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Corbley, John R
p ECEIVE SEP 2 6 2013 ~V Outtn;d T6W~ C)~ (2oUiL'- S c-)m PCII cc)/ • • James F. King, President a SoTown Hall Annex Bob Ghosio, Jr., Vice-President 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer C/' Q Telephone (631) 765-1592 Michael J. Domino i~ Fax (631) 765-6641 OOUNi'1I BOARD OF TOWN TRUSTEES D E C E O W E TOWN OF SOUTHOLD D To: Southold Town Building Department SEP 2 4 2013 Re: Verification of Building Department Permit Requirements BLDG. DEPT. ' TOWN OF SOUTHOLD SCTM#: Property Owner Name: ~p bp~ If , COYble Y Date Sent to Bldg. Dept.: _ l' 2~ 113 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 Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature of Re ewer Date BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7969 DATE: DECEMBER 12, 2012 ISSUED TO: JOHN R. CORBLEY PROPERTY ADDRESS: 680 MASON DRIVE, CUTCHOGUE SCTM# 104-7-3 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 December 12. 2012, and inconsideration of application fee in the sum of $250.00 paid by John R. & Susan Knox Corblev and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to raise the existing house from 6.5' first floor height to approximately 10' first floor height; raise the existing second floor in order to build a new frame construction first floor and lower the existing second floor onto new first floor; no change in house footprint or footings, and no excavation or fill will be required; and as depicted on the site plan prepared by Mark K. Schwartz, Architect, last dated November 14, 2012 and stamped approved on December 12, 2012; and as also depicted on the survey prepared by Nathan Taft Corwin Ili, last dated November 10, 2012 and stamp approved on December 12, 2012. IN WITNESS WHEREOF, the said Board of Trustees hereby causes-its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. j pSVE d Ulr u, o e+ ~EPRTaB ARD OF TRIJSFEE5 I~ NOV 1 / 312 spy 1y _ O BO MPs 9 TOWN OF SOUDgID ~w / IS- SA; 11 IPM d K 1 1 1 m 1 ~ ~ ,7 f 1 ~ \ fty SURVEY OF PROPERTY 1 1 SITUATED AT r t PECONIC TOWN OF SOUTHOLD W yew 1 SUFFOLK COUNTY, NEW YORK NMRIN X11 .'.i S.C. TAX No. 1000-104-07-03 N 11 SCALE 1°=20' AUGUST 12, 2005 .v SEPTEMBER 21, 2000 ADDED SITE PW! FOR AREA TO BE WOOED MAY 27. =5 ADDED PROP. ADDITIONS WETLAND LINE ! SET PV$OC PPES g MARCH 2. 2007 REMSED AS PER IETIFR FROM TOWN TRUSTEES A 2L~ 10. 200] ADDED LOT COVERAGE DATA JULY 18, 2W7 DALCUUlEO AMOUNT OF WTDNL TO 0E DREDGED TROY TOMN WATERS AUGUST 2D, 200) REMOVED PROPOSED GARIDE OCTOBER 15. 2007 SHOD' NRICK WAN BEEN RFYOVED 1, 2W JI'DATE SUMI O~ I JANUAR/ 28 ]008 RL`ASED7PROPOSED COVERED PORCH NOEYR A 11, 2008 RENSE PROPOSED DREDGED AREA Eh NOWIRIER 10. 2012 REVISE EIEVATION DATUM i \ I} AREA = 21.831 p. It. Q~.L \ R[ R uq 0.570 a[. A L Norg$ 1. ELEVATIONS ARE Rk CFD TO A.V.O. IMME DATUM 1 EXISTING FIEVAllQMl i1gB AN: INDIAN ME:. *IA \ MR u- D 3. i1DOD LONEMIN`FORR YATXIN TAKEN FROM, MOD INSURANCE KATE YM NR. SSIOSCOISIII ZME AE SASE 1L00D ELDMII0145 DETERMINED ZONE x•: NKV G 0.21 AHHLLLL CHtlEL00: MS O tN NNY 1 (.1NNGE INS i OEP116 S ILSS 1HW I TOOT R M AL PILE; - , 1 OR BIHMFRS ORV NIp DUR NT WOE AREAS ITT Y WIRES FROM 1X ANNUIL EVINCE FLOOD. T A 5. UPIAM AM (TOTAL LOT ARFA LESRS S WIT WETIANO AREA) = I6.9" JN p. 11. 1 1 I 1 I I I i 1 i N ~ . ,`11 11 ws 1 F I 1, 1 I I II ~ ttlt` .J~/. 1 1 ~N.tgm w I `1J~ I / • 57,8 ~ R S 0S ~ ~ LeA ..f 7 NTa Ia w min ¢ Go Nathan Tan Corwin III ATE yFr:rs- Land Surveyor im JR. ILK A,e[ -.uw. -awe - D.wr INdI NRN{ (NUM-NN fm (NI)]R -'m wvm uNln At war ,IRA YY iW PAMM IE q, X~yWpl XYMMOp Ynn=L Y, M TIM] My~l 11~ T[Y 11 N1 Jill M. Doherty, President AOf SO[/r~ Town Hall Annex Bob Ohosio, Jr., Vice-President ~4 6 54375 Main Road James F. King l~ # P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen John Bredemeyer Telephone (631) 785.1892 Fax (631) 766-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Permit No.: 7527A Date of Receipt of Application: March 31, 2011 Applicant: John Corbley SCTM#. 104-7-3 Project Location: 680 Mason Dr., Cutchogue Date of ResolutioniIssuance: April 20, 2011 Date of Expiration: April 20, 2013 Reviewed by: Trustee Dave Bergen Project Description: To convert one existing overflow/cesspool into a septic tank, keep other overflow tank as is and add two additional overflow tanks. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the application received on March 31, 2011 and plans stamped approved on April 20, 2011. Conditions: None If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Jill Doherty, Preside Boa of Trustees i PPROVED BY J~RD OF TRUSTEES F`,}'diN OF SOUTHOID ~J / X0 CD cy James F. King, President of soI/ry Town Hall Jill M. Doherty, Vice-President 53095 Route 25 Peggy A. Dickerson All P.O. Boa 1179 T Southold, New York 11971-0959 Dave Bergen Bob Ghoeio, Jr. Telephone (831) 766-1892 Fax (631) 765-8841 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0368C Date: October 9. 2008 THIS CERTIFIES that the construction of a covered Porch first-story addition, second-story addition to dwelling and install a pervious driveway At 680 Mason Drive, Cutchogue. New York Suffolk County Tax Map # 104-7-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 03/28/08 pursuant to which Trustees Permit # 6848A Dated 04/16/08 and was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a covered porch. first-story addition- second-story addition to dwelling and install a pervious driveway The certificate is issued to JOAN CORBLEY owner of the aforesaid property. Authorized Signature James F. King, President r4F SUUjyo Town Hall Jill M. Doherty, Vice-President 63095 Route 25 Peggy A. Dickerson lrr # P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen v' Bob Ghosio, Jr.Telephone (631) 766.1892 ~OOtm, Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6848A Date of Receipt of Application: March 28, 2008 Applicant: John Corbley SCTM#: 104-7-3 Project Location: 680 Mason Drive, Cutchogue Date of ResolutioniIssuance: April 16, 2008 Date of Expiration: April 16, 2010 Reviewed by: Board of Trustees Project Description: Construct a covered porch addition approximately 51'x6', plus approximately 6'x6' on the landward (north) side of existing house; construct first story addition approximately 16'x2' on east side of existing house; construct second story addition approximately 4'x30' on north side of existing house; remove entire existing asphalt driveway; install pervious gravel driveway approximate total 2,640 square feet. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by Nathan Taft Corwin III, last dated January 29, 2008, and received on March 28, 2008. Special Conditions: None. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, President Board of Trustees JFK:eac ~gZVE W l~ APPROVED 8Y C N BOARD OF TRUSTEES R AJO 1?` •i TOWN OF SOUT14 ~WHPP" iy1 - N R~~ o = m YAA 7 D 1JLC N \ ~ri } 1. c v~'Y t~ u .1 ~ I AA F ~ i SURVEY OF PROPERTY SITUATED AT WTG"A°` PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-104-07-03 1wW R I SCALE 1"=20' `I AUGUST 12, 2005 SEPTEMBER 28. 2005 ADDED SITE PLAN FOR AREA TO BE DREDGED MAT 27. 2005 ADDED PROP. ADDITIONS. WEIVHD LINE s SET PLASTIC PIPES ~g ARCH 2. 2007 RENSED AS PER LETTER FROM TOWN TRUSTEES A Jury 10, 200) ADDED LOT OVERAGE DATA JULY 19, 2067 CPCCNA O AMOUNT OF NATFAIK TO BE DREDGED -ROM TOWN WATERS 1 ' OCTUBBER B. 00~S BPoLI( wA eiN RMOVEO Aat.°° ( NOVEMBER 1XO,V! 2002 UPDATE SURVLY I I JANUARY 29. 2008 REVISED PROPOSED COJERED PORCH i~' I\ IR / P AIEA = 34.830.96 w. D. ma NM) 0.57000. SECTION A-A 1rJ I \ / / I Y I / NOTES 1. EIEV XST REFIRENCED TO RN TH. 1929 DATUM ,owl EXIS}ING ELEVATIONS N9 ME ME SHOWN THUSu ' / \ e+"PA°~wis-nrO EXISTING CONTOUR UNLS ARE SNOMW THUS: eur I I PROPOSED CONTOUR LINES ARE SHOW TAUS: ® _ ) 1 - ~1 I 1 \ of I 2. FIA00 ZONE IHFORNAWON TAKEN FRON: y I u I FUND MSURAxcE RATE Na NA. SBIOxOtaa G 1 ~I ZONE A: BASE FUND ELEVATIONS DETERMINED FLOWRNN. - W M Z01E X. ASTERS DETRAINED TO BE OUISDE NO-TEAR S. 014UNNIAIELY IN au. )G. Of WATERML TO BE DREDGED. T S(G.1 l DREDGE IT PAROE Y HO MACWMERY CROSSING WETLANDS ww II \ y' 1 5. USE OF SILT /p}ULpglry SCREEN gMWG M~0JX0. \ S 6. UPLAND AREA OT LA Wi ARG LOSS KTUND AIL[A) = IB,PN w. H. II 1r \ EXISTING NIPS OUS DDT COVERAGE OVER THE UPLAND AREA . 5,"9 w. H. OR 32.5X. (INCLUDING HOUSE. COLIC. SLABS.. OUTSIDE SHOWER. SLATE PATIO VAOOD TMPEMMOD IOUS S LOT FRAME MR NE WAR UPuND AREA DRIVEWAY) i:a r~ I I I I \ A \ 3,267 fa. H. A 8. PROPOSED h OR 19.4%. (wCWOING HOUSE. BRICR WALX, CONC. STABS.. ONSIDE SHOWER. I I ! \ \ WOOD PLAT.. WOOD WALK. FRAME SHED t PROPOSED PORCH It ADOITIONS) j 1i01 1 .:.1 \ B. 20 eu )MA. OF uATERIAL R TO BE OREDGEO FRRY"TOWN WATERS". A I w I l ~ ~71 V ~ I III i y~ ~ \T \1\ ~ X.,,®Q~~M I ~ \ 110 W) 3A / GED Go Nathan Taft Corwin 11 ,n( AIVY) Land Surveyor pWO M A,wY - YMYV _ n {YB _ Cart+sM I/NI HNIIE B3I)72F-1010 Fm (ND)R]_IR7 tll®fA:REOA wwv RIRIRM a IT iylYl®. H.gLW. Nw Iba tlgl A.I.W.PXw YM Ilpl-0M HOME James F. King, President ~~pf 80Ury~ Town Hall Jill M. Doherty, Vice-President `Q 53095 Route 25 Peggy A. Dickerson P.O. Box 1179 4 Southold, New York 11971-0959 Dave Bergen Bob Ghosio, Jr. Telephone (631) 765-1892 ,r Fax (631) 765.6641 'vUll l' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0367C Date: October 9. 2008 THIS CERTIFIES that the changes in the rooflines on the existing dwelling At 680 Mason Drive. Cutchogue. New York Suffolk County Tax Map # 104-7-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 01 /11/07 pursuant to which Trustees Permit # 6514A Dated 01/24/07 and was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the changes in the rooflines on the existing dwelling The certificate is issued to JOHN CORBLEY owner of the aforesaid property. Authorized Signature 00 James F. King, President ~~OF soUjyo . Town Hall Jill M. Doherty, Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold, New York 11971-0959 Dave Bergen co Bob Ghosio, Jr. Telephone (631) 766-1892 7 Fax (631) 766-6641 '~~OUlfl'1, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6514A Date of Receipt of Application: January 11, 2007 Applicant: John Corbley SCTM#: 104-7-3 Project Location: 690 Mason Drive, Cutchogue Date of Resolution/issuance: January 24, 2007 Date of Expiration: January 24, 2009 Reviewed by: Board of Trustees Project Description: Make changes in the rooflines of the existing dwelling, as per plan prepared by Mark K. Schwartz dated January 23, 2007, and survey prepared by Joseph A. Ingegno revised December 8, 2006. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth by the Board of Trustees. Special Conditions: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth by the Board of Trustees, a Wetland Permit will be required. This is not a determination from any other agency. )X*0" C;~r --e5r James F. King, President Board of Trustees JFK/hkc gR~ AD~V l u 0 p ~ ARfl y_ ~ ~ yW~} 1 J.d e tYpB " S \ v~ q ery~ - Yp - •\0i / .yYN.• \I ` .a N3 S:- _ _ _ _ raw" r Tv Z f~ J- T• a\ i yap 4 ~ a1 .61 cJl N , ~ e'.. N101P PENN4 `~FPRC,tl,` -I GEol P MICA F' PE" Dolma CARD OF °a Ti a t~" W TOWN OF SOUTHOLD N 12'08• y' DATE 1/;o IDS BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6405 DATE: July 19, 2006 ISSUED TO: JOHN CORBLEY PROPERTY ADDRESS: 680 MASON DRIVE, CUTCHOGUE SCTM# 104-7-3 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 1 I 1 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 July 19, 2006, and in consideration of application fee in the sum of $250.00 paid by John Corblev 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 maintenance dredge a 133'+/- portion of an existing boat basin to a depth of -4' referred to NGVD29, with sides sloping upward at approximately 1:3 to existing grade, to an overall area 1401+/- x 291; approximately 220 cubic yards of material will be dredged and moved off-site by truck to an approved upland disposal site not less than 300' from any wetlands; dredge to same conditions in four additional events over a ten-year period, with the condition that all dredging be done by barge only, no machinery on land, a silt-boom/turbidity screen is used during dredging, and as depicted on the survey prepared by Nathan Taft Corwin III, last dated August 25, 2007, and received on November 30, 2007. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affmcd, and these presents to be subscribed by a majority of the said Board as of this date. AQ DR'IV~•" - APPROVED BY MASO Q BOARD OF TRUSTEES TOWN OF SOUTHOLD MI K,R. DATE fb AC SA~ ~Zy ~ Q~ . Qa \e 2Is I a • . ~puvlS+A I I Nov 3 B '.ODI i r - Pli~ aSC R it ~ vI° \ , • "w"°°" A SURVEY OF PROPERTY _272 T'DwD'*'G" SITUATED AT PECONIC TOWN OF SOUTHOLD -1 SUFFOLK COUNTY, NEW YORK d ! "NwA^T S.C. TAX No. 1000-104-07-03 SCALE 1"=20' -.4 I AUGUST 12, 2005 4 m SLITWBER 28, 2005 ADDED SIX PLAN FOR MFA TO BE OREDCED My 27. 2008 ADDED PROP. ADDITIONS. WETLAND LINE k SET PLASTIC PIPES >g„iP"b ,g MARCH 2. N07 REVISED AS PER LETTER MEN TOWN TRUSTEES JUIyy 10. 2007 ADDED LOT COVERAGE DATA `':NTP'~ „ m to JULY 19. 2007 CALCUTATFD AMOUNT OF MATERIAL TO BE DREDGED FROM MARI WATERS AUGUST 25. 2007 REMOVED PROPOSED GAARGE I AREA = 24.830.96 p. ff. n uq 0.570 9e. 4 oY I \A .m / SdCTlON A A l' \ Xv1E r-Ia P NOTES: - L ELEVATIONS ME REFERENCED E TO N.O. 1929 DATUM +.+m.. \ I %I S~MG CONTOUR~NE9E .IREOSWHO THUS:m WX THUS: ----o- - I I r%"ay a E PROPOSED COMOUH LIMES ME SHOWN THUS: f 1 \ I a I pr si o w"MWI~i m 2. ROOD ZONE INFORMATION TAKEN FROW: ROOD INSURANCE RATE MM No. 3610=164 0 R • ZONE AE BASE 0.1100 EIEVATICNS DETERMINED rv • B~ 1 ' N M ZONE X: AREAS DETER NED TO W ONSIDE 500-TEAR R.WEpLW. C! / 3. APPROXIMATELY 150 cu. Too. OF MATERIAL TO BE DREDGED. \ F p•I A. CRIME BY BARGE ONLY, W MACHINERY CROSSING WETLANDS. Vi I( S N 5. USE OF SILT B kLT11NBIDRY SCREEN WRING OXEp0GGMC. ( 1„ S \ e. UPLAND AREA (TOT L LOT AREA LESS WEiIAMI AREAL . 1B.9M p. H. 11 Y' \ 7. EXISTING IMPERVIOUS LOT COVERAGE OVER ME UPLAMND AREA = 5,870 p. fl. OR 33.5X. (INCLUDING HOUSE, BRICK WALK, CONC. 5485.. OUTSIDE SHOWER, SHED „ ~~i p ~ 1 I 1 \ A 5. PpODD EpCK. VIRMOD WAAX. LOT COVERAGE OVER TNUP&ND AREA a 3,540 „9, ff. AA 1 v ' \ OR 20.9X. (INCLUDING HOUSE. BRCK WALK, CONC. SLABS.. OUTSIDE SHOWER, IMPERVUS I - 1 ' \ WOOD DECK, WOOD WALK, FRAME SHED R P I I y11 - I \ N I 1 1 1 Nathan Tait Corwin IN Land Surveyor Asso,p.axs~l~ M° NMKE NL,ner-mn (ufU121-1727 " mrv~ear, orlas Imrm A7 F NMAM wars "yp~y"~q"~igrrm I, AWgIBw IMF M Ilol R,„Inm. As M A- ~Aol Iowl-®. Al a ALL MOORINGS E5. 'MUST DISPLA4p4inSE ~C, MOORING A RS ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERMIT NUMBERS ~sy x Board Of Southold Town Trustees SOUTHOLD, NEW YORK 'Mooring # N/A PERMR NO..._.1936 DATE March 27, 198 ISSUED TO Charles ` aoyer ,~u#l~nri~tt#inn n' 'Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and +he Southold Town Ordinance en k, titled "REGULATING AND THE PLACING OF OBSTRUCTIONS ! IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with +6 Resolution of The Board adopted at a meeting held on March _27, 19 and in consideration of the sum of 5 00 paid by ~ Charles Boyer.......... ,Es of _Cutchoque N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, Y of Southold Town Trustees authorizes and permits the following ti Application approved to secure a permit under. Grandfatpe~, Clause for a_12'x12' dock ally in accordance 'with'f_h"e' application submitt j Y..,al. nn{ i 'S all in. accordance with the detailed speciricafions as presented in ! the originating application.- C n~ IN WITNESS WHEREOF, The said Board of Trustees here- -by `causes Its Corporate Seal to be affixed, and these ppre sents to r be subscribed by a majority of fho4aX Board as of fhi at rc` a• e i 5jfF0(f ~oG _ l~ry . ~~r Tin leer ' it (l i.'.6a~~.kS.~, 0.. .~s~,~.~AE,•. , •r~.., u~l ems. - ~N „ M ALL MOORINGS At. ~ES MUST DISPLAY VISIBLE MOORING NQRS ALL DOCKS AND BULKHEADS MUST DISP AY VISIBLE PERMIT NUMBERS , ,y j Board Of Southold Town Trustees t SOUTHOLD, NEW YORK Mooring / N/A - .."PERMIT NO 1938..:.. DATE:March 2.2,._1985. ISSUED TO Chsrles:Boyer_. ' ~ - ~ufl~nri~tt#inn + Pursuant~to the provisions of Chapter 615 of the Laws of ' the State of New York, 1893; and. Chapter 404 of the Laws. of the r State of New York 1952; and the Southold Town Ordinance en- y titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM B LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on .Match-2.2, s~ - 19 _85., and in consideration of the sum of 5 00.__„_.,_ paid by 1. P Charles Bo er of Cutchogue ; i N. Y.. and subject to the Terms and Conditions 8sfed on the reverse side hereof, t of Southold Town Trustees authorizes and permits the foil owing: Appplication approved to secure a permit under ,Ss9,e.: Gfapg,,1ther71 apse. fpr.,a,\.¢,';x..1.0'.:,flgat dock.' and a 2t' x 261 floating dock, all in aacggR r fn; with the application submitted. all in accordance with the detailed specifications as presented in the originating application.-- 9 IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majorify of the-,said' Board as of thi at y I IM T W ....-Tea leer ////JJ n'~)/e7+eW'+r4~r`e'yt sae ' uw - , 1% cl 2,-4 ~ .r "1 iii .+Y` u y 1 I~ j 4 T 15 Yom' ` ~ f A. ~ 1 ~V• i~, a~ c~ - ww ~aaw+rr D ESC FSEP 2 4 X013 w- tea. clj~;LK~~~ -5Nm 4dR T q + Y •T w yps\J. I° 1 O T ^ Y I ~ • ° ~ • • ~ y ,rru•a s• r ° + d ° e • P 6WrOW.RBiS DOVE \ \ Tl i r 5k • - ' . • ,a», of Eau,~o 9p ° r uw w a~ R i s i M` ' INYWIIER PAYE ~ •0 • O~ • r~ I ~ 6• , ~Q M • ~ e ° ~ 6 I yam" ry 1 ~ qq 5\ rL.,~ a w+. ,s• M ' _ r s a • h " s r ~r l CaIAlO PNprWVy Ta BwNS/ipNq r 04 D SEP 2 4 2013 $GI;~i;6J iUY4n r ITS -00 ACV lc~ -1' ~ ~ ~ IAkX~Ar~ James F. King, President ~oF souls • Town Hall Annex Bob Ghosio, Jr., Vice-President 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer • O Telephone (631) 765-1892 Michael J. Domino COO Fax (631) 765-6641 ~y BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application/ Wetland Permit Application ? Administrative Permit _Amendmendrransf r xte on eceived Application: 3 _ eceived Fee:$_Jr_QQ , 6 I I D E Q E p y E ompleted Application 2 113 ' -Incomplete _SEQRAClassification: SEP 2 4 2013 Type I Type 11 Unlisted oordination:(date sent) VLWRP Consistency Assessment Form SsurFrl:i "'W;r AC Referral Sent: lL'" ate of Inspection: -Receipt of CAC Report: Lead Agency Determination: _ ethnical Review: :Public Hearing Held: _j Uj -Resolution: Name of Applicant f Q-~ ``UV2. 1c p L1"~1 Mailing Address 0 O MA-3 G 0 0 Cc)a w- 1 N~ ((93)-- Phone Numbet0? K) Suffolk County Tax Map Number: 1000- 104/-- 0-) -c)3 Property Location: tTr ~t ,tJl t~\ _K S 1(/~_ /~jt~1 ~C f-"r (provide LILCO Pole distance to cross streets, and location) lJ i AGENT: 06 M~ (If applicable) Address: Phone: rd of Trustees Applicatiob U 7 GENERAL DATA Land Area (in square feet): _2 Area Zoning: i Previous use of property:~~S I C) 6ir ( t,~ Intended use of property: j1 01 1T/ AL / Covenants and Restrictions on property? Yes I( 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 J(No If "Yes", please provide copy of decision. Will this project requ e y demolition 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? Yes No Prior permits/approvals for site improvements: T enc ~ ~ ~6 IZ Date ~ 9~ ItzltZ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: I Project Description (use attachments if necessary): =J 1 ~oc~r a 2rrn ti-Uj wood lqc~-belyrj (--1 , ~Ll~e,~ G~ I-b oN ' Se~snN(o ~v2Q~ c~ S(~Jay , lam ~ wF~-s s'i7 gc)\ UNo'fwU 3r Iq UA2, r~ (~~)~,Db NjeAt,-,,Ma~C ( Bo of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA _~I~~rr Purpose of the proposed operations: ?~k~ 1~1c'X~Qr~ /o' k /0' Area of wetlands on lot: o $ b square feet Percent coverage of lot: % Closest distance between >xest existing structure and upland edge of wetlands: S- ~j feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited:- 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): 617.20 SEQR 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. APPLICA S''PO\\NSOR 2. PROJECT NAME 100-,249 3.PROJECT LOCATION: O 1 r i ~C_V ~(.4 Municipality CU kiv County 4. PRECISE LOCATION: Street Addess and Road/ Intersections. Prominent landmarks etc -or provide map 68d lYpscpj Df_ i c.Uftt~_2s a2i cam` Cc~u-ta ~ 11~3~ 5. IS PROPOSED ACTION : New Ezpansi n F-~ Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: , 1 ~s~s, Au_ dew tfc~~ r"~ oN l c.Pr~o 2NVl to S f~(Yl U: 111~~1 ~S s7itJ 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately - acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER R RICTIONS? [Wes ? No If no, describe briefly: r9.. -WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) I Vrr<esidential ElIndustrial 1:1 Commercial ?Agriculture M Park / Forest / Open Space Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal State or Local) ?Yes .f-•YNo If yes, list agency name and permit / approval: L(X~J PERMIT APPROVAL? Yes No If yes, list agency name and permit / approval: 12. AS A ES T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? Dyes No I CERTIF meAT E INFO ION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor /~y/ ~Daattee: Signature `ma'r /-3 on Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART It - IMPACT ASSESSMENT o be co feted Lead A en . . A, DOES MITION-EXCEED ANY TYPE t THRESHOLD IN 6 HYCRR, PART 6tTA? If yes. coordinate tite retitew process and use ft FILL EAR ? Yes Q No ILVI" ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR tMUSTEO ACTIONS IN 6 HYCRR, PART 617.6? If No, a negative deduutlan may be superseded by anatlrer kwelved agency. Yes © No 0. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED VWM T41E FOLLOVMG- (Answers maybe handwrittert. KlegMe) Cl. Eid VM air qW , =few or groundwater quatty or quart. noise levels, eWkg traffic paltem, solid waste Wodocttat or disposet, . W GMSIM%**M" of gooftpOW~ Etgdakt takMy: C2. Aestl7el4 agdadkaa4 andutealopkxl, ftlsterfc, «otller nakaai« a4kaal resotaoes; « . « dtemdeYJ . C9. Vegetation or ftunst. fah. or widitlespecks. significant habllafs, «gweatened «erdaSered sp'edes7 Efplakt bdefiy: 04. A edsting plans argoals as o y adopted. or archange.in use orensiy of use of land ,01tw natural resources? Explain Wldty: C5. , yubsequem devetopmeril, w related activities likely to, induced by the proposed action? FVlain txiefiy: Co. Long term. short term, cumWafive. or other elfeds not identified in Cl-CS? EWala bdeay: C7: Qtiaf dla s ki use of e4w Mandl . or type of energy? E ' bdap y-.---- yla 0. WILL THE PROJECT HAVE AN IMPACT 911 THE ENVIROMMENTAL CHORRCTERMIC,S THAT CAUSED THE ESTABUSHK*NT OF A CRITrAL . EtiVIF MAENTAL ARFA 7 Yes QI MUKELYTOQLCMRDVMWFtSLAIWTOPOTBM&APYB~W84VMO*WALWAGIW tSATWTOPOiBM& ALW Iftesmotala: '0Yes ©No . PARTNi-OET IATIDdOFSlemr mmm(TobeadtlylleLedbyAgatoy) *W1l7aJL.`TKMt FarftadtadwlaeeReotideflMedaLbve deielndnetNielterkleftiWtao6al IaKge iKlpatgldoeagtarwkesigLfNkenf Eadt llfsctdbofdd be ansWeid in dof M"(1tt vdlb No (8) soft (t.B. urbo sir IYraa (b) pmballift of oommklgr (O) dilV"14 ((Q tlieveratbli . (e) peoydipMo s3oopK 8114 M al ankiide. Uneoassnryr add BdadKitelllt or felblenoe stlppolllg mduUta, E11eIKetllAt elQilattalatu aoatakF _ . atlliotslkdekellosliowplet telat~aLditdaelsaitiplkdehavebeanWetKlfieditndadeQtfetfelyaddaEUaed.IfgLeaBondafprtAwastftedaed ytro,gtedeietLtdltN6orldsl~nlfaenoamuctevalua6eThaPote~Ntlpra~OfMLeMe)IOaedaa0onenNte~alreraddgLeCFA CltaarlttsbaurKyouheValdatMedaie«maepo6enlafiylage«sidNFmsadversektpadslkddlMAYooalr. rMpqoeeddke*t*VWFUU EAF andWI repae a podiva dedaviiaf. a" to boa Kyoufiava delemilriA based on in koxetsgm and andysis abM and any stpporlkV domitratdillm #W Ite proposed aclw WILL NOT result In any sknIcatt adverse en torimetdaf impacts AND provide, on attidmterds as necessary. the reasota sftppatdtg Id deteronlrugm. _ Board of Trustees Name of Lead Agency Date President ~ Prkd or Type Name of Responsible Ofkcer in Lead Agency M le of Responsible Officer eOWM4 Town of Southold ® Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM 'b I PROPERTY LOCA`TIION: S.C.T.M.Ik THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A '4( yam" /cr/ (r) Ug STORM-WATER. GRADING. DRAINAGE AND EROSION CONTROL PLAN Section ISoT Tot CERTIFIED BY A DESIGN PROFESSIONAL THE STATE OF NEW YO SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT Yea No a. What Is the Total Area of the Project Parcels? 1 WIII this Project Retain All SkxmWater Run-Off (Induce Total Area of all Percale boated within i. (This ftem enerated by l include Two Inch Rainfall on Sipe the Snipe of Work for Proposed Construction) nrn) G Aaws run-off activities as well as an b. What Is the Total Area of Land Gearing (s.P. r ) clearing and/ or construction all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction adivigR Impervious surfaces.) Awn (s.P.)) 2 Does the Site Plan and/or Su All This ` , ? Proposed PROVIDE BRIEF PROJECT DESCR MON (r>ro.N.Aaalwwr lrrN.arq Survey SNOW Location? This Drainage Structures Indicating Size d Loca cation? Ly1 Item shall include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion ? and sediment control practices that will t e.used b control site erosion and storm water dlede riles. This Or item must be maintained throughout the Entire Construction Period. i Q Will this Project Require army Lard Filling, Grading or / Excavation where there is a change to the Natural ahAzzs Existing Grade Involving more than 200 Cubic Yards i~ f t i of Material within any Parcel? rj Will this Application Require Land Disturbing Activities ? Encompassing 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 General DEC SWPPP Regal emants: or within One Hundred (I W) feet of a Wetland or Submission of a SWPPP Is required for all construction actNifias Waiving sot Beach? disturbances of one (1) or more acres; Including disturbances of ese than one acre met 7 Will there be Site preparation on Existing Grade Slopes em pan of a larger canon pan that will ultimately disturb ane or mom same Of land; which Exceed Fifteen (15) feet of Vertical Rise to El Including Construction aatlvXb nvdivng son disturberhces of less than one (1) acre where One Hundred (100') of Horizontal Distance? FFF the DEC has detennlned that a SPOFS panne Is required for slam water dNehaiges. (SYIPPYe Shalt meat she Minimum Requirements of the SPDES General Permlt 8 Will Driveways, Parking Areas or other impervious ? , for Storm Weer Discharges, from Construction activity. Permit No. GP4.10-001.) Surfaces be Sloped to Direct Stgm-Water Run-OR y The SWPPP shalt be prepared prior m the subm" of to NON. The Not shat be into and/or In the direction of a Town right--way? aubmned to to DepaMent prior ID dre canlencenent of conservation activity. 2. The SWPPP shat describe the eroebn and sednent control precuroa and where 9 Will this Project Require the Placement of Maledal, required, post<oremrdlan alomm water management pradiom that will be used anNa Removal of Vegetation and/or the ConstnicUorm of any ? constructed to reduce the pollutants In storm water deahargas and to aware Item Within the Town Rightof--Way or Road Shoulder oomplanes with the tame and condMa s or this pearnt. In addition, to Sv/PPP shall Area? ON. lamwle for swwd. ew rmslasion or pdr AP.e wj identily potential eoaces of Pollution which may reasonably be expected to effect the quality of storm water discharges. NOTE: If Any Answer to Questions One through ran. Is Answered wish a Chak Mark 3. AN SWPPPs that require the postconalmdlon storm water management practice in a Box and to construction she disturbance Is between 3,000 S.F. A I Am n sea, component shalt be prepared by a qualified Design Professional Lkensed In New York a Slone Weer, Grading. Drainage A Erosion Control Plan In Required by the Town of that Is knowledgeable in the principles and premkes of Stem Water Managemam. Southold and Must be Submitted for Irevlew Prim to esusnce of Any Bulk he PsmdL (NOTE: A a.* Mark (4)"r Amer nor ead, etlphb Reghtred fore Own,"Applntlm) i STATE OF NEW YORK Noterv Public, State of New York 01BU6185050 No. OF SS be' and ~ Potted in Suffolk County That I, .......>,.llwl.'k16~!.. {`.-':......-~J, m8 duly sworn, deposes Lnd says that he/she is the iap14, pGccanttfo Pemut, (Name of indtddual signing Doaxne rt) And that he/she is the (owner. Contractor, Agent, fapmme OMcer, eta.) ' 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. Swore to before me this; day Ofc=w ` k~ 20 , Notary Public:.... p AP Q.... ( ign mar AppioM) FORM - 06/10 B~d of Trustees Application. County of Suffolk State of New York 43 (2. C& L/ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HEISH 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 R HIS APPLICATION. i ature f operty Owner SWORN TO BEFORE ME THIS GL~ ( DAY OF Notary Public CONNIE D. BUNCH i Notary Public, State of New York No.01BU6185050 a in S? ffolk County sy rsa Apoi 14, 2_. I APPLICANT/AGENT/REPRESENTATWE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The,omse of this form is to gm3dde information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name, first name, iddle 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 (If "Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO -f`j-(-/-- 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 applicantlagentImpresentative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the _ applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP ~?3 I Submitted this W-ndu of Signature Print Name Form TS I Town of Southold • • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for 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 si i cant 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 artment, all local libraries and the Town Clerk's office. D C E V E B. DESCRIPTION OF SITE AND PROPOSED ACTION I I~ SEP 2 4 2013 SCTM# Ioy - O'ff -O3 PROJECT NAME , ' r The Application has been submitted to (check appropriate response): Town Board ? Planning Board ? Building Dept. ? Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken 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: x / nJ rape -L-{ '~l UIJ t~ Q•U.1 WC~_D ~o~lnm ( io' ~~~(Um fJ S l._o ~ ~ otJ (~S =1 1 m,y ~ gk gT W Oo ~'rt•~ ` P~'r-cY~Y'(~ Location of action: 6~ ~0~-I ys= • C (j(.~ y ~~~73~ Site acreage: i Present land use: .S 10 rAIi) 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: 0 IYWAd U 1q (c) Telephone number: Area Coded 1 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes El No K 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 LV;" Section III - Policies; Page 2 for evaluation criteria. 4//0Yes ? o Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L Section III - Policies Pages 3 through 6 for evaluation criteria Yes ? o Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section HI - Policies Pages 6 through 7 for evaluation criteria Yes No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP eretio Il - Policies Pages 8 through 16 for evaluation criteria es o N ot Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III Policie Pages 16 throu 1 for evaluation criteria Yes ? No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 ( t~hrou h 32 for evaluation criteria. Yes No Not Ap~ble Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 throua. 1211y Yes ? ;E;; Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous sF es and waste Section III - Policies; Pages 34 through 38 for evaluation criteria. ? N 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. El Ye Norm Not Applicable Attach additional sheets if necessary WORKING COAST POLICIEO • Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See ection III Policies; Pages 47 through 56 for evaluation criteria. ? Yes E] No Not Applicable II Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town wate LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. i ? Yes ? Not Applica le i Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for ev IA t e ? Yes ? N icable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies, Pa through or evaluation criteria. ? Yes F-1 No Not Applicable i PREPARED BY TITLE DATE a`~~2 13 ~pNe •,yf or/ / ~2 1' - a• e• •d ••~MVL x / ~ ° a i µ1M ~ O<MA~~H/ Ai E0. VAIV tE0. 6p2 K0 .i .Q' • y '0.MM~ ~j „1(`L1~ / G 2~-~~~WA~ ME °F PAVFN'ERi 55 ~ / ~ O,i ~ x F'E~EiER` \ \ \ 2 Esl ~ OVERM~ W/ b ~ G~~ N /EZ s,a P A O °f ~ x d O 'q 4 O. .7 LSEP~4_2013 1 q} ~ m ` ~}`S ' cw e.s ENTIRE EKI51~ ~E REMOs/EO 'r~~ 1~ N, - C smrt, ma rd,;n p ° a ORI~EWAY "s, x° . l Y . • a O i n ~ ~ ~ ' ' pryOPORSKDG PREAUZ ° . 'PP p ' WALL < ` Tn °2'W 4n' W Y "ys PoR~H SURVEY OF PROPERT 6 q,~' ~O~ERED SITUATED AT OPERTY IT m s 2ROORY DDfl~TION x'1 s PECONIC l oN°,s,,GOG,;~ °°o pROPOYPODinoN TOWN OF SOUTHOLD MOLD i511 15] 26' F.FL 7.~-_ E our 1 gTOR CFL 9 9 SUFFOLK COUNTY, NEW Yc 5 NEW YORK S.C. TAX No. 1000-104-07- ~ E c s 104-07-03 £ 2 S10RY GAR GE n 11 F as SCALE 1 "-20' " v HOUSE & 1 Waoo £ °~isl9E ~xER AUGUST 12, 2005 '005 ~s x SEPTEMBER 28, 2005 ADDED SITE PLAN FOR AREA T( j5sss7 I y MAY 27, 2006 ADDED PROP. ADDITIONS, WETLAND LINE & FOR AREA TO BE DREDGED AND LINE & SET PLASTIC PIPES f As9 s'aECx b MARCH 2, 2007 REVISED AS PER LETTER FROM T0~ R FROM TOWN TRUSTEES - o°uF°a svxE \ July 10, 2007 ADDED LOT COVERAGE DA' ;OVERAGE DATA 'A"0 o JULY 19, 2007 CALCULATED AMOUNT OF MATERIAL TO BE DRED TO BE DREDGED FROM TOWN WATERS F m\+9 AUGUST 25, 2007 REMOVED PROPOSED CAI ROPOSED GARAGE NALK BEEN REMOVED OCTOBER 18, 2007 SHOW BRICK WALK BEEN F jA: s'sNE FAIT° ,p NOVEMBER 1, 2007 UPDATE SURVEY JE SURVEY £ f G~ S I / ' o N loR N AREA 0.570 .96 sq, ft. q. ft. \ WALL IN (TO TIE LINE) O.S7O ?C. oA C°N° to / G7 S,b C \ > C ] coN , O~ SAW IJ/ ?,off i II `I\ wnLK SCALE 1"=10' 9 r~.0 JJLL,, SULKnuo 0 wcn wAreK sL. z z .U b1 I ~ Law wnreK sL a z cn z z Z,~ \ x _ ~ ~FUC Avu ae o nceo 5.Z / cY 'PPA ~/i\ ~ \ Fu~4' \S ' 3 / F G qo FU° / h \ i m ok~t NOTES 3.V.D. 1929 DATUM 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 1 i 1 EXISTING ELEVATIONS ~G°00,EOIT OF FI°%A`WMAY 2ppe EXISTING CONTOUR LINES ARE SHOWN THUS: 1 THUS: IOWN THUS: - - - -s- - - - PROPOSED CONTOUR LINES ARE SHOWN THUS 3HOWN THUS: y 06 0 WWW ylO~p~l 1 FR.. - FIRST FLOOR flF c FL - GARAGE FLOOR =51 wZ W / {LI 1 I OR - TOP OF - B070M OF BULKHEAD v \ l W. - TOP OF WALL a w - BOTTOM OF WALL 01 K,Te,q n -3 F p 2. FLOOD ZONE INFORMATION TAKEN FROM: ?OM: $ ? e FLOOD INSURANCE RATE MAP No. 36103CO164 C m -a. oo I;~ ,D S° I ZONE AE. BASE FLOOD ELEVATIONS DETERMINED 3103CO164 G )ETERMINED s o \ oc I1 o I W ZONE X: AREAS DETERMINED TO BE OUTSIDE 500 )UTSIDE 500-YEAR FLOODPLAIN. FLAG Ts Fk :J s N 3. APPROXIMATELY 150 cu. yds. OF MATERIAL TO E JERIAL TO BE DREDGED. 4. DREDGE BY BARGE ONLY, NO MACHINERY CROSSI NERY CROSSING WETLANDS. mFUG n F - ma \ 5. USE OF SILT BOOM/TURBIDITY SCREEN DURING C EN DURING DREDGING. i 14'. - f 6. UPLAND AREA (TOTAL LOT AREA LESS WETLAND )S WETLAND AREA) = 16,944 sq. ft. OVER THE UPLAND AREA = 5,499 sq. ft. II 2q', e \ 7. EXISTING IMPERVIOUS LOT COVERAGE OVER THE 1 ICI \ OR 32.5%. (INCLUDING HOUSE, CONC. SLABS., 0 C. SLABS., OUTSIDE SHOWER, SLATE PATIO MAY zGDC I o, 73 iED, BRICK WALK & DRIVEWAY) NBYRFFD% WOOD PLAT, WOOD WALK, FRAME SHED, BRICK II F°WWA.GEDAl WERANDS 1 Cj \ / i ':.I ~ A 8. PROPOSED IMPERVIOUS LOT COVERAGE OVER THE 3E OVER THE UPLAND AREA = 3,369 sq. ft. OR 19.9%. (INCLUDING HOUSE, BRICK WALK, COI K WALK, CONC. SLABS., OUTSIDE SHOWER, WOOD PLAT., WOOD WALK, FRAME SHED & PROF IHED & PROPOSED PORCH & ADDITIONS) DREDGED FROM"TOWN WATERS". 1FUG_~ .I ~I k~l a \ \ 9• 20 cu yds. OF MATERIAL IS TO BE DREDGED FR PREPARED I J I I I I „ 1 \ STANDARDS PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TIRE SURVEYS AS ESTABLISHED BY THE L.L, FOR SE N fly II 'til \ 1 11 O+ rRLESnssoL BY THE L.I.ALS, AND APPROVED AND ADOPTED FOR SUCH USE BY TH ATE LAND rlnE nssoclATlDrv.~PA OF N@w }O FUG 4/ / / I PI \ \ 5 a TCO * ~ x 2~// N - 6 3 WI67 `SRO U` LIC. No. 50467 L0 ON np~g~q~05 / UNAUTHORIZED ALTERATION OR ADDITION TIAHS SURVEY SDRVEY IS A VIOLATION OF 7209 OF THE NEW NEW YORK STATE Nathan C( EDUCATION N LAW , ithan Taft Corwin III m d COPIES OF THIS SURVEY MAP NOT BEARING THE tANp SURVEYOR'S INKED SEAL DR Lan( Land Surveyor EMBOSSED SEAL SHALL NOT BE CONSIDERED TO DE A VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY p TI PREPARED, AND H6 BEHALF TO THE LHe Surveys - Subdi, Surveys - Subdivisions - Site Plans - Construction Layout TI TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION FU T HEREON, AND TO THE ASSIGNEES OF THE E LENDING PHONE (631)727-2090 iUTION CERTIFICATIONS ARE NOT NOi TRANSFERABLE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT CES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 322 ROANOKE AVENUE ANOZOR EASEMENTS OF RECORD, IF RIVERHEAD, New York 119f ROANOKE AVENUE P.O. Box 1931 AD, New York 11901 Riverhead, New York 11901-0965 ANY, NOT SHOWN ARE NOT GUARANTEES.