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TR-8385
John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee 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 # 1091C Date: January 29, 2015 THIS CERTIFIES that the excavation on landward side of existing 132' long bulkhead, addition of vinyl sheathing, replacement of all dead -men, lay logs, and tie -rods, addition of new face piles adjacent to existing face piles, addition of 4"x6" clamp timber, new 2' wide timber cap; and a 15' wide non -turf buffer along landward edge of bulkhead At 1290 Willow Terrace Lane, Orient, New York Suffolk County Tax Map # 26-2-24 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 14, 2014 pursuant to which Trustees Amendment to Wetland Permit #5-88-26-24 Dated March 19, 2014 and Coastal Erosion Permit #8385C Dated March 19, 2014 were issued and conform 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 excavation on landward side of existing 132' long bulkhead, addition of vinyl sheathing, replacement of all dead -men, lav logs, and tie -rods, addition of new faceilp es adjacent to existingfae piles, addition of 4"x6' clamp timber, new 2' wide timber cap; and a 15' wide non - turf buffer along landward edge of bulkhead. The certificate is issued to HULSMANN LIVING TRUST c/o ROBERT & ANN HULSMANN owners of the aforesaid property. Authorized Signature CC # : C15-8607 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 03/06/2015 under_Liber _D00012809 and Page 238 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 03/06/2015 SUFFOLK COUNTY CLERK JUDITH A. PASCALE APR 1 3 2015 SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: .03/06/2015 Number of Pages: 6- At: 11:06:01 AM Receipt Number : 15-0028564 LIBER: D00012809 PAGE: 238 District: Section: Block: Lot: 71-000- 026-.00 02.00 024.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP -584 $0.00 NO Notation $0.00 NO Cert.Copies $7.50 NO RPT $60.00 NO Fees Paid $137.50 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County HP LaserJet 400 M401 PCL 6 (Copy 1) LANDRECORDSC04 RECEIPT Suffolk County Clerk JUDITH A. PASCALE County Clerk Receipt Number 15-0028564 Payor Name ROBERT N HUSMANN ------------------------------- DESCRIPTION TRANS AMOUNT ----------------------------------- Type of Instrument: DECLARATION Page/Filing $30.00 Handling $20.00 COE $5.00 NYS SRCHG $15.00 TP -584 $0.00 Notation $0.00 Cert.Copies $7.50 RPT $60.00 Fees Paid $137.50 LIBER D00012809 PAGE 238 DATE: 03/06/2.015 TIME: 11:06:01 AM RECEIPT TOTAL $137.50- CHECK 137.50CHECK AMT PAID $137.50 TOTAL AMOUNT PAID $137.50 CHECK REFUND. $0.00 COMMENTS MARTIN D. FINNEGAN TOWN ATTORNEY martin. Finnegan @ town. southold. ny:us STEPHEN F. KIELY ASSISTANT TOWN ATTORNEY stephen.kiely@town.southold.ny.us LORI M. HULSE ASSISTANT TOWN ATTORNEY lori. hulse@town. southold.ny.us SCOTT A. RUSSELL Supervisor Town Hall Annex, 54375 Route 25 P.O. Box 1179 Southold, New York 11971-0959 OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD Ann and Robert Hulsmann P.O. Box 188 Orient, NY 11957 RE: Wetlands Permit No. 5-88-26-24 Dear Mr. and Mrs. Hulsmann, Telephone (631) 765-1939 Facsimile (631) 765-6639 February 25, 2015 I have reviewed the Declaration of Covenants submitted to this office with respect to the-above-r-efer-enced-application concerning -the fifteen foot wide-non=turf buffer area located along the landward edge of the bulkhead to be established and subsequently maintained as depicted on the revised survey prepared by John C. Ehlers, Land Surveyor, last dated October 31, 2013 and stomped approved on March 19, 2014. The covenants and restrictions document must be executed and filed with the County pursuant to §275-10(K) of the Southold Town Code. Please note that a coy of this document or, in the alternative, a sworn statement attesting to the ffling is to be presented to the Office- of the Board of Trustees within 90 days of issuance of the permit. Regards, Lori M. Hulse Assistant' Town Attorney (631)765-1939 Cc: Board of Trustees This page forms part of the attached TO -e C. lACA-tA o� (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the TOWN of S o AiNo L - In the VILLAGE or HAMLET of made by: BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12•6104.10/08kk (over) 51 Number of pages RECORDED 2015 Mar 06 11:06.01 AM JUDITH A. PASCALE CLERK OF This. document will be public SUFFOLK. COUNTY record: Pleese:remove all L. D00012809 Social Security Numbers.. = . F' 238 prior to= recording. Deed/ Mortgage Instrument Deed / Mortgage Tax Stamp7 Reco ding /Filing Stamps 3 FEES ;,. Mortgage Amt.`. Page / Filing Fee 1. Basic Tax Handling 20. 00 2. Additional Tax TP -584 Sub;Total Spec./Assit.' Notation r, or EA -52 17 (County) Sub Total ``J Spec. /Add. EA -5217 (State) TOT. MTG. TAX Dual .Town Dual County R.P.T.S.A. Held for Appointment Comm. of Ed. 5. 00 �' ' Transfer Tax Mansion Tax Affidavit' 5� The property covered by this mortgage is, Certified Copyor will be improved by a one or two Nfamily dwelling only. YS Surcharge 15. 00 Sub Total YES or NO Other Grand Total appropriate tax clause on GrandNO, see page # of this instrument. w 4 Dist. 2887600 1000 02600 0200 024000 Community Preservation Fund Real Property R LWI A I (IIIII IIIII IIIII (IIII IIIII IIIII VIII IIII IIII onsideration Amount Tax Service 06 -MAR -1 Agency CPF Tax Due Verification " - 'Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address - RECORD & RETURN TO: - -Vacant Land l TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7T Title Comany Information 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk Co.Name Title # Suffolk County Recording & Endorsement Page 8 This page forms part of the attached TO -e C. lACA-tA o� (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the TOWN of S o AiNo L - In the VILLAGE or HAMLET of made by: BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12•6104.10/08kk (over) DECLARATION OF COVENANTS THIS DECLARATION made this day of 0Ukk , 20_A5, by �� b � �`G. \� � � 1 �a �`� '`t �� �� r \t41�� � Vii � � �\'`� �� residin g at hereinafter referred to as "DECLARANT(S)": W I T N E S S E T H: WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located on �� i�1�\�w`VCc� ��� ��\4 Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section Block_, Lot which is more particularly bounded and described as set forth in � "A" annexed hereto, &VW 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 (hereinafter 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 "non -turf buffer" adjacent to and landward -of NOW, THEREFORE, the DECLARANTS) do/does hereby covenant and agree as follows Bargain ane.. Sale Deed with Covenants Against Grantor's Acts - mdivicitual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 30-P". flay of 2014 BETWEEN ROBERT NULSMANN and AN . HULSMANN, as co- -19 TRUST dated 15, 1993, res ted by Second Amend ent on 1290 Willow Terrace ne, ient, NY, 11957 party of the first part, ROBERT N. H TU 0 C 30 undivide iffy ANN -V ULS: fifty (50 KSMANN, as Truste f the ROBERT N. 2014, res! ' g at 90 Willow Ter (50%) percent i erest; and MANN, as Tr tee of the ANN V. Vd, 4, residing at 1290 W it interest of the HULSM4^ LIVING Per 21, 2003,46th residing at ^ANN TRUST da Lane, Orient, NY, 1 . 7, to an TRUST date Lane, Or' t, NY, 11957, as to an party of the second part, �C k e Cl u .� WITNESSETH, that the party of the first part, in consideration of TEN ($10.00) dollars, lawful money of. the United States paid by the party of the second part, does hereby grant and release -unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being. at Orient, in the Town of Southold, Suffolk County, New York, shown and �- designated as Lot No. 5 on a certain subdivision map entitled "Map of Willow Terrace, Section 1" at Orient, Town of Southold, Suffolk County, New York, which said map was filed in the Suffolk County Clerk's Office on November 28, 1969, as Map. No. 5407. BEING AND INTENDED TO BE the same premises conveyed to the part3i of the. first p art by deed dated July 1, 1993 recorded in the: Office of the Clerk of the County of Suffolk in Liber 11796 at page 957.. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof. TOGETHER with the appurtenances and all the estate and rights of the party of the 'first part in and to said premises. TO HAVE AND TO HOLD the premises herein granted unto the party of the second part; -the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumbered in any way whatever, except as aforesaid. 1) Upon the substantial completion of the aforementioned permitted act'vities there shall be established and subsequently maintained °`viM'1`ti,. ,, A t,t "non -turf buffer" as defined by Chapter 275 of the Town Code; and as depicted on the> �� �� " and r 2) These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) day of r�,,,:� /i d, 20 has/have duly executed this instrument this 'S S OWNER'S SIGNATURE STATE OF 9Qst�,� \9,L ss: Y COUNTY OF On the f� day of �(I in the year 20 j, before me the under i ed, a Notary Public in and for said State, personally appeared A� ^ -�- )&j GMC,tG�d personally known to me or proved to me on the basis of sati factory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature(s) on the instrument, the individual or the persons on behalf of which the indi ' ual(s) acted, executed the instrument. Notary Public I eam Palermo Notary Publie, Stl%.Of Now York M!issa Pale 2 No. 4849887 QUSI Scl In Suffolk u Notal;r •'m York W COmrnlaalon EXpIroaST` Quaufl n BUffOlk County I I I j' I Comnid6sion Expires SURVEY Of LOT 5' ON A CERTAIN 5UbDIV151ON MAP ENTITLED 'MAP Or WILLOW TERRACE, SECTION 1"WHICH SAID MAP WAS FILED IN THE 5UFFCLK COUNTY CLERKS OFFICE ON NOVEMBER 28, 1969 AS MAP NO 5407 SITUATE: ORIENT. TOWN: 5OUTHOLD 5UFfOLK COUNTY, N.Y. SURVEYED 10-31-2013 5UFI`01-K COUNTY TAX # 1000-26-2-24 CERTIFIED TO: HULSMANN LIVIiG, TRUST PIPE FOUND VINYL PENCE. Area = 18, 1 16 EM. Ft. kres n 0.4 16 Acres GRAF'IlfC ALE I N W E S E Q El. V.- FEB ]' . 4 . 2014 . . 1 JOHN C. EHLER5 LAND 5URVEYOP, r. EAST MAIN STREET N.Y.5. UC. NO. 50202 RIVERHEAD, N.Y. 1 1901 369-8288 Fax 369-5287 fon-3islandland5urveyorzom f-2—REM IH FAJ .ww NW& v p4t.* "?IW -OasPfbc A if jW SWIL ECF!n N.' [F IE B 1 4 2014 tri 3 %O.a -e � - -P, --?-, Lk MARTIN D. FINNEGAN TOWN ATTORNEY martin.finnegan@town.southold.ny.us STEPHEN F. KIELY ASSISTANT TOWN ATTORNEY stephen.kiely@town.southold.ny.us LORI M. HULSE ASSISTANT TOWN ATTORNEY lori.hulse@town.southold.ny.us oF SOCA -hc (/Tyo� O cou,��' SCOTT A. RUSSELL Supervisor Town Hall Annex, 54375 Route 25 P.O. Box 1179 Southold, New York 11971-0959 OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD Telephone (631) 765-1939 Facsimile (631) 765-6639 Ann and Robert Hulsmann February 25, 2015 P.O. Box 188 Orient, NY 11957 RE: Wetlands Permit No. 5-88-26-24 Dear Mr. and Mrs. Hulsmann, I have reviewed the Declaration of Covenants submitted to this office with respect to the above referenced application concerning the fifteen foot wide non -turf buffer area located along the landward edge of the bulkhead to be established and subsequently maintained as depicted on the revised survey prepared by John C. Ehlers, Land Surveyor, last dated October 31, 2013 and stamped approved on March 19, 2014. The covenants and restrictions document must be executed and filed with the County pursuant to §275-10(K) of the Southold Town Code. Please note that a copy of this document or, in the alternative, a sworn statement attesting to the filing is to be presented to the Office of the Board of Trustees within 90 days of issuance of the permit. Regards, Lori M. Hulse Assistant Town Attorney (631) 765-1939 Cc: Board of Trustees FEB 2 7 2015 !` Scll #,,26 -d -dq John M. Bredemeyer 1[[, President �OSUffD(� c Town Hall, 53095 Main Rd_ Michael J_ Domino, Vice -President ,�Z� GGA P.O. Box 1]79 James F. King C1.3 ZZ: Southold, NY 1 1971 Dave Bergen X14 �� TeIephone (63 1) 765-1892 Charles J. Sanders 1 �Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE F INSPECTION: J Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre -construction, hay bale line/sift boom/silt curtain 1st day of construction / % constructed V Project complete, compliance inspection. INSPECTED BY: COMMENTS: / CERTIFICATE OF COMPLIANCE:—/�1" John M. Bredemeyer III; President Michael J. Domino, Vice -President James F. King. Charles J. Sanders Dave Bergen F911-tov, Town Hall, 53095 Hain Rd. P.O. Box -1179 Southold,. NY 1-1971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF -THE BOARD -OF TRUSTEES, 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN 4PPOINTMENT-.FOR A PRE -CONSTRUCTION INSPECTION. FAILURE TO DO SO - SHALL BE CONSIDERED, A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. i JAN 2 0 2015 1: INSPECTION SCHEDULE Pre -construction, hay bale line 1't day of construction %constructed Project complete, compliance inspection f r+Y NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL -CONSERVATION Facility DEC ID 1-4738-04350 r' PERMIT Under the Environmental Conservation Law Permittee and Facility Information ;, Permit Issued To: �_= acilityWx �., ,. ROBERT N HULS--MANN �_. HULSMANN PROPERTY PO BOX 188_` 1290 WILLOW TERRA E•LNISCTM# 1000-26- ° 2-24 �a ORIENT, NY 11957-0188 ORIENT, NY 11957 (631) 323-278,9, " 23 2789" x Facility L�oreation: in SOUTHOLD in SUFFOLK COUNTY'S Facility Principal Reference Point: NYTM-E: 726.68 NYTM-N: 4556.96 MI Latitude: 41'07'56.3" Longitude: 72'17 57.911 Project"L- ocation: 1290 Willow Terrace Lane, Orient, NY 11957 Watercourse: Orient Harbor. Auth6rized Activity: °,• Reconstruct 132 linear feet of bulkhead landward of the existing bulkhead and backfill with 30 cyd of cleans fill from an upland source: Install new bulkhead face pilings adjacent to the existing bulkhead %face ...M —' . . . - . .. . . . ... . __ . . . .-. .. f; buffer. All authorized activities shall be done in "NYSDEC Approved' -""on g/6/14 'ASAP 1-08-010 etlands - Under Article 25 ) 1-4738-04350/00001 N Permit Au Permit ID '14738-04350/00002 New Permit Effective Date: 8/7/2014 Expiration Date: 8/6!2019 Water Quality -Certification - Under Section 401- Clean Water Act ° Permit ID 1-4738104350/00003£ z.. New Permit 'efi:w Effective Date: 8/7/2014 Expiration Date: 8/7/2019 JAN 20 2015 ;:...� Page 1 of 7 NOTICE OF COMMENCEMEN I OF U0146 I KUC; I IUN �ETURN THIS FORM TO: COMPLIANCE Or Fax to: 631-444-0297 Bureau of Habitat -TW 60 Circle Road Stony Brook.- NY 11790-3409 G��` �\ � �®® DERMIT NUMBER: EXPIRATION DATE: DERMITTEE NAME & PROJECT ADDRESS: g� : ONTRACTOR NAME & ADDRESS: .>c-:ar Sir t th special conditions of the referenced permit, you . are. hereby notified that the activity shall commence an - !7n We certify that we have read the referenced permit and approved pldns.:.a.nd fully understand the authoriz ' ed7project and,all t. e t e I lit c ndltlonsWe have inspected the project site and can complete the.project as described in theperrhft and as depicted on th .11)p P. I . . d plansand approved. _We can do so in full compliance with all plan notes and permit conditions. The,permit, permit sign, )e available at the site for inspection in accordance with 'General sCondition No. 1, (Both tignbtures required). PERMI CONTRACTOR: rpt TE I -HIS NOTICE MUST BE SENT T . 0 THEASOVEADDRESS AT LEAST T1410 DAYS PRIOR TO COMMENCEMENT OF THE PROJECT IND /OR ANYASSOCIATED . ACTIVITIES. FAILURE TO RETURN THIS rv1c;7-IcF_, POST TIME N. E PERMIT SIGOR HAVE THE PERMIT AND, 'iPPROVEO PLANS AVAILABLE AT THE WORK SITE FOR THE DURA_ T . ION OF T! -fE PROJECT MAY SUBJECT THE PERMITTEE A INDIOR CONTRACTOR TO APPLICABLE SANCTIONS GTIONS AND PENALTIES FORWON--COMPLIANCE WITkI PERMIT GOAIDITIONS. i.11'alongX X X this line X X N. i 014 NOTICE OF COMPLETION'OF C STRUCT'ONI -'E'rURN THIS FORM TO: COMPLIANCE Or Fax to: 63-1-444-021,",,7 Bureau of Habitat- TW Fn ("irrita Pnnrf �!JISLJant to special conditions of the refe'renced permit, You are fI ,erebynt:&I"ied that the authorized activity was completed on We have fully complied -with the terms and conditi2ns o: the Perm it and approved plans. (Both signaiores required) PERMITEe- \� )AT E C\ CONTRACTOR: C DATE akx �V_111 S OF THEC &PLETED-WORKAW5110P C A GRAP \1(1)\_11A-1 An _D SURVEY, HIS NOTICE. �H PHO 4 :ENT TO THE ABOVE ADA ESS WITHIN 30 DAYS OF COMFLE T!ONI OF TI -11E PRO.."ECT 4PROPRIATE, MUST BE JAN 2 0 2015 \/1 r� (nom [ \+ \ l.w__..__.--. Qr 0 0 Planting of Beach Grass as Proposed LESS DEPOSIT NYS SalesTax 1,836.09 1,836.00 -918.0 -918.00 8.625% 0.00 Cell.. Phone 631-831=1740. Telephone/Fax 63x323-1772 email icrowley@oPtOi-Aine.net � �� �on S� ✓cam c.� c � 15 0 John M. Bredemeyer 111, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 0 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 bale line 1st day of construction Yz constructed Project complete, compliance inspection L John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee March 19. 2014 Robert & Ann Hulsmann P.O. Box 188 Orient, NY 11957 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 19 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 RE: HULSMANN LIVING TRUST C/O ROBERT & ANN HULSMANN 1290 WILLOW TERRACE LANE, ORIENT SCTM# 26-2-24 Dear Mr. & Mrs. Hulsmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 19, 2014 regarding the above. matter: WHEREAS, HULSMANN LIVING TRUST C/O ROBERT & ANN HULSMANN applied to the Southold Town Trustees for an Amendment to Wetland Permit #5-88-26-24 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, and for a permit under the provisions of Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, application dated February 14, 2014, 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 March 19, 2014, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 and Chapter 111 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 HULSMANN LIVING TRUST C/O ROBERT & ANN HULSMANN for an Amendment to Wetland Permit #5- 88-26-24 and for a Coastal Erosion Permit to excavate on landward side of existing 132' long bulkhead; add vinyl sheathing, replace all dead -men, lay logs, and tie -rods; add new face piles adjacent to existing face piles, add 4"x6" clamp timber, new 2' wide timber cap; and maintain a 15' wide non -turf buffer along the landward edge of the bulkhead; and as depicted on the site plan prepared by Ian Crowley, last dated September 11, 2013 and stamp approved on March 19, 2014; and as also depicted on the survey prepared by John C. Ehlers, Land Surveyor, last dated October 31, 2013 and stamped approved on March 19, 2014. 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, D John M. Bredemeyer III President, Board of Trustees IfPi7E- Ia", John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 0 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1592 Fax (631) 765-6641 COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT #8385C Applicant/Agent: Hulsmann Living Trust C/O Robert & Ann Hulsmann Permittee: Hulsmann Living Trust C/O Robert & Ann Hulsmann SCTM#: 26-2-24 Project Location: 1290 Willow Terrace Lane, Orient Date of Resolution/issuance: March 19, 2014 Date of Expiration: March 19, 2016 Reviewed by: John M. Bredemeyer III, President DESCRIPTION OF ACTIVITY: To excavate on landward side of existing 132' long bulkhead; add vinyl sheathing, replace all dead -men, lay logs, and tie -rods; add new face piles adjacent to existing face piles, add 4"x6" clamp timber, new 2' wide timber cap; and maintain a 15' wide non -turf buffer along the landward edge of the bulkhead; and as depicted on the site plan prepared by Ian Crowley, last dated September 11, 2013 and stamp approved on March 19, 2014; and as also depicted on the survey prepared by John C. Ehlers, Land Surveyor, last dated October 31, 2013 and stamped approved on March 19, 2014. INSPECTIONS: Final Inspection SPECIAL CONDITIONS: (apply if marked) In accordance with Chapter 111-15 Erosion Protection Structures: XX A maintenance agreement is attached hereto and is a necessary special condition of this permit. �yc,.. � 6 BY: tl John M. Bredemeyer 111, President Board of Trustees 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino ,yyam OF SOUT�� T 4 CA ��y00UNV 1:19-7411 ,1177afl Kia: John M. Bredemeyer 111, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen TO: f BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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 has been reviewed by this Board at the regular meeting of _ 3 and your application has been approved pending the completion c5f 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) % Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 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: $ S D . co BY: John M. Bredemeyer III, President Board of Trustees 46 John Bredemeyer, President �aurrotr� Michael J. Domino, Vice -President James F. King Charles J. Sanders �yf Haag Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field lnspectionlWork Session Report Date/Time: / `'/ - / HULSMANN LIVING TRUST, c/o ROBERT & ANN HULSMANN request an Amendment to Wetland Permit #5-88-26-24 and for a Coastal Erosion Permit to excavate on landward side of existing 132' long bulkhead; add vinyl sheathing, replace all dead -men, lay logs, and tie -rods; add new face piles adjacent to existing face piles, add 4"x6" clamp timber, new 2'wide r cap; and maintain a ide non -turf along the landward edge of the bulkhead. l Located: 1290 Willow Terrace Lane, Orient.r SCTM# 26-2-24 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound _BaY Distance of proposed work to edge of wetland n ' 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: —Z�J• Bredemeyer Bay Constable Form filled out in the field by Mailed/Faxed to: Date: M. Domino J. King Other C. Sanders ONiED��. AINST Tit$ USE Ok' TBT OR OTHER QR��'o bOTTQ,11 $L? LVSSLY PERMITTED IN WRITTNG ayv;SYFc_- 1 A� Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 5.88.-d6-.2.4..... DATE y(ay.::ag.;:..Yggg. ISSUED, TO .._.RCAERT_icULSMAX .. _- ,��ttkla�rf�tttinn -Pursuant to the provisions of'.Chapter ..615 of the Laws of i r ., the State of Naw York, .18931 and , pter 44 of the Laws of the State of;New York 19321 .and the. thole Town,Ordina"Is as. titled 'WGULATING AND ,' 4,11_aCIN6 OF OBSTRUCTIONS, IN AND ON TOWN' WATERS AND PU8LC LANDS and the f 'REMOVAL OF SA►JD, GRAVEL OiC OTHER MATERIALS FROM LANDS ONDER TOWN WATERS" and in accordance wifle the Resolution of The Board adopted' at a meeting hold on Mag -41. .-L688 [ 19..... ...... .. and in consideration of The sum of 3:.._ ....... ___.,..:.!Paid by.. Y. - Lathem...Saud..iand..S'xiavel«.3tic.�: ', ;� of ...:_.Qxica4._.H...X:__. ......:_ .. _... N. Y. and subject to the - Terms and Conditions Bstedon the .reverse, side hereof, of Southold Towa Trustees authorizes and permits the following: . Construct 135' timber bulkhead, backfill to be trucked in fiom an -.upland -source; new-constrvation to :be kept, in ling, with existing bulkhead. all in accordance with the detailed specifications as presented. in _ the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes Its Corporate Seel fo'be. affixed, and these PPresents to be subscribed by a;majority of th�j�e_"iid Board as of Ais,dato ' I _..c rL&,pO - At.,,7ai4'L „—Y i�;l�� `: �!^.:� lss�':'vAIC�'•.,irj�iiti�%.'ms'�—� Please tear off. and return to the Trustee Office. Board Of f Southold `Town Trustees SOUTHOLD, NEW YORK tboring Permit No. Date: Mooring No. - I• certify thatthe-work as ' authorized in thispermit has bean-complated and is new ready for your inspection. Also, the,. number required on this.: project is clearly visible. I further understand this.permitis not -valid until this tear off sheet is returned to the Trustee Offide:•.' TERMS and CONDITIONS The Permirae ROBERT HULSMAN residing ac 64 Willow St Floral Park. N.Y. 11001 N. Y_ as pact of the consideration for the itmeore of the Pemdtdon uedentand and prescribe to the fol- lowing: 1. That the Southold Trustees Permit must be prominently displayed on the premises effected thereby during the period of work That the said Baud of Ttuuas and the Town of Southold ere released from coy and „) all damages, m claim for damage; of sults prising directly or indirectly as a tesdt of any opeo- under orlon performed pmwant to thispermit, and the acid Psenti ee will, a his car her own tapeme, the '"defend any andall sock suite Writes& by third patties, and the said Petmiime assumes toll Haldlby Perini' with respect thereto, to the complete mm ces, of the Board of Trustees of the Town of Southold : 3. That this Permit is valid for a period of JM 24 tom: whit Is considered to be tire sufficient time required to complete the work involved, hot should dtnmsnmes warrent, request. for an recreation may be made to the Baud at a later dam. 4: That this Permit shoWd be retained badefmitely, or a long. a the said Pe®iaee wishes to maims; the structure or project iuvotved, to provide evidence to anyone concerned that amts orizatiore was originally obtained 5. /bat the work involved will be subject to the inspectionand approval of the Board or In agents, and cwo-compUance with the .provisions of do miginatiog application, ®ay be tame for mutation of this Permit by resoludon of the said Boerd 6. That these will be no unersomble interfeseore with navigation as a result of rhe work herein authorized. . 7-. That there shall be no interference with the right of the public to pass and reposes along the batch between .high and low water marks.. S. That if future operations of the Town. of Southold require the removal and/or alterations In the local en of the work hrzdn uethoti ed, or if, in thecepkdote of the Board of Trustees, the: work shall cmue unreasonable obsttutnon to: free navigation, the said Permktm will berequired, upon due notice, to remove m alta this work or project herein stated without expenses to the Town Of Southold 9. That the said Board will be nuked by the Permittee or the completion of the work. mad - mined (See tear off sheet.) 10. That the Permian, will obtain all ad= permits and commerce that may be required sor idm ental m this permit which may be subject to make upon failure to obtain same n d 4_ Fp 0,1 U Zj s�r�� SIT - Cross s'«t�/o�✓ - /1!o•Sj�A�e Glra ✓ SAND f b PAVe4 UACM'%LG �/!rr L�t/> Tev1rA .Sff./cam //.20 S'x io" `Comic s�o�� 'f roPo6so TW&W lERU %r I Al. P"a AMA, Wu�aw TrrA<, tN. /1/2 /ode. 6'O. C. pl Llrv'G 6x 6 " a"K6" ; CLAM P - H4 -�'y x/dIoaq Tc Raos \ 5,0.. o r/<r. Deann.aN SHERruiNG — �rore3! P `{�YLI�MrPO �( 47 r B4L K- H E,9,0 Sic -Rs(y< rt N. /U4 �SAIAn� ,Vo Sr.o L t 14'/b,w /I/.oJLs,_go�f's,f'X�:r RoaL /Va• GAAMA"'Ira 1. /✓•)! AFL wo.p I.o CGA. Tri TEO AvP. � /O.• •6s - II/Z • calf `' a HENRY P. SMITH JOHN M.BREDEMEYER,?IIi President. John Bednoski, Jr. ALBERT ERUPSEI, JR., Vice -President TELEPHONE (518) 165-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 February 10, 1988 Mr. Robert Hulsmann 64 Willow Street Floral Park, New York 11001 Re: 1000-026-2-24. Dear Mr. Hulsmann: Pursuant to your request for a determination of jurisdiction regarding the . construction of a single family residence on the above property, please be advised that in accordance with thesurvey dated and revised on October 21, 1987 the Trustees have no jurisdiction in this matter as proposed. - Please note that if in the future any work is anticipated on the property 75' or closer to the waterlwetlands a permit will be required. This determination is not a determination made for any other department or agency which may have jurisdiction in this matter. Should you have any questions or concerns,please do not hesitate to contact this office at the telephone number listed above... Ve truly yours. h.1m. Bredemeyer, III, President .. Board of Town Trustees JidB:ip .. c<: Bldg. Dept. Board of Appeals _ Terry Latham, Latham Sand and Gravel.. - i z uQ, m f } axeE b2 a D.t _N prc Z J Ir : PRe Pi 4r P yi t� t�7 i,, IiI e.W O x o o N u O y LK at J� VIS OOIWZ b U6 a o lu Na IY NIK W U I W" Z Y Q L D 4 J 11111101, a)f Y J u w> 'O N U 4 J i no+ eeyd. - aee flied mato b'N lo> NW QO rNpWd�tl. N S42 II iy1AG OF PR.Op i�'7-' UJIk`�, NJ " .`� 3URvEYSO iL�t '� 9 t »RQ�E s ROBE RT FSI.. No 2 ��.1.t N 9$� V A+ �...�..-'f.._.` . b , s SUFW COM DEFARnM OF NFi1L1Q SWIM FOR APPROVAL DF CONSTRUMIDN OF ,, p i a �t+�-HxRy akoo.,; _ _'ter-Iti Sia{b Fam_iry Re3ideasdenceppD��nly a 'All E HS REF. NU �, �' '$u-1 1 � G1 oTwni cry-SovrNOA.9 Af�y�n ' �!3•r ..sa. - 'is,i:_ . i 1 . t a� '. 'Al F$•1NWTMVAQM 4G .. p ♦ LOiS Ap i ilt a«r.D4-mx wit'e Bnnd of r �''," �'f be„k .K,wrn+etYi A r. T,te... CEr✓�ss11.. ,141 �P A� M1kt,},i `�•�, LicGN3aE'Ylkfi '�u.e/`�"'. ''t.� `' - .'•.', .<°k ;. .. .i44A86 ee"ieacl J'. 251 CllreripoCiRiew YarK iWiri t9 R ii ii �gea aG'M'rWABW�rnrro+r0 Aidp cauzaayr. Kigcyc �,..: 4 tJid85 Xh Qp� h8VWA.'i>%raM. POW fi 1, 0 0 FEB 141.114 AIII�"""fdlIDlllifl�lf'IIIIrfm � ,+ � sem_r"-- -_- - KIM- .bid m "Yom,w A 4 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 0 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM In MAA 1 3 2014 To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: March 13, 2014 Re: Proposed Wetland Permit for HULSMANN LIVING TRUST, c/o ROBERT & ANN HULSMANN SCTM# 1000-26-2-24 HULSMANN LIVING TRUST, c/o ROBERT & ANN HULSMANN request an Amendment to Wetland Permit #5-88-26-24 and for a Coastal Erosion Permit to excavate on landward side of existing 132' long bulkhead; add vinyl sheathing, replace all dead -men, lay logs, and tie -rods; add new face piles adjacent to existing face piles, add 4"x6" clamp timber, new 2' wide timber cap; and maintain a 15' wide non -turf buffer along the landward edge of the bulkhead. Located: 1290 Willow Terrace Lane, Orient. SCTM# 26-2-24 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 below listed Policy Standards and therefore is 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 Peter Young, Chairman Lauren Standish, Secretary 0 ,J �g9FFOt,� x 16 Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 At the meeting of the Southold Town Conservation Advisory Council held Wed., March 12, 2014 the following recommendation was made: Moved by John Stein, seconded by William McDermott, it was RESOLVED to SUPPORT the application of HULSMANN LIVING TRUST/ROBERT & ANN HULSMANN for the existing 132' bulkhead; to excavate existing bulkhead on the landward side, 132' long, add vinyl sheathing, replace all deadmen, lay logs and tie rods, add new face piles adjacent to the existing face piles, 4"X 6" clamp timber, 2" timber cap to cover entire wall, and to maintain 15' wide non -turf buffer. Located: 1290 Willow Terrace Lane, Orient. SCTM#26-2-24 Inspected by: Peter Young, John Stein, William McDermott The CAC Supports the application with the Condition the bulkhead remains at the same height, the removable stairs are depicted on the plans, the project includes a drainage plan, and a 15' non -turf buffer is installed along the landward side of the bulkhead. Vote of Council: Ayes: All Motion Carried MAR l 7 2014 F 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino OF SOUryo� 4 4 C40 41�6 CUNTI,�: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ,—Wetland Permit Application Administrative Permit Completed Application _Incomplete _Type Classification: Type I_Type 11 Unlisted _Coordination:(date sent) ,X, LWRP Consistency AsseWent�CCAC Referral Sen �C Date of Inspection: _Receipt of CAC Repo _Lead Agency Determination: Technical Review: 11 Public Hearing Held: Resolution: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 FEB 1 4 2014 Name of Property Owner(s) ��\401A Address ':�- Phone Number:( Suffolk County Tax Map Number: 1000 Property C CrvF H3�- . 1-Aj \\0� (provide LILCO Pole #, distance to cross streets, and location) AGENT:_ (If applicable) Phone: K Vrd of Trustees Applicatio0 GENERAL DATA Land Area (in square feet): —a .,% d © C l .. 1 Area Zoning: Previous use of 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 -,V/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 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: � Agency \� Date oyaN o�c �Oy o 5 - 26 2y 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: �Descuse attachments if necessary): ".2 1 % v�cn�g. Bood of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot:— square feet Percent coverage of lot: C) % Closest distance between nearest existing structure and upland edge of wetlands: N N feet Closest distance betweep 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 excavated93 % © 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: 0 Manner in which material will be removed or deposited: 1 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): B(gd of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity:\N� \ Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? Nom Yes If Yes, how much material will be excavated? Q (cubic yards) How much material will be filled? 2-© (cubic yards) Manner in which material will be removed or deposited: F x � C` 1'*V\\ C" ' C,NN 4 l-1 K\ Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) 1 \ ley 0 0 617.20 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 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: Project Location (describe, and attach a location map):�'t, ��i+ 1� N \\'\ $1 Sc O © O - 3, C. Brief Description of Pr osed Action: Name of Applicant or Sponsorj:� Telephone: E` -Mail: \ M Address: �Z Q Vy \\\Q \ �'�r�L,� `--�P• �� City PO:Q R)Q \C%%State: \\ \ 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 O If Yes, list agency(s))nname and permit or approval: 3.a. Total acreage of the site of the proposed action? acres b. Total acreage to be physically disturbed? acres 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. �,( El Urban ❑ Rural (non -agriculture) ❑Industrial ❑Commercial Residential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify/: ❑Parkland Pagel of 4 ca M 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 ❑ ❑ ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? O YES ❑ 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 K El 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 ❑ ❑ 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed 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: NO YES ❑ 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: NO YES � F-1 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 rR❑ ❑ 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 waterbgdy and extent of alterations in square feet or acres: NO YES ❑ ❑ 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: Shoreline [__1 Forest ❑Agricultural/grasslands El Early mid -successional ❑ Wetland El Urban F-1 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 ❑ 16. Is the project site located in the 100 year flood plain? O YES 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, a. Will storm water discharges flow to adjacent properties? ❑ NO AYES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: DNO DYES O YES ❑ Page 2 of 4 C7 18. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: PartSignt NO YES ` ❑ to large 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 ❑ ❑ 2. Will the proposed action result in a change in the use or intensity of use of land? r/ LL�—II ❑ 3. Will the proposed action impair the character or quality of the existing community? 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 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 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE \ Applicant/sponsor �6 t?�'C� V\ V) Signature: Y � 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 ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? r/ LL�—II ❑ 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 I-71 Z ❑ 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 ❑ 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 u E]reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: Ll El 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, E]architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, L� ❑ waterbodies, groundwater, air quality, flora and fauna)? u Page 3 of 4 0 0 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 Agency 13,-Cdc/,, C \1 a r Print or Type Name of Responsible'Officer in Lead Agency �//h �7ii�. a re of RespbTrMle Officer in Lad Agency President Date Title of Responsible Officer Signature of Preparer (if different from Responsible Officer) PRINT Page 4 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? 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 Agency 13,-Cdc/,, C \1 a r Print or Type Name of Responsible'Officer in Lead Agency �//h �7ii�. a re of RespbTrMle Officer in Lad Agency President Date Title of Responsible Officer Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 AEL ep�4 Town of Sou old ® Erosion, Sedimentation & Storm -Water Run-off ASSESSMENT FORM 1b PROPERTY LOCATION: S.C.TIA. g: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A \0a0 2 G 'Z' -�4 STORM -WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN -0101cF 3RHU.--B ocf k To-fY CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUGnON rrEM # / WORK ASSESSMENT Yes No a. What Is the Total Area of the Pmjed Parcels? (include Total Area of all Parcels located within , (�.�„ Will this Probed Retain All Water the Scope of Work for Proposed Construction) ch Ra Site? Generated by a Two (27 Inch Rainfall on Site? (This item Wig Include all run-off created by site It. What Is the Total Area of Land Clearing c1 C Ground Disturbance for the Z Q clearing andlor construction activities as well as all Site Improvements and/or proposed C and the permanent creation of construction activity? (S.F. / Asea) t impervious surfaces.) / 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT' DESCREMON (PmgmgkeAddlbmwl ve,e uNeadad) Drainage Structures Indicating Size &Location? This'\v—// ❑ Item shall Include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. ^,\ 3 Does the Site Plan and/or Survey describe the erosion l 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 Will this Project Require any Land Filling, Grading or J Excavation where there is a change to the Natural11 V-11 Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? El fj Will this Application Require Land Disturbing Activities ❑ Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? Or"Iz "\ 11479\ G \ �,. r \VA c) t k�_\0a 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 Weiland or General DEC SWPPP Requirement,: 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 one Sere that are pan of a larger common plan that will ultimately disturb one or more acres of land; 7 Will there be Site preparation on Existing Grade Slopes ❑ which Exceed Fifteen (15) feet of Vertical Rise to Including Construction sobviges Involving sol disturbances of leas than one (1) acre whew 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 ,cavity - Permit No. GP -0.10-001.) Surfaces be Sloped to Direct Stom1-Water Run -Off 1. The SWPPP shag be prepared prior to the submittal of the NOI. The Not shag be into and/or In the direction of a Town right-of-way? submiaed to the Department prior to the commerxxement of construction activity. 2. The SWPPP shall describe the erosion and sediment comm) practices and where 9 Will this Project Require the Placement of Material, required, post -construction stoma water management practices that will be used andlor 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 tams and conditions of this pemdt in addition, the SWPPP Shag identify potential sources of pollution which may reasonably be expected to affect the Area? (ms Ism will NOT i„cMa rhe ImtallMlon a Drove qAprons) quality of storm water discharges. 3. AN SWPPPs, that require the posteon3lrectbn storm water management practice NOTE: If My Mawer to Question, One through Him Is Answered with a Check Mark Ina Bos anti me construction site dlsturbem:a Is between 5,000. S.F. &i Ams In am, component shag be prepared by a qualified Design Professional Licensed In New York that 5 knowledgeable in the principles and practices of Smrm Water Management a Storm -Water, Grading, Drainage a Erosion Control Plan is Requited by the Town of Southold and Must be Submitted for Review Prior to lesushos of Any Building Permit MOTE: A (Teck MaM (,f j arum Mawer(ar each quesfion b Required rare Oarriplete Appf®tlan) ST'AT'E OF NEW YORK,C �/ 'SA�.Z�L COUNTY OFA�...``_�u:... ........... SS (� That0...lv.'...v..`...(.M being duly deposes swum, and says that he/she is the applicant for Permit, (Name of Individual signing Document) And that he/she is the V4 .................................................................................................................................................................... (Owner, Con radDr, Allam, Corporate 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. Sworn to befo pe this; .............�..................... d�y of.. :: Q�i�............ , 20.1 Notary Public . ... ......... .. �� ............................ (Signature of Appgranl) FORM - 06/10 Public, ateofN Margery Publk, Etch of New Yqk No. 19/11887 QaatNbd In= Coaihr - K, 0 0 John Bredemeyer, President o�%uFFotkco Town Hall Annex Michael J. Domino, Vice -President �a 54375 Route 25 James F. King P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 y�ol,� Baa Telephone (631) 765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of HULSMANN LIVING TRUST, c/o ROBERT & ANN HULSMANN COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS ,residing at /dba being duly sworn, depose and sa},. That on the 5 day of �P�6� , 201j, I personally posted the property known as 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, March 19, 2014. Dated: Sworn to before me this day of 20 19 NN ary u lic CYP M. CLIW1 Conir iisswn Enpires Oct X45 AU r�\ LL.. (signature) 0 0 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: ° 13 �3a NN STATE OF NEW YORK \ COUNTRY O� F\SUFFOLK iding at , being duly swom, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set v 1 1 1 opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post \ 1 Office at that said Notices were mailed to each of said persons by CERTIFIED MAIU/RETURN RECEIPT. n Sworn to befor me this Day of=� 20 II\\ QllaGi!ad Commission )ct 20� 0 0 U.S. Postal Service • . PostalEIPT I LrnU (Domestic Mail Only; No Insurance Coverage Provided) CERTIFIED MAIL,,, RECEIPT (Domestic Mail On1Y; NO Insurance171 Coverage Provided) LnORj4l N' `J4 �„+ " c-1 (fl Ln 4� yFilly •99¢ . Postri-age $ $0,49 09`Ji 171 M1 Posta W ru Codified Fee $3.30 05 M1 gcvv4 C3 Return Receipt Fee Postmark fU Certified FeC3 (Endorsement Required) $x•70 Here J� PostmarkO Return Receipt FeRestricted Delivery Fee C3 (Endorsement RequiredHere C3 (Endorsement Required) $0.90 O Restrcted Delivery Fee(EndorsementRequiredTotal Postage & Fees $ $6.49 03/006/2014 E'm O Total PostageB Fees�i �[,f2O'y r{ C3 FO'Po o .}�c +yam M c n m .. rZI.._C l�rl 0 , S_.f_)Q )V...._ O SenlTo O�t No. �- -- O .....: ............................. III Bax Na. U Q .y 1� � Streeq ApG Ntate, ZlPt4 ....... --------------- ........... or PO Box No. O \ \ q M1 Clry, foie, �Pai4 _ .. 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ZIP+4 .___ .. ..... .... ... .a.......i \OQ C3 it P1 Ln cT+� y `,I yAc dk• M1 rP M1 M1 Postage $ fC.91' R1 Certified Fee $3,30 0' 0 O Return Receipt Fee (End Return Required) •'0 Postmark p r ` Here Rest"IXed Delivery Fee (Endorsement Re quiretl) yf)•00 Q' C7 m Total Postage & Fees $ $6.4:' ACEI0. r,,S3',.6,,,,Af- lS'a C7 %Jo__ ___________+_. .._..�.......M1 x PD BOX Na.� U k3 171 171 Postage $ $0.4" 01411. 171 Certified Fee $:x,.30ru 02 C3Postmark Return Receipt Fee C3 (Endorsement Required) $2.70 Here O Restrcted Delivery Fee (Endorsement Required) $v=VV 117 C3 Total Postage & Fees $ •�=� 0.10 -'2x14 m C3 Sent To Q v s rq----------------------------- - ..... � r�P^, -` ------- O Street Apt. No o rPO Box No. !� C1N, Slate. ZIP+4 .___ .. ..... .... ... .a.......i \OQ 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. 0'as~n I' ✓ A3 TA -5f OWNER(S) OF RECORD: c/o AA*.%4 iAr#;; AALsm&'%e% ����,y.y,��S�UBJWetland ECTP OF PyUZBLICa HEALING: on landward side �existing long buk ead; dd Vtnyl , r all , toy lop, , add now adisCent to existing face pWcs,add CA" clamp timber, new 2' wide timber ca ; and maintain a 15' wide non -turf buffer alongthe landward edge of the bulkhead. JW TIME & DATE OF PUBLIC HEARIG: • GJed"esjay, l9, Z,ol y - oora�o'S 3�•�Pm If you have an interest in this project, you are invited to view the Town file(s) which are available for inspectionrior to the day of the hearing during normal business days between the hours ofp8 a.m and 4 n.m. BOARD OF TRUSTEES * TOWN OF 5OUTHOLD * (631) 765-1892 Bopd of Trustees Application • County of Suffolk State of New York �D b"+- [& -� fila //? /I 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. SWORN TO BEFORE ME THIS I Notary Public Signature DAY OF / J 20--14 VICKI TOTH Notary PublicSintqq of New York No. 01`(06190696 Qualified in Suffolk Counttyy Commission Expires July 28, 20_L(,Q 0 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold'a Code of Ethics prohibits conflicts of interest on the part of town officers and employees The oumose 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: � \ 5\ Ci M k IZA aNs� ,�s \ � (Last name, fust , Mid`dle initial, unless you applym 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 Variance Change of Zone Approval of plat Exemption from plat or official map Other (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 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 this day of200 Signature -et 4 `Yt Print Name " Form TS 1 � p 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 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, listine 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 atrD old s rS website (southoldtown.northfork.net), the Board of Trustees Officeepartmentlocal libraries and the Town Clerk's office. 1 4 2014 B. DESCRIPTION OF SITE AND PROPOSED ACTION PROJECT NAME 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: ' Q� NC, MC'c\et�R\ V5 W1 NOIJ-�V by 11�S Location of action: Site acreage: Present land use: 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: \1 \\ (a) Name of applicant: C��i� (b) Mailing address: (c) Telephone number: Area Code( (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? S 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 NY 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 0 NoKNot Applicable 0 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 ❑ No lss 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 III — Policies Pages 8 through 16 for evaluation criteria NYes ❑ 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 HI — Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No MNot 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 Applale U 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 r� 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 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. ❑ WE] No Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water -dependent uses and promote siting of new water -dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No 7 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 waters. See LWRP Section III — Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes 1:1 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 evaluation criteria. ❑ Yes ❑ NoT� Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III — Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No' Not Applicable � n � PREPARED BY TITLE_ L�.t�l�� r--\ DATE*1 1 \A IS LW -W VOKVA- PA �� AW rw lbSCALO D a� 40 1p 011. p '! .G fl 7 W O f� °• C 1�. 0 v 0•� � fir, rs`xew O r r 0 IL IV, ° r epi v 70 00 0 B y IV YC Y 0 4 K b I )' mI■wa; aj BAS BNS _ t�0 steN aF r,°ro.5�� Jxv. OW AM - n" forlua 10' S&OL MlE �4) 00 .y FEB I _z 5 U RVEY OF LOT 5 N ON A CERTAIN SUBDIVISION MAP ENTITLED "MAP OF WILLOW TERRACE, 5ECTION I " WHICH SAID MAP WA5 FILED IN THE 5UFFOLK COUNTY CLERK5 OFFICE ON NOVEMBER 28, 1 9G9 A5 MAP NO 5407 I51TUATE:ORIENT W E j TOWN: 50UTHOLD SUFFOLK COUNTY, N.Y. g SURVEYED 10-3 1-2013 SUFFOLK COUNTY TAX # 1000-2G-2-24 CERTIFIED T0: HULSMANN LIVING TRUST 1AZ rO o\ tiN- IV e`� C0C0 SOT S Flo A APPROVED BY ' BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE _S J )Q 11 q NoTES. � PE FOUND -u— PI - VINYL FENCE Area116 Sq. Ft. Area = 0.41 6 Acres GRAPHIC SCALE I"= 30' o FEB 1 4 2014 J HN C. Ef1LER5 LAND SURVEYOR 6 EAST MAIN STREET RIVERHEAD, N.Y. 1901 N.Y.S. LIG. NO. 50202 369-8288 Fax 369-8287 longlslandlandsurveyor.com