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HomeMy WebLinkAboutTR-8337John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trusteea_'�` # 1101C BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 CERTIFICATE OF COMPLIANCE Telephone (631) 765-1892 Fax (631) 765=6641 Date: Apri13, 2015 THIS CERTIFIES that the construction of 13'x23' sunroom onto seaward side of existing dwelling; gutters to leaders to drywells• a 10' wide on -turf buffer landward of top of bank; as -built 6' high fencing alongside ide yards and across midway section of bluff; as -built 138sq ft permeable patio with fire pit within non -turf buffer; as -built kayak rack; and as -built electric to bulkhead At 200 Basin Road, Southold, New York Suffolk County Tax Map # 81-1-20 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 10/18/13 pursuant to which Trustees Wetland Permit #8337 Dated 11/13/13, was issued and Amended on 3/18/15 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 construction of 13'x23' sunroom onto seaward side of existing dwelling gutters to leaders to drywells° a 10' wide on -turf buffer landward of top of bank; as -built 6' high fencing along_ side yards and across midway section of bluff as -built 138sq.ft. permeable patio with fire pit within non -turf buffer; as -built kayak rack; and as -built electric to bulkhead. The certificate is issued to KEVIN BARR owner of the aforesaid property. i Authorized Signature CC #: COS -25418 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County. of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 10/28/2008 under Liber D00012569 and Page 943 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County. and Court this 10128/2008 SUFFOLK COUNTY CLERK <u..0- s= . Q. Arta -.— . JUDITH A. PASCALE SEAL Hf)va fmaxOowd H0I330 scrdoozu } uarl0 Y.Im 100 X7093IIS 4=00 XT099nS ' 4zeTO A4uno0 eTv0sed 'Y R4TPnr 'PIIS jai SON SI SIBS ZUHMUMSKI HHS do surd V SI HOW SIHS OZ•965 Pzvd Seed ON 00•0s5 sdu ON Oz'sl SoTdo0•42e0 ON 00105 UO.-4V4oH ON 00.05 b8s-as OR 00 • STI SHOUS SIR on 00• 0 HOD OR 00'0Z5 BUTTpusH ON 00'0Z5 BuzTzd/abed -4dmexH -4dwexH 4ueumX4sul eAogV xad seed BuTMOTTod eq4 peeieoeg smor oa sv azf)u YHD amv aHHIwvxH 000.0ZO 001TO 00'T80 OOOT :40Z :X00TS :uoiIoeS :4oTx4vTa SV6 HOW 69SZt0000 zSLC010-e0 : xequmH 4dzeoeg PM bT:05:60 b :seGBd 3o segamH edAy 80OZ/8Z/OZ :PepsoOeg HOISvuv"IOHQ :quem=48ul ;o Hf)va fmaxOowd H0I330 scrdoozu } uarl0 Y.Im 100 X7093IIS C Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2008 Oct 21 09:50:14 All Judith G. Pascale CLERK OF SUFFOLK COUNTY L D00012569 P 94 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps �T ecr, 3 Declaration of Covenants made Mortgage Amt. Page / Filing Fee, Doreen A. & Kevin A. Barr 1. Basic Tax Handling 00 SUFFOLK COUNTY, NEW YORK. 2. Additional Tax In the TOWN of South^t d Town of Southold SubTotal TP -584 — or HAMLET of Southold SpecJAssit. Notation over or EA -52 17 (County) Sub Total_ Spec. /Add. TOT. MTG. TAX EA -5217 (State) —� Dual Town Dual County R,P.T.S.A. Held for Appointment Comm. of Ed. 5. 00 Transfer Tax Mansion Tax — Affi The property covered by this mortgage is be improved by a one or two Certified Copyv or will &C) family dwelling only. 15. 00 W NYS Surcharge Sub Total w YES or NO D Other C� Grand Total gs. 1. If NO, see appropriate tax clause on .. r� ' age # of this instrurg6t. 76110,3L( 4 Dist. 1 1000 O8100 0100 020000 Community Preservation Fund Consideration Amount $ Real Propert, p T S CPF Tax Due 5 Tax Service R SMI A Agency B-OC7 Improved Verification Satisfactions/Discharges/Releases List Property Owners Mailing Address 6 RECORD & RETURN TO: Vacant Land TD En–Consultants, Inc. 1319 North Sea Road TD Southampton, NY 11968 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information Co. Name 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk Title # 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Declaration of Covenants made by: (SPECIFY TYPE OF INSTRUMENT) Doreen A. & Kevin A. Barr The premises herein is situated in SUFFOLK COUNTY, NEW YORK. 'TO In the TOWN of South^t d Town of Southold In the VILLAGE Board of Trustees or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over i DECLARATION OF COVENANTS THIS DECLARATION made this a5 r� day of ©tel aye V- , 2008, by Doreen A. and Kevin A. Barr, residing at 11 Dirksen Drive, Wilton, CT 06897, hereinafter referred to as "DECLARANTS": W I T N E S S E T H WHEREAS, DECLARANTS are the owners of certain real property located on Basin Road, Southold, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 81, Block 01, Lot 20 and filed in the Office of the Clerk of the County of Suffolk in April 1963 as part of Map No. 3761, 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 thereinafter 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 DECLARANTS 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 ten -foot wide "nonturf buffer" be established adjacent to and landward of the top of bank, NOW, THEREFORE, the DECLARANTS do hereby covenant and agree as follows: L) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained adjacent to and landward of the top of bank on the subject premises a ten -foot wide "nonturf buffer" as defined by Chapter 275 of the Town Code; and 2) This requirement may only be modified by the DECLARANTS, their heirs, assigns, purchasers, or successors in interest upon resolution of the Trustees. IN WITNESS WHEREOF, the owners have duly executed this instrument this a � 2ay of 2008. STATE OF C -e- n -1 e--* C. , f : ) �, .. kavLo, Doreen A. Barr v- Kevin A. Barr ss: COUNTY OF On the D- day of in the year 2008, before me the undersigned, a Notary Public in and for said State, personally appeared Doreen A. and Kevin A. Barr, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged -to me that they executed the same in their capacity, and that by their signatures on the instrument, the individual or the persons on behalf of which the individuals acted, executed the instrument. Notary Public 2 EILEEN M. SIONDO Notary Public -Connecticut 11 My Commission Expires December 31. 2009 dan of Ton tWkto and other vduabl4 damion Wld by the ail.that the putt' e>t trths�s bane 1nSmo anted seises+ onto 'be Arty of ft aeond pat► �ehe heirs paid by "patty at tht s of t Ys?t- of tits aco71 nd put faster, ex wwwsn and assigns of the parry 7 L that esruln phn. pias or p-rw of iead, with the bu0dlnp to and bnprovetneW dW$010 OIMW.11u°, 1 jeia`lathe Town of Southold. County of Suffolk and State of Now York, . known and deulynated as and by .tut number I and the saeeerly half of lot number 2 on a certain map antitlad. "Map of Section 1, Paradise Point at Bayview" and filed in the Office of the Clerk of the County of Suffolk on March 25, 1963 ds Map Number 3761, which lot is more particularly bounded and described as follows; seurHSING it :e point on the northerly side of basin Road at the south- wastrrly corner of land now or formerly of Sinning; RUNNING THENCE North 84 degrees 16 minutes 10 seconds West along the northerly side of Basin Ruad 100.03 feet; TEHNCE South 83 degrees 26 minutes So seconds What along the northerly side of basin Road 50.91 feet; THENCE North 4 degrees 15 minutes 20 aecunds haat 218.00 feet to the ordinary high water line of Town Harbor; THENCE ai.7ng Town Harbor a tin line course and distance of South 88 degrees 24 minutes 20 seconds East 150.16 feet to land now or formerly of Sinning-, RUNNING THENCE South 4 degrees 15 minutes 20 eeconda West along said Land 218.00 feat to the northerly aide of Basin Road the point or place of UtUrrN1NG. 8E1NG AND INTENDEO TO UK the some premises conveyed to the grantor fhereln by Dead dated -,125182, recorded 1/28182 in Liber 9135 page 477. John M. Bredemeyer 111, President g11FF0(�- , OG Michael J. Domino, Vice -President James F. King H at Dave Bergen G • y'�Ql[ Charles J. Sanders BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DAT OF INSPECTION: L;Z I� ao Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre -construction, silt fence 1St day of construction '/ constructed Project complete, compliance inspection. INSPECTED BY: Town Hall, 53095 -Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 CERTIFICATE OF COMPLIANCE: Ad— John M. Bredemeyer I11, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen ��o�agUFFOj,�coGy o � h � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 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 a e'ine 15t day of construction % constructed Project complete, compliance inspection *10' wide non -turf buffer to be installed and inspected by 4/30/15 John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee March 18, 2015 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. David Cichanowicz Creative Environmental Design PO Box 160 Peconic, NY 11958 RE: KEVIN BARR 200 BASIN ROAD, SOUTHOLD SCTM# 81-1-20 Dear Mr. Cichanowicz: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959' Telephone (631) 765-1892 Fax (631) 765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on=Wednesday, March 18, 2015: WHEREAS, David Cichanowicz on behalf of KEVIN BARR applied to the Southold Town Trustees for an Amendment to Wetland Permit #8337 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated February 19, 2015, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found to be Consistent with the Local Waterfront Revitalization Program policy standards, 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, 2 NOW THEREFORE BE IT, RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Permit #8337 for the as -built 6' high fencing along the side yards and across midway section of bluff; as -built 138sq.ft. permeable patio with fire pit within the previously permitted 10' wide non -turf buffer; as -built kayak rack landward of bulkhead; for as -built electric to bulkhead; with the condition the 10' wide non -turf buffer be installed along .landward edge of top of bluff and inspected by April 30, 2015; and as depicted on the site plan prepared by David Cichanowicz, last dated March 16, 2015, and stamped approved on March 18, 2015. 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 This is not a determination from any other agency. Sincerely, ,: John M. Bredemeyer III, President Boar o rustees John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Creative Environmental Design for Kevin Barr Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 Please be advised that your application dated 2/19/15 has been reviewed by this Board at the regular meeting of 3/18/15 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre -Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) `3) 116trie �° r� C� l� % Constructed ($50.00) ,4S p� ��- .e XX Final Inspection Fee ($50.00) 10' wide non -turf buffer to be installed and 1� inspe_cted by April 30, 2015 Dock Fees ($3.00 per sq. ft.) XX The Permittee is required to provide evidence that the non -turf buffer condition of the 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. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 5 0 BY: John M. Bredemeyer III, President Board of Trustees John Bredemeyer, President �ogoFFot�Town Hall Annex Michael J. Domino, Vice -President°° °o$ 54375 Route 25 James F. King y x P.O. Box 1179 Charles J. Sanders• Southold, NY 11971 Dave. Bergen y�o! ,� �a Telephone (631) 765-1892 Fax (631) 765-6641 s Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: l l `fes David Cichanowicz on behalf of KEVIN BARR requests an Amendment to Wetland Permit #8337 to install a 6' wide buffer in lieu of a 10' wide buffer landward of top of bluff; as -built 6' high fencing along the side yards and across midway section of bluff; as -built 138sq.ft. permeable patio with fire pit landward of 6' non -turf buffer; as -built kayak rack landward of bulkhead; 174sq.ft. deck landward of bulkhead in lieu of 10'x19' deck; and for as -built electric to bulkhead. Located: 200 Basin Road, Southold. SCTM# 81-1-20 Type of area to be impacted: Saltwater Wetland Freshwater Wetland SoundBay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Info needed: Modifications: Yes No Not Applicable Present Were: /J. Bredemeyer /M. Domino 4/ King LG,.`6`anders Bergen Bay Constable Form filled out in the field by Mailed/Faxed to: Date: Other Flea-%, 11 e Pia e,M� �o')(19 6r-5 f �✓ _ _ � 1�-- 1VU 7"t-0 S s dC� 1 ? jC%7 ' ce � / �__._ � ✓ -fin On r r� Pa 1�vJ-;�114'11c-011s ce fv- A) t r'i �✓ _ _ � 1�-- 1VU 7"t-0 John M. Bredemeyer 111, President Michael J. Domino, Vice -President James F. King Dave Bergen Charles J. Sanders N BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre -construction, hay bale line/silt boom/silt curtain 1 st day of construction %constructed Project complete, compliance inspection. Town Hall, 53095 Main Rd_ P.O. Box 1179 Southold, NY l t971 Telephone (631) 7654892 Fax (631) 765-6641 0 11111 W Ml 1. d 1PF �/ .. lsu/ill j _ 1 =t - %�/ •,l CERTIFICATE OF COMPLIANCE: Creative Environmenta[Design P. O. (Bo.� 160 Southold Town Trustees Town Hall Annex Southold, NY 11971 Via email RE: Barr 81-2-20 Dear Board of Trustees: Peconic, AT 119.58 631734-7923 Creativeenvdesi @yahoo. com r� MAR 1 6 2015 .':... , t a'r t i r f 4 � March 16, 2015 I would like to update the information on the above mentioned property. I physically measured the platform behind the bulkhead. It is 10'X 19' as per amended permit #6198 dated 2006. Please take the platform off current request for any amendments. The non -turf buffer will be made to be 10' from top of bluff as per existing permit. This work will be completed by April 30, 2015. The fire pit is on top of a permeable surface as to allow for drainage. If you have any further questions, please do not hesitate to contact me. S'ncerel David Cichanowic , r LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: March 12, 2015 Re: Proposed Wetland Permit for KEVIN BARR SCTM# 1000-81-1-20 _ t MAR 1.2 2015, 4 David Cichanowicz on behalf of KEVIN BARR requests an Amendment to Wetland Permit #8337 to install a 6' wide buffer in lieu of a 10' wide buffer landward of top of bluff; as -built 6' high fencing along the side yards and across midway section of bluff; as -built 138sq.ft. permeable patio with fire pit landward of 6' non -turf buffer;, as -built kayak rack landward of bulkhead; 174sq.ft. deck landward of bulkhead in lieu of 10'x19' deck; and for as -built electric to bulkhead. Located: 200 Basin Road, Southold. SCTM# 81-1-20 The proposed actions have 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 Policy Standards and therefore are CONSISTENT with the LWRP. The deck was approved in 2006 -with an Amendment to Permit # 6198 for the removal of a 12X 16' deck at the top of the embankment and construct a 10X 19' (rather than 10X 10) deck landward of bulkhead, 20' from the property line; and revegetate backfilled and other disturbed areas of embankment with beach grass, bayberry, and Rugosa Rose with the condition of one year survivability inspection on the plantings, and all as depicted in the plan with the condition that there be a inspection at the completion of the plantings and a one year survivability inspection, and all as depicted on the plans drawn by En- Consultants, Inc. revised 3116106 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 *OF So OFFICE LOCATION: ,`O�yOlo MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 u> >c Telephone: 631 765-1938 aQ Cum LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: March 12, 2015 Re: Proposed Wetland Permit for KEVIN BARR SCTM# 1000-81-1-20 _ t MAR 1.2 2015, 4 David Cichanowicz on behalf of KEVIN BARR requests an Amendment to Wetland Permit #8337 to install a 6' wide buffer in lieu of a 10' wide buffer landward of top of bluff; as -built 6' high fencing along the side yards and across midway section of bluff; as -built 138sq.ft. permeable patio with fire pit landward of 6' non -turf buffer;, as -built kayak rack landward of bulkhead; 174sq.ft. deck landward of bulkhead in lieu of 10'x19' deck; and for as -built electric to bulkhead. Located: 200 Basin Road, Southold. SCTM# 81-1-20 The proposed actions have 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 Policy Standards and therefore are CONSISTENT with the LWRP. The deck was approved in 2006 -with an Amendment to Permit # 6198 for the removal of a 12X 16' deck at the top of the embankment and construct a 10X 19' (rather than 10X 10) deck landward of bulkhead, 20' from the property line; and revegetate backfilled and other disturbed areas of embankment with beach grass, bayberry, and Rugosa Rose with the condition of one year survivability inspection on the plantings, and all as depicted in the plan with the condition that there be a inspection at the completion of the plantings and a one year survivability inspection, and all as depicted on the plans drawn by En- Consultants, Inc. revised 3116106 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 John M. Bredemeyer III, President Of S®Town Hall Annex Michael J. Domino, Vice -President 54375 Main Road P.O. Box 1179 James F. King, Trustee Southold, New York 11971-0959 Dave Bergen, Trustee Telephone (631) 765-1892 Charles J. Sanders, Trustee Fax (631) 765-6641 BOARD OF TOWN TRUSTEES 7) TOWN OF SOUTHOLD FEB i 9 2015 APPLICATION FOR AN AMENDMENT TOA WETLAND DATE ), - q — 15 OWNER PHONE MAILINGADDRESS LT _4204� AGENT jj& PHONE ILAVULIve Environmental Design ADDRESS PO Box 160 Pwonic, N Y 11958 PROPERTY LOCATION TAX MAP NO. $ 1— I — ?1D I/We on request an Amendment to Perm,, to Signed7By:j� Nunemaker, Amanda From: David Cichanowicz <creativeenvdesign@yahoo.com> Sent: Wednesday, March 04, 2015 10:16 AM To: Nunemaker, Amanda Subject: Re: Barr Permiable patio/fire pit is 138 sq.ft. Jill On Wed, 2/25/15, Nunemaker, Amanda <Amanda.Nunemaker@town.southold.ny.us> wrote: Subject: Barr To: "David Cichanowicz (creativeenvdesign@yahoo.com)" <creativeenvdesign@yahoo.com> Date: Wednesday, February 25, 2015, 3:13 PM Hey Jill/Dave, Is it spring yet?! When you get a second, please email me the dimensions of the deck and on -grade patio by early next week. Thank you J Amanda Nunemaker Southold Town Board of Trustees Phone: 631-765-1892 Fax: 631-765-6641 1 Creative Environmentaf Design P. O. Bo.� 160 Peconic, AT 11958 631734-7923 CreutiyeenydL4n@yaFioo. com Barr 81-1-20 Permit #6929 Amend Permit to state the following: 1. Non -turf buffer to be 6' from top of bank 2. Fence midway across bluff — (o 1 h i)k 3. At grade pervious patio/fire pit — 4. Kayak rack i1 5. Platform behind bulkhead 6. Power and electric to bulkhead 4S P? r Jay 4 - by is IoM p) e4c 6 n - 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 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 SCTM# '3 1 — t PROJECT NAME FEB 1 9 2015` The Application has been submitted to (check appropriate response): LL~ Town Board ❑ Planning 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 ❑ 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: Location of action: aa) C)O-�)w-\ -ax Sp, Site acreage: Present land use: Ral c�d Present zoning classification: 'l -S 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 of applicant:(A- (b) t (b) Mailing address:y` . L ) tk k n + e:r Cb (c) Telephone number: Area Code( (d) Application number, if any: Will the action be dir tly undertaken, require funding,. or approval by a state or federal agency? Yes ❑ No 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. Faster 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 in adverse effects of development. See LWRP Section III — Policies; Page 2 for evaluation criteria. F(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 = Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 11 Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III — Polic' s 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 Sectio IH — Policies Pages 8 through 16 for evaluation criteria Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of ,Southold. See LWRP Section IH — Policies Pages 16 through 21 for evaluation criteria 1:1Yes ❑ ] No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III — Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not ApI We 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 U/X/Ot 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 crite ia. YeO No 1:1 Not Applicable Attach additional sheets if necessary /i WORKING COAST POLICI�__. Policy 10. Protect Southold's water -dependent uses and promote siting of new water -dependent uses in suitable locations. Se=licable Section III Policies; Pages 47 through 56 for evaluation criteria. F1 Yes F] No Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town water ,See LWRP Section III -Policies; Pages 57 through 62 for evaluation criteria. ❑ No Not Applicable ` F] Yes 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=Not criteria. ❑ Yes ❑ Nopplicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III — Policies; Page 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BY DATE Permit amendment: non -turf buffer at 6'to be extended to 10' fence midway on bluff at grade permeable patio firepit (area: 135sq.ft) kayak rack deck behind bulkhead 10'x 18'6". electric to bottom of bluff water outlet. Legend Common Name Flower, Perennial �� Catmint, Blue Wonder Catmint,'Little Titch" Perovskia, Russian Sage Shrub, Deciduous u Hydrangea, Annabelle. Hydrangea, Nikko Blue Hydrangea, Oak -Leaf � Spiraea, Anthony Waterer Shrub, Evergreen Broadleaf Azalea Hino �;� Azalea, Hno Crimson Laurel., Cherry, Skip Pierisf Japanese Tree, Evergreen Arbovitae, Green Giant �D Juniper, Hollywood -Juniper, Tear Drop C);- -Leylandii Cypress Pine, Eastern White Spruce,. Fat Albert 2015 Revision #: Date: 3/16/2015 Scale: NQ bbl' h lee 0-71- , 000D M E%W %W 141offs %W 0 0 a carr ! wmmmmmmm ------ I zlk fil W 66 poo, ei at ,.,� beachwass' t 1, L4 \ iti, �% .7% - ��+�,V v % - ��` ing •. r=: - %+�-_i ���,�: _— beac -grass„,,--_,”- _ -� :,_ ,'.� _ _ '.z ,", :� � ��. nc'a,,o'u ""j -V .� :�_�� ._... r+,1 !� , ��� :�- _� 74 r%acnq ass. -_ ,�,� :ti��, ,_ �, , �.�_ ec_�a-:, , _,..- _ . I EA40-ISCU — -- --------------- — - - - - - ----- ---- --------------------- - - - - - - -------- ------------------------ --- - Ct --- G --------------------------------------------------------------beach ------------------------- mean high tide line Landscape Plan: 2-16-15 Barr Landscape Design by: v A;P PROVED'BY., -5, RD OF 1RUSTEES Vii' . . . -OV'$ ,OU DATE David Cichanowicz sctm 1000-81-01-20 1" =10' Creative Environmental Design James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino 0 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD C� Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 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 THF. PERMIT. INSPECTION SCHEDULE Pro-constniction, hay bale line 1st day of construction % constructed. Project complete, compliance Inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8337 DATE: NOVEMBER 13.2013 ISSUED TO: KEVIN BARR PROPERTY ADDRESS: 200 BASIN ROAD, SOUTHOLD SCTM# 81-1-20 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 November 13. 2013 and in consideration of application fee in the sum of 5250.00 paid by Creative Environmental Design and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a 13'x23' sunroom onto the seaward side of the existing dwelling; establish and subsequently maintain a 10' wide non -turf buffer landward of top of bank; with the condition of the installation of gutters to leaders to drywells and in accordance with Chapter 236 of the Town Code-Stormwater Management; and as depicted on the site plan prepared by Robert I. Brown Architect, P.C., last dated November 14, 2013 and stamped approved on November 15, 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. 0 0 TERMS AND CONDITIONS The Permittee Kevin Barr, residing at 200 Basin Road Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject. to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be providedwithin ninety (90) calendar days of issuance of this permit. 9. That the _said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino November 13, 2013 hO��pF SOUTy� j • ,O ��'yCoinm � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. David Cichanowicz Creative Environmental Design PO Box 160 Peconic, NY 11958 RE: KEVIN BARR 200 BASIN ROAD, SOUTHOLD SCTM# 81-1-20 Dear Mr. Cichanowicz: L Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 13, 2013 regarding the above matter: WHEREAS, Creative Environmental Design on behalf of KEVIN BARR 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 October 18, 2013, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 13, 2013, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 0 0 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of KEVIN BARR to construct a 13'x23' sunroom onto the seaward side of the existing dwelling; establish and subsequently maintain a 10' wide non -turf buffer landward of top of bank; with the condition of the installation of gutters to leaders to drywells and in accordance with Chapter 236 of the Town Code-Stormwater Management; and as depicted on the site plan prepared by Robert I. Brown Architect, P.C., last dated November 14, 2013 and stamped approved on November 15, 2013. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, James F. King President, Board of Trustees JFK/amn 0 James F. King, President Bob.Gbosio, Jr., Vice -President Dave Bergen John Bmlemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Please be advised that your application dated _ reviewed by this Board at the regular meeting of _ your application has been approved pending the checked off below. Revised Plans for proposed project 0 Town Hall Amax 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Pre -Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) % Constructed ($50.00) Final Inspection Fee ($50.00). Dock Fees ($3.00 per sq. ft.) has been and no items Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed. below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within go days or Pe -application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ E . 06 BY: James F. King, President Board of Trustees Ir 0 0 Cantrell, Elizabeth From: jmazbpp@aol.com Sent: Thursday, November 07, 2013 1:37 PM To: Cantrell, Elizabeth Subject: adjacent property owner notice - Message is from an unknown sender Dear Ms. Cantrell: My wife, Laura and I live at 280 Basin Road in Southold, NY. We are in receipt of a Notice To Adjacent Property Owner document from the Board of Trustees in the matter of the applicant, Kevin Barr to request a permit to construct a 13' by 23' sunroom onto the seaward side of their house. It is application SCTM# 1000-82-1-20. As an adjacent neighbor, who has lived next door to Kevin and Doreen Barr for more than two years now, we wanted you to know that we fully support their application to build the structure. They have been good neighbors and they care greatly about our community. Kevin, until recently has been the President of our Paradise Point Association. Their home and property are beautiful and well maintained and this addition would be a nice enhancement. We highly recommend that you grant this permit. Thank you for the opportunity to express our views. Joseph and Laura Mazza 280 Basin Rd, Southold, NY 11971 914-216-1861 (cell) 1-V t n. 0 Kevin Barr 049 Basin Road, 200 Southold Q&SCTM# 81-1-20 11/6/13 1w t 6 • James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino Southold Town Board of Trustees Field InspectionMork Session Report DatelTime:-A,rU G 2-0 13 P.O. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631) 765-6641 Creative Environmental Design on behalf of KEVIN BARR requests a Wetland Permit to construct a 13'x23' sunroom onto the seaward side of the existing dwelling. Located: 200 Basin Road, Southold. SCTM# 81-1-20 Type of area to be impacted: / / _Saltwater Wetland _Freshwater Wetland _Sound _,LBay 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: Present Were: _J. King ✓ B. Ghosio D. Bergen, _J. Bredemeyer_ 4 Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: T 0 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1935 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD I M IA Ly, Eel :L1019111AAI To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: November 8, 2013 Re: LWRP Coastal Consistency Review for KEVIN BARR SCTM# 1000-81-1-20 NOV - 8 2013 Creative Environmental Design on behalf of KEVIN BARR requests a Wetland Permit to construct a 13'x23' sunroom onto the seaward side of the existing dwelling. Located: 200 Basin Road, Southold. SCTM# 81-1-20 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. 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 ��gyFFO(,fc • Peer Young, Chairman Lauren Standish, Secretary Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (63 1) 765-6641 At the meeting of the Southold Town Conservation Advisory Council held Wed., November 6, 2013 the following recommendation was made: Moved by John Stein, seconded by Peter Young, it was RESOLVED to SUPPORT the application of KEVIN BARR to construct a 13'X 23' sunroom. Located: 180 Basin Road, Southold. SCTM#81-1-20 Inspected by: Peter Young, John Stein The CAC Supports the application with the Condition of a drainage plan for the 300 sf. sunroom addition. Vote of Council: Ayes: All Motion Carried 4 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino 19 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: Southold Town Building Department Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Re: Verification of Building Department Permit Requirements SCTM#: O I — I— ZD pp Property Owner Name: KV IR en a r► -- Date Sent to Bldg. Dept.: Telephone (631) 765-1892 Pax(631)765-6641 p ECEHE OCT 2 1 2013 D BLDG. DEPT. TOWN OF SOUTHOLD The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered as Demolition as �rdescribed under Town Code? COMMENTS: Signature of 1dl�3 A3 Date 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino oastal Erosion Permit Wetland Permit Applic BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Incomplete t _SEQRA Classification: Type IType IIUnlisted 1oordination:(date sent) WRP Consistency Asses Ment orm 25 3 AC Referral Sent: 6 Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review:� :publicld: 1 lHearing He Resolution: Name of Property Owner(s)� • oriel Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 OCT 1 8 "1013 Address �l—�� ��i �� t W 1 Vont LF 06`46-7 Suffolk County Tax Map Number: 1000-_!U— 1-00 Property Location: 11 7- /1 �c.�, '�)rolA to (provide LILCO Pole #, distance to cross streets, and location) AGENT: Cf+estive Efttirotnl �>� L c b�tnAtJ tG2 (If applicable) PO Box 1 60 Address: Peconic, NY 11955 Phone: 1U1� Wof Trustees ApplicatioV& GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Res,A4n"A l Intended use of property: 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 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 _ZNo If "Yes", please provide copy of decision. Will this project requiredemolition as per Town Code or as determined by the Building Dept.? Yes _ _No Does the structure (s) on property have a valid Certificate of Occupancy? __ZYes No Prior permits/approvals for site improvements: Agency 5V_k)VE-5 Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? t/No If yes, provide explanation: Project Description (use attachments if necessary): a(e Vt2lf � i?Y as 5u h,r�t� Qs (QTS Yes BoW of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: kn &J1 fD24 a2an Area of wetlands on lot: square feet Percent coverage of lot: -% Closest distance between nearest existing structure and upland edge of wetlands: r7io, . I feet Closest distance between nearest proposed structure and upland edge of wetlands: �LzLfeet Does the project involve ex ? excavation or filling No v/Yes If yes, how much material will be excavated?_cubic yards How much material will be filled? cubic yards i Depth of which material will be removed or deposited: 3 , S 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): (,D a -b l'o:l( fC_%z_ LMA4 6l Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1 - Project and Sponsor Information Name of Action or Project: VNL14%, V—\ Project Location (describe, and attach a location map): PU t. c1.041-- 1� 11-19-0 Brief Description of Proposed Action: �"O VCa(LL 13` X a2,` t*' -A\ Name of Applicant or Sponsor: Telephone: E-Mail:L(Y�xiJ�S Address: ( reldive Environmental Design PO Box 160 City/PO: FbcouiC, NY 11958 State: Zip Code: 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: ❑ ( )\ 3.a. Total acreage of the site of the proposed action? acres b. Total acreage to be physically disturbed? • 6 1 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? aSJ. baeror q_, 4. Check all land uses that occur on, adjoining and near the proposed action. []Urban ❑ Rural (non -agriculture) ❑Industrial ❑Commercial faResidential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 0 0 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A ❑ ❑ ❑ 10 ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES ry -121- 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: NO YES 9 ❑ 8. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NO YES Q I ❑ - ❑ F 0 1 ❑ 9. Does the proposed actiomeet r exceed the state energy code requirements? If the proposed action will e d requirements, describe design features and technologies: NO YES 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: IT NO YES j= J� ❑ 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: �,� y� NO YES I'n ❑ 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? NO YES ❑ 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: NO YES ❑ 14. Ide rfy the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: Shoreline El Forest ❑Agricultural/grasslands ❑ Early mid -successional ❑ Wetland ❑ Urban ❑ Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES ff ❑ 16. Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, [:]YES a. Will storm water discharges flow to adjacent properties? ❑ NO YES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: ❑NO [—]YES NO YES ❑ Page 2 of 4 0 0 18. Does the proposed action include construction or other activities that result in the iinpound ment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: NO YES 2 ❑ — impact impact may 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: NO YES occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning 12 ❑ 2. Will the proposed action result in a change in the use or intensity of use of land? 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? If Yes, describe: NO I YES ❑ ❑ ❑ establishment of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or infrastructure 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE ApplicanUspon e: ` Date: Ic��`t5'��J Signature: Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" Page 3 of 4 No, or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning 11regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or infrastructure m u ❑ affect existing for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: 17`1 ❑ a. public / private water supplies? u b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold - Board of Trustees Name of Lead Agenc jl�m�s F ���✓G� Print or Type Name of Responsible Offic in Lead Agency Qll�a,+.cO r� Si ture of Responsible Officer inl0ead Agency ,yod i i3 Date President PRINT Page 4 of 4 Responsible Officer) No, or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage F-1problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold - Board of Trustees Name of Lead Agenc jl�m�s F ���✓G� Print or Type Name of Responsible Offic in Lead Agency Qll�a,+.cO r� Si ture of Responsible Officer inl0ead Agency ,yod i i3 Date President PRINT Page 4 of 4 Responsible Officer) Ank Awk ear Town of Sou old Erosion, Sedimentation & Storm -Water Run-off ASSESSMENT FORM �5 1%l� PROPERTY LOCATION: S.C.T.M. e: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM -WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN '6EW17 "SW —9r9 — —CW-- CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? ff 1 WIII this Project Retain All Storm -Water Run-Owithinthe (Include Total Area of all Parcels located within �j r10 coo a ' Generated by a Two (2') Inch Rakdall on Site? Scope of Work for Proposed Construction) O� Construction) .p) (This Item Wig include all runoff created by site , ❑ b. What Is the Total Area of Lard Clearing clearing and/or construction activities as well as all !L and/or Ground Disturbance for Bre proposed , 0 ( Site Improvements and the permanent creation of construction activityt impervious surfaces.) - (S.F. 2 Doan the Site Poen and/or Survey Shay Proposed PROVIDE BRIEF PROJECT DESCRIPTION (nada. AaaNaw Ppw uNaeNa) lion? Thishem shall Include all Proposed Grade Changes and F-1Drainage Structures Indicating Size & Location? QOx `---s" S6 a-' Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion and sediment control practices that will be used to control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Period. 4 WB this Project Require any Land Filling, Grading or Excavation where there is a charge to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? ❑ rj Will this Application Require Land Disturbing Activities El an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the ❑ Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Welland or General DEC SWPPP Reoulrements: Submission of a SWPPP is required for all Construction actMties Involving sol Beach? dlatsrbances Of ono (1) w more acres; including disturbances of loss than we acre that 7 Will there be Site preparation on Existing Grade Slopes are pan of a larger common plan that wiry ultimately disturb one or more acres of land; which Exceed Fifteen (15) feet of Vertical Rise to ❑ Including Construction activities kwolvirg sol disturbances of leas than one (1) Lore where ' One Hundred (100) of Horizontal Distance? the DEC has determined that a SPDES pemdt is required roc storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit for Storm Wath Discharges from Construction activity . Permit Na GP4.10-001.) 8 Will Driveways, Parking Areas Or Other Impervious % Surfaces 1. The SWPPP shall be prepared prior to the submittal of tiro Not. The Not shag be be SIO Ped to Direct Storm -Water Town rig er i-way IF _ L/ into and/or in the direction of a Town right-of-way? submitted to Ne Department prior to the commencement of construction ac&4. 2. The SWPPP Shelf describe the erosion ant sediment control practices and where 9 Will this Project Require the Placement of Material, f required, post-oonetrumon storm water management practices that ws be used and/or Removal of Vegetation andlor the Construction of any / constructed to reduce the pollutants In storm water discharges and to assure Item Within the Town Right -of -Way or Road Shoulder jL ❑ compliance with the limeand conditions of this pemrit. In addition, Ne SWPPP shag Identity potential sources of PORMW which may reasonably be expected to effect the Area? fTNeN,m we NOT names the swyryauen.rwtwwq,Apmes.) quality of storm water discharges. NOTE: If Any Answer to Questions One through Pane In Answered with • Check Mark 3. AN SWPPPs that require tie post -construction storm water management Practice In a Box and tib ceneeuetion she dbturbanes Is between 5,000. S.F. a 1 Acre In ares, component shell be prepared by a qualified Design Professional Licensed In New York a Stam. abr, Grading, Drainage a Erosion Control Plan Is Required by the Team of that is knowledgeable In the Principles and timorous of Storm Water Management Southold and Meet be Submitted for Review Prior to Issuance of Any Building Permit (NOTE: ACMr W*(J) and/pA a laeadr Qaaadmrb Requkedbra Campbb Papk kn) STATE OF NEW YOR& COUNTY OF .....((...................................... SS "That being duly deposes he/she is for .. sworn, and says that the applicant Permit,(Name of Individual signing occurrent) And that he/she is the ........... e.. ........................................................................................................................................ (Owns, Canaaclar, Agent. Corporals OMcer, ale.) Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before tpe this; � .. ......I................. day of .Q... 203 Notary Public: ..... `��i�(1t� Q.......... CONNIE D. BUNC ISigmaure ppryw FORM - 06110 evrcry No. '1J6185500160 1J6185r 50 r , No.018U6185050 Qualified in Suffolk County Commission Expires April 14, 2ako 0 0 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK Creative Environmental Design COUNTY OF SUFFOLK PO Box 160 Oav'-- C Lam' �� jcZ— Peconic, NY 11958 T�Gti residing at —�, being duly swom, deposes and says that on the _ day ofC 20_a , 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 R opposite the names of said persons are the address of said persons as shown on the current assessmen4oll of the Town of Southold; that said Notices were mailed at the United States Post Officeat VgALp r)t '= that said Notices were mai dluTaeb of said persons by CERTIFIED MAIL/RETURN RECEIPT. \ / Sworn to before rrye this �-� Day of t -,—jpz n,o , 20�_ Notary Public Qr)i NF D. BUNCH Notary Public, State of N&w York No. 01 Le061 850,50 OrL',!Mad n uffolk County 2 r siti n Prue Ap d 14, 2011, FS Fonn 3800 Nugac, 201),, -o Heve,sc for Insfrocnons U.S. Postal Service,, CERTIFIED MAILT,., RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) For delivery informThon visit our website at w ,,psxom.. C3�uDIF AW no lllfliko $ L. Aj _I _ 13 r-1 Postage $ $0.46 _M O CenlBed Fee $3.10 / ^ c Retum Receipt Fee r POS 'y Q, O (FndoreemeM Required) $2.$5 Z PRO O (RM Fee O red)v O C3 $0.00 u1Tow Postage & Feed $ $ ,1 10/30/013 m rR t o {�� . .................. c y sae,ziP s�(�U,41 pl l iI l l 7 C3 M (Domestic QZ P 19C �. I A L% � a Postage $ $0.46 �)��%O o cenAedFee $3.10 U��H Retum Recelpt FeeG (Fstlormrnent Required) oQ S2 55 Restricted Delivery Fes O (Entloreemem Required) $0.00 O Ln Tow Postage & Fees $ $6.11 10/30/2013 M � sentT 'a ------__-?(7_GNl_�ZI�.hYf._�i_YiQknn�--------------•------------ Q street, Apt. No.; M1 MPO Box No.--_-- ___--------------------------------- C/ry, Stats, 2IX -- Soty-�Wblci- ��yQgpfFd(,��d • a James F. King, President y Town Hall, 53095 Main Rd. Bob Ghosio, Jr. , Vice -President P.O. Box 1179 Dave Bergen y '�' Southold, NY 11971 John Bredemeyer Telephone (631) 765-1892 Michael J. Domino �l * y� Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of KEVIN BARR COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS , residing at /dba e,P , ✓�1(EC being duly sworn, depose and say: That on the day of , 2013, I personally posted the property known as >r 0)ce,re` ^ql-- 1-3z 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, November 13, 2013. Dated: (signature) Sworn to before me this day ofN Ov 20 13 I&r4 8�-An,„A Notary Public CONNIE D. BUNC 1 Notary Public, State of item York No. 01 BU61866 50 Qualified to 3d qolk t ,tfrity Commission t ,q ❑ "s ",t, d, P -W NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. 10 OWNER(S) OF RECORD: Kevit\15ourr SUBJECT OF PUBLIC HEARING: Construct a 13'x23' sunroom onto the seaward side of the existing dwelling. TIME & DATE OF PUBLIC HEARING: Wed nesday, Movember 13, x013 % o' or *6oa-I'S� 301* If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of8 a.m and.4 a.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Ord of Trustees Application* AUTHORIZATION (where the applicant is not the owner) I, KEv,A/ A. "BAizR rwidingat. Ii R%" -r -:W PPIIvE (print owner of property) (mailing address) W WTD�J c T, p 6,7Q'? do hereby authorize David Cichanowicz, Pres. (Agent) Creative Environmental Desitin to apply for permit(s) from the Southold B of T wn Trustees on my behalf. lam, (Owner's signature) and of Trustees ApplicatioAs County of Suffolk State of New York 4�9Vrlo A, ISAE)L BEING DULY SWORN DEPOSES AND AFFIRMS THAT HEJSHE 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 REVIEWJ�F TBtS APPLICATION. Signature 41. SWORN TO BEFORE ME THIS /X DAY OF JC.>^obg. ,20 /a Notary Public Eileen M biondo Notary Public -Connecticut My Commission Expires December 31, 2014 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Creative Environmental Design YOURNAME: f+(l fsox lotr (Lag name, tq8ess you are applying in the name of someone else r emSty'; suc8 as is company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Oder (If "Other", name the activity.) Building Trustee Coastal Erosion Mooring Planning Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the sh YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicantlagent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); _B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation); - _C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONS141P - , d'�:►J�u t Form TS 1 Town of Southold A. M INSTRUCTIONS 0 0 LWRP CONSISTENCY ASSESSMENT FORM 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 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. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# —� -- 0,T) 0,T) PROJECT NAME VV --%1; V-\ 'Ql A -C The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Project Description (use attachment necessary): 1, 2-2 SwnJ'a9w� aS Pis Location of action: '4�0 v Site Present land use: P)�304w4 Present zoning classification: • R- 1-p 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: Ste_ Y'�Ge i (b) Mailing address:�( �rr�i�1�1 lit : ���ov� L: -T- nog] (c) Telephone number: Area Code 123 _ O 9 rV (d) Application number, if any: 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 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. ❑ Yes ❑ No L2 /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 - Po cies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III — Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No R�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 I — Policies Pages 8 through 16 for evaluation criteria Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria ❑ Yes 1:1ro No d 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 HI — Policies; Pages 22 through 32 for evaluationeriteria. Yes No Not Apple 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 ev]nation criteria. ❑ Yes F] No of Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. ee 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. ❑ YeJ-1 No U Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES* n LJ Policy 10. Protect Southold's water -dependent uses and promote siting of new water -dependent uses in suitable locations. See 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 wat See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No Not 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 Zot on criteria. 1:1 Yes ❑ No 4Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III — Policies; Pa s 65 through 68 for evaluation criteria. ❑ Yes ❑ No kYNot Applicable TITLE x\2 " DATE 10—l6-13 NOVI 15 2013 N , L j:- -50UTHOLD DAY (TOWN HAP\Bop\) LOT 2 TOP OF BANK f3L)FFER NO" TURF f 9C P/O BA,13FFLO 1- 2 ON -c5L)PVE\,/ OF 0 AND PARI Of 1-01 2 MAF Of PARADIS-If POIN' LOT I JD AFK1 I r"(,3 0 > 1: 110. 37�� ADDITION 7 OWN: 5OU Ft OILD 0 (L 1 -020i 0,00-65•1 1 2U' FOR, KF 'IN BARB 71,11F K" [AND E D, 2'). 2F5 FJ. Nr FlI,I 0 0 Q'I �32t 0 5 N 9 P,013IN50N LOAD REFER UR F, 1-0 SURVEY 5y,J01-11" C. LtILEF.5. LANE) 5 2,./Lyo DATFC )55-20065. AND APPPOVfD BY 5(.,DH5 0812812008 4p 17-0. OfK-)^ DRAINAGE CALCULATIONS SITE PLAN NEW SCREENED PORCH ROOF: 4GO 5f. 4G05f x O. 17 = 78.2 Cf REQUIRED PROVIDE (1) G' DIA. x 4' D. [)Ky�LA `XI67!NG EXCEPT A5 NOTED 59.3 CIF CAPACITY �.,:V Y 0 90 IJX",'.;Lr, TH APPROVED BY BOARD OF TRUSTEES �:� TOWN OF SOUTHOLD -ANCE B'A K R-57U N O m DATE uja 1,5-- 2-v13 REV. I 1/ 14120 3 m KODERT I. 151KOWN AKICHITECT, P.C. VVI F-AIRWEATHEIR, DE51GN A550CATF-5, IN 205 DAY AVENUE GREENPORT, N.Y. 1 1944 G3 1-477-9752 (fax) G31-477-0973 1 �.. 'fir 04 ter. X�y bt0-11 R-1 5• *1•}' r - , _ _ a- '90,. - cam' • � {e.�ti11t ".. ,. may. _ •� R — _, r .., IL a 4 . I IF • r-na v �� �. r fA t?77 SAM « 3 Ga 9115 Go