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HomeMy WebLinkAboutTR-8217 •A' S 4. John M.Bredemeyer III,President Town Hall Annex �� QE �U Michael J.Domino,Vice-President Q, �O 0 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q �� 4O •� Telephone(631) 765-1892 Charles J.Sanders,Trustee Ol'•COU ..i� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0964C Date: April 8,2014 THIS CERTIFIES that the existing 71' long X±4.5' high cement retaining wall with stairs; repairs to a 17' section on left side and replacement of(6) 7'xl' cement steps; replacement of existing 8'x20' cement platform at top of steps; a contiguous 5' wide non-turf buffer along entire length of the top of retaining wall At 575 Mill Creek Drive, Southold,New York Suffolk County Tax Map# 135-3-33 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 22, 2013 pursuant to which Trustees Wetland Permit#8217 Dated June 19, 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 existing 71' long X±4.5' high cement retaining wall with stairs; repairs to a 17' section on left side and replacement of(6) 7'xl' cement steps; replacement of existing 8'x20' cement platform at top of steps; a contiguous 5' wide non-turf buffer along entire length of the top of retaining wall. The certificate is issued to LAWRENCE&JEANNE HALL owners of the aforesaid property. 6914- ."% evalhor JOE- Authorized Signature " ECEIVE APR - 72014 DECLARATION OF COVENANTS RATION made this C I day of `D M , 2 0 t 3 ,3 , by ;p- 0 p(a S a„we 'f 1 A LA." , residing at J rIs'ptJ 4-14,`( T/ M N hereinafter referred to as "DECLAR.ANT(S) " : � t y• r 33 W I T N E S S E T H : WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located on 5.75. M t k( c t_a,'- DP 'J— 5;00-7114,-,0%-0 , Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 1 000 Block (15- Lot - 7 3 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 5' Iv, de, "non-turf buffer" adjacent to and landward of hic, , A op 60 oalre Ys4 t'J ; NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows: 8 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained A rive, f-00-1' 401, 7 b2,,,, ao cokh,A"`''fer "non-turf buffer" as SO LA-)Au-. defined by Chapter 275 of the Town Code; and as depicted on the EAT- ?a Peo o •, You 000 - 3.5<4:07- o 1,0 0 ; and 2) These covenants shall run with the land and shall be binding on the DECLARANT(S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this day of el D M0 , 2013 . 0,,,..,_,,,,____ d'di OS SIGNATURE 1-e""-"' ekj- . OWNER'S SIGNATURE STATE OF ,) y\pwv .• ss: COUNTY OF S∎Ac \Q(, On the C(1h day of neamv--1 , in the year 201:2) , before me the undersigned, a Notary Public in and for said State, personally appeared l itVYr i - \\ \ t- - \c(\\ , personally known to me or proved to me on the basis of satisfactory evidence to be the individual (s) whose name (s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature (s) on the instrument, the individual or the persons on behalf of which the individual (s) acted, executed the instrument. 1 ,rnryti/(.7...) I1))/i ftt 0 410,4f 1 t) Notary Public I, j V 2 n'-7,1 r a,!r.POSBER • u W1 1_ don - .1, l '° T��f .':, .� of , - 3 , (., 1 , ,BOARD OF SOUTHOLD TOWN TRUSTEES , RUSTEES J SOUTHOLD,NEW YORK '' // r ..- \ / PERMIT NO. DATE:JUNE 19,2013 I " \ (� ( I1ISSUED TO: LAWRENCE&JEANNE HALL I PROPERTY ADDRESS: 575 MILL CREEK DRIVE,SOUTHOLD 9 / \\t , / SCTM# 135-3-33 ji 1 f fit\, AUTHORIZATION i J f / -: Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in _?'s accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 19.2013,and in ■�1 //, 1 J` j consideration of application fee in the sum of$250.00 paid by Chris Mohr Lawncare&Landscaping,Inc.and 1J ! ', i subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees , authorizes and permits the following: —'. J Wetland Permit for the existing 71' long x±4.5' high cement retaining wall with ' -- `, /; ' j stairs and to repair a 17' section on the left side and replace six(6)7'x1' cement steps; I , ' j and to replace existing 8'x20"cement platform at top of steps;with the condition to i 1 ,, I establish and subsequently maintain a contiguous 5' wide non-turf buffer along entire ■ . length of the top of retaining wall,and as depicted on the site plan prepared by Chris Mohr,last dated June 2013,and stamped approved on June 19,2013. i / \ , t_ 1 i I , ', IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, ,`'`` I/. ! and these presents to be subscribed by a majority of the said Board as of this date. / I ttroo- 1 -))-' �, 1 PP i ON'if J , - (x • ALL thatcertain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and beinginde at Town of Southold, County of Suffolk and state of New York, more particularly bounded and described as follows: BEGINNING at a point on the northerly side of Mill Creek Drive where same is intersected by the division line of lands now or formerly of Alfred and Susan Stretz and land about to be described with the northerly side of Mill Creek Drive; RUNNING THENCE along above mentioned division line, North 47 degrees 40 minutes 00 seconds East 141.03 feet to the high water mark of Arshamomoque Pond (Mill Creek); Tax Ma THENCE along said high water mark, South 65 degrees 37 minutes 00 seconds East Designation 69.34 feet to land now or formerly of William and Grace Miller; THENCE along said last mentioned land, South 49 degrees 50 minutes 00 seconds Dist. West 140 feet to the northerly side of Mill Creek Drive; 1000 THENCE along the northerly sid eof Mill Creek Drive, North 68 degrees 22 minutes sec. 40 seconds West 65 feet to the point or place of BEGINNING. 135.00 BEING AND INTENDED TO BE the same premises conveyed to the grantors herein by deed dated November 24, 1992 and recorded in the Office of the Clerk of the County of BIk. Suffolk on December 2, 1992 in Liber 11582, cp. 029. 03.00 Lot(s) 033.000 ye 41 L Y 1. Pajk�' wm;i'dr ' fir,] r.,Y'`f;• ■ t APPROVED BY BOARD OF TRUSTEES RVPa PL144 TOWN OF SOUTHOLD W_KilfAD r- 113 erPutErot-if tJALL To BE e 4EA coNi \JiT5rcco NW FLATFoRm At TOPOF 51. D tt c(cAppoG 1`IN coac..psit Vas SIP / x /•\, cr' /\,v7 . ri4D \*/:. \A/TR A ta 03% • \ Woe.K gE ZEMAD E ro`' Te3 PasfElerl 56 044 D 1000-115.-1-33 SCALE. 1'.=101 E vE -1 a JUN 1 7 2013 HALL- +rrir", - Gins riot-JR u &LAt•ZScitOt•le jkial al Usti= r9 Box As curaioGvE t41 11q3.5 s75 mia..cga.4 DE19E. - G31-765-4617 offics 31/14 2013 • SoktrlioLDINN( _ I Illifil I1111111111111 IIIII 111111111111111111110111111 1 111111 11111 11111 IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 01/28/2014 Number of Pages: 6 At: 10 :16:13 AM Receipt Number : 14-0009924 LIBER: D00012761 PAGE : 638 District: Section: Block: Lot: 1000 135.00 03. 00 033.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30.00 NO Handling $20 .00 NO COE $5 . 00 NO NYS SRCHG $15.00 NO TP-584 $0 . 00 NO Notation $0.00 NO Cert.Copies $0 . 00 NO RPT $60 .00 NO Fees Paid $130 .00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County nn RECORDED r "1n 1 F'EC Number of pages " 2014 Jan 28 10:16:13 AM'ai a` CLERK OF SUFFOI K COUNTY This document will be public L D0001 i 661 record. Please remove all P 638 Social Security Numbers prior to recording. • Deed/Mortgage Instrument Deed/Mortgage Tax Stamp I Recording/Filing Stamps 31 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit. Notation s_.-- or EA-52 17 (County) Sub Total .2 Spec./Add. EA-5217 (State) TOT.MTG.TAX l (/a ,,:i ,=, Dual Town Dual County % , Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Mansion Tax Affidavit °' The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. g Sub Total _• YES- YES or NO f Other Grand Total c3`? / ` 0 Ate_ If NO,see appropriate tax clause on ' page# of this instrument. CCs 4 I Dist. 2658473 1000 13500 0300 033000 5 Community Preservation Fund T Real Property R BH A flJj 11111 11111 II!!•���)���� 111ffJ Consideration Amount $ Tax Service 28-JAN-14 Agency _ CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD &RETURN TO: Vacant Land W P 4 L-i-- TD too 11,t-o tAP 560 -1-44Y4 PAP TD S'L"r„Q ' P . ■ TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached e—1/c 1--,2, `- D .r) made by: (SPECIFY TYPE OF INSTRUMENT) ,.I /1 i t>Q&i)/?/J Ce V , _/ �/ a .+ The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of - a 1 A 0 / a In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104..10108kk (nverl • James F.King,President '"©gyfF00." Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President N. Cam*. P.O.Box 1179 d. Dave Bergen 2 Southold,NY 11971 John Bredemeyer `4 �' Telephone(631)765-1892 Michael J. Domino ���1 `��,s'�1 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 47L-v r 13 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction '/2 constructed XProject complete, compliance inspection. INSPECTED BY: 974 .� l.�yLc,�•�-•..� COMMENTS: z ,P--fl �3 CERTIFICATE OF COMPLIANCE: James F. King, President O~~F~Mco Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President ~ ~ P.O. Box 1179 Dave Bergen Southold, NY 11971 lobo Bredemeyer °y Telephone (631) 765-1892 Michael J. Domino ~ 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 1 S` day of construction '/z constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT N0.8217 DATE: JUNE 19, 2013 ISSUED TO: LAWRENCE & JEANNE HALL PROPERTY ADDRESS: 575 MILL CREEK DRIVE, SOUTHOLD SCTM# 135-3-33 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 19.2013, and in consideration of application fee in the sum of $250.00 paid by Chris Mohr Lawncare & Landscaoine. Inc. and subject to the Tenns and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the existing 71' long x f4.5' high cement retaining wall with stairs and to repair a 17' section on the left side and replace six (6) 7'x1' cement steps; and to replace existing 8'x20" cement platform at top of steps; with the condition to establish and subsequently maintain a contiguous 5' wide non-turf buffer along entire length of the top of retaining wall, and as depicted on the site plan prepared by Chris Mohr, last dated June 2013, and stamped approved on June 19, 2013. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. ~o~$uFFrn~~.c ~ ~ I TERMS AND CONDITIONS The Permittee Lawrence & Jeanne Hall, residing at 575 Mill Creek Drive, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe 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 because 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 $oard 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. James F. King, President ~pF SOUj~, Town Hall Annex Bob Ghosio, Jr., Vice-President ,~0~ 54375 Main Road P.O. Box 1179 Dave Bergen # J~[ Southold, New York 11971-0959 _ John Bredemeyer d+ ~c G ~ p~ Telephone (631) 765-1592 Michael J. Domino ~ Fax (631) 765-6641 ~'~OOUNT'1,~~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 19, 2013 Mr. Chris Mohr Chris Mohr Lawncare & Landscaping, Inc. PO Box 48 Cutchogue, NY 11935 RE: LAWRENCE 8 JEANNE HALL 575 MILL CREEK DRIVE, SOUTHOLD SCTM# 135-3-33 Dear Mr. Mohr: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 19, 2013 regarding the above matter: WHEREAS, Chris Mohr on behalf of LAWRENCE &JEANNE HALL 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 22, 2013, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Watertront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit on structures; the addition of a 5' wide non-turf buffer along entire length of the top of retaining wall; 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, 2 • • WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of LAWRENCE & JEANNE HALL for the existing 71' long x t4.5' high cement retaining wall with stairs and to repair a 17' section on the left side and replace six (6) 7'x1' cement steps; and to replace existing 8'x20" cement platform at top of steps; with the condition to establish and subsequently maintain a contiguous 5' wide non-turf buffer along entire length of the top of retaining wall, and as depicted on the site plan prepared by Chris Mohr, last dated June 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 my yours, o'~ James F. King President, Board of Trustees JFK/amn ~~o~S±~FFa~~-~~ James F. [Ciag, President y ~ Town Hall Annex Bob Ghosio, Jc, Vice-President P 54375 Route 2S, P.O. Box 1179 ' Dave B w .j. ~ ti, Southold, NY t 1971 John Bredemeyer Y/j ~ .~Q Telephone (631) 765-1892 Michael J. Domino Fax (63l) 765-6641 BOARD OF TOWN TRUSTEES II~ /t~1 I T/1OWNOFSOUTHOLD -t- TO: C n Yl S / V l f~ Yl 1~ ~17~ Y 1~ I.c> 1~PY1 CF ~ `12Q 11~~~ Please be advised that your application dated S Z Z 3 has been reviewed by this Board of the regular meeting of .and your application has been approved pending the completion oft e f (lowing items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1a~ Oay of Construction ($50.00) / %2 Constructed ($50.00) Final Inspection Fee ($50.00). Oock Fees ($3.00 per sq. ft.) Pertrtit fees are now due- Please make check or money order payable to Town of Southold. The fee is computed. below accoMing 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: $ SD ~ DO BY: James F. King, President Board of Trustees • ~~gpFFO(~~ ~ ~ Peter Young, Chairman ~ ~ Town Hall, 53095 Main Rd. Lauren Standish, Secretary ~ P.O. Box 1179 G ~ Southold, NY 11971 y~ Telephone (631)765-1892 Fax (63 I) 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 Peter Young, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of LAWRENCE & JEANNE HALL to fix cement bulkhead on left side and replace cement steps. Replace 8'X 20 'cement platform and top of steps and existing bulkhead 17'X 4'2". Located: 575 Mill Creek Dr., Southold. SCTM#135-3-33 Inspected by: Peter Young, Jack McGreevy The CAC Supports the application with the Condition of a 10' non-turf buffer along the landward side of the retaining wall and depicted on a detailed site plan. The Notice of Hearing card was not posted as of June 12th. Vote of Council: Ayes: All Motion Carried ~ . ~ r ~,r • ~ Lawrence & Jeanne Hall ~ ~r 575 Mill Creek Drive, Southo~ •a ~ - ~ ^ , ' • ''~SCTM# 135-3-33 aF ~?`~*"y - ~ . " 6/12/13 > i ~ w w x ~ w ~ -+s ~ ~ _ '~R , " ' a V. ~ q~. ~ ~ * ` ,f ~ ~ . • eX~, ' ~1? _ ~ ~ t r _ • i gpFFO(,~ James f. King, President " p~ C P.O. Bos 1179 Bob Ghosio. Jr., Vice-President tip Southold, NY 11971 Dave Bergen ~ ~ Telephone (631 765-I R92 .lohn Bredemeyer T Fax (631) 765-6641 Michael 1. Domino ~ ~ yyo1 ~ ,~aa. Southold Town Board of Trustees Field Inspection/Work Session Report Datelfime:~~~ Y° l3 Chris Mohr on behalf of LAWRENCE & JEANNE HALL requests a Wetland Permit for the existing 71' long x ±4.5' high cement bulkhead with stairs and to repair a 17' section on the left side and replace six (6) 7'x1' cement steps; and to replace existing 8'x20' cement platform at top of steps. Located: 575 Mill Creek Drive, Southold. SCTM# 135-3-33 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: n Conditions: K ego S'i ~1/ _ ~ Present Were: ?J. King ~B. Ghosio ?D. Bergen, Bredemeyer ? Michael Domino D. Dzenkowski other Form filled ou the field by Mailed/Faxed to: Date: .aG ~ f A• y V ~I~ ~ - j ~ i ~ . ` , fi . i ~ ~ - .any ti ~ ~..i. i spy. ~ y ~ A ~ ~~s ...i . t t s 777 ' r~ r~ ~ fl • ? ~ ~ ~ `7~ F - ~ irk, ~ 'd ~ ` ~ - , 4 ~ ' I, ~ x.~ ti ~ 1 ~ • ti - ~ i ~ .,a ?v, . r `w ~ ~;j~ - f} ~ 1. y ~ 'F ~ , ~ N~ M ± 1 ~ I 1 ae ~ ~ ~ ~ ' ~1 4 4 , h - i ` ~ ~ «r ~ ` ~ R I?i / Ld ` . s.. ~ 1 S ,t~ ~ ~ ~ _ l~ Ifi N ill i ,y~`'t, • , ta' .T'~ ' n . jf.~- ~ l U~ '4 ~.Z ~E .ti IIw~.~ ~y i" .f" ,y.~ r T'~rry i* i l' ~ ? 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I . ~ 1 ~ ! t 1 ,r. ~ ~~i . , r,x,r m_.o SGUNG ~~wam _ N LONG _ i 14 /Q ,m lO.p `,J y ~ v.r ur S F O a ~.\.C%.i ~oG 1 .p r F _ ~ ~ - w a1 e e P~_ 9 i a ~ G r fJ, r " Hr/J r6ru ~rb~ I NfN 'G ~ 5~ ^ ! 4' ~ ~ \ ' aw ~ d'~ ay a d, ~ ~Y J / 'f H / ~ o ~ .>n ~ ~L~ ~ ~ F~~ ~ ~ a a. yHU ~ S J, ~ ~ ~ ~s d e '.L r A y \ P ~m tl 4 mra..m ~OJ1fN PVE W' ~ ~ ~ d u d i/ ~ --P- u ~ are _ _ _ ~ ~ '"'^K' OOUNTV OF SUFFOLK © w c^c" ~ ~ _ RaIPmpMy TU Sdrvkepency wy" _ _ m a.. 135 OFFICE LOCATION: ~~OF SO(/lyO MAILING ADDRESS: Town Hall Annex lp P.O. Box 1179 54375 State Route 25 i. ~ Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) T Southold, NY 11971 ~ • Telephone: 631 765-1938 Fax: 631 765-3136 ~~'~OOUNTI LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM n ,r~. IIIniSI j~l To: Jim King, President Town of Southold Board of Trustees JUN 1 8 2013 - From: Mark Terry, Principal Planner soutnomrown LWRP Coordinator ~ Date: June 18, 2013 Re: LWRP Coastal Consistency Review for LAWRENCE &JEANNE HALL SCTM#1000-135-3-33 A past Wetland Permit for the structures was not found. Chris Mohr on behalf of LAWRENCE &JEANNE HALL requests a Wetland Permit for the existing 71' long x ±4.5' high cement bulkhead with stairs and to repair a 17' section on the left side and replace six (6) 7'x1' cement steps; and to replace existing 8'x20' cement platform at top of steps. Located: 575 Mill Creek Drive, Southold. SCTM# 135-3-33 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 INCONSISTENT with LWRP Policy 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 described were not constructed pursuant to Southold Town Trustees review and Chapter 275 Wetlands and Shorelines permit. In the event that action is approved it is recommended that the Board require a landscaped buffer landward of the concrete sea wall. 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 ~o~~~F S~VryO/_ Town Hall Mnex Bob Ghosio, Jr., Vice-President `O 54375 Main Road P.O. Box 1179 Dave Bergen * Southold, New York 11971-0959 John Bredemeyer G Michael J. Domino ~ ~O Telephone (631) 765-1592 Fax (631) 765-6641 I~C~U~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application Wetland Permit Application Administrative Permit AmendmenUTransf /Ext nsion ~eceived Application: Jt' Z ~eceived Fee:$ 2 ~ J ~ ~ ~ ~ ~ ~ D -Completed Application Z 3 0 U D Incomplete Ilfn~' SEQRACIassification: MAY 2 2 213 Type IType II Unlisted _Coordinatiom(date sent) ~WRP Consistency Assess ent Form s 3 Southold own _CAC Referral Sent: 5 D ate of Inspection: Receipt of CAC Repo Lead Agency Determination: chnical Review: ~blic Hearing Held: Resolution: Name of Applicant r~o-~Ge " ~2a t''~' {~0.~~ ~ Mailing Address ~ ~P ~orY~1~5D n ~lAt Q 1'GL`~ ~'-~a ~ by 11733 -133 ~ PhoneNumber:(1o3~ (D~q-~3~ `7 (~~I~- 4031~~ Suffolk County Tax Map Number: 1000 - ~ 3 8 S ~ l 3 S. - 3 - 3 3 Property Location: ~ ~S Y~"1 ~ I1 CX~~-IC urt v-e- Sr~u`l h o I~ loo ypS ~fe y~' fir, e o (Ji~?Zf~z . (provide LILCO Pole distance to cross streets, and location) \ AGENT: Cl~nrlS Y'~1raNfC. ~l~tu7rlLnwe ~ Ltur~c~S«Pi~~' (If applicable) Address: ~C~ x ~ ~ C C.~-~ ('~~ll.G 1'~ l~ ~l~i~~ ~ Phone: ~_7) ~(Q ~ ~ '-~{c C~- ~.3? Bo~ of Trustees Application • GENERAL DATA Land Area (in square feet): . 23 ACP.~ Area Zoning: ~ ?~Q ~5-t1~~~£F~/.11r Previous use of property: K 2S ~ 2 v ~ ~1 Q ~I Intended use ofproperty: ~PS t C~-~~~~-~ 4 \ Covenants and Restrictions on property? Yes No If "Yes", please provide a copy. 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 to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ~_No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ~No Does the structure (s) on property have a valid Certiticate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x-' No Yes If yes, provide explanation: ~ Project Description (use attachments if necessary): ~ ~>c y ~tiC~-~'l~ bu~~ ~a f~ o~,~ I e-(-~ s i e~.e, an~,i r-ep~a~.e- ~ - x ~ ~~2n~" S~~S , ~~~GlC2 ~XaO CEn>~~c-E ~IC~~iZr7~> ~ -3-c~~ of S-1-t?~s ~tcllC~,ereC~ I_s ~'1' L y' . Tolnl of 7/ Ftc>" i~ ~hc 13v)lJth/N 411 w~-k,6 5~~, N1-. 111 ~-y0r~~/. Boa~f Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Y~ ~~1~~ eea ~c~~ a~ lase ,~~os ~r Area of wetlands on lot: square feet Percent coverage oflot: Closest distance between nearest existing structure and upland edge of wetlands: $`o feet Closest distance between nearest proposed structure and upland edge of wetlands: 2a feet Does the project involve excavation or filling? No ~ Yes If yes, how much material will be excavated?~_cubic yazds How much material will be filled? j ~ cubic yards Depth of which material will be removed or deposited:~_ feet Proposed slope throughout the area of operations: ND Manner in which material will be removed or deposited: ~vY,al1 ~xc~yc~-l-oY^ / N~nD ~orK l ~2o~c~ ~ta~~A h ~ l~vu~ C~~ ' ~ `l ~oclC ~<< ~ ~ I~ ~ pl 1-1- ~ ~ `~u r r > I -l-S'lCC) ~ - ~ xCC~ i ~~o~ -w ~ ~Sb 17 I i T ~-E, ~L4 Z 2~ L< Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by 1'l reason of such proposed operations (use attachments if appropriate): ~ l CC, j~ ba2s~, ~ I Y~0 ~~PCf PROJECT ID NUMBER ~ 61?'2Fl • 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 Chris h~~~~ ~.cs~e-~~r~r,c;~ +ka~~ 3.PROJECT LOCATION: Tj 7, ~ Y`'Y t 11 (_Y~.'~.K ~ p t Municipality S' a tfT 1-~O I C~ County ~ _ r r~ \ K 4. PRECISE LOCATION: Streel Adders and Road Intersections, Prominent landmarks etc -or provide map ~~S ml~~ CYee ~ Dry ~Y~YI\ C~1~r,~ t ~av-~.o~(~ 5. IS PROPOSED ACTION : ? New ? Expansion ®Modifcation /alteration 6. DESCRIBE PROJECT BRIEFLY: s+-e_Ps ~c~l~Y,~ge~t c~.~r1Y~~ c ~t,t YYLCCrt r`l~ Jcev.~~ ~o l' Re~1 ~Lc.i~ 1Z ` Lo n~ cL r~C~-ems ~\oGIC 111 1 I-1 1 i+'C~h ~ 1~, a. LEI ~:-F~,~~' n l t -1-E t J~ E2e 1 G CQ ~ 5-le f s s X~ I c>! n~ ~ f fem. ~ I a I t u~ - P~ ~ a rT z~ ~ I,:WCt_ l l of x .3 I 7. AMOUNT OF LAND AFFECTED ~.r~ ~ X Sn'lCL 1I QY~A Initially acres I ~ r~ Ultimately acres B. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ®Yes ? No If no, describe briegy: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ® Residential ? Intlus[rial ? 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 or Locaq ®Yes ?NO If yes, list agency name antl permit /approval 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ?Yes ®NO If yes, list agency name and permit /approval: 1f2~. LA'S A ESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? n' es ~ No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Spons ame 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 11-IMPACT ASSESSMENT To be co feted b Lead A enc A DOES ACfiION EXCEFA ANY TYPE f THRESH0137 IN 6 tJYCRR PART 61T.47 g yes, cooN'mate the review process and~use the FULL (:AF. - Yes a, No B. WUl ACTION RECEIVE COOROINATW REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration maybe srtperseded by anodter imrolved agency. Yes Q No C. COUID ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING (Answers may be handwdttea, if legible) C1. 6dsfmg ek quafily, surface or grourMwater quality or quaMgy, noise levels, existing traffic patlem, safid waste production or disposal, potential for erosion. drainage or flooding proMems7 6ylaln bdetiy: C2. Aestlted4 agrladtara4 archaedagkad, Idstatc. or otlter natrxal ur cultural resouces; oe mntrn or ttbodtood character? FJ~lain briefly: C3. Vegetation or fauna, 6sh, shegfis 'or wfidlife~species, significant habitats, or Threatened or endangered spades? F~laln lxietiy: C4. A community's exlsang plans or goals as aKS9atly adopted, or a charge in use or intensity of use or land or other natural resources? Explain briefly: C5. Growth, subsequent development, or relaleA adivaies likely to be induced by the proposed adion? Explain briefly: C6. Long term, shod term, cumulative, oa other effeds not idenhfied in C7-CS'+ Explain briefly: C7: Other impads ndudin than es in use of edher uantit or t of one ? Ex lam briefl ; - - D. WILL THE PROJECT HAVE AN IMPACT pN THE ENVIRONMENTAL CI+ARP.CTERISTICS THAT CAUSED THE ESTABLISHMENT OF R CRITICAL I ENVIRONMENTAL AREA CEA 7 if , e lain briefl Yes No E IS THERE, OR IS THERE UKEI.Y TO RQATFA TO POTENikLL E ENVIRONMENTAL IMPACTS? If . lain: Yes Q No PART IH - DE7ERMMWTION OF SI(iNIF1CANCE (To be cxtrttpleled by A®elTCy) INSTRUCTIONS: Fayeadtadverse~fedldsngfiedabove,da6elminewhethultissffbstaalia4large,impartafAorothetwisesignificeltt Eecfi eRect sITOM4 he asse8aed in cronnacUorT with its (a) setting (Le. urban w rufe9: (b) fir ~ OCCUIII(1g; (o) dufatbn; (d) krevetsbtTty; (e) 880g18ph1C ffdoff~ BrTd m t~allUde. N nettessefY, add altadsnetds a reference supporting materials. E116Ure Utat efTtlanagons oMltain - - _ 1wNidentdetaR b allow /hat ap rtelavant advefse klpads Have bead idenCdred and adequately addletfsed. Ugrresfion d of partti was dtgdced yes,dTedetertflkta6onofsignificance mustevakfa@etlTaP~fial knpadofthepfeposedar~aT Onthe~I ~Tataderlsdcsoflhet~A Chedf Mtia boxlfyau Kaye idel~fiad atewrrtora polerltiagylalge orsigNGcardadverse kneads vAddt MAYoogTr. Tften proceed dYectlyto ate 61F aM/or prepxe a posigve dedareitiort. Chedr tftk box Nyou•have d~rttNted, based on the infamafan and analysis above and arty suppw6rlg daautterHation,that lheproposed WILL NOT resrAt in airy slgnificard adverse emlrortmenNal ImPads ANO provide. on altachmenls as necessary. the reasons suPPemRq ~ determination. BoaFd of Tfustees p ~ ~ Q Lai 3 Name of Lead Agency/ _ Oate J~ {'t7 ~S ~ ~j- President Prinf`/o~r Ty-pe_-Na_m~e of R,es~ponsible Offic r in Lead Agency Tide of Responsible Officer ArNY/~ ? 'fir ~ gnature of Responsltlle O in Lea Agency Spnature of Preoamr of different 6nm re<rurnciMa ~rRro~t PROOF OF MAILING OF NOTICE - ATTACH CERTIFIED MAIL RECEIPTS [~r~S-~~he~ ~1 r~P 5 Name: Address: (g ~ ~ 1'\`l ~ 11 Cre.~ ~ ~ r t 'parleer. I.t~t~Y~e\ ~~,rJllt, n~ \i4~-I Cjv)a~l. ~o fnob mtl~c_ree~ PKi ~tiat-o itQ~l STATE OF NEW YORK COU~N•TY OF SUFFOLK C~\Sm~h' ,residing at_(1'MI)w1.1i Lt.~rr~1L..Jt~,~,,.t Q~rt C~. ~ W 11 f~'~ ,being duly sworn, deposes and says that on'the Si,.t. day of 20~, deponent mailed a true copy of the Notice set forth in the Board o 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 Town 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. Sworn to before me this /3~' III Day of fun e~ , 20~_ I Notary P is SUSAN M. J~-G0t3S NOTARY PUS ~ 14952037 f New York Qualified in SuYolk County Commission Expires Nov. 9, y0~ ~ • • PROOF OF MAILING OF NOTICE - ATTACH CERTIFIED MAIL RECEIPTS Name: S'~2a1-eve 5~ y ~ f ~ ~C~ Q 2~ Address: yY~ ah fg GL,LI~ e- `~cSt"L~ oIC~1 STATE OF NEW YORK COUNTY OF SUFFOLK CHHf~ W1~hi ,residing at C'NHy Yvl~l,~ <<vH~~.c Li,~Ag~~y~,.E ~H~ ~ ~c-r 4 ~ (h41~ N-r If ~4~ ,being duly sworn, deposes and says that on the day o~~-, 20 F3 ,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 are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. A "1 Sworn to before methis / 3 w`" ~I Day of ~j~,,.~~ , 20 I'3 S Notary blic SUSAN M. JF,COBS NOTARY PUN8Di49S2037 f Newyork Qualified in Suffolk Coun~ Commission Expires Nov. 9, 0„~ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: ~pC'e~~'l St~~~ Address: (py-`~ f7111~CY2elC Sov~O1G~~ Y<~ Il~l:~1 STATE OF NEW YORK COUNTY OF SUFFOLK C ~'~iS ~r V1/ ,residing at ClM~1 M ~ hi (r v-a ~w } / , H,/~~ ~ ~ r l^r^/~G~ a i //43j being duly sworn, deposes and says that on the v day of , 20 Imo, 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 are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this /.3`~ I Day of J,,,,,e„ , 20 I Notary ~ blic SJSA^! M. JF-.C08S NOTARY PLE! !C;. SieJe of New York Ouali(lad in Suffolk County Commission Expires Nev. 9, y0J3 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: ~'~Il-f ltnor 1 ~55~ y~,tlC,ree.K pr, ~p ct Address: hjS acv ~"J~-r~~. t ~latr,~)tea7~ SD~o1Gl, hl~ I1~1~-J STATE OF NEW YORK COUNTYL'OF SUFFOLK C~t,r~"~/ residing at CI~NI~ WI~17 r 1,.JS7.p,• S^C ~ ~ a ~tij_~__~ //fI ~ being duly sworn, deposes and says that on the J hY day of , 20!x, deponent mailed a true copy of the Notice set forth in the Board of'I'rustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ,that said Notices w e mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this %3`~' II Day of ~u.,~e~ , 20 ~ Notary Publ SUSAN M. JACOl3S NOTAFY FU43LIC, State of New York No. 4912037 Oca l.:ira in Suffolk Coun Commission expires Nov. 9, ~0~ ~ ~ Q. m rn o' ' m Postage $ ~ f0.46 043511935 ~ Postage s f0.4G ~ _ggg canmea Fee ~ f3.10 Posnnar~~`9~ cangiaaFee f3.10 p Rehm Recelpt Fee `D~ O (Endorsement Requiretl) f2.55 J He ~ O Ratum Recalpt Fee f2 S$ P do In ~ O (Endorsement Requires) W d Residctad Delivery Fee ~ Z p (Entlorsement Required) f0.~0 ~ Restricted Delivery Fee ~ ~ ~ ~ Jy p y Q~. ~ C7 (Entlorsement gequlretl) O ~ Total Postage 8 Feas $ 11 O6 Jy¢/ ~ Total Poataga & Feea 11 Q(/ m y~ / ~ $ sent TO rt-1 - r-R ~y\,~'pn ~ r-.,y Senti pt ~ Street, APt. No.j SYree( or PO Box NO. ~Q~S ~\\\~~\C 9i/` ~ ar PO~Ge. M1 Cly ___-fe,Z~IP~«{4~_____-....` M1 ~y/J~~~~~..._~.j l.~~-.___--..____ -~Y~ll t Y l~ 1~ Yl I C ( Z/P+0 1~.C-rL-CJ Yl ri V •a . . . ~ r~ l+I ~ Y ~ ~ ~ ~ 1 w ~ Postage s ~ 935-gg9 ~ Postage s f0,!((j ~ canirieaFee f3.10 P ~ B o cemgadFee f3.10 05 ~ Retum Receipt Fee R O (Endorsement Raquiretl) f2.55 { W ~ O (EndorsameR peipt Fee rk f ~ egwred ~ Restricted Delivery Fee ~ ~ ~ RasMaetl Dente F ) f2.55 (Entlorsement Requiretl) f0.00 ry ee O O i~`(/) aO (Endowment Requiretl) ~p~ ~j p~ m Total PostagaB Fees 46.11 V m Totel Postage&Feas ~ f(/,1 r {~r^J/ ~ 1vAw/ W ~ Sent~To~ Sent fi Sheet, A t No.; O P. 1n,. ~ ~ O Sheet,ApG%JO M1 or PO BOx NO. __~Q~.-.._tx M1 or PO BOx Na. y~/\ .j~-y_J Cify, S Z/P+4 ......1-!_ ll' ~ ~-..._.__aIOC_- l v. IIg11 ~ ~ - . ,r. r '71 OgUFFO(,~ ~d~y .lames P. King. Presidan ~ ~ town I-tall. 53095 Main Kd. 13ob Ghosio. Jr.. Vice-President p,p, Bos ~ ~ 7y Dave Bergen ~ Southold_ NY 11971 John Bredemeyer ?J~~ ~~0 telephone (631)765-Ift92 Michael J. Domino # Paz (G31) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD D t _ ~ ~ BOARD OF TRUSTEES: TOWN OF SOUTHOLD JUN In the Matter of the Application of ~ 3 2013 Southold LAWRENCE & JEANNE HALL °N'o COUNTY OF SUFFOLK) ` STATE OF NEW YORK) AFFIDAVIT OF POSTING TO RE COMPLF_TF_DAFTER POST[NC REMAINS /N PL,dCE FOR E/GHT D: 1 KS' 1. ~ r t 5 ~~~'EI'~ pD, residing at /dba ~YtS Y`(bhe L_Gt~~<7^r~r~CQ YZ-~ -andseee_-~InGJ ~ ~r~. lo~D ;(tl~ ~ `~3~53 Cpu,;C~IZoczG( 4g,~~-~~(f~~ being duly sworn, depose and say: lQ~,~j ~1 That on the ~ day of :~.tn~ , 201 , I personally posted the property known as 5r15 ?w~~ll CR-Ef~L YJ~~u2. by placing the Board of Trustees official 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. June 19, 2013. Dated: nature) Sworn to before me this !3 day of~w.e.2013 Notary Public 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. ~ OW ER ~ ce. ~ S~nne N (S) OF RECORD.~.awren SUBJECT OF PUBLIC HEARING: For the existing 71' long x t4.5' high cement bulkhead with stairs and to repair a 17' section on the left side and replace six (6) 7'x1' cement steps; and to replace existing 8'x20' cement platform at top of steps. TIME & DATE OF PUBLIC HEARING: • GV °~e~s~j/, Sc~r,e /9, aol3 - a~'oro ?~o~S.~.3v f 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 b0511H'Q,(- Town of Southold Erosion, Sedimentation 8 Storm-Water Run-off ASSESSMENT FORM ~i PROPEaTV LocarloN: s.c.r.M. a: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A A°" STORM•WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN -67Trrf- 3ee1 n -BiooTi- ~ CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK -PROPOSED CONSTRUCTION ITEM # /WORK ASSESSMEN'T' Yes No a. What is the Total Area of the Project Parcels? ~ ~ Will Wis Project Retain All Storrn-Water Run-Ok (Indude Total Area of all Parcels bceted wdhin I y ~ [ V e Generated by a Two (2") Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will include all run-off created by site (S.F. /Aces) b. What is the Total Area of Land Clearing clearing and/or construdion activities as well as all and/or Ground Disturbance for the proposetl ) Site Improvements and the permanent creation of construdion acgvityt impervious surfaces.) (S.F./Acres) 2 Does the Site Plan andlor Survey Show All Proposed ? PROVIDE BRIEF PRO,TECI' DESCRIP770N p'nvla. Aadin°nal pe0es ee Neeaesl Drainage Strudures Indicating Size 8 Location? This ,r-~ Item shall include all Proposed Grade Changes and t< e (r- ~ C'~J/l ~/n , ` Slopes Controlling Surface Water Flow. J ~ J U ~J`~`-~ 3 Does the Site Plan andlor Survey describe the erosion ? '(~-P _ ~ Q e S and sediment control practices that will be used to conhol site erosion and storm water discharges. This l Y 1 1 item must be maintained throughout the Entire 1 f 1 o ConsWCtion Period. T"\ LA.1~l ~~.YZIJ ~-f 4 Will this Projed Require any Land Filling, Grading or ~O I ~ - Excavation where there is a change to the Natural ? - Existing Grade Involving more than 200 Cubic Yards '7 I ` (oc. ~ ~ of Material within any Parcel? R~J1' Ian / L G n T1 ~ 5 Will this Application Require Land Disturbing Activities ? - t -Ct-(~~l ~(a 1.~ I ]c~.~.(tir YZ ~ t Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? (GL(!'~ 5 $ 7x1' 4.h ~ ) s Is [here a NaWral Water Course Running through the ? - Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: ~LJ"f ~ or within One Hundred (100') feet of a Wetland or Submission of a SWPPP is required for aN Consimdion adivities involving soil Beach? disturbances of one tt) or nwre acres; including disturbances of less than one acre that 7 Will there be Site preparedon on Existing Grade Slopes ? - are part of a larger common plan that will u0imately disNrb one or nwre aces of land; which Ezceed Fikeen (15) feet of Vertical Rise to induding Constmctbn activities invoving sail tlisturbences of less than one (7) acre where One Hundred (100') of Hodzontal Distance? the DEC has tletermined Thal a SPDES permit is required for stone water discharges. (SWPPP'a Shell meettM Minimum Requirements of tlta SPDES General Permit $ Will Driveways, Parking Areas or othef Impervious ? for Storm Water Dlseharges trwn Cmstrvtlion aetlviry -Permit No. GP-0-10-001.) Surtaces be Sloped to Direct Stone-Water Run-Off 1. The SWPPP shall be prepared prior to the submittal of me NOT. Tha NOI shell be into andlor in the diredion of a Town dght-0f-Way? submitted to gre OepeMtent Ddor to Ure commencertient of mnsWdion adivity. 2. The SWPPP shall tlescnbe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ? - required, posiconsWdion storm water management preWces Oret wit be used arM/or Removal of Vegetation andlor the ConsWdion of any constructed to reduce the pdNtants M storm water discharges and to assure Item Within [he Town Rightof-Way or Road Shoulder eomplbnee with iha lama and cend0lons of this pBmtil. In addition, the SWPPP shall Area? Imb item win Nm enuuae the in.raMaon m Odvaw.y „pans.) identity potential sources of poiulian whkh may reasonably be expeded to a%ed the quality of storm water discharges. NOTE: If Any Answer b Ouaadons One mrough Nirre Is Answered with a Check Mark 3. AN SWPPPa that require me postraraWCtbn storm water management predlce in a Sox and the eonatruNon alts tllstudwnw b baNroen 5,000 S.F.B /Awe In Brea, component shell be prepared by a qualifred Design Professbnal Licensed in New Vwk a storm-Water, Grading, Drelnaga 8 Eroalon Control Plan to Raqulretl M the Town M that is knwdedgeeble m Me pdndples and predices of Storm Water Management Southold end Muat ba Submitted for ReWOw Prior to beuarwe of Arty auildirtg Permit. (NOTE: A Check Meak (,i) anNw Ainwer for e,M, OuesOan is Requlaed for a Complete Appliranon) S1'A1'E OF NEW YORK, ~ COUNTY OF SS That I, ..1~}~~.1.~.Yi.Q.~~:.~.._~Q.il1- being duly sworn, deposes and says that he/she is the applicant 1'or Permit, (Name of ardwdual eignirg Docvmanq And that he/she is the ' .....~.:^....Q...`.~ (Owner, Contrador, Agent, Corporeta Officer, etc.) Owner and/or representative of the Owner or Owners, and is duly authorized [o perform or have performed the said work and to make and file this application; that all statements contained in this application are true to dte best of his luiowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before ~Tle this; 4 I. / ...........~~..of............~ ...................20....._°J ~/I'~r'~ V 1 Notary Public /6 S .`~F.N h4. /'C:013S (Signawre of Applicanq FORM - 06/10 No ~;~'~o: ~ Qualified In Sutlolk Countyy Commission Expires Nov. 9, 20~ Boar•f Trustees Application • County of Suffolk State of New York LQuJ~1.f / TSO 'Rau' BEING DULY SWORN DEPOSES AN AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.' Signature of Pro y Owner SWORN TO BEFORE ME THIS DAY OF~~cY r ti ,,:-rer: ~ (Im~t~ Q.-~ ,:r. ''.~~~~c~Ot3 N ary Public Boa~f Trustees Application • AUTHORIZATION (where the applicant is not the owner) I, LLll.~7~~Y~ C~ ~Cl~~ residing at ~(p ~'11~U~l~SDe~ ~ ~a~ Q (pri°nt owner of property) (mailing address) ~1Q l Q ~ Y~ C,9 3~j do hereby authorize .,_.~r,p (Agent) ~ 5 ~ c~ 1 ~ ~ to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM r ne Town of Sottthold's Code of Ftldea orohibifs conflicts of interest on the Dart of town officers and emplovces The ottroose of ` Ott is [o orovide information which can alert the town of possible confli of interest and allow n to take whatever action is necessary to avoid same(. ~ ~ p - YOUR NAME: `--'t 'r ~ S ~(~~II. (Las[ name, first name,-0tiddle initial, unless you are applying m 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 j~., ~ ~ p (If"Other", namethe activity) Qi.L~~30.C~~11r ~O-Q-'~L~ ~'"t~~-tom ~ -l 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, tnarriage, 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% oCthe 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 br position of that person Describe the relationship between yourself (the applicantlagent/representative)and the town officer or employee. Either check [he appropriate line A) through D) and/or describe in the space provided. The [own 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 corporaton); B) the legal or beneficial owner of any interest in anon-corporate entity (when the applicant is not a corporation); _C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this,~- day of 20~J Signature //t~r( NI t/~---- Print Name C +f 2-\S YY10 2 Form TS 1 ' Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standazds and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supportiu¢ and non- supportina 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. D ~ ~ ~ ~ ~ ~ r B. DESCRIPTION OF STTE AND PROPOSED ACTION ~ i n ss .3 s. -33 scTM# ~ ~ 3- 9 - MAY 2 2 2013 PROJECT NAME 1 C~ The Application has been submitted to (check appropriate response): Town Board ? Planning Board ? Building Dept. ? Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken duectly 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: 1 I~e~~l/zC~..lr1~ f- CtnC~C.~hloelC i~all4~ ~~~a '-l~ 12~-~rt~l~-f-1 g,ey~laGe 5 S~ 5 ~`1~ x i~~ ~5~ x~`` ~1a-4--~rra~ ~a~~ Q Z~~~' ~r~ ~ ~~n o ~-I-f~ woz( l ~r~ Location of action: rn(~~ u Y(~I Site acreage: 1'y- ~tK-2 Present land use: ~~?S l~~\~ Cl. ` ~jY~l~ Present zoning classification: r\~ ` °C-' 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 ofapplicant: ff ~ 1LQ b`~ ~Q ri- ~1'eCe-nr~k (b) Mailing address: l~ ~ ~DY~'\ Y) ~~i1 tttP.U ~~1'~'V'\ hU 1 ~13~ -~133~ (c) Telephone number: Area Code t~ I - q - q 3 ~ _ Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ? No ~ If yes, which state or federal agency? C. Evaluate the project totthe following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III -Policies; Page 2 for evaluation criteria. ? Yes ? No ~ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III -~Pjolicies Pages 3 through 6 for evaluation criteria ? Yes ? No.Y~1 Not Applicable A • Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LW1tP Section III -Policies Pages 6 through 7 for evaluation criteria ? Yes ? No ~ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies` Pages 8 through 16 for evaluation criteria ? Yes ? No LH Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LW12P Section III -Policies Pages 16 through 21 for evaluation criteria ? Yes ? No !1~ 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. ? ? I Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III -Policies Pages 32 through 34 for evaluation criteria. ? Yes ? No~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III -Policies; Pages 34 through 38 for evaluation criteria. ? Yes ? No~Not 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. ? Ye~ 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 ~ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III -Policies; Pages 57 through 62 for evaluation criteria. ? Yes ? No~NotApplicable ` 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 eva uation criteria. ? Yes ? No of Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Polici ,Pages 65 through 68 for evaluation criteria. ? Yes ? No Not Applicable PREPARED BY__~~ 1 r TITLE n f t-L DATE ~ Z ? G/ ~3 APPROVED BY BOARD OF TRUSTEES ~N KIND ~UL.KN~ j~P141t. PL,aIJ TOWN OF SOUTHOID ~ ~ [3 KEP~~MENf tJAL~ TO 8E a~'',' coric~t>; i31~eJC W+T~F 57'vcco NEW PLRTFORM AtTOPOf ~ULKHEId~ ~ggNG w~TU (~1LcK G4PPiN~a NEW Ca?•~c~TE STAi~S 8' 59` ~ 20, wr(u q Z'x3• PMGN1J.;'j~: b v f~ ~ I ~ • ~t Wo~K 'fb gE ~~SfIt1C~D 5G'(Dex I D ~ I o00-135.-3-33 N, N r°~~ 5c~t-E I •=1o j° NA"- ~cWER'T`/ p E E VE ~ ~ JUN 1 72013 ~~l..l-- ~'~~II~h~C,~ CHRIS r10HR (A'~JN 8?~N~sca~+NG sNC. p~ tt Po Q~c ~s CuT'cNocuE NY t?a3~ M~t.~-CP~F~ D~Y~ ~ X31-~65-`F61~ oFRCr: JUNE aoi3 N SURVEY OF PROPERTY ' AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. a "ewy ~~'~.1!p~ 1000-i35-03-33 ~ w1 ~4 ~f~L AO SMARCH 51 201 s~2 x Q ~??S`F ~ ~ 1 4 Iun~S 'I 1I' aq ~vggE.~ ~ , G qo. g~ w~ ~ zs, MAY 2 2 2013 Ll JF~ ~ ~`k- eb Jt~.~ O' w~ Sou!hold Tvwn 2 E~ard of Tn~lnos A~(. ~o ,¢~,~y t 11 O~ ~ e ~w' ,,~9. I ,~J. ~ 1Ni ~ ~ ~~F .(~U" b ~.J2 d ~L k~ { J• V' ± ti L~Q C~ QJ, /Q b~ ,pp~ ' ~vr~ ~ ~ ~CA ~A g ''~>fx 5k ~E°F NEW r° Epp. q.?~~~ "Y~~ * 'G C~a ~ ~ ~ P,~ CQ ~ ~~'it.~$' 4 Res f~ No.49~~g ~ `~'c~-~ ~ .~S'~ SUS ~`t~' ELEVATIONS REFERENCED TO N.A.V. D. 1988 ~ .Y. S. LIC. NO. 49618 ANY ALTERAAON OR ADD/TION TO TH/S SURVEY /S A NOLATION F'ECONIC SU YORS, P. C. OF SEC1/ON 72090E THE NEW YORK STAJE EDUCA710N LAW. (631) 765-5020 FAX (631) 765-1797 AREA=S ~ SO. EXCEPT AS PER SECT/AN 7209-SUBDIVISION 2. ALL CER77FICA710NS P. O. BOX 909 + HEREON ARE VALID FOR 1HIS MAP ANO COPIES THEREOF ONLY IF TO TIE LINE SAID MAP OR COPIES BEAR JHE IMPRESSED SEAL OF 1HE SURVEYOR ¦=MONUMENT 1230 TRAVELER STREET 92_255 nt-llosE sIONAruRE APPEARS HEREON. ~=PIPE SOUTHOLD, N. Y. 11971