POB-t.No V� I,,•1'`�'S. 0i 6 Slate TI +4` _. - ciN fat P 4, I�� l�OgpfFO(,�cOG .lames 1'. King. President to town Hall_53095 Main Rd. Bob Ghosio_Jr. .Vice-President P.O. Box 1179 Dave Bergen O Southold.NY 11971 John Bredemeyer �7/� �0� Telephone(63 1)765-1892 Michael J. Domino �' Fax(63 1)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JOAN R. CHISHOLM COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGIIT DAYS /i 4i,X 1/ residing at/dba being duly sworn, depose and say/ That on the //V�day of z t 201,3 I personall posted the property known as ,?LOIJ /'CGU N/7�/ �iq /iliG �Y by placing the Board of Trustees official poster where it can e sily 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,June 19, 2013. Dated: signature) Sworn to before me this 14k day olvW20 Q) CONNIE D. BUNCH Notary public, State of New York Civa6 ed in Suffolk uffolk County Notary Public "crn'nisatun Expires April 14,2�b NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: To remove and replace existing ±50' retaiSUBJECT OF PUBLIC HEARING. for 0linear; eetol southsco as east for 100 linear feet on south and east sides of property butting up to adjacent property's bulkhead; fill proposed area to level 6' grade and install a 15' wide non- turf buffer area; Hesco Barriers to meet height of adjacent bulkhead and filled with sand, gravel and natural stone; install a 3'x6' landing with 3' wide stairs to beach; remove and replace existing 23'x13' back deck attached to dwelling. TIME & DATE OF PUBLIC HEARING: PM Weckne% yy, Tune &-19, o1D 13 - - or oho `S .!o If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection rior to the day of the hearing during normal business days between the hours ofp8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 Boa of Trustees Application • County of Suffolk hD f New York BEING DULY SWORN SES ANDA FIRMS 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. i t 'of P A caner, U � SWORN TO BEFORE ME THIS DAY OF 20 ) --5 Notary Public MnAtME Y.BROWN NAWY Nft 8MM of New yjKk No.4OW12 # Ljej 0 fS-7) J� Qua w 3n&"cm* omm on Expires Oct.19, �) 3 Boa 0of Trustees Application • AUTHORIZATION / Qw,/" esidingat�17o (where the applicant is not the owner) Q (print o er of property) (mailing address) PQ • ,O Q - C / ,O 71*r11C S',1v y do hereby authorize r IdAlf-,4. t (Agent) �A• '/'/to apply for permit(s)from the S uthold Board of Town Trustees on my behalf. �E! ' (Ow er's sign�e)� APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold s Code of Ethics prohibits conflicts of in^ st on the RM oftown 615"x.13 and emvlovces.The MM=of this form is to provide information which can alert the town of possible conflicts of immil and allow it to take whateve[acttm is neo-__mN M avoid same. /a �l////Ll dr " (� y"_�„�/ YOUR NAME: U�—� - (Last name,first name,-0riddle initfW,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.) A 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 applicantlagent/representative)and the town officer or employee.Either check the appropriate lire 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): /V A)the owner of greater than 5%of the shares of the corporate stock of the applicant /�. (when the applicant is a corporation); N B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); N C)an officer,director,partner,or employee of the applicant;or A 'D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thi day of Signature Print N e QL Form TS 1 Mille disk Town of Southold �= Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM RO PPERTY LOCATION: S.C.T.M.a: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Is STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN ZWIEF "ill—on —810 —C— CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YGRN. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? R Will this Project Retain All Stam-Water Run-Off rea (Include Total Aof at Parcels located within / v� Generated by a Two(2 )Inch Rainfall on Site? / ( S.F./Ams)/Asa) the Scope of Work for Proposed Construction) (This item will include at runoff created It. by site El. What is the Total Area of Land Clearing clearing and/ we or construction activities as ll as at and/or Ground Disturbance for the proposed .3 If IN Site Improvements and the permanent Creation of construction activdyt impervious surfaces.) (s.P./Aoa) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION lwaaN.Addld.dP.a..«N.d.a1 Drainage Structures Indicating Size&Location?This ✓ ❑ Item shall Include all Proposed Grade Changes and �/✓fTiF///7'�.SC� .O I�i6`/�/L'✓f Slopes Controlling Surface Water Flow. s. 3 Does the Site Plan and/or Survey describe the erosion ❑ A Q'/ and sediment control practices that Will be used to _ COntrd site erosion and storm water discharges. This it.,must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading a Excavation where there is a chs to the Natural Existing Grade Involving more than 200 Cubic Yards — �� of Material within any Parcel? 5 Ennthis Application Require Land Disturbing Activities F-1 / Encompassing ompassing an in Excess of Five Thousand 1/ (5,000 S.F.)Squarea Fe Feet of Ground Surface. 6 Is there a Natural Water Course Running through the ElSite? Is this Project within the Trustees jurisdiction J General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involing sol Beach? dist ubances of one(1)or more saes; Including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes aro pad of a larger common plan that will ultimately disturb one or mare acres of land; which Exceed Fifteen If 5)feet of Vertical Rise to ❑ •—/ including Construction activities Involving soil disturbances of lass than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has de(emined that a SPDES pemN is required for storm water discharges. (SWPPP's Shag meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or Other Impervious / for Stam Water Discharges from Construction activity-Permit No.GP-0.10- 01.) Surfaces be Sloped to Direct Stoma-Water Run-OR Y 1.The SWPPP shall be prepared prior to the submittal of tin NGT.The Not shelf be into and/or in the direction of a Town rightot-way? submitted to its Deperbraed prior to the porvhrencenhant of construction activity. 2.The SWPPP shat describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ required,postcorstmobon sane water management Practices that win be used and/or Removal of Vegetation and/or the Construction of any 1/ mnsbucted to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way Or Road Shoulder eumplance with the tams and amditom of this permit.In addition,Me SWPPP shall Area?ubw Nem win NOT k line i .aa.awh ar bmh y pram.) kfenfffy potential sources of pollution which may reasonably be expected to affect the quality of storm wear discharges. NOTE: If Any Answer a Quaffs Orn though Mos b Answwod with a Chock Mark 3.N SWPPPs fret require the postco sauclan storm water management practice In a Box and tin construction site disMbana in between 5,0008F.A I Ave M ara, component shall be prepared by a qualified Design PmkasbrW Licensed In New York a Stam-WaM,Grading.Drainage E Erosion Control Plan A Requkad by ft Town of that is kngMedgeade in the principles and practices of Storm Water Management Southold and Must be SubmMW for Review Prior W Issuance of Arty Bundling Permit (NOTE: AC Madr(!)a �rm QeasY Req:ndbra Cenplere Applotbn) Notary Public, State of New York STATE OF NEW YORK, No.01 BU6165050 COUNTY OF...........................................SS Ouaiif ed in Suffolk County Comr-i-swDrt ?Exptra_s April 14,20 /hat 1, „t. !fl..!/wrlLC ..I....../..T..t.".`1�L/ ing duly swum,deposes and says that he/she is the applicant for Permit, (Name o/4 duat sigcrg Document), ,p And that he/she is the ..... Qti .C.....z5.....Q N r!K..< � ........................................................... r.etc) (Owner,Conbaaa,Agent.Corporate Officer.ea.) 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 fded herewith. Sworn tobeforeme this; .4.. ..._... ..........day of,.. ............ ..................... . . 10.�.� Notary Public. ........ . . ....... .... :.Q.r.116......... ........ (sg atmra a Applkanq FORM - 06/10 �p0 'WCDo.v���C'�' 'lee-owe L�t �� SG ��G rA/vv(✓ _ __` /���%�s�a✓ obi/� � � // -01 i Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1.\ All applicants for permits* including Town of Southold agencies, shall complete this CCAF for \roposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This astessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its significant 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, listine 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 of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# / y S - q �- J 10 PROJECT NAME_ 4 1d 4 /,OV-7 The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees VJ 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: ply /41CS c o a o 4%',' �?z � caul 3 or I ,I i Location of action: lie �Ax'd4 Site acreage: 0 _3 7 Present land use: /L'41t�,t /Zl ' Present zoning classification: 1,,iew� - h 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: �452 lyd �j0202 S �y/ ///iC (c) Telephone number: Area Code (d) Application number, if any: Will the action b directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No Z 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. JoYes ❑ No [] Not Applicable / -OXZ' S yr c ✓ S ✓ A G /6v Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No'9 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 zywbre'e- 0w W-ftlf- RA Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria N Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section HI —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No 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. ❑ 11 /LTJ Yes No Not Applicab • 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 ❑ NXo Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ N XNot Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YXI No Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES • Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No x Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Towwaters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes 11No FNot Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ NoVNot Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies- Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BY,� �S To / 1144� TLE 4e.`.- 7b DATE i;9 /3 %nl+� S�ua 3'wl aL _N q � YY ANPROV'M 6Y - EKsfik BOARD OFTRUSS TOWN OF SOUTHOLD i j4et �� f%•,itCiS DATE Q (3 i q*t qo - -- 3 , VE r 8 ^"'3Say -._.___� Boar._ rl� No h ipG«l- a(<�Lo%tl 2 00 {uakc .�Ylino �I� Sa'f1f ss i �SQ i o,Q.4 —_ ---._.__ _ _ - 11 = eri t�h 'n 1 III!N rliJ�/ L ?�i9y 1� , V 1 p ti ( � i:.4t•t` i, 011_11111�. .� '�: ,Jill J, a�w o-j i 4 JCA tZIVir d Ike Sc k j Mk4 �wlAo Dl�rsw I _1 , MVINISRRVI A A V✓JN fMNNIy 'O MI;SURVf% LL A VgIAIgN M 401014 120f'OI THE NfW YOIK STAII tPUCATION LAW. CONf$Of MR SURYEY REAI Nor SCARP. fIf LAND •UIV?"CI'S INKEO SHL OR EMIOSSED StAF SI•AtE NOT R Cr i'DVN fO R A VALID TRUI COIY 2UARV1TffS 11D,ATEO NGtCCN SIIALI RU DNLY TO INT.NRSO,N Wit WHOM III ilR. IS Yq AND ON HIS 11X11 to Mk / •ITL[ COM COM%4iY. GOVFRNMfNSAI AGkNC• A. kNDU.O INSIIIVTION LISTfO NkRfON. ANT 'O IHI.ASS1G'IEES Of THk IRNOWG Imm VrION C•VARAFORS ARII NOI IkANSIf l M10111ON4I INSTITIITW IS OI SUY( \ i 00 E , 00b R0 a °0 0 o ..p \ p �� . O SO~ IPf77 got j ISS Ph5e 50f w 1 I �rd16 IfIM ff~,o, N- 3 l b& 0 � EC E VE C \� MAY 2 Southold Tom _ I Board of 1•o,I, s II I �G Q NOTE+ •=MONUMENT Cor NUMBERS R£F£R rO MAP OF NEDSENERE PARR'F/L ED/N INE OFF/C£OF TRE CL ERR OF SUFFOL K COIAVTY ON✓UCY2,/93/AS MAP NO.742. REVISIONS YOUNG & YOUNG 400 OSTRANnFR AVFNnr onlrour.,, REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORI ALDEN W. YOUNG HOWARD PROFESSIONAL ENGINEER AND LAND ■VRV LAND SURVEYOR. N.Y.S. LIG, NO. 12043 N.Y.S. LIC. i SURVEY FOR: ebb y JOAN R. CHISHOLM �P W. y LOT NO.IISIPARTOFLOTN0,12 11MAPOFEDGEMEREPARKII AT LAUREL GUARANTEED TO: LONG ISLAND NATIONAL9 rj TOWN OF SOUTHOLD THE TITLE GUARANTEE FLAW CI IFFOI u rn N V 8Y , /. , i.1r/,-