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HomeMy WebLinkAboutTR-6547 James F. King, President ��Of so yo Town Hall Jill M. Doherty, Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson * Southold,New York 11971-0959 Dave Bergen i Q Bob Ghosio, Jr. Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction '/2 constructed Project complete, compliance inspection. 51$l6'1PSI C LA'-u J moo( 'rw �m�^-k v�� 0 SQ�rc' BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6547 DATE: MARCH 21, 2007 ISSUED TO: DONALD J. PETRIE PROPERTY ADDRESS: 16215 SOUNDVIEW AVE., SOUTHOLD SCTM#50-2-14 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 21,2007,and in consideration of application fee in the sum of$250.00 paid by Donald J.Petrie and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorize and permits the following: Wetland Permit to reconstruct the existing stairs to the beach with the condition the existing stairs are completely removed and the new stairs are constructed in a new location to the west, attached to the existing platform, the tree stumps are left in the blu and the area is re-planted after construction, and as depicted on the plan submitted by Donald J. Petrie dated March 15, 2007 and plan prepared by M.J. Construction dated January 3, 2007. 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. 000 • • James F. King, President ��ZF SO(/Tyo Town Hall Jill M. Doherty,Vice-President ,�O l� 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen CA �ftc • O Telephone(631) 765-1592 Bob Ghosio,Jr. Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 21, 2007 Mr. Donald J. Petrie 11 Fairview Ave. Great Neck, NY 11023 RE: 16215 SOUNDVIEW AVE., SOUTHOLD SCTM#50-2-14 Dear Mr. Petrie: The Board of Town Trustees took the following action during its regular meeting held on Wed., March 21, 2007 regarding the above matter: WHEREAS, DONALD J. PETRIE 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 January 12, 2007, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on March 21, 2007, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, z . • WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of DONALD J. PETRIE to reconstruct the existing stairs to the beach with the condition the existing stairs are completely removed and the new stairs are constructed in a new location to the west, attached to the existing platform, the tree stumps are left in the bluff, and the area is re- planted after construction, and as depicted on the plan submitted by Donald J. Petrie dated March 15, 2007 and plan prepared by M.J. Construction dated January 3, 2007. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Jame/. King President, Board of Trustees JFK/Ims If b t i p - s t Y q I ; 1 r. • j r .. �� a, 3 D� AnveD �'J¢✓EYE=. rC2 ' ; a w �o�v Cc •r:- — N.y d' �p� y 1 � C I - l rjrj inmb:�...N.r a,y.'. . I Y�y'1 I 1 �I�•+�s: t {' ,'i+r'e i:'= 7/-.�-'•C/-]Z.ri �a�w� wew , j j(' � `V ' } r� I 1 A.+4_.VOET� S�7r Z9,Ji 43- ;p GuCva Fti+ecd fa iksi Sc4rs ti!� � I it �7.1 <I� � j{.f� �' !�i s curt cv V nyyla rf{ ; t L c....��<l �- -d Ss..ae/a.� .v•� 17 - c� 4 ' v?ql�E.d atq I � � ' I L_%o/r0 ?Ca"..7G/�G Ct7U1gPC/ �ryr`l S� Fore 11-u / f}nrl ScG / � k �4 — - )ooz z I Nyr i J JJ 7�'/ 3.�f/G/ � • Sna'.�'/f1�/�l.7rdS Sr1alS ' i L AS i 2x12 —� Cl�Er"gZx ,( S ilei tc�i r i /&X9 M9AJ /62/S Soc x✓v; h uF,rx SciU7n c<- �PKLWICTIL i e 5 Donald J. Petrie 11 Fairview Avenue Great Neck, New York 11023 March 15, 2007 Mr. James King President Southold Town Board of Trustees Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971-0959 Dear Mr. King: Enclosed are an invoice and payment check for our order for 200 plantings of Rugosa Rose and Beach Plum which should be delivered to us next month at Southold. We intend to plant all of these seedlings on our beach front property and with good weather and little luck we should be able to make a real difference in stemming erosion on our property. We have worked continuously not only to stem erosion on our cliff but to preserve and enhance the natural beauty of our property. We have:.I - Arranged for underground electric service to preserve the natural beauty of our property before our house was built. - Regularly planted Rugosa Rose, Autumn Olive, Flowering Locust and a special species of pine on our cliff to help stem erosion. - Driven in rudimentary piling, at the base of our cliff to hold earth. This worked fairly well. More greenery has developed. In short, your goals and our are identical. We and our family are enthusiastic and active naturalists. Sincerely, cc: Mr. Dave Bergen James F. King, President ,qf soUTyo Town Hall Jill M. Doherty,Vice-President ,�O l� 53095 Route 25 Peggy A. Dickerson P.O. Box 1179 Southold,New York 11971-0959 Dave Bergen G Bob Ghosio, Jr. Telephone(631) 765-1892 Courm N Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO:1LnQ'Cd6 02hL . Please be advised that your application dated I woo has been reviewed by this Board at the regular meeting of t O and the following action was taken: �) Application Approved (see below) ( ) Application Denied (see below) ( ) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: qM,i ( 4w, u8n 6-LL- Ryo ,06 TOTAL FEES DUE: $ Sp (I) BY: James F. King, President Board of Trustees 1 »e s Y. `�_� .� . r�.. � �� . �� ,'.:1. J'. .wF ,�+, r ' � _ ,N,''...w_ �� -__ ..� � .Atl'a ry y'4r- OA . �� � � ��� — Ste• _ _ '.� 14 0 v' MS . A � � � „ ` L . / a���a �� K � � �- `�P,. Riri; _ s.r' , � ss, � � , T� c� ` ' v �.. +� � -. � �,� � _� x�c e °'/; _ j �A s. r�^.--r' � �" x-, f 2w1 5?3'` DONAL D JAlVE ,14 . � v fSY }4 p f � j 1�I S4 �y-T i. �✓w.wan." �.p t 9 A � TJ'L.4 "� 1 f` §t t a' FIR, L F braNf>avmwW bM li�'4Sy Iil �� r i I 'AeOENOE'J St+v7: .'.S".1945: G.ecvanPecii fa Oka Scu4k.:-A _ >r�c.cCc 'po�� ;', S�GD£t2.`Gt_ Vr,n T:'•.':- F;.�.. '��I;pv' i''A :F. �' � `" �f <�� • L crr. � L d i Y i j,r �C,t a::st+nzglera✓. 6C H stv _ ✓o /erei � / ^ � I,z. tAx ��:. �1 '7,Ae S31 M8>•� LWO MY/ Of rM> Li IV %• 'Y •� "I 6, .`�QrL oYr•2 f�0 Nr4l.C. ei t45.1pop/y /� ���1 =� wx •e'".ei7Sc.',i..r"a`P.ti�a'.e'.�_'a�'.v`^4. >e..,..... ..�v.,a�,..�.mu.:..�...-.e.. __. _ i. • James F. King,President QF soUry Town Hall Jill M. Doherty,Vice-President ��� Ol0 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G Bob Ghosio Jr. �� �O Telephone (631) 765-1892 Fax(631) 765-6641 I�C�UW I, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Work session Report Date/Time: DONALD J. PETRIE requests a Wetland Permit to repair the existing stairs to the beach. Located: 16215 Soundview Ave., Southold. SCTM#50-2-14 Type of area to be impacted: / _Saltwater Wetland _Freshwater Wetland V Sound Bay Distance of proposed work to edge of above: 7of Town Code proposed work falls under: hapt.275 Chapt. I I I _other Type of Application: Wetland_Coastal Erosion Amendment Administrative _Emergency. Pre-Submission Violation Info needed: / Mpdi�cations: / �v,� Z.c�jo Conditions: r 1 -j Q� 4 Present Were: 10-J.King 7<J.Doherty_P.Dickerson D. Bergen B. Ghosio, Jr /?'- H. Cusack ^D. Dzenkowski _Mark Terry other Mailed/Faxed to: Date: Environmental Technician Review �2vc�c�vk7 A�kc� re 1,u l�,nj S O- T)V Je kn S(JCc�e� ✓LRw SiG; �� S flits S C)1c • o��gUFFO(,�c OGy� Telephone O Town Hall (631)765-1892 W 53095 Route 25 O �C P.O.Box 1179 Southold,New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., February 7, 2007, the following recommendation was made: Moved by Don Wilder, seconded by Joyce Grigonis, to TABLE the Wetland Permit application of DONALD J. PETRIE to repair the existing stairs to the beach. Located: 16215 Soundview Ave., Southold. SCTM#50-2-14 Inspected by: Don Wilder, Joyce Grigonis The CAC Tables the application because the work has already been started. The CAC recommends the applicant cease all work and submit an engineered plan. Vote of Council: Ayes: All Motion Carried Board of Trustees 17235 Soundview Avenue Town of Southold Southold, NY 11971 February 7, 2007 Dear Trustees; There will be a hearing on February 14 concerning the application of Donald Petrie to rebuild his steps to the Sound. I am his neighbor to the East. I support his request to rebuild. He has been a very good neighbor for many years. His description of the destruction of his steps by storms is accurate. I hope you act favorably in his case. Sincerel rs, Edward C. Booth FED - x i r" d J i 401f, \� a iN. - v 1 +� 3 SDDND r_ SAD \4 Rw7 B, 5 LR x o souiNOtp 0 c50No E ,__ .• - - - - = Re�tl kaperty to Service Er P r .... s p,�. .. -- =µ.m.�o .r vre, ex..r.agxr mm y u ..,_.....� e .. ,.... ,....... . - �, '..r� .... .i � p. � o<m4 IOOO PPOPEPn urP L � - xE.? ,� ,.- -.; ..• .;.5 . tea �� _ _ - —_ — - - • DONALD J. PETRIE 11 FAIRVIEW AVENUE GREAT NECK, NEW YORK 11023 .I 00 jr/AJ 44��?2 ,1 �! wx goro APR 16 �` Donald J. Petrie I 1 Fairview Avenue Great Neck, New York 11023 March 15, 2007 Mr. James King President Southold Town Board of Trustees Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 1 1 97 1-0959 Dear Mr. King: Enclosed are an invoice and payment check for our order for 200 plantings of Rugosa Rose and Beach Plum which should be delivered to us next month at Southold. We intend to plant all of these seedlings on our beach front property and with good weather and little luck we should be able to make a real difference in stemming erosion on our property. We have worked continuously not only to stem erosion on our cliff but to preserve and enhance the natural beauty of our property. We have: - Arranged for underground electric service to preserve the natural beauty of our property before our house was built. - Regularly planted Rugosa Rose, Autumn Olive, Flowering Locust and a special species of pine on our cliff to help stem erosion. - Driven in rudimentary piling, at the base of our cliff to hold earth. This worked fairly well. More greenery has developed. In short, your goals and our are identical. We and our family are enthusiastic and active naturalists. Sincerely, hlA i 'J "07 C cc: Mr. Dave Bergen NYS DEPARTMENT OF ENAWNNENTAL CONSERVATION Saratoga Tree Nursery invoice 2369 Route 50 REF.# I oats ! Invoice# Saratoga Springs, NY 12866-4738 I5_56 I/29/2007 I5892 Bill To Ship To Donald 1 Petrie NYSDEC I I Fairview Ave 'Suffolk Great Neck NY 11023 Ridge Quantity Item Code Description Price Each Amount --- 1 10033 Rugaa Rose unit IOU -- ------ JW)O 30.00 1 10043 Beac= Plum unit of 100 30.00 30.00 PH.k 516-482-4669 Nass__ Payment Due 2/19 2007 Total S60.00 CCSTO', ER AGREEMENT --- —As owner or legal agent, I understand that this sig-.ed order is an agreement with the Department of Environmental Conservation to plant these seedlings for conservation purposes or to promote environmental awareness. 1 further agree to pay in full for this plant material and all transportation charges to the point of delivery. `� 7rd / X SIGN HERE VDATE P DO NOT CHANGE THE ORDER. Call(518)581-1439 Monday through Friday,8 am to-4 pm if changes arc necessary. .Ail seediin_s are shipped in bags and must be kept covered and out of direct sunlight especially during trmcportation. Failure to observe this procedure could result in mortality of your stock. The nursery accepts no responsibility for seedlings loss dueto circumstances beyond its control and makes no provision for replacement of stock. Donald J. Petrie I I Fairview Avenue Great Neck, New York 11023 March 15, 2007 Mr. James King President Southold Town Board of Trustees Town Hall Annex 54375 Route 25 P.O. Box H 79 Southold, NY H 971-0959 Dear Mr. King: At the suggestion of Mr. Dave Bergen we now plan to attach the top of the stairs we are proposing and for which we.are applying for a permit, beach to the platform shown on our survey. This improves the proposal and we hope this will meet with your approval. All other facts remain exactly the same. Sincerely. AW,f+. � cc: Mr. Dave Bergen Z.007 IF yA lam' f l alC Mai .���..• � ! 1 AGE I \, 3 �\ C 3O1 "• =v¢v�ye� vcz y DoNzSL D S , ' x �9 ff 4 e1 h /4L7Q � �!i/ tY= 7/-�-C/.]2✓ �z"z.""�w. a aevo� seer. z4./>ss- gyp 7 / { 1 it C n GNaYRiti+e ed to�i4 - l,: i t�j t" ' Tit I,. De{:5, IKY if 1� I r � M; r .; lapltYYY�a/o✓.66 1 -� - w•.'�. c'.�`x,.>re n4 a1Y�Na a✓Yy�y - C , ... �;._. �+r nt" - • FMfilA'�II�'f hAll�f71l11 ':�' i 'i"i-il E'"�i •�r�",'sF� -c+'--�.:,a.Jt ,r:✓-�:�. . ._. _ : - ..� _......_.... �I � tKi I�I� 1r nF r.�v+ James F.King,President O��QF SUUT,yo Town Hall Jill NI. Doherty,Vice-President 6 P.O. Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Ahl- Dave Bergen � �p� Telephone(631)765.1892 John y��UNi'1, Holza fel O Fax(631)765-6641 P l �► BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application 7�Vetland Permit Application _Administrative Permit Amendment/Transfer/Extension deceived Application://.I 'Received Application 'Completed Application _Incomplete _SEQR4 Classification: Type I_Type II_Unlisted Coordination:(date sent)_4 a 7 tVVRP Consistency Assessment Form J / 7 SAC Referral Sent: 1 0 Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: —Public Hearing Held: Resolution: Name of Applicant �20AISpt� J Address / ` L /,S7 S o �'u V 2 w A✓e �o rigo[D A I I Q73Phone Number:( 1) 7 t'o S' " ;CZ 9_ � 5 I b y 8 b Suffolk County Tax Map Number: 1000 - 4z 7.3 eg9 '5`0 -z - Property Location: U 414co JF04.e Avg (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) - - ' Address: Phone: ,'� l Woard of Trustees Applicaen GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: 7-A/Z> 1—.4/1 ? t y A45,,,C Intended use of property: S.0 M °l.. Prior permits/approvals for site improvements: Agency Date V""No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspendsO by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): A If WW1411 g&g& f3v1ti7- fS1? orJRP Pdue.���k'S -U�jD1�t/G y+ J 4koard of Trustees Applicamn WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:: ,SCe r &. T C G,r Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? V No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material «'ill be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): X/oA14% •Board of Trustees Applicaton COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Gl e 5;S Rad Bf f .A�i1/�✓ Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or fillin'-? No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resultin.- from implementation of the project as proposed. (Use attachments if necessary) James F. King, President ��OF SOUIy� Town Hall Jill M. Doherty,Vice-President 53095 Route 25 Peggy A. Dickerson /� * P.O. Box 1179 Southold,New York 11971-0959 Dave Bergen G Q Bob Ghosio,Jr. �� Telephone(631) 765-1892 CouMv Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of a--prtu-i�------------------------- COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING dl)ate V FeT✓Z/e residing at ry 1 v(/ V-b ev'ea r �I�c�c ► �i o 3 being duly sworn, depose and say: That on the 3 day of rah y�a 200 I personally posted the pro erty known as _ 1 G k1 5' Sr�un _ ✓r Apt,sroAold AT-I it qI by placing the Board of Trustees official poster where it can easily b 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 ( jag) :,h2("( ley A 1on t� 1QbcLcrCo.'3o (�m. Dated: 2 - 3 . d'] (signa ure) Sworn to before me this ') day ofF r.+22007 LVUDMILA MANN Notary Public, State of New !UnK No. 01 MA6024088 Qualllied n Kings County j - z May 3, 200 ;p R11T11S31n� >. Notary Public F E B NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES,TOWN OF SOUTHOLD In the matter of applicant: 2o� A ry .l �7'Rte SCT, YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: p4e27A, ,i. 5r,41Rs -rb •3e4 ej., 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other/agency that might have to review same proposal. OWNERS NAME: 1���✓ IP. MAILING ADDRESS: ✓i e,v Ave ,✓,/ /ig 73 PHONE#: /— 77 Enc: Copy of sketch or plan showing proposal for your convenience. `P .. ...�•. -!Y':�\l"r.Y'�x�'_I�a�fTl�.1WtlY4,�•��'_�-_�_ i.\ •fin.. .. �... . • .. � —. _ .. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: ertzre STATE OF NEW YORK COUNTY OFSUFFOLK residing at being duly sworn, deposes and says that on the day of 20_, 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) (registered) mail. Sworn to before me this Day of 20 Notary Public ` 617.20 SECIR PROJECT ID NUMBER 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 3.PROJECT LOCATION: Municipality County 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map 5. IS PROPOSED ACTION : New ❑Expansion ❑Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: g4.4/1/III c_ICrST1 �/ 6, STAI �S �.�cJ�C '#A/40 wee40 ,eur,veA 18Y a .4.saa•C-c'� v�?c-���tysrvADy ,u e a✓r �A/^� ••� �C°r'Bete 3.o.or' 7.AMOUNT OF LAND AFFECTED. Initially acres Ultimately acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes ❑ No If no,describe briefly. 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ©Residential ❑Industrial Commercial Agriculture Park I Forest/Open Space ❑Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY IFede 1, Slate or Local) ❑Yes I�11 No If yes, list agency name and permit / approval 11.DOES ANY SPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? _ El Yes ANY If yes, list agency name and permit I approval 12. AS A R III ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? 1 CERTIFY THAT THE INFORMATION PRO�t ic/ ED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE - 1o�a J ! ( Applicant / Spans ame Dot - �° n/o✓ 3a LO�ib Signature f the action is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II • IMPACT ASSESSMENT o be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR,PART 6t7.4? If yes,coordinate the review process and use the FULL EAF. Yes No g. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 677.6? If No,a negative declaration may be superseded by another involved agency. Yes No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten,if legible) Cl. Existing air quality,surface or groundwater quality or quantity.noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly'. C2 Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellOs I of wildlife species,significant habitats,or threatened or endangeretl species? Explain brieFly. C3. F mmunity s existing plans or goals as officially adopted,cr a change in use cr intensity of use of land or other natural resources?Explain briefly C5 Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain;;; Co. Long term,short term,cumulative,or other effects not identified In C1-05? Explain briefly: C7. Other impacts(including than es in use of ether quantity or type of energy? Explain briefly. D. VJLL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? If es,ex lain briefly ElYes No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es ex lain: Yes No PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether It is suhstantiai,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting (i.e.urban or rural); (b)probability of occurring; (c)duration; (d)irreversibility;(e) geographic scope; and (I) magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. FCheck if you have identified one or more potentially large or significant adverse impacts Euomce5punsible cur. Then proceed directly to the FILLepare a positive declaration.x if you have determined,based on the information and analysis above and anyocumentation,that the proposed actinsult in any significant adverse environmental impacts AND provide. on attaecessary, the reasons supporting thi. Name of Lead Agency - ra gency Tisible Otficerignalureo espons a c r in ead gency gnature o renl om responsi le o ter PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: f� rr. E� vr�s Cr2 ; ►C 1 , � 5% X l jr—h Rdad Wh. re isrove, N, 11351 f� dvUard b01)r-h gz3s 500ndvivdA ✓e - 60t� vl d niy ) 1q -11 E 060n - l��}�� Lt b D rl ich0lb 11l ✓P-' � ►-�oK�- geld V� � s� o�r STATE OF NEW YORK COUNTY OF SUFFOLK cc n . / e, Zranl� LD-.I , residing at // GAIftView Air. GRe+I-r eat( N• ���oZ3 being duly sworn, deposes and says that on the day of danvoeq .Z1 2001, deponent mailed a true copy of the Notice set forth in the Board of Trus ees 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 Towry of Southold; that said Notices were mailed at the United'States Post Office at ! Ssii A/ AIY#o oo/ that said Notices were mailed to each of said persons by (certified) (registereu) nail. Sworn to before me this LruoMILA MANN Day of_� 2007 Notary Public, State of New (ork No. 01 MA6024088 Qualified in Kings county .. ,,.. Commissinn Fxc;yes May 3, 2007 r- 11,11�0.� ffllutj� Notary Public Board of Trustees Application County of Suffolk State of New York 1 O)oA A,,b 'T F6—re 1 e BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ature SWORN TO BEFORE ME THIS ��C DAY OF i D G 20�Z ALFRED KNIGHT Notary Public, State of New York #01KN4966549 Qualified in Bronx County Certifiate Filed In New York County Commission Expires May 7, NotaryPublic' j APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of_SQuthQId1s Code of Ethics prohibits conflicts of interest on the Part of town officers and empiovees.The ouroose of this form' tg provide information which can alert the town of possible conflicts or term;r and allow it to a. e whatever action is necessary to avoid same.{//Q`T /� YOUR NAME: ! R f e (�J 0',1A 1,D J' (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.if so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other Y.o e M r 7- /D 3C , 41& ��I��QC41 J7W/les (If"Other�,name the activity.) � Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%o the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling, parent,or child is(check all that apply): A)--the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); _C)yn officer,director,partner,or employee of the applicant;or _D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of A 2006 �r Signature Print Name 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 xithin the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus each answer must be explained in detail listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTbI# PROJECT NANIE The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees I. Category of Town of Southold agency action(c}ieck appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license,certification: d Nature and extent of actl= Sge C, ��C Cr ��Se�'�Pl�tZxf etyi4i Q O F eft sT-iAJCa .3r.I17Rs c,b r Act9 Location of action: �+ Yboxo vie w A VC Site acreage: U rJu al�a Present land use: Z KJ �� I �-Y Ma Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: (c) Telephone number: Area Code ( ) (d) Application number, if any: Will the action be directlyundertaken, require funding, or approval by a state or federal agency? Yes ❑ No ICJ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. dyes' n No ❑ Not Applicable e P, i A e'f c fI -s W11- eAmlyze AJ rl ♦ G —' ri v sic.t t=a 71 T ♦ p eRos,e.✓ we A?'Ave 04a e !FzSA&. s� cc <ss to '*e Te it/� To G o Al r♦�/ ue Gv r.•✓ .! cce sr —J16 Attach additional sheets if necessary Policy%2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes 11 No RNot Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III —Policies Pages 6 through 7 for evaluation criteria Y Yes ❑ No ❑ Not Applicable v e.T ed ceArcpey / S A ✓ IS13LG Qv4wry To UP 4,1 Fr 4,0 iAI TJ o � ,4 •C t o ✓/cc,v i r 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 ❑ Not Applicable e /n/ ?" i b A-4 D.✓��/ T�ees N WN/c,V Ake! .SR07AG�orep 4M*C0FiG4tryTo Y/10TEcT B � /r A./ <F "0*7 eRa,Y/6 A/ o TNGC G�eea SP�e/es w„�� 8e /!/vR�Jteo n/As�c,/Loaey Tile C4/Fj�= /,j, A Ajar 0AiA y ,3e �Rol"e�reD /Too,, ,& 3.too,n w / i A-' Naz-u oft s AC-00KX Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No u Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold`ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ El ET Yes No Not Applicable f 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 wa�sttee W s. See LRP Section III —Policies; Pages 34 through 38 for evaluation criteria. El Yes ❑ IJ 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 i _ 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 9Not 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 9Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for eva nation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III'—Policies; ages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BY TITLE DATE Donald J. Petrie 11 Fairview Avenue Great Neck,New York 11023 November 29, 2006 Mr. James F. King, President Board of Town Trustees Town of Southold Town Hall Southold, NY 1 1 971-0959 Dear Mr. King: Enclosed are the forms which we have filled out to the best our ability to enable us to get a permit to: "Repair our existing stairs to the beach which were built for our daughter's wedding, August 7, 1982, and were ruined by a week of virtually steady heavy rain in October 2005." It may help to know that ever since we built our house in 1973, we have worked continuously to preserve and enhance the natural beauty of our property. Before our house was built, we arranged for underground electric service to preserve the natural beauty of our property. We have regularly planted rugosa rose bushes, autumn olive, flowering locust trees and a special species of pine on our cliff-all designed specifically to halt erosion. We consistently drove in home made pilings at the base of the cliff which did, in fact, work. More greenery did thrive. In short, we and our family are enthusiastic and active naturalists. Sincerely, i�. THE WEBSTER APARTMENTS 419 West 34th Street New York, N.Y. 10001 212-967-9000 Fax 212-268-8569 www.websterapartments.org