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TR-8228A
John M. Bredemeyer 111,President O��$l1FF�Lk�, Town Hall,53095 Main Rd. O P.O. Box 1179 Michael J. Domino,Vice-President James F. King x Southold,NY 11971 Dave Bergen y ♦ �� Telephone(631)765-1892 Charles J.Sanders j � � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION. Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, silt fence 1St day of construction '/ constructed +t Project complete, compliance inspection. INSPECTED BY: COMMENTS: L _ / _711_ �f/✓� Al A10 �T(701 / I CERTIFICATE OF COMPLIANCE: � 6 James F. King, President o~gpfFOt,rc Town Hall, 53095 Main Rd. ~ P.O. Box I l79 Bob Ghosio, Jr., Vice-President Dave Bergen °y ~ Southold, NY 11971 John Bredemeyer Telephone (631) 765-1892 Michael J. Domino Gl ~ 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 day of construction %z constnJCted Project complete, compliance inspection James F. King, President ~pF SOUj~, Town Hall Annex Bob Ghosio, Jr., Vice-President ~j. 54375 Main Road ~O P.O. Box 1179 Dave Bergen # ~ Southold, New York 11971-0959 John Bredemeyer H ~ Michael J. Domino ~ • O Telephone (631) 765-1892 O~~ourm,~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8228A Date of Receipt of Application: June 3, 2013 Applicant: Robert J. Bailey SCTM#: 43-5-6 Project Location: 129 Inlet Lane, East Marion Date of Resolutionllssuance: June 19, 2013 Date of Expiration: June 19, 2015 Reviewed by: Trustee John Bredemeyer Project Description: To install a 10'x13' storage shed on a gravel base with gutters to leaders to a drywell. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Robert J. Bailey, received on June 3, 2013, and stamped approved on June 19, 2013. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, President Board of Trustees ~ i guFFO(,~ James F. Kine, President O~ C P_O. Box 1179 Hob Ghosio, Jr_~Vice-President ~ ~d Southold. NY 11971 Dave Hereon ~ ~ Telephone (631 765-1892 john Hredemeyer ,y ~ Fax (631)765-6641 Michael I. Domino ~ 't' yyof ~ ~ao~ Southold Town Board of Trustees Field Inspection/Work Session Report ROBERT J. BAILEY requests an Administrative Permit to install a 10'x13' storage shed on a gravel base with gutters to leaders to a drywell. Located: 129 Inlet Lane, East Marion. SCTM# 43-5-6 T e of area to be impacted: -Saltwater Wetland -Freshwater Wetland -Sound -Bay Dis ce of proposed work to edge of wetland rt of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 -other pe of Application: Wetland -Coastal Erosion -Amendment _Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: J ~~fTr/~ Prose ere: J. King _B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form fillesi.,out~ th field by Mailed/Faxed to: Date: i E, ~I _ - < . . . ~ N ' 3 K ~rxs ~ i w _ ~ ~ ' ~i.~~~ ,j~. _ ' ~•x '.r 4 alt ,r k,~,`g'~". } r ~ _ , •,'L L- 'r'Y rkt ~4r <•.,; - i _ . ' ~~i:'~9i'~ ; ~~~f n - f + ~'rt' f (f Ft ~,'*h y/4.:.; a•~-°t? h. -"a,• :~Sy }4"` ~ A,; _ ~•~t 5.,r Iffy ~Ixs . ,t~.~~.L. 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Ertl "1..,, _a ,rx 7~''SA,. *~„/i '~"a.;;- ~''~r+~. ~~~''x,~~f ~I^+~ .xlr1~--~`+„' .~;~,~d~ t~ ~~'4;:- ' n sf ~ 4 'i.~~ ~ ~ 1k y~. ~,U` t r, `~~~r.. ~I ra' Ay"Si~ h ~ r~~ r"~,r4,~a Date -May 12 2013 -view to the east i ~'~~7R'• ,,aa `Y'' I .'r _ x Y . r~+'i[ as{ rr ~ ~ ~ r5'+4~"~ - , Y x riy P +'i'~b~'~ 4+ t; Y y$ ' r. _ Y ~k i ~e ir. iy ~4. - I: f yy- dLy~~ R " -0 - •t a S , ~ ~t . ~i ~y f'F IK j~~~. ~ .F~li y 1~. I J$ .7r -i-; ~ +I- xr s4 ~vK~.A'4 ''~yt c 'wt•yi~`7a:~.j~i'~A' .,~'.`i' c -.,e~. ,,fit ~s;. _ r v.~'+7rW+;f.'~' ~w~ar 'j x 4~ ~.F 1 l~ ,w ~ F L.-1 a "y 'y,. ~ ."1 ~ vb ~~ri.:-7l ,~j`v ;~,+6'• l 0._ bi - yy. , _ ..f}," !E,- r ~C :;~~'y~ 'Yw. `.`e~~ a' t ~ ~ xr -t.,r A.~ a~, -S` F: `.i~! y/~•~,#~;~ ~a-e~~r~ r ~ ti n~ '"'.1 - ~ x,]~ 54375 Main Rd, Southold, NY 11971 to 129 Inlet Ln Greenport, NY 11944 - Cioogle Maps Yage 1 of t • • Cj0\ ~'$le Directions to 129 Inl t Ln, Greenport, NY 11944 6.7 mi -about 12 mi s s e ~.x A~ ~ ~ r: r ~ck East hAariru~ y r~ ~ i F s ~y SS o' + ft r 5'- t ~ sa a ',fanrnn A y 11 Y 5 ~ ~ A N ~ ~ d ' t ~ ~*'.I+,3; Island's End Galf 'a ~ ~ ~~"~'i v- & Country Cluet r ~ ~ d. V~ ~ ~ ; f y `",r ,r 5LN v~r r 7r a ~~xa ~i } _ ~X } t ~i ga've` `~3,In1etP ~ ~ i + ' ,i` x'~ n a*' [s'~': Ctlutl ark k ~ ~ s . Greenpoq ~ a M ~ Greenport (1 rc y west li ' ` i AM1~ ~ ~ e:3 ,a`~ ~ t MM y a" ~ Vfl .F _ ~Cai r P S y .77 t l~r Al ^F ~+fiv rt~ V ,3`;h"~ g 7]4 ~ HI/LF"i t Htnace rc Shaker lsYend E n ,.•a,:. ~ „ ~3, z ^r$ ~ `p; i ~ ~ Shelter island ~''1"Rn ~l ~ ~ ~ ~ avaontryCiuh Snefter x ~ :a ap " t j ~ 4 ~ ~`.~'a. Shelter 7 tr _ x„~.,i ~c° Island ,q. r ~ xl oki ~ . k i#e ks Pounders - F'i;! s' u ~ ~ landing Patk.'*; ~ d., ~ ockM ~ nos ~ p~~{ a rsn ft., Cam, r' - 4 e k. ~ ~ Fc F 4 :a s. x ~*t ~ ;ice , ~ ~ ~ s ~G"OWe ~ tt 6Neat NAME. Pa , .6320i~.o~oogle - Map {101 ~ Google ~ n. http://maps.google.com/maps?f=d&source=s_d&saddt°54375+Main+Road,+Southold,+N... 5/28/2013 54375 Main Rd, Southold, NY 11971 to 129 Inlet Ln, Greenport, NY 11944 -Google Maps Page 2 of 2 • • 54375 Main Rd, Southold, NY 11971 1. Head southwest on Main Rd toward Wells Ave go 0.2 mi total 0.2 mi 2. Turn right onto Horton Ln go 0.5 mi About 1 min total 0.7 mi 3. Turn right onto Middle Rd go 1.7 mi About 3 mins total 2.4 mi 4. Continue onto N Rd go 3.1 mi About 4 mins total 5.5 mi 5. Slight left onto Main Rd go 0.4 mi total 5.9 mi 6. Turn right onto Manhanset Ave go 0.7 mi About 2 mins total 6.6 mi 7. Turn right onto Inlet Ln go 0.1 mi Destination will be on the right total 6.7 mi 129 Inlet Ln, Greenport, NY 11944 These directions are for planning purposes only. You may fnd that construction projects, traffic, weather, or other events may cause conditions to differ from the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your route. Map data m2013 Google Directions weren't ri ht? Please find our route on ma s. oo le.com and click "Re ort a roblem" at the bottom left. http://maps.google.com/maps?f=d&source=s_d&saddr=54375+Main+Road,+Southold,+N... 5/28/2013 129 Inlet Lane, Greenport West, NY -Google Maps Yage t of t ~Q Address 129 Inlet Ln Gn3enport West, NY 11944 GM Google Maps on your phone Teztthe vrord"GMAPS"ro466453 w D' e L^. &n K ti>J '..my yf - may? t ~~b~ G a ~ ~ t p t. ~ ':°Y~. v 4~ A ~ 3 a Ma4h d ~ a ~tgyB ~ ~I ~r qp. Y ~ 3.~ St Apnes uamarwe A''^ A Gemeiery a v ~ j r ~ ~ I ~4, V, 1.-~ V IS g` I1t t, ~ m f i S $ a ~.u i kk~ p ~'II ~I~ w ~ e t n+`~'~n. I ~ ~ li i ~ ~ i w ~a~g t _ ' j ~i~ R. 4tN 1I' ` ~ RunyB cove e4a - ~9 - ~ Wand arPakteEt ~ ~ http://maps.google.com/maps?hl=en&q=129+Inlet+Lane,+Greenport+West,+NY&safe=ac... 5/ 13/2013 g ~o .o .,,o- ___g___ G ,u~ ~ ' j 4~ s . TO'M n~v~m Grp ~ ~ I ~ h~ ` cF ~ ~ a ~ i of 03 3 - ~ i ~ _ t j ~ 3 i _ ' „ IWFgNENS GY ~ ~ s g.~, m; • p ai i i I _ ~ w.~, ~ - - - rprr.E OOUNiv OF SUFFOLK © ~ ` Y~ v~ N Q= _ __v - _ _ ReY PrapMyTU Sarvim R6em.Y • M co 1_ xc~xo OFFICE LOCATION: ~~OF SO(/j~o MAILING ADDRESS: Town Hall Annex ~0 l~ P.O. Box 1179 54375 State Route 25 * # Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 G Q Telephone: 631 765-1938 'nt ~ ~0 Fax: 631765-3136 ~'~OOUt'!i`I LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD n ~ l~ ~ 0 9/ Iunul MEMORANDUM JUN 1 4 2013 Southold Town B r f Tr s To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: June 13, 2013 Re: LWRP Coastal Consistency Review for ROBERT J. BAILEY SCTM#1000-43-5-6 The proposed action is partially located within FEMA Flood Zone AE el 7. ROBERT J. BAILEY requests an Administrative Permit to install a 10'x13' storage shed on a gravel base with gutters to leaders to a drywell. Located: 129 Inlet Lane, East Marion. SCTM# 43-5-6 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 provided that: The Board locates the shed outside of the AE flood zone to the greatest extent practicable. 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 ;i -James F. King, President ~OF SUUT9 Town Hell Annex Bob Ghosio, Jr., Vice-President ,`O~ 06 64376 Main Road I P.O. Boz 1179 Dave Bergen J~ * Southold, New York 11971-0969 John Bredemeyer Michael J. Domino Telephone (631) 766-1892 j ~,~pM ~ Fax (831) 766-8641 ~ I BOARD OF TOWN TRU3TEE8 TOWN OF SOUTHOLD Office Use Only 1' -Coastal Erosion Permit Applicatio -Wetland Permit Application ~ Administrative Permit Amendment/Trans / tension Received Application: 3 3 ~eceived Fee:$ o. o E E 11/ E ?CompletedApplica[ion 3 D i -Incomplete ~ ~ _SEQRACIasaification: JUN 3 2013 t Type I~Type IIUnlisted _Coordination:(date sent) ~/CWRP Consistency Assessment Form 5 3 3 ~AC Referral Sent:~- thold awn ate of Inspection: h 11 L 1~ -Receipt of CAC Repo~rt7. ' -Lead Agency Determination: echnical Review: Public Hearing Held: 1 j Resolution: i Name of Applicant ~ 1 Mailing Address ~ ~ i ~ ` ~ ~~`Z Phone Number:( ) - , ~I~ Suffolk County Tax Map Number~10-00 - y ~ - !>.S- Qn~/iADO - ~/3 - OS - 20 Property Location: / 2. q ~ 1~ ~ ~!!n ~ ~?~.ei+~ ~ y ' / (provide LILCO Pole-#, dista~n/ce~to cross street and location) AGENT: /r' (If applicable Address: Phone: Boa of Truateea Application • I, i GENERAL DATA / J / J Land Area (in square feet): ~ q'I 9 ~ h ®A"C~ ~ [jl2ir,~ o`/7J/~ ,U • Area Zoning: ~ r Previous use of property: Q i ~/Yl / ~ Intended use of property: ,y~ Covenants and Restrictions on property? Yes No ~O/Lv~ /G y'vu If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? ? Yes No If "Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ~No If "Yes", please provide copy of decision. j' Will this project require any demolition as per Town Code or as determined by the Building Dept ? Yes ? No / Does the stmcture (s) on property have a valid Certificate of Occupancy? ? Yes No -i~J+~! l7vlw? Prior pennits/approvals for site improvements: Agency Date 1°.~r ~~L p~/Ly ~y._ ail.. ~.i ~rr/~ /?rAnai~ No prior permits/approvals for site improvements. / is Has any pennit/approval ever been revoked or suspended by a governmental agency? ? No Yes ~I If yes, provide explanation: ~ Project Description (use attachments if necessary): Application for storage shed Project Description My wife and I purchased a home at 129 Inlet Lane in Greenport during May 2013. The home is located on Gardiner's Bay near Gull Pond. The home has no basement, garage or attic and as such storage space is very limited. There was an 8 foot X 12 foot storage shed on the property when we purchased the home. This shed will be filled with lawn mowers, snow blower and other yard and home maintenance related items. We are requesting approval to install a 10 foot X 13 foot storage shed in the back yard (see pictures enclosed). This shed will be used to store patio furniture, beach items, kayaks, and household items such as holiday decorations, etc. The shed will be manufactured by a company that makes sheds. The shed will be located on a gravel base. No concrete footings or posts will be used. The shed will be custom built and will have the same siding and shingle color as the house to make it more visually attractive. In addition, as part of the DEC permit process I will commit to put a gutter on it and also put the gutter into a dry well to help with rainwater run-off. If you have any questions please feel free to contact me at 860-836-2371 (cell phone) or via email at robert.i.bailevCa)gw.utc.com Thank you for your consideration of this matter. Robert Bailey soar~f Trustees Applicatioa • i WETLANDfI'RUSTEE LANDS APPLICATION DATA i Purpose of the roposed operations: l h.~ 0 Hof _ ~ Area of wetlands on lot: Dpp square feet -pd ~s~l7'~Lz - ~ ~ b~tA lot/ l7vf" Oa.~n Percent coverage of lot: % iysl/ f ~y~~~ Closest distance between nearest existing structure and upland ,ES~nf D~' ?'r Ov J'~j edge of wetlands: Sf7 feet d/ ~ Closest distance between nearest proposed structure and upland edge of wetlands: f/S- sly feet i Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated?_~ cubic yards ~ How much material will be filled? ~ cubic yards Depth of which material will be removed or deposited: Q feet j Proposed slope throughout the area of operations: 4, Manner in which material will be removed or deposited:___74i' //f 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): PROJECT ID NUMBER _ 817'20 $EQR , APPENDIX C STATE ENVIRONMENTAL WALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Ony RART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1. APPLICANT /SPONSOR /n~ 2. PROJECT N E I ? ~ 1rJ a ~.R~ 3.PROJECT LOCATION: MunirJpalily ?,f/j O?' ~nb 4. PRECISE LOCATION: 3 et Addess and Road Intersec8ons. Prominent landmarks etc -or proNde map / z % t., lc t Laze. 1",f 1~~ %,rt.- t ~/r~/ G.-,~..K o~ r y 8. IS PROPOS ACTION : New ? Expansion ? Modiflcadon / aReraOon 8. DESCRIBE PRO~JELCT BRIEFLY: i. IJAnT ~fiJ ~1Gt ri /O X !3 'f~v~ CI~~.,~~ is 1 L `p j ~I i i 7. AMOUNT OF LAND AFFECTED: / 7n L Initially acres UlOmately acres lJf~ r e. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes No If no, descri'b'e b/r~iefly: 1 ) / 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as appy.) © Residen0al ? Industdel ?Commen:ial ?Agrlc0llpre ? Park /Forest /Open Space ?Other (describe) tO.~DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW Oft ULTIMATELY FROM ANY OTHER GOVERNMENTAL Al~GENCY (Federal, State or Loraq 1~'~ ~Np If yes, list agency name and permit / a proval: r A A R VAL7 ,/J ?Yes No K yes, list agency name and perm([ /approval: rD(.~Lr/~f'~ 12 AS A RE ULT OF PROPOSED ACTION WILL EXISTING PERMR/ APPROVAL REQUIRE MODIFICATION? es No I CERTIFY THAT THE INFORMATION PROVI D ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applk:anl /Sponsor Name ~~Gt y /v~ Date: Si ature / If the on is a Costal Area, and you are a state agency, wmpbte the Coastal Aasesamant Form before proceeding wkh thin aaseasment PART 11- IMPACT ASSESSMENT o be tom feted b Lead A eat A ODES ACTION FJLCEEO ANY TYPE t TFiRESHOID IN 6 NYCRR. PART 617.47 If yes, coord'mate the review process and itse fire FULL G1F. - Yes Q No 8. VVp.1 ACTION RECEIVE COIMDINA7E0 REVIEW AS PROVIDED FOR tINLISTEO ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative daGwallon maybe superseded by arrotlt« imrolved agenq. Yes ©No. C. l'X)UlA ACTION RESULT IN ANY ADVERSE EFFECTS ASSOGAT60 WITH THE FOLLOVANG: (Answers maybe Ilarkwrlpea, p legible) C1. Existing ale quality. aurfaoe «groundwater quapty «quantily, noise levels, existing traffic patt«rt, solid waste production «disposal, . polenlial for erosbn, drainage or floodutg Problems? Expla7rt bdefly: C2 Aestltepo. a9dalUtaa4 ardtaeobgkal, tdsMdc, «etlter natural or wpmal resaxoes; « « dtaradart EglWia bdeAy: ~ - C3. Vegetation «fauna, Gsh, sftepfis fespeGes, significant habitats, ar threatened or endartgered ap'edes7 F~gilaM bdefly: C4. A communHy's existing pWns ar goals as affiaapy adopted, or a-change in use «inlensity of use or land or other natural resource57 Explain txiefly-. - C5. Growth, gubsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, shoA. term, cumulative, or other effects not idemified in CLCS~ Explain bnefly: - . - C7: Other im acts dddi than es in use o(either uanUl ar 1 a(ene ? E lain briefl ; - - ~ - ~ O. WILL THE PROJECT HAVE AN IMPACT pN THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTA6USHxiENF OF A CRITICAL ENVIRONMFl4TAl AREA CFA7 in bfiefi. - Q Yes Q No E IS THERE, OR IS TFIB2E UKH.Y TQ S RELATED TO POTENTIAL E MENTAL IMP If . - Yes Q No _ _ PART Iq - OE7ERIIAINA710N OF SKiN1FICANCE (fo be rwrltpleted by Agency) INSiRI1C7'IONS: F«raaohadlnerseeiFedtCelrtlfledarwve.detenninewl,efbernlssWstaagallatge,MlpallaRl«dfesignuicant Eaaf elleot aflolAd be asse9sad in oonpespon Vfdh its (a) seeing fte. laban «tulap; (b) ptol>abif0.y of oOCUtYalg; (oj durapon; imstrelsibl6q; (e) 9~8~~ 84k ifl magnidke. If tleoessary, add attadanants «roe slplPor&Ig mamfials. Ereure that etQflartaporls oontain - sptltdetr~toshowihetaprelevmrtadreraeYnparxshavabeenidengfiadandadoquatelyarWtesead.IfquestlandofpattNwasdlgdped yes, lheds~nnktaGonofsignifiralwemustevalgalethepotentialkrgsaddtliepre(>osedaolial oatlle~itfiafader(s~soflpe CEA CltedrtllisboxKyouhereane«maepotevgiaNyWrge«slgN6cardadversehpadswhidtMAYooas. TheltpmceeddpectlYtogre FAF arkf« Prepare a Positive dedarsti«L Check lllls box pyoufiave deferalhted, based on the klforrrtatian and analysis a6ova ark any slrylpodktg ddamlerdatlon, plat fire preposed a WILL NOT result h aay significant adverse environmental impacts ANO provide, on'atladtmerds as necessary, the reasons supporting pp determination. Board of Trustees ~ ~~/pJ ~ Z O /3 Name of Lead Agency - ' L / ~ r/ Dale c/A / /N President U Pnnt or T~Respoos761e Officer r Lead Agency Title of Responsible ORcer II Soar• f Trustees Application • j I County of Suffolk f State of New York is r t j f ~ 0~ 1 BEING DULY SWORN ~I DD-~D AFFIRM THAT HE/SHE THE APPLICANT FOR THE ABOVE I 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 II = AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES I 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 REPRESENTATNES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE ~ PREMISES IN CONJUNCTION WITH REVIEW OF THI LIGATION. i, 'gt re of P er I SWORN TO BEFORE ME THIS ,2JD~ DAY OF 20~ I; C~~~GeE.1~Gt~IG1 GLE~.~(_ Notary Public i Meitll C DePasquale Notary Public-Connecticut My Commlaslon Expires Auguat 31, 2014 Soar~of Trustees Applioatioa • i AUTHORIZATION (where the applicant is not the owner) jlr~~ I ~J 1 I I~Ot ~ ` residing at ~ oozy ' (print owner of property) (mailin dress) hereby su rize ~ (Agent) to appl or permit(s) from the Southold Board of Town Trustees on my ehalf. (Owner's signature) ~ 1 ~j~ _ I APPLICANT/AGENT/REPRESENfiATIVE j TRANSACTIONAL DISCLOSURE, FC1RM I ~ ' old s C+tie of Ethics prohibits conflicts of interest on the Hart of town officers and emplm~~oea The ntmxts6 of .:.ae o,,.., ..*+.,ide inrorination which t~ir alert the mtvn of possible conflicts of mmtnst and slow d to tape whatever actun fa ~ e voi r /~//f T i YOUR NAME: d /.LN-~ l~L.[7 J? ( (Lastname, f name,lpiddle initial, unless you aro applying id the game of someone else or other entity, such as a emnpatty. If so, inditx+ta the.odter person's or company's name J I NAME OF APPLICATION: (Check all that apply.) ~ ~ ~ ~ ~ - ~ Tex evance Building _...t/ - j~ ~ Trustce ? 1. Variance Change ofZone Coastal Erosion Approval of plat Mooring - ~ , Exemption from plat or official map Planning Other (If"O[her~, name the activity.) , _ ~ Do you personally (or through your company, spouse, sitiling, parent, or child) have a mlationship.with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business ihteresf. "Business interest" means a business, including a partnership, in which the town officer or employce has even a partial. ownership of (or employment by) a corporation in which the town otFicer or employee owns more than S% of the shams. I 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 [he relationship between yourself (the applicantlagcnVrepresentative)and the Town officer or employee. Either check dre appropriate line A) through D) and/or dcswibe in the span provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check a11tNat apply): _A) the owner of greater than S%of the shares of the corporate stock of the applicant (when the applicant is a corpontion): _B) the legal or~eneficial owner of any intenxt in anon-corporate entity (when the applicant is not a corporation); C) an officer, direcmr, partner, or employee of the applicant; or D) the actual appNcant. DESCRIPTION OFRELATIONSH[P Submitted this day /nom 200 ~3 Signature. Print Noma Or Form 1'S i ~ ! Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM ` PaoPNarv tacATN»L• s.c.7J•. a: TH[ POLLOYNNO ACTIONS NAY RYgWRi TRi IUONIIit1pN OF A '1~/ S tIRAI i IIOL i Y~ '15Tee ' 'l"r C P OF SCOPE OF WORg -PROPOSED CONSTRUCITON 1TEM # / WORN ASSESSMEW'T Yes No ~I e. W1ut1 b the Total Area of the Projed Perceb7 f prrdude 7olal Nee or aA Parcac kr®ted wlWn 1 ~ p 7 C, ~ ~g GIs Pro)ect Retain All3brtn-Wabr Run-OR the Scope of Work for Proposed Cona6uuibrr) f -L_ Genera0ad by a Two (2~ Inch Reinfal on SAe? F. r ) (This Nan xdA include aA run-0Oaeated by SAe b. What b Ore Total Area a IaM Clearing p~Z daakrg andlar amsWdbn adivilies es waN es aN andla' Ground Disturbance for Ore proposed ~ O SOe Improvemenla and tlro permenem aeetlon a a7nshtlc9lon (s.F. rnnu) impervious surfaces.) PROVIDE BRIEF PRO)EGT DE4CAIP1I:ON a~.rx.~-W F.r....warq 2 Does the SOe Ran antllor Survey Show AN Proposed - ? Dreirrege 3Wdurea Indbatlng Sae & Location9 This ) Ian shall Include all Proposed Grade Changes and P/ ~ G ~ ~ ~ ~ ~ ~ Sbpai Conbdling 3uAaoa Water FNiv. T 3 Dcea the sIM Ran anabr sxrvay deeaibe the erosion - ~~..f f7>7 ']~i-tr.L ametra~aneeemroa~arr~ardpamrmvre~lermacahary d. nee y ry n / y / item moat be malnbilned Throughout tlx FirOre "(7rp~ CmsWctlon Penal. 4 WAI thh Projed Require any tared FiAing, Grading or Excavation whero there is a dratge m the Nahaal fi~-+' ~ F~dsling Grade lmohing more Sian 200 CWh:Yards ~ _ I'~ of Matedel witlrin any Pararl't tj Will Otla Application Require Lad Otsturbkg Acdvities / ~i Ermmpasskrg an Aroa in Excess of FNe Tharmnd ? r/ (5,000 S.FJ Square feet of Ground Sur(eca7 g la there a NaWrel Water Course Runriing ttvough Ore 11''''~~ SIte1 Is tlis Pio~ed within the Tnrs6ees palsdcOOn 1 ,/1 Oanaml DEC BYYPPP n.ous.rn.rih: or wiOdn One Hundred (700')kiet ofa Wetlantl or u $aalrbCn a a SNNPP tr reputed raraN (bnrWaon eatdsee invaNtrq sa Beadr? dtmabancea sans (t)a more auu; irdbYp dhWNmna arm men aro aa• tlrot 7 yylg Orae t>a 8Ne preperatbn on F~dadng Grade Sbpes emp•daal0yerpparnm panmat wA UMnroWydlehxbaro or moro aaaaluq; whbh Exceetl FMeen (15)ket OfVertlca Poseb / trmrdinp txnstrrabrr ararares Yrvanng •oi dtaurb•nm aim xem an•(1)aea wwm a V itr n~ has d•Ymaiad art a SPoES p•rmN a roqulrod br etam earordrtlrorg•e. One Hundretl (700') Of HafiZefrt8l Dietarloa4 (lpYPPPY tllrN mettle Walmum Raqulnmeaa atlas ePOEi 6enenl Wmtlt s WNI Driveways, Paddrrg Areas err dhar Inrparviorrt ? I / / tar llmmr w.w ObxMrxa harry Cmabueuan aetlvtq • puma Na aPataiat.) Surfeare be Sloped to Direct S[amWater Run-0M ,/_V/// 1. The 9WPPP Mae be propered pdab the eWnMld ems NOT. The nra ehea he Imo and/or In Ore dlrectlon a aTown dgM-d-way? euMNl•d b xro Dpadmml pdvm the camm•nmmea amroDamar aWvay. 2. The 8WPPP NrN deacrPoathe emabnaM SeAneM tonxd prectlaro arM wrote 9 WiN this Project Require the PlacameM Of tdakvid, requte0. pmt+arehutllm norm maamvrogemant puawr mat wl a uee0 endbr Removal of VegNaOOn ardkrdm CanahudtOro of erry corroerraed to redurs the poAuMrobebrmmderardragse and bamm Item WNhln the Town ~ _ comprrawm th•emm rro o•ndnorro anus perm In adaisn, ma SNRPP ahae Right-0f-Way or Road Shallder roenrNy pogrxal aoummapaisbnwam m.y mmruDNMameatedwaNeame Are97(m. morns xoTa.ara.a.aor.a.ue.aom...r~p-,e<I quWya•Iam eeMrdaNarym xortl: xagAruw•rb Groeaaro an•ameah Mrro roAanrr•dwmeCMek lpra a.N 8WPPPS mat mNWie ma poatmahuctlan emrm mdumungmrom praaoe InatMx and m•aaaYuotlm aN•dl•tarDareeb baawi 0.aae iR 8laanNuy cmponaa aMllro prpamd Dye WaNNad Dayn Pr•raetaW Llwnmdin tl•wvark eaam~wa~orulYrq delupi6aebn CanO'W PINroxyrroM by Yro Tama MetY lmaat•dNe-brhate grndplas and prodkeedtlemrr Watrr Menaganml. iaelYaldaNlhrol6•fahrelMrd ax MNar PdsNhewrrwa/tq xulgrB hnax. Mora: ACTak lbdr111 od~aamrfa•rh OrrbnerhpWwe aaeQr•eare~aparm) S7ATEOFNEWYORK, ~ COiJNTPyOF... .R:` SS 77tat I. ~~:~!~.k......_~.1k~.A a......... being duly sworn, deposes and says that he/she is the applicant for Permit, (Wmeanadearo BSiiDe Ueemn) / And that he/she is the ~G?l2Pi?' (Oaw, cane9aor~Aaam~enmaar•omor..ral Owwer and/or representative of the Owner or Owners, and is duly audtotized m perform or have performed the said work and m rrtake and fde this application; that all statements contained in this application are hue m the best of his kttoxAedge and betieF, and - that the work will be performed in the manner set forth in the applption fled herewith. Swom m before me this; No :.......~a~:~rL(.L(l.L.1.~ w~::..:'S~r........ (s~aee a FORM - 06/10 Nofhry Public•Connecticuf My Commlealon Expirse August 31, 2014 Application for storage shed Project Description My wife and I purchased a home at 129 Inlet Lane in Greenport during May 2013. The home is located on Gardiner's Bay near Gull Pond. The home has no basement, garage or attic and as such storage space is very limited. There was an 8 foot X 12 foot storage shed on the property when we purchased the home. This shed will be filled with lawn mowers, snow blower and other yard and home maintenance related items. We are requesting approval to install a 10 foot X 13 foot storage shed in the back yard (see pictures enclosed). This shed will be used to store patio furniture, beach items, kayaks, and household items such as holiday decorations, etc. The shed will be manufactured by a company that makes sheds. The shed will be located on a gravel base. No concrete footings or posts will be used. The shed will be custom built and will have the same siding and shingle color as the house to make it more visually attractive. In addition, as part of the DEC permit process I will commit to put a gutter on it and also put the gutter into a dry well to help with rainwater run-off. If you have any questions please feel free to contact me at 860-836-2371 (cell phone) or via email at robert.i.bailevCa~ow.utc.com Thank you for your consideration of this matter. Robert Bailey Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits' including Town of Southold agencies, shall complete this CCAF for j 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 HazcvdArea. 2. Before answering the questions in Section C, the preparer of this forth. should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalisation Program. A prorwsed action will be evaluated as to its signrficant beneficial and adverse effects~on the coastal area (which includes all of Southold Townl. r i 3. If any question in Section C on this forth 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 eanhrored in detail llstine both suaporline and non- supportine 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 i. 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 PROJECT NAME _ /'6„tfiC The Application has been submitted to (check appropriate response): Town Board ? Plannmg Board ? Building Dept. ? Board of Trustees 1. Category of Town of Southold agency action (check appropriate response}: (a) Action undertaken directly by Town agency (e.g. capital ? I consttarction, planning activity, agency regulation, land transaction) ? (b) Financial assistance (e.g. grant, loan, subsidy) (c) Pemrit, approval, license, certification: Nature and extent of action: ~~C~ Ucl~ - - Application for storage shed Project Description My wife and I purchased a home at 129 Inlet Lane in Greenport during May 2013. The home is located on Gardiner's Bay near Gull Pond. The home has no basement, garage or attic and as such storage space is very limited. There was an 8 foot X 12 foot storage shed on the property when we purchased the home. This shed will be filled with lawn mowers, snow blower and other yard and home maintenance related items. We are requesting approval to install a 10 foot X 13 foot storage shed in the back yard (see pictures enclosed). This shed will be used to store patio furniture, beach items, kayaks, and household items such as holiday decorations, etc. The shed will be manufactured by a company that makes sheds. The shed will be located on a gravel base. No concrete footings or posts will be used. The shed will be custom built and will have the same siding and shingle color as the house to make it more visually attractive. In addition, as part of the DEC permit process I will commit to put a gutter on it and also put the gutter into a dry well to help with rainwater run-off. If you have any questions please feel free to contact me at 860-836-2371 (cell phone) or via email at robert.i.baileyCaapw.utc.com Thank you for your consideration of this matter. Robert Bailey Location of action:/Z~ ~ ~y~ 0' " ~ ICI i Site acreage: f/ ~ I t ~ Present land use: i Y7 i / i. Present zoning classification: /Jf .,/fl~~~ 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: ~ I~ (a) Name ofapplicant:_T A~ \ G=' . ~ i (b) Mailing address: r 1/•.L- I / p (c) Telephone number: Area Co e ~D - O ~ ~ - 7ic~7~~_ (d) Application number, if any: Will the action~beydirectly undertaken, require funding, or approval by a state or federal agency? Yes ? No L~J If yes, which state or federal agency? I j I C. Evaluate the project to the following policies by analyzing how the project will further support or I 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. I DEVELOPED COAST POLICY Policy I. 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. i QYes ? No ? Not Applicable Attach additional sheets if necessary Po&cy 2. Protect and preserve hiatorle snd archaeological resources of the Town of Southold. See ' LWRP Section III - Pol' es Pages 3 through 6 for evaluation criteria ? Yes ? No Not Applicable I Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. Sce LWl3P Section III -Policies Pages 6 through 7 for evaluation criteria f d Yes ? No ? Not Applicable ' ' i i Attach additional sheets if necessary I NATURAL COAST POLICIES Policy 4. Minimize loss of fife, structures, and natural resources from flooding and erosioe. See LW131' I Section III -Policies Pages 8 through 16 for evaluation criteria Yes ? No ? Not Applicable i i Attach additional sheets if nocoasary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Polic' Pages 16 through 21 for evaluation criteria Yes ? No ? Not Applicable ~ I M ~ i Attach additional sheets if necessary Policy 6. Protect and restore the quality and flsnction of the Town of Southold ecosystems including Signiflicant Coastal Fish and WiWli[e Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ? ? Yes No Not Applicable i i i 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 fo 'on criteria. ? Yes ? No of A le I' Attach additional sheets if necessary ` Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and w~st~ See LWRP Section III -Policies; Pages 34 through 38 for evaluation criteria. ? Yes ? No U 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~ Not=-~ Not Applicable Attach additional sheets if necessary ~ ! • WORKING COAST POLICIES j Policy 10. Protect Southold's waterdependent uses and promote siting of new water-dependent uses m suitable locations. See LWRP Section III-Policies; Pages 47 through 56 for evalnation criteria. ! ? Yes ? No Not Applicable I! i r. 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 Not Applicable i I Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III -Policies; Pages 62 through 65 for evaluation criteria. ? Yes ? No , Not Applicable I I Attach add~honal sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III -Policies; ages 63 through 68 for evaluation criteria. ! ? Yea ? No Not AppBcable / ~r~p~~ PREPARED BY~ b ? TITLE (~F?!?,A/L DATE ~ T a Amanda My name is Bob Bailey and I recently purchased a home at 129 Inlet Lane in Greenport. I spoke to you on the phone and then in person in your office last Friday (May 24`n) regarding an application to put a shed in my backyard. Enclosed please find an original and two copies of my application for shed approval. I believe I included all the required information and answered the questions using the guidance you gave me. Please email (robert.i.bailev(a~pw.utc.com) or call me 860-836-2371 if you see anything that may be missing or if you require additional information. Thanks for your help. ~~o~ c ~G~ rod ?.c ~ N D ECE~~E n alANXANSET ,q VENUE ' JUN - 1~J 3 2013 outhoid Tawn Ts ~o O h ~ro~Do f.1G~ /vx/3 h S~i~tcl N/0/ 2 ~ ~ hl EL. aa~SB 5~00"'E ,4 1 d• ASWiALT ?~4 ~ * , /N82'01~50"E ~Sr ^O ~ :i 35.~4~ .7 3.y, of ~ ~ ~y 6 ZL1NE AE ~ A~Sys~M so a~~~ o ~W ~ • v,N~ ~ ~ o• o EL, 6.2' ~ ry ~ N £ 67.8• ~s b I N I ~ 1000-43-05- ~ ~ ~ ~ N a 8go-E ,`C 06 ~ ~ ~s ~ e~ = 197.29• .~/c ~ ~ ~ RR TIE SH SHED ~ w NS4 N87'05'00"W 3.4'5 T?.J' S.8'S 1 ~ L I APPROVED BY BOARD OF TRUSTEES N / 0 / F JOHN & LUCY RACANELLI TOWN OF SOUTHOLD DATE (p I Q j 3 T0: ELEVA TIONS J. BAILEY WETLAND F, RAII FY 129 InIM Lane Greenport, NV Lot 1000-OS-O6 Lot 1000-05-20 Total Lot coverage for 1000-43-OS-O6 8 20 Estimatetl Estimated Per Per Owned Dimensions Sq Footage Survey Survey Pro Tolal lot sq footage 17,979 17 073 35,052 Total square footage of house footprint 70R X 33 ft 2,310 Total square footage of ashphalt driveway 70ft X 30 R 2.100 Total square footage of ezisling Shed 8ft X 12 R 96 Total coverage on lot 4,506 of lot wverage for -O6 25 of lot coverage for -O6 & 20 combinetl 13 Estimated wetlands -not owned but in between lots 100 R X 60 6,000 17% Square feet in an acre = 43,560 BO % total land is % of an acre inlet lane coverage of lot Sheeli 5/28/2013 L N SURVEY OF PROPERT Y ~tANHANSEr AVENUE A T GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000-43-05-06 & 20 SCALE.• 1'= 40' ~N a 2~~2~(A~DrnoNS) ?AN. 17, 2007 (LAIN DECK) FEB. 13, 2007 (DECK) MARCH 29, 2007 (RENSIONS) ~ APRIL 18, 2~7 RENS/ONS ~3, ~ ~ N ~ 0 ~ F VERNI FAMILY ( ) LLC SEPTEMBER 29, 2008 (UPDATE & TOPO) ~ APR/L 4, 2013 (UPDATE) ~ ss•S87ro5'oo'E N / _oi / ,rt ~ ~TS.4s' - ~ , 424.08' A ASPiGLT ~ ?f•f S/J iN~1,~'E 0 ~ 35.9{• 68.17' ) ~ y. 4 / fS j; t~~ ~ i'~ O 142.x'' GP EAryS ~ C in~~ ~ ' ~++FF" 1 ZQNE (.f- ~ ° w .sEP"`' so' ~ ~ o j ~ /1 ~1~ ~ ~ Cez. 7) g~ ° ~ ~I 3 0 ~r e l- ZAVE AE ~ W u \ R l~ ~ ~ ~ ~ .~v 1000-43-OS- ~ ls~ 1000- / N a g2o-E O ,gyp ~O 20 ~ 43-05-06 - ' _ J ~ ~ 2 Aic l ~ r" ~ i ~ m 3 ~ Q S4 / ~ / C N8T05'00 3.4'5 T2J' S.BS / ~ ~ raaat' I 1 L ~ ~ i ~ 440.65' / i N ~ 0 ~ F JOHN & LUCY RACANELU de JON-RAC - ~ ~ _ _ J -Q - ASSOC/ATES f ~ CERTIFIED T0: ' > , ~ ~ ROBERT J. BAILEY ELEVAT/ONS REFERENCED TO N. G. V.D. ~ ~ F HEIDI E. BAILEY WETLAND FLAGS BY ROBERT H. FOX -AUGUST 2006. ~ FIDELITY NATIONAL TITLE INSURANCE COMPANY ¦ =MONUMENT ~`;;l'~, - DE CAPITAL MORTGAGE ¦ =p/pE `.~~y,`;~~' ~ ; j 1000-43-05-06 AREA=17,979 SQ. FT. • =wErcAND FLAG ~ ANY ALTERAnON OR ADDInON TO THIS SURVEY /S A v1oLAnoN N. Y.S. L/C. NO. 49618 1000-43-05-20 AREA=17,073 SQ. FT. OF SECTION 72090E THE NEW YORK STATE EDUCAnON LAW. ~~ECONIC'SUR EYORS, P. C. EXCEPT AS PER SECTON 7209-SUBDIVISION 2. ALL CER17FlCAnONS (631) 765-5020 FAX (631) 765-1797 FLOOD ZONE FROM FLOOD /NSURANCE RATE MAP HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY lF P. O. BOX 909 MAP NUMBER 36 1 0300 1 76 H SEPTEMBER 25, 2009 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR 1230 TRAVELER STREET f~f~ n WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 vv-~~c~