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HomeMy WebLinkAboutTR-8376A • • John M. Bredemeyer III, President gUFFO(r Town Hall, 53095 Main Rd. Michael J. Domino, Vice-President P.O. Box 1179 James F. King d°+ = Southold, NY 11971 Charles J. Sanders Gy Telephone (631) 765-1892 Dave Bergen Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1St day of construction %constructed Project complete, compliance inspection John M. Bredemeyer III, President. Of SOUjyQ • Town Hall Annex Michael J. Domino, Vice-President 54375 Main Road Box James F. King, Trustee 1179 Southold, , New York 11971-0959 Dave Bergen, Trustee - G Q Charles J. Sanders, Trustee '~Q Telephone (631) 765-1892 <4COUNN Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8376A Date of Receipt of Application: March 13, 2014 Applicant: Cedars Golf Club LLC C/O Paul Pawlowski SCTM#: 109-5-16.3 Project Location: 305 Cases Lane Extension, Cutchogue Date of Resolution/Issuance: March 19, 2014 Date of Expiration: March 19, 2016 Reviewed by: Board of Trustees Project Description: To remove approximately 14 dead trees; remove vines from remaining trees; and remove brush and add mulch within two areas on the property. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Paul Pawlowski, received on January 27, 2014, and stamped approved on March 19, 2014. 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 iijs not 1a determination from any other agency. John M. Bredemeyer III, President Board of Trustees 6 0 John Bredemeyer, President ~suFFUCr~ Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King P.O. Box 1179 Charles J. Sanders y • Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMork Session Report Date/Time: CABERON PROPERTIES, INC., c/o PAUL PAWLOWSKI requests a Pre-Submission Inspection to remove dead trees and brush within the wooded areas on the property of Cedars Golf Course. Located: 305 Cases Lane Ext., Cutchogue. SCTM# 109-5-16.3 Type of area to be impacted: -Saltwater Wetland -Freshwater Wetland -Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 -other Type of Application: Wetland _Coastal Erosion -Amendment -Administrative -Emergency -Pre-Submission -Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were: J. Bredemeyer M. Domino J. King C. Sanders Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: John Bredemeyer, President o~SUFFDJt Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King s P.O. Box 1179 Charles J. Sanders a Southold, NY 11971 y~of yaa Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Datelrime: l l CABERON PROPERTIES, INC., c/o PAUL PAWLOWSKI requests a Pre-Submission Inspection to remove dead trees and brush within the wooded areas on the property of Cedars Golf Course. Located: 305 Cases Lane Ext., Cutchogue. SCTM# 109-5-16.3 Type of area to be impacted: -Saltwater Wetland -Freshwater Wetland -Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 -other Type of Application: Wetland -Coastal Erosion -Amendment -Administrative -Emergency -Pre-Submission -Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed: Modifications: Conditions: y~ya.? r~ Present Were: ? J. Bredemeyer M. Domino J. King C. Sanders Bay Constable Other Form filled out in the field by 71,'N Mailed/Faxed to: Date: 9 rsm u IN N, 3 ; 121 I r .l ° © ~ III .x I I w ue 9 - ,sm 9 wmrb ~Wql v R ,N~ e~. I r I a ~ li s o a II .,.wn ...,m d :alu x 3 Muni ~i WwM ~M a .Wq ° I-oi wl n I ~ I pp. ~ v 4 u O m. ~ ate, wm x re, ii 4 m M ~ I ~l` ,w Nor~ w . ~NII W..,N.. e w .OR-No ZN, ~.m L" - rq+cE CWR OFSUFFO © E wune,c ~Rm""° R Properly Taa Sem®Apercy n 0 OFFICE LOCATION: F $OUTyolo MAILING ADDRESS: O Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) G Q Southold, NY 11971 Telephone: 631 765-1938 MUNTY,N~ Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John BredemeY Do er, President Town of Southold Board of Trustees Ej From: Mark Terry, Principal Planner LWRP Coordinator Date: March 17, 2014 Re: Proposed Wetland Permit for CEDARS GOLF CLUB LLC, c/o PAUL PAWLOWSKI SCTM# 1000-109-5-16.3 CEDARS GOLF CLUB LLC, c/o PAUL PAWLOWSKI requests an Administrative Permit to remove approximately 14 dead trees; remove vines from remaining trees; and remove brush and add mulch within two areas on the property. Located: 305 Cases Lane Extension, Cutchogue. SCTM# 109-5- 16.3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore, CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F. King, President 1QF 111 Town Hall Annex Bob Ghosio, Jr., Vice-President 54375 Main Road P.O. Box 1179 Dave Bergen l~t Southold, New York 11971-0959 John Bredemeyer Michael J. Domino % Telephone (631) 765-1892 Fax(631)765-6641 ~y00UNTV,N BOARD OF TOWN TRUSTEES Z TOWN O F SOUTHOLD D Office Use Only 3 2014 Coastal Erosion Permit Application -Wetland Permit Application _ Administrative Permit Amendment/Transfer/Extensiion eceived Application: 3 / `7 TReceived Fee:$ -Completed Application -Incomplete _SEQRA Classification: Type I Type 11 Unlisted _Coordination:(date sent) )LWRP Consistency Assessment Form 3 /y _CAC Referral Sent: Date of Inspection: -Receipt of CAC Rep rt: -Lead Agency Determination: -Technical Review: -Public Hearing Held :3 Resolution: Name of Applicant Mailing Address N ~~f S Z Phone Number:( YZYP Suffolk County Tax Map Number: 1000 - ! ~r o f /6 Property Location: a2 i < 4di <,e7~ T (provide LILCO Pole distance to cross streets, and location) AGENT: (If appl' e) Address: Phone: • 0 Board of Trustees Application GENERAL DATA Land Area (in square feet): 207 q yo t/ Area Zoning: R~ ~esrJ?e Previous use of property: 6 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 No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure (s) on property have a valid Certificate of Occupancy? _ Yes No Prior permits/approvals for site improvements: i Agency Date I 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: Project Description (use attachments if necessary): Alain 1 Ltd Q/(ea 6C t- iSu/ 7o 1e&,JC ~cci~ ~n G2 $ bo.o~~~~/Q^^S DJP ?,~es~ ~OD~y wao~ 4~+t~S a~k/ ~leQ/c /s cIPAte . i I Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA r Purpose of the proposed operations: 7i~ ie-'Wv-ue e-~ tf iu i i Area of wetlands on lot: $~3 % square feet I Percent coverage of lot: /b , % Closest distance between nearest existing structure and upland edge of wetlands: / S ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: feet i. Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards i How much material will be filled? cubic yards I Depth of which material will be removed or deposited: feet ~f Proposed slope throughout the area of operations: i Manner in which material will be removed or deposited: Sn~u /~-~d+ ~i~ 2 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): ~/o G 617.20 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 1 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 I. 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: 6C-Xt ,S o " - -.e Project Location (des Clf5e-r 4,11 :*,e cribe, and attach a location map): X Q Brief Description of Proposed Action: !//HC5 , rprlil~l ~-G~t~ a~,/ci Wa /S Cj~le/c~. Name of Applicant or Sponsor: _ Telephone: S /r/~1L r :e ~WSlc/ E-Mail: Address: o / -7 / O 4~0K City/PO: 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 ET F 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: ~ F] 3.a. Total acreage of the site of the proposed action? G, 7, acres b. Total acreage to be physically disturbed? ~13acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on, adjoining and near the proposed action. []Urban ?Rural(non-agriculture) []Industrial ?Commercial,>dResidential(suburban) ?Porest agriculture []Aquatic ?Other(specify): []Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ? ® ? b. Consistent with the adopted comprehensive plan? ? ? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ? fe X 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? NO YES , If Yes, identify:01 D 8. a. Will the proposed action result in a substantial increase in traffic above present levels? ,,NN~-/OOYES ; b. Are public transportation service(s) available at or near the site of the proposed action? El ? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements, describe design features and technologies: ? ? i 10. Will the proposed action connect to an existing public/private water supply? NO YES I, If No, describe method for providing potable water: I~ 11. Will the proposed action connect to existing wastewater utilities? NO YES I!, If No, describe method for providing wastewater treatment: 144= Imo' ? 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ? b. Is the proposed action located in an archeological sensitive area? L?~ ? 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain NO YES 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: 14. Identify the typical habitat types that occur n, or are likely to be found on the project site. Check all that apply: ?Shoreline ?Forest )KJ Agricultural/grasslands ?Earlymid-successional ? Wetland ?Urban ?Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? 19 ? 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? NO YES If Yes, ,[_71 a. Will storm water discharges flow to adjacent properties? %&4410 DYES 2fi ? b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: NO DYES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes, describe: ? 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or NO YES completed) for hazardous waste? If Yes, describe: P1 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsorname: Date: Zr Signature: ~iWL[ OfFWC.BWt.~J 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 1 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?" 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 ? regulations? 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 ofa Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or (-~i ? affect existing infrastructure for mass transit, biking or walkway? ~J 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: ? a. public / private water supplies? b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, I-ii~ ? 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 0 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: ? ? 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes, describe: ? ? 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or NO YES completed) for hazardous waste? If Yes, describe: ? ? 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: 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 1. 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?" No, or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ? ? regulations? 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? Q ? 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 ? affect existing infrastructure 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: a. public / private water supplies? El El b. public / private wastewater treatment utilities? E] El 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, ? El waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 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 ? ? problems? 11. Will the proposed action create a hazard to environmental resources or human health? El E 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. El 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 Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 0 Q,Z Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.M: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN M-trT - Tw-Wo-n- -g p -E-~ CERTIFIED BY A DESIGN PROFESSIONAL N 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? I Will this Project Retain All Stone-Water Run-Off (include Total Area of all Parcels located within Generated by a Two (2') Inch Rainfall on Site? ? the Scope of Work for Proposed Construction) (This item will include all runoff created by site (S.F.IAaes) b. What Is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed r S Site Improvements and the permanent creation of construction activity? impervious surfaces.) (S.F./Aces) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall Include all Proposed Grade Changes and P~ ele24 ite?~ ~LSeK rGf S /G% 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. J 4 Will this Project Require any Land Fitting, Grading or ? Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing ActivNes 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 Requirements: or within One Hundred (100') feet of a Welland or Submission of a SWPPP is required for all Construction activities involving sol Beach? disturbances of one (1) or more acres; including disturbances of less than we acre that 7 Will there be Site preparation on Existing Grade Slopes ? are pad of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen (15) feet of Vertical Rise to including Construction activities involving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. ( SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious ? - for Storm Water Discharges from Construction activity - Permit No. GP-040-001.) Surfaces be Sloped to Direct Storm-Water Run-Of 1. The SWPPP shag be prepared prior to the submittal of the NOI. The Not shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2. The SWPPP shag describe the emslon and sediment control practices and where 9 Will this Project Require the Placement of Material, ? - required, poet-construction storm water management practices that wit be used and/or Removal of Vegetation and/or 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 compliance with the terms and conditions of this permit. In addition, the SWPPP shall Area? (This wm will Nor Include ve ImYnanen a 0ri , Apmnsi identity potential sources of pollution which may reasonably be expected to affect the quality of stone water discharges. NOTE: If Any Answer to Questions One through Nine is Answered with a Chock Merit 3. All SWPPPs that require the poste structbn storm water management practice in a Box and the construction site disturbance Is between 5,000 S.F. b t A. in area, component shag be prepared by a qualified Design Professional Licensed in New York a Star. Allister, Grading, Drainage b Erosion Control Plan Is Required by the Town of that Is knowledgeable in the principles and practices of Stone Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Parch. (NOTE: Ached Mah(./)aMwMSVartaraadl Weslbnh Regal WaCompbla AppWadon) STATE OF NEW YORK, COUNTY OF .GL ..I..../)...( rSS I'hat I, - .fir./..(..... (..r being duly sworn, deposes and says that he/she is the applicant for Permit, (Name I individual signing Dow t) o~ L....... And that he/she is the N 9 . . ..(owner. C r. Agent..Cor..porate Officer, etc.. 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; f} ,y~ I r L J.~............ day of ..GV+i.. ` :...:VICKI TOA®of Ygrkr , c yy~~ty~ NotaryPublic:. Notary . ual, Pubo.1li 1f.`T061906 New R~8 Qualified in Suffolk Dn (Signature of Applicant) Applivanl) FORM - 06/10 B& of Trustees Application County of Suffolk State of New York BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF/ / ~ I6fd C ,20- Notary Public Sp{ ~of New York No. 01Ygi 0696 Commission Expires sJJuly 28 2DL Notary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The pm=se of this form is to provide 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, fast name, tpiddle 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 ~G 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 If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted teis /day of 200/V 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 siwiificant 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# I © -6 - /G . / PROJECT NAME l",-s es- i/0'0 The Application has been submitted to (check appropriate response): Town Board El Planning Board El Building Dept. El Board of Trust eLJ-- 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: Jr / J / Location of action: 7 6+c t ~ W C..~ Site acreage: . Present land use: ~o Present zoning classification: Pct fix"/%1L 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: iFe, /~/v? (b) Mailing address: ~o Az;,c 7 ~2 /~A /Tt r7+ LK /N //S S- (c) Telephone number: Area Code ( ) (a Z/ JV 31 C'7 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ? Npl~~hich 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 crit ria. Yes ? No I I°Ri6~ 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 ? No1JApliot Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ? Yes E] No of Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ? Yes ? No 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 r 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 through 32 for evaluation ? ? Yes No Not Appoble 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. a 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. ? Yes[] No Not Applicable Attach additional sheets if necessary WORKING COAST POLICIE06 Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LW Section III - Policies; Pages 47 through 56 for evaluation criteria. ? Yes ? No of 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 s. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ? Yes E 11-: 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 f=Not criteria. 11 Yes 1:1 N plicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pa 65 through 68 for evaluation criteria. ? Yes ? No Not Applicable PREPARED BY ~c~ r/ a ? s~C~ TITLE ffeAM/&1--- DATE Ix 02-18-14;15;05 7556641 # 1/ 1 •I Property: 305 Cases Lane Cutchogue aka Cedars Golf Course Date:2/18/14ti EFED , e n 2014 To whom it may concern, ` I just want to give a follow up letter after the site visit by the trustees at cedars Golf Course. Here is a list of exactly what I would like to do with the area that we looked and the highlighted area on the survey that you have Remove under growth and bramble Remove choking veins from large trees Remove dead trees (THESE ARE NOW MARKED WITH RIBBON) Note no fill we be brought in Once the under growth is removed we will overseed area to look like the rest of the course The reason for this is to save the large trees, remove the dead trees and improve the safety and look of the property Regards Paul Pawlowski ~~~ir.. • Dear Trustees, 1/24/14 1 am submitting an application to remove dead trees and brush on the property of Cedars Golf Course. I have highlighted areas on the attached survey in the color green were 1 am talking about. If possible on your inspection 1 would like to walk the property with you and show you exactly what I have planned to do. I would like to do this so that we are all clear on what I want to do. The areas that 1 am talking about have trees that are dead do to " Sandy and Irene" This is a public golf course and 1 feel that they are a potential hazard along with potentially harming the plants within these areas. I feel the dead trees and the bramble are not good for a public golf course and by removing so would not only be safer but enhance the landscaping. I am writing you this letter and asking to meet you upon inspection to improve my relationship with the trustees and make sure that I do not make any mistakes again as in the past my ignorance to the rules have not been acceptable on another property. 1 will be the new owner of Cedars and I truly want to keep it the gem that it is and it starts with the preservation of the land. I feel upon inspection you will see what I am talking about. Thanks in advance for your time KJAN :27 Regards G~~l Paul Pawlowski 14 631-445-4348 CHARLES R. CUDDY ATTORNEY AT LAW 445 GRIFFING AVENUE RIVERHEAD, NEW YORK Nailing Address: TEL: (631) 369-8200 P.O. Box 1547 FAX: (631) 369-9080 Riverhead, NY 11901 E-mail: charles.cuddy@verizon.net February 10, 2014 Town Trustees D Town of Southold FEB 1 1 2014 PO Box 1179 Southold, NY 11971 Gentlemen: I represent Caberon Properties Inc., the owner of the par three golf course located at Cutchogue known as Cedars Golf Club. My client has authorized me to permit an inspection of the site so that the proposed purchaser, Paul Pawlowski, may show an area in which he wishes to change or remove vegetation. I understand the visit to the site will take place on Wednesday, February 12, 2014. Very truly yours, 4-44~(, Charles R. Cuddy CRC/pc Ad of Trustees Application County of Suffolk RE: SITE VISIT TO CEDARS GOLF COURSE State of New York CHARLES R. CUDDY BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. CABERON PROPERTIES INC. B Signature of Property Owner Charles R. Cuddy, as At ey SWORN TO BEFORE ME THIS 10th DAY OF February 20 14 C:?, R Q Notary Public PATRICIA A. CLARK Notary Public, State of New York No. 5711005 Qualified in Suffolk C unty Commission Expires September 30, 201 -11 i N SURVEY OF PROPERT"r D E Q.. F I ~i AT CUTCHOOUE D \ TOWN OF SOUTHOLD SUFFOLK COUNTY, my JAN 2 7 2014 \b\ 1 1 X181 3\ DEMMER 24 2003 CEDARS ROAD T ScM 379.73' h N%MCMx 8 oPMExrtror - 1 9 )0, loop 1 01 S I~~ g o AO 0 % M1 APR BY FINAL BOARD Q,F TR SURF TOWN OF TH A`` DATE E c L = JUN 21 2:~ OE % ~R O£VEZA°MENT Rlpl7'S EASE1fM 3.8984 Ate' OWE= PONDS & TIDAL WETLANDS MEMO AREA 1.0600 ACRES 4CRES OR 29,340 SO. FT. •ar yy wA ro n6 I$LfnCr V 6A Mau Mw F IW NK /:CM ]taYlU9( WM Z ALLNN /MCO 7E'J- FOR AP AA C 2 ALL LF111 &Xy rlS SOLO F FOR M E A Mg° ros m AF A-6.7586 ACES OR P.a :i 909 A MEANS RE ESSEp !EK cr ar var ME 9Mtf tnv 12-0 MA4ELM SMr- dPPEARS lE1PElaN 2K404 SO. FT. 1^..,= Tyr SURVEY OF PROPERT: AT MMooUE • N ~ ~'b~ FOP W OFF SOUTHOLD 5+~, StTMLX COUNTY, KY. 4. SOOD-109- 45 T U ml mffi ((+JJn~~fj JUN 212'105 1 ~uiannm~ `y r bb W bu v f o0 $ k mm 1 v /J o f ~ao DEVELOIPMENT RldI75 EASEMENT f w+ms y~ W r I 2 m, 3CM A >q_ ~ OEM T~ 4D~11 ~ 5~65t Z \ d 1'~" o S ~ m 0 f o x N/oIF JLWN X INEZ DENNISON m 9-7 I''INAL SURVEY p'~ cell mllII O ~~T O l~ ~I r CERRRO M. arts TObN OF SOUTHOLD ~R0 mam' N6920, w 16354 - -~2 N50NNA~'~ STEWART MIC 332.(9) yam` ROAD . s' CEDARS xw ro ~sarK15 ° u v W sure ca~cAmw "W , PECQWC SVRVE 1G' L ALL RIiM CA~lp+S !I6 S MAAREA-6.9642 ACRES OR (631) 765-5020 FRY • M~=== T H AV1KlTle P.O. BOX 90> zHEWw. 303.363 SO. FT. n.w--.:_~