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Home My WebLink AboutTR-8444 John M.Bredemeyer III,President �*rif SD(/jTown Hall Annex Michael J. Domino,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q O Telephone(631) 765-1892 Charles J.SandersO a Fax(631) 765-6641 lyCdUNT`(,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE f # 1265C Date: September 9, 2016 TRIS CERTIFIES that the demolition and removal of existing one-story,928 sq. ft. single family dwelling with attached decks and steps and construct new two-story, 824 sq. ft. single family dwelling on raised foundation with covered entry,masonry walkway, and steps;raise existingshed, hed_ remove existingsanitary system and install new sanitary system raised 2 feet above groundwater with concrete retaining wall and approximately 328 cubic yards of clean fill-, install a drainage system of gutters to leaders to drvwells to dwelling,• remove existing driveway and install new perviousgravel driveway and parking area; and establish in place of existing lawn areas located more than 4' seaward of proposed driveway approximately 1,790 square feet of landscaped buffer areas to be planted with native vegetation and approximately 500 square feet of non-turf buffer to consist of un-vegetated clean sand and/or vegetated with native plantings; At 717 Private Road#12, Southold Suffolk County Tax Map#1000-87-4-4 Conforms to the application for a Trusteespermit'her'etofore filed in this office Dated May 22, 2014 pursuant to which Trustees Wetland Permit#8444 Dated June 18,2014,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the demolition and removal of existing one-story, 928 sq. ft single family dwelling with attached decks and steps and construct new two-story, 824 sq. ft. single family dwelling on raised foundation with covered entry,masonry walkway, and steps; raise existing shed; remove existingsanitary system and install new sanitary system raised 2 feet abovegoundwater with concrete retaining wall and approximately 328 cubic yards of clean fill,• install a drainage system of gutters to leaders to drywells to dwelling; remove existing driveway and install new pervious rg avel driveway and parking area; and establish in place of existing lawn areas located more than 4' seaward of proposed driveway approximately 1,790 square feet of landscaped buffer areas to be planted with native vegetation and approximately 500 square feet of non-turf buffer to consist of un-vegetated clean sand and/or vegetated with native plantings. The certificate is issued to PETER BOGER owner of the foresaid property. Authorized Signature EN-CONSULTANTS September 9, 2016 ; rE 1 5 2016 Board of Trustees Town of Southold Southold Town P.O. Box 1179 Southold,NY 11971 Attn.: Elizabeth Cantrell Re: Peter M. Boger Wetlands Permit No. 8444 Dear Ms. Cantrell: In satisfaction of Term and Condition #8 of the captioned permit, the required Declaration of Covenant was recorded in the Office of the Suffolk County Clerk on September 8, 2016. A copy of the recorded document is enclosed for your file. Resp tfully yours, m tophens Enclosure cc: Peter M. Boger 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsuitants.com environmental consulting CC# : C16-38532 e:..v COUNTY CLERK'S OFFICE STATE OF NEW YORK SEP 1 5 2016 COUNTY OF SUFFOLK Southold Town t f Tru e 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 09/08/2016 under Liber D00012878 and Page 656 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 09/08/2016 SUFFOLK COUNT/Y� CLERK l� JUDITH A.PASCALE SEAL 1 IIIVIII IIII VIII VIII ILII VIII VIII VIII VIII IIII SEP 1 5 2016 SUFFOLK COUNTY CLERK RECORDS OFFICE SoutholtlTown oar of Tr e RECORDING PAGE Type of Instrument: DECLARATION Recorded: 09/08/2016 Number of Pages : 11 At: 09: 48 :58 AM Receipt Number : 16-0139952 LIBER: D00012878 PAGE : 656 District: Section: Block: Lot: 1000 087 . 00 04 . 00 004 . 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $55 . 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 .15 NO RPT $200 . 00 NO Fees Paid $302 . 15 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 4 1 e RECORDED 1016 Se 08 09-.48-58 AM Number of pages E C E � V E JUDITH A. PASCALE D , CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all SEP 1 5 2016 'L D00012878 Social Security Numbers P 656 prior to recording. Southold Town A . r Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee 55 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-5217 (County) Sub Total `y 5 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 Affidavit +� + Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 �� family dwelling only. Sub Total Z'1 l YES or NO Other Grand Total 15If NO, see appropriate tax clause on L� page# of this instrument. 4 Dist. 11 3217272 1000 08700 0400 004000 5 Community Preservation Fund Real Property PTS IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Consideration Amount Tax Service R DHO A Agency 26 AUG-1 CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD En-Consultants 1319 North Sea Road TD Southampton,NY 11968 TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Declaration of Covenants made by: (SPECIFY TYPE OF INSTRUMENT) Peter M.Boger The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of _Southold Town of Southold In the VILLAGE Board of Trustees or HAMLET of _ Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over SEP 1 5 2016 ! DECLARATION OF COVENANTS SmAhold Town a of Tr �ee THIS DECLARATION made this Z611s , day of Pl.v C.0%'t" , 2016, by Peter M. Boger, residing at 2444 Rockville Centre Parkway, Oceanside, NY 11572 hereinafter referred to as "DECLARANT": WITNESSETH: WHEREAS,DECLARANT is the owner of certain real properly located at 717 Private Road#12, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 87,Block 4,Lot 4,which is more particularly bounded and described as set forth in Schedule"A"annexed hereto,hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold(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 DECLARANT 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, on June 18, 2014 the Trustees approved the application and issued a permit with terms and conditions,and WHEREAS, the issued permit, terms and conditions of the permit, as well as the site plan prepared by Samuels&Steelman Architects,last dated on March 5,2013,and stamped approved on June 18,2014 upon which the permit is based are annexed hereto as Schedule`B,"and + �t7 1 SEP 1 5 2016 Southold Town I Board f'rustees WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities,the Trustees required that approximately 1,790 sf of landscaped buffer areas(to be planted with native vegetation)and approximately 500 sf of non-turf buffer area(to consist of unvegetated clean sand) be established and maintained in place of existing lawn areas located more than 4' seaward of the proposed driveway, NOW,THEREFORE,the DECLARANT does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained in place of all lawn areas located 4' seaward of the proposed driveway on the subject premises approximately 1,790 sf of"landscaped buffer"areas,as defined by Chapter 268 of the town Code,and approximately 500 sf of "nonturf buffer"area,as defined by Chapter 275 of the Town Code,as depicted on the site plan prepared by Samuels&Steelman Architects,last dated on March 5,2013,and stamped approved on June 18,2014. 2) The DECLARANT shall at all times comply with the Terms and Conditions of the permit, a copy of which is attached hereto in Schedule`B"annexed hereto. 3) These covenants shall run with the land and shall be binding on the DECLARANT, his heirs,assigns,purchasers,or successors in interest and may be modified only upon resolution of the Board of Trustees. 2 L ' IN WITNESS WHEREOF, the owner has duly executed this instrument this A5' %A day of pkv G,i SIT ,2016. —zk jvI. Peter M.Boger STATE OF 0 E w `(0Ck— ss: COUNTY OF Q%jez C--aS On the'2-c-% day of K%ac�%j s"C , in the year 2016, before me the undersigned, a Notary Public in and for said State, personally appeared Peter M. Boger personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual or the person on behalf of which the individual acted,executed the instrument. o blic KIMBERLY SINNOTT NOTARY PUBLIC,State of Now York No.01816175592 QualUM In Queens County Commission Expires October 15,20_0 1 SEP 1 5 2016 Soutiioid covin rd of Trus ee 3 � 1 SCHEDULE A ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, Suffolk County,New York, bounded and described as follows: BEGINNING at a point at the Northeasterly corner of land described on the Southeasterly line of a certain 16.5 foot right of way; said point of beginning being at the Easterly corner of land of Karen, Mark& Scott Hansen and the Westerly corner of land of the Testamentary Credit Shelter Trust; from said point of beginning; RUNNING along said land of the Testamentary Credit Shelter Trust, South 18 degrees 30 minutes 00 seconds East 108.00 feet; THENCE along land now or formerly of Robert B. Boger, Jr. and Susan L. Johnson, two (2) courses and distances: 1. South 58 degrees 00 minutes 00 seconds West 47.00 feet; 2. South 23 degrees 00 minutes 00 seconds West 110 feet, more or less (deed) 97.50 feet (actual), to the ordinary high water mark of Corey Creek; THENCE the following two (2) courses and distances along a tie line of the ordinary high water mark of Corey Creek: 1. North 39 degrees 22 minutes 10 seconds West 49.75 feet; 2. North 6 degrees 52 minutes 10 seconds West 97.30 to land now or formerly of Karen, Mark& Scott Hansen; THENCE along said land of Karen, Mark& Scott Hansen,North 46 degrees 38 minutes 50 seconds East 150 feet, more or less (deed) 119.48 feet (actual),to the point or place of beginning. SEP 1 5 2016 �i Southold Town B ar of Tr ee 4 SCHEDULE B - John M.Bredemeyer III,President �Ok SOUr�o Town Hall Annex 54375 Main Road Michael J.Domino,Vice-President P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Q Dave Bergen,Trustee COTelephone(631)765-1892 Charles J.Sanders,Trustee COM Fax(631)765-6641 BOARD OF TOWN TRUSTEES D -� r TOWN OF SOUTHOLD �� W1 Ir I June 18, 2014 SEP 1 5 2016 Mr. Robert E. Herrmann soutrtoid torn En-Consultants B ar of trosfecs 1319 North Sea Road Southampton, NY 11968 RE: PETER BOGER 717 PRIVATE ROAD #12, SOUTHOLD SCTM#87-4-4 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 18, 2014 regarding the above matter: WHEREAS, En-Consultants on behalf of PETER BOGER applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 22, 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 June 18, 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, SCHEDULE B (cont'd.y 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of PETER BOGER to demolish and remove existing one-story, 928sq.ft. single family dwelling with attached decks and steps and construct new two-story, 824sq.ft. single family dwelling on raised foundation with covered entry, masonry walkway, and steps; raise existing shed; remove existing sanitary system and install new sanitary system raised 2 feet above groundwater with concrete retaining wail and approximately 328 cubic yards of clean fill; install a drainage system of gutters to leaders to drywells to dwelling; remove existing driveway and install new pervious gravel driveway and parking area; and establish in place of existing lawn areas located more than 4' seaward of proposed driveway approximately 1,790 square feet of landscaped buffer areas to be planted with native vegetation and approximately 500 square feet of non-turf buffer to consist of un- vegetated clean sand; and as depicted on the site plan prepared by Samuels & Steelman Architects, last dated March 5, 2013 and stamped approved on June 18, 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 IEC k. El DD James King SEP 1 5 2016 Trustee, Board of Trustees Southold Town JFK/amn B a fTrus e 3 SCHEDULE B (cont'd.) �l .,.�? 'Y :r � •� '�". , til,'� JK�• (`ti .;1 i/ir 7� G:'nr ��' � "�1:". BOARD OF SOUTHOL,D TOWN TRUSTEES SOUTHOLD,NEW PORI{ ' PERMIT NO. 8444 DATE:JUNE 18,2014 ' • , ISSUED TO: PETER BOGER ; h PROPERTY ADDRESS: 717 PRIVATE ROAD#12 SOUT 3- SCTM#87-4-4 SEP 1 5 2016 I Sauiiic0 t yin r i AUTHORIZATION ; � Bar of Trustees ; Y Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in �� •' accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 18,2014 and in consideration of application fee in the sum of$250.00 paid by En-Consultants and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the w j following: I u' ` Wetland Permit to demolish and remove existing one-story,928sq.ft.single family I, < dwelling with attached decks and steps and construct new two-story,824sq.ft.single family I , r ' s dwelling on raised foundation with covered entry,masonry walkway,and steps; raise existing =� shed; remove existing sanitary system and install new sanitary system raised 2 feet above s 1 groundwater with concrete retaining wall and approximately 328 cubic yards of clean lull; k install a drainage system of utters to leaders to d ells to dwelling; remove existing driveway - g Y g o'Yw g+ g Y I - , and install new pervious gravel driveway and parking area; and establish in place of existing I _ lawn areas located more than 4'seaward of proposed driveway approximately 1,790 square 41 ��•'�. .� feet of landscaped buffer areas to be planted with native vegetation and approximately 500 I >•, square feet of non turf buffer to consist of un-vegetated clean sand;and as depicted on the site � ? plan prepared by Samuels&Steelman Architects,last dated March 5,2013 and stamped I s r approved on June 18,2014. I' IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. John Bredemeyer-Nay, at ®� SAG Michael J.Domino-Na 't r co ' tom( ® .7�a yrs; �, �,,�.v�,,,, 1{ a', a:,�nx�c--.,tss�r 'ax+'• r� .��; F \ '�l :,-� -1 ``f',Y 'a w• `,l�.a•"�J', yt- � lF,J_ .,� '="' '•+ .6��' 'f?�+ `~� `,� M. ` �P • 4 SCHEDULE B (cont'd.) E SEP 1 5 2016 TERMS AND CONDITIONS Southold loavn f e , The Permittee Peter Boger,residing at 717 Private Road#12 Southold New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if fiiture operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title,or interest in real or personal property held or vested in a person not a party to the permit. SOUTHOLD TRIUSTEES No. S41+4 - n d A Issued To &D-%r- Date Address ,kd , 2 SOJA� blj THIS NO'T'ICE MUST BE DISPLAYED DURING CONSTRUCTION o _m TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 'WIND'(POINT RD• LOT COVERAGE TABLE SITE DATA %(IS oNs � 4(6/15 sAl4Dr (50'PMVATEROAD) 51TE AREA TOTAL. 15500 sP AREA Sam a 1000-07-04-04 5/5/14 EXISTING WABR IMETL925 APPROVED BY SITE AREA UPLAND FROM PROPERTY- 717 P014.Ruud 072 �y TIDAL Y�cMND 8CNb07ARY 9$OO sf OWNER MRF t1W1 BOAR OF TRUSTEES TOWN OF SOUTHOID PROPOSED PUBLIC WATER SERVICE LINE }g _ - PROPOSED LAND5CAFPD Ocear NY 7t�B72PkM DATE g •."� ;; BufFaz AREA,: 240 sf L 1 «=•`✓ ` EXI5TIKS SHED TO BE RAISED TO 1AP�dO n 580 Ba FT=D371 ACRES LINE OF 15 FT SETBACK FROM y. FST N54 GRADE STRUCTURES EX15TIMS Ej r- NTAGE PROPOSED FERCENTAGE TIDAL VZiLPJJDS BOU`DRY ;r y.�� HOUSE 428 sf 9 TT% 024 BP 06'1% RECaKRED M'y IIJ/E C \T y lz PROPOSED GONTCURS „" ��-'/ 8' SHED, 101 Sr I06% 101 Bf I106% SURVEYOR. PacoWCSWvaywa,Pc G _ PORLH" O O -72 sf 016% IMID Tr. Sped UAY 2 7m EXISTING GONTGITKS��- <.yrs ; d -' 3' DECKS 55 sP 050% 2 O LjCEN ld,4961801 } - PE!Rt- J(STORM WATER RUNOFF W,4LKWAY O O 102 s9 I.OT% DATED O 45510 2 F2F10GATED DRIVENVAY DATED Juy 252012 H 1 u' CONTROL MEASURE(DVS) NEW TOTAL 1084 sP 1141% 1049 BF 1156% W NOTE PROPB7TY IS LOCATED BTI M.PI Ii Z EXISTING DRRE DRIVEWAY TO BE MOVE7 m UPtD13iGRO1ND DRYNrd-LS(E:1�FOR Za+¢AE s moa cEw uAa f x0t66N _ _ o A 2•RAINFALL(UK(8 FT DIA x 2 FT 517E AREA UPLAND FROM TIDAL MM-AND5 BOUNDARY LIMIT OF PROPOSED x o HT)FOR RAINWATER RUNOFF FROM (NY5DEC ADJACENT AREA AND TOM OF SOUTHOLD BEVATIONS AND CONTOUR LINES ARE REFERENCED TO_wI'm LANDSCAPED BUFFER' _ \ o G11TT8Z5 AT 7F1c t�1iLDIN6 STFa1CN�3E BUILDABLE LAND)' x=`a TLANO FLAB TIDAL mETLwNDS DELINEATED TESTTEMPORARY 5TORM WATER RINOFF CONTROL f _- - E>c5 HOLE El+2.8' SY c1+-coNsaTANTs.s/25/t2 MP.ASuf,z FROP05ED MAY BALES B SILT FENCE '- - ' _ --�:- X EwsnNG DVERNrAo WIRES DRAINAGE CALCULATIONS LOCATION MAP CIIWRING CONSTRUCTION(5FE DETAIU r..r;- \_-_,t -�„� i*`;�u NEM HOUSE WILL BE RAISED*IS FT AREA OF NEW ROOF DW Q- ABOVE THE EXISTING&RAV.- DRr rr=u. A—A .R NPALL x wmaeP FACTOR au sr.Tvu FrJ. la-I55 a f- -5T+ EXISTIG IGHBONLrsv(aJ B•rnA4+r,�x%r IN6R Fua_ a PROPOSE RELOCATED NERIG� � N�=_---�t-'^� f37 B'x r STOWt DRNN FINS=169 CU Pt' 10 FT RIGHT OF WAY os j O__s! �` � \ RETAINING WALL r�fovloEo RE�entzFn B LINE OF FOO1T'T21NT OF 428 SF EXISTING 2 STORY HOUSE TO BE REMOVED _ EXISTIN6 UTILITY POLE 24!Y Y91TE O EXISTING NEIGFIBORING� '.�J, ;•r.'r y.,, l 1 BULKHEAD \\ � �...• � 1 75 - o PROPOSES NEW SEPTIC SYSTEMC77 -,'C.ns4.+f J " o FORA 5 BEDROOM RESIDENCE "r,; t� fD h� (1)1200 GAL sep"no TANK(5T) - - �I l \ \ 10 FT DIA x 2 FT LD EXISTING STONE RIPRAP T -(5)8'DIA x 2'HIGH LEACHIN&POOL FUTURE LOCATION FOR(5)8'DIA x 2' BY NARK 11cDONAID V/ HIGH LEACHING FOOL(E)w) y n-•l EST HOLE m Z. ci LOCATION OF EXISTING SANITARY c IENi YORK 71Wt $$$ SYSTEM TO BE 1 TEST 2 ELEV NDIE DATA 1W4HMLS' W Q. ply l� FT DARK BROWN LOAN OL WATERPROOF GONG RETAINING WAIL, 41 t MEAN HIGH VIATER MARK Y 1 , ''=.. �� APPROX 5 FT HIGH ABOVE GRADE 4 C.9`9 IAFr. BROWN CSAND s RELOGAT.ED VB'tAY. ? W ` 1=451`I145 CONTOURS 9A Fr. WATER we wnF CLAYEY SAND Sc raj D W• �4�to O LINE OF 15 FT SETBACK FROM 2W. a> y TIDAL VET1r4NDS BOUNIDARY Q7P.-I, ZO FT YYATER IN BROWN SILTY BANp Sb Q F. x3 M� AREA OF FILL,APPROXIMATELY 528 CY,GLEAN SAND 25 FT WATER p BROWN FINE SAND 5P AR ---a-fix`;-` S FILL SHP.LL BE TF4ArKM IN FROM AN APPROVED a a tl C003FFMS.WATER ENCOUNTERED 'T _- "•�-_r-�T y: I UPLAND SOURCE TO RA15E PROPOSED SANITARY 7JC BELOW SURFACE,ELEV H.P 1 y 1 t V i 1 SAND - \ 5 SYSTEM PROPOSED LANDSCAPED BUFFBt r 1 x C=- WATEFZF O F GONG RETAIWNG YIALL, (APPROX IMOD 5F) \ /' AFFF.OX 5 FT HIGH ABOVE GRADE Y 1 PROPOr137 CONTOURS NOTE ra,LAND5G.4Pm 1t'�J FDGE OF MAR5H Y {LY Y The cram to be aBtabllshed m IartdB ad PLr5v s shall be f Y / LIMIT OF PROPOSED LAND�.IGAPED BUFFER• Fa:ea nom Piantad With rxTCNa vegotbOP and t fo t In pul-Bvn 2 8-tha '@ PROPOSED LATDSGAF®EAIi--FE32' dePtrlltlon oP 9ardscaped IalPear•Bat ParNh(n section 268 7 of eoNo N,raur �,vo•' � Y 1 1 1 Y (APPROX 440 5F) the 5wthold Toren COde,Ia,•A land area oP a cartaln bngfh / y ' - Y PROPOSED 20 ft WIDE NON-TURF i�R —d W�mhICh is pkmted With Vtdlq. ue,d-ov�Tt-toI—nt m -' n \Y / // TO CONSIST OF UN-VEGETATED GLEAN vegatatlon sIm k r to that found Within tho prmadlata proxpnity op r^ V 1 \ / tea parcel.VOgetatTan Bhall ba petalled m suPfdbrtt derelNoB '�� '- I,an o Tn m Y o r 1 V` `1 �O. 1 y / SAND. (APPROX 500 SP) to achieve 45%gourd Cover nithin tmo years of trutallation. m 7v p --c) - m Y Y TIDAL YeTLAN125 BOUWARY 5w lv l of planted vayatction Bhall be 40%Por a porlod of '�//� / / 'r a G 1 v DELINEATED BY ENI.OHSULTA rrS 5/25/12 !tree yens MalMertanco activKlos WlthIn the buffer are IlmltanTS (FROM SURVEY BY FECONIC a RVEYORS, to removtrty veyetatlan whlcFt b Yfazardcvs!o Iife and praperty, Tar r',vm -moi C COREY 5ALTYMAR-,�F1 ; 1 v o PG DATED-125112) trimmtrT<j tree Ilrtbs up to a halcjht oP 15 Peat to—W*47rt / Pam Nr wa xAcau C3-1 v ,- Y 1 11 Y Ay v1oxBFtads,replanthg oe vagotatIm,_,d establlshMy a / ween 7A 2017 GREEK ` vt < °j Pau`-Faac-wlda aaae6B path aamtructad of parvlaDa material / m 1 +�� Y far access to Sha T+ator body.° /♦ 7'•18-0• rn � ;,,� _ _ ®111DD16 YULl.FP�.BO PT / AN9lP 9TAI2 mma tWc / PREVaD eN3 Q' _. - Y y � Y • �/ 6RA4X IJIE HFVATON bb % 1 •\ GRAB LJNI!ELEVAT.11 26Ds FT 91.WE / y ,C Y l(� , ]•Ft�Q.Y`IEE.FL^IQ!A < L, I I'1•IOl a'NAx PTS •.` CRS%r srAta3 FIfS Y s 6QA� BT5�* SITE PLAN 7�-�----� va,Pr „9O• rsartP wFT W PNLL SEFTI wTmwwlOFtGITE PLAN LEACHING SCALE: 1"=10'-0" lo� . M TANK FOOL 29• E. — +Q@ at^� TAav+mr Tro „ nActD Ayyy y915 P \ ga 1 s. IE 97 �'N91' MIAP BILI r04:E UCBt INYaNE – �S-\ , 1 6ROUW i\MIIt A70 pV VE BTA6 T1"GbM 1`TFP.N HIGH WATHR MARK , Y - !MEAN HIGH ws r ISJ:v I� 1 HAYBALE DETAILS ` 1 � ATER MARKSEPTIC PROFILE 1"'T�J EV&E Or MARSH ` RLT.S.) AGENCY APPROVALS � Y i EN-CONSULTANTS May 26,2016 D E �' � Board of Trustees �� Town of Southold �° JUN _ 8 2016 ? P.O.Box 1179 — —.__.J Southold,NY 11971 ��-------��.__ Attn.: Elizabeth Cantrell S`"'��a row�i f Re:Peter Boger,Wetlands Permit 8444 Dear Ms. Cantrell: Enclosed for review and approval by the Town Attorney is a copy of the draft covenant including Schedule A,prepared in accordance with Condition#8 of the above referenced Wetlands Permit issued June 18, 2014(copy enclosed). Please advise in writing whether any changes to the document are necessary, or if its filing as drafted after execution will satisfy Term and Condition#8 of the permit. Thank you in advance for your attention to this matter. S' c rely, Kim p Enc. 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting PROJECT LOCATION - CONTACT INFORMATION: S.C.T M. ". 1000 ENGINEERING DEPARTMENT (Property Owner,Design Professional,Agent,Contractor,Ottier) ®�� baS�r�/r� NAME 6�G V �C!,W&Ace Section Block Lot � SITE INSPECTION REPORT FORM Please Print Inspectio Date 6 �' E-�1atl Addams Telephone Number �o ZZ- 1(0 ('0l�� Subdivisions, Site Plans, Stormwater Improvements & Other Installations DESCRIPTION OF REQUIRED SITE WORK yE MEDj NOTNA NOTES- Incomplete Site Work a Maintenance of Erosion&Sediment Controls b. Limits of Clearing&Area of Proposed Land Disturbance 0� c. Condition of Stockpiled Soils d Verification of Size&Depth of Leaching Pools. e Verification of Drain Pipe Installation/Concrete Parging 0 f. Driveway installation within the Town ROW-Highway Specifications �0 g. Final Site Grading-Effect on Adjacent Property �0 h. Inspection of Gutter&Leader System-Drainage Piping �0 i Instalation of proposed Swimming Pool and discharge ring. 0 T Inspection of Construction Entrance/Staging Area(s). 00 k.Location of proposed concrete washout area(s). �0 I. OTHER-Explanation Required m OTHER-Explanation Required J�j A Final Inspection Report must be certifieded prior to issuance of Certificate of Occupancy. Three options for certification are as follows: OPTION#: 1. Certification of Drainage Installation with As-Built drawings prepared &Sealed by a Registered Design Professional Licensed in the State of New York. OPTION#:2. Photographs showing placement of all drainage structures with appropriate background indicating location of all structures and drainage piping. OPTION#:3. Site Inspection of open excavation prior to complete backfill and a written inspection report from the Town Engineering Department. TOS Review NOTES: L eco v C 710 0 ENGINEERING INSPE ON REPORTAdditional Work is Required for Final Approval. Reviewed / Inspected r SITE WORK is Not Complete. (See Notes Above) and/or Approved B — — — — — — — — — — — — — — — — — — — — — — �. ''nn - All required Site Work has been Completed by the Owner / Date: 2 inspection #: p �j-Insg4 L_ Contractor & Approved by the Engineering Department. FORM # ENGINEERING Inspection Report Form -TOS May 2015 n Samuels and Steelman Architects 25235 Main Road, Cutchogue, NY 11935 June 22, 2016 Southold Building Department Town Hall Annex Main Road Southold, NY 11971 Re: BOGER RESIDENCE BP#39686 Attn: Jamie Richter, Town Engineer hereby certify the proper re-installation of the filter fabric and pea gravel,at the above referenced project, per our conversation at the site last week. Included please find photographs of that operation. If approved, please let the Building Dept. know of your approval, for the issuance of a Certificate of Occupancy. Thankfyou, of NEW yo �0 I 0183531 TE E y,. Tom Samuels 1 John M. Bredemeyer III, President 60 r Town Hall Annex Michael J Domino, Vice-President 54375 Route 25 Glenn Goldsmith 4t N _ " P.O. Box 1179 A. Nicholas Krupski ® Southold, NY 11971 Charles J. Sanders `, Ol �? .r Telephone (631) 765-1892 ` =tr } Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: ��e of COMMENTS: r� R a,.h a Lvi t ns1/!Z keV /117 171-lncr1 �h��ryr► ,/�, .ra>. ado n -r)-n (: ) /3wL41x1/6 o� S e a Tif D— 6R _ Ei l Gv,- A irn fi w oa epi _ w�—�6�1 CERTIFICATE OF COMPLIANCE: John M. Bredemeyer III, President yo�pSUFFO( COG t - Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn Goldsmith t;ye :, z P.O. Box 1179 A. Nicholas Krupski y ,y Southold, NY 11971 Charles J. Sanders tial °Y Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: °�&0a4 V/ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/z constructed Project complete, compliance inspection. INSPECTED BY: COM ENTS: 1 ,,. �w CUA CERTIFICATE OF COMPLIANCE: DiSalvo, Diane From: Robert Herrmann <rerrmann@enconsultants.com> Sent: Thursday, May 19, 2016 2:35 PM To: DiSalvo, Diane Subject: RE: Peter Boger- 717 Private Road #12. Southold Legally the covenant has to memorialize what was required as a permit condition,which were two areas of landscaped buffer and a non-turf buffer. His compliance with those requirements (and the covenant) is a separate matter. I haven't been out there any time recently but if he elected to also plant the non-turf buffer (the sandy area),that's obviously not a problem, but if it's lawn,then that would need to be rectified, so please let me know. From: DiSalvo, Diane [mailto:diane.disaivo(cOtown.southold.ny.us] Sent:Thursday, May 19, 2016 1:06 PM To: 'Robert Herrmann' Subject: RE: Peter Boger- 717 Private Road #12. Southold OK—an FYI—I need to speak to Mike Domino. As far as the C&R's go, apparently Mr. Boger did not do the "un- vegetated clean sand" as permit stated. Not sure what was put there instead and how to handle that. Diane From: Robert Herrmann [mailto:rherrmann(�benconsultants.com] Sent: Thursday, May 19, 2016 12:09 PM To: DiSalvo, Diane Subject: RE: Peter Boger- 717 Private Road #12. Southold Diane,we had not, but I spoke to Peter Boger this morning and I'm on it now. I'll get you the certified copy as soon as it's filed. Thanks for the heads up. From: DiSalvo, Diane [mailto:diane.disaivoCatown.southold.ny.us] Sent: Thursday, May 19, 2016 8:59 AM To: 'Robert Herrmann' Subject: Peter Boger- 717 Private Road #12. Southold Rob: Curious—had you ever done the Covenants & Restrictions relative to the above Permit#8444? D gwue D%Sa!vo Southold To A7n'Trustees Town 1[all Annex'/First Floor• 54375 Route 25 P.O. Box 1179 Southold, ti Y 11971-0959 (63 1) 765-1892 Fax: (63 1) 765-6041 1 John M. Bredemeyer III, President UFFO(,f-co Town Hall,53095 Main Rd. Michael J. Domino, Vice-President a� Gym P.O. Box 1179 James F. King Southold,NY 11971 Charles J. Sanders 4,- � Telephone(63 1)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 Y2 constructed �� Project complete, compliance inspection 7- 1111 i BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8444 DATE: JUNE 18, 2014 i i ISSUED TO: PETER BOGER ' PROPERTY ADDRESS: 717 PRIVATE ROAD#12, SOUTHOLD ' i SCTM#87-4-4 j I AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 18,2014,and in consideration of application fee in the sum of$250.00 paid by En-Consultants and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: ' Wetland Permit to demolish and remove existing one-story,928sq.ft.single family f dwelling with attached decks and steps and construct new two-story,824sq.ft.single family j dwelling on raised foundation with covered entry,masonry walkway,and steps; raise existing shed; remove existing sanitary system and install new sanitary system raised 2 feet above groundwater with concrete retaining wall and approximately 328 cubic yards of clean fill; install a drainage system of gutters to leaders to drywells to dwelling; remove existing driveway; and install new pervious gravel driveway and parking area; and establish in place of existing I lawn areas located more than 4' seaward of proposed driveway approximately 1,790 square j feet of landscaped buffer areas to be planted with native vegetation and approximately 500 square feet of non-turf buffer to consist of un-vegetated clean sand; and as depicted on the site plan prepared by Samuels& Steelman Architects,last dated March 5,2013 and stamped approved on June 18,2014. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. I John Bredeme ey r-Nay . ogufFa��. Domino-Na Michael J. Dom rye � f __- TERMS AND CONDITIONS The Permittee Peter Boger, residing at 717 Private Road#12 Southold New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. H. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title,or interest in real or personal property held or vested in a person not a party to the permit. 0 0 �� f STown Hall Annex John M. Bredemeyer III, President y� ,`O l0 Michael J. Domino,Vice-President 54375 Main RoadP.O.Box 1179 James F. King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q Telephone(631) 765-1892 Charles J.Sanders,Trustee coum� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 18, 2014 Mr. Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: PETER BOGER 717 PRIVATE ROAD #12, SOUTHOLD SCTM# 87-4-4 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 18, 2014 regarding the above matter: WHEREAS, En-Consultants on behalf of PETER BOGER applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 22, 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 June 18, 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, 2 • 0 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of PETER BOGER to demolish and remove existing one-story, 928sq.ft. single family dwelling with attached decks and steps and construct new two-story, 824sq.ft. single family dwelling on raised foundation with covered entry, masonry walkway, and steps; raise existing shed; remove existing sanitary system and install new sanitary system raised 2 feet above groundwater with concrete retaining wall and approximately 328 cubic yards of clean fill; install a drainage system of gutters to leaders to drywells to dwelling; remove existing driveway and install new pervious gravel driveway and parking area; and establish in place of existing lawn areas located more than 4' seaward of proposed driveway approximately 1,790 square feet of landscaped buffer areas to be planted with native vegetation and approximately 500 square feet of non-turf buffer to consist of un- vegetated clean sand; and as depicted on the site plan prepared by Samuels & Steelman Architects, last dated March 5, 2013 and stamped approved on June 18, 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, James )King Trustee, Board of Trustees JFK/amn John M. Bredemeyer 111, President q�OgU�Fp��.CO Town Hall Annex Michael J. Domino,Vice-Presidents Gy 54375 Route 25, P.O.Box 1 179 James F. King y z Southold,NY 11971 w At Charles J. Sanders Py Telephone(631)765-1892 Dave Bergen Fax(63 l)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: e— 6 we- f Please be advised that your application dated S 12LOJI4 has been reviewed by this Board at the regular meeting of 1 1 1117 and your application has been approved pending the completion of th 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) 9 Final Inspection Fee ($50.00) Ch a- (3( 1 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: $ Jac) -oo BY: John M. Bredemeyer III, President Board of Trustees r - w l • Peter Boger 717 Private Road#12,Southold h , 'SCTM#87-4-4 -6/11/14 , - h John Bredemeyer, President °�OFFot,�co Town Hall Annex Michael J. Domino, Vice-President �° ay 54375 Route 25 James F. King P.O. Box 1179 Charles J. Sanders o • Southold, NY 11971 Dave Bergen y�,ol ,� a°� Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: � t4 L l W 61 , 6 u AN En-Consultants on behalf of PETER BOGER request a Wetland Permit to demolish and remove existing one-story, 928sq.ft. single family dwelling with attached decks and steps and construct new two-story, 824sq.ft. single family dwelling on raised foundation with covered entry, masonry walkway, and steps; raise existing shed; remove existing sanitary system and install new sanitary system raised 2 feet above groundwater with concrete retaining wall and approximately 328 cubic yards of clean fill; install a drainage system of gutters to leaders to drywells to dwelling; remove existing driveway and install new pervious gravel driveway and parking area; and establish in place of existing lawn areas located more than 4' seaward of proposed driveway approximately 1,790 square feet of landscaped buffer areas to be planted with native vegetation and approximately 500 square feet of non-turf buffer to consist of un-vegetated clean sand. Located: 717 Private Road #12, Southold. SCTM# 87-4-4 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: t/Chapt.275 Chapt. 111 other Type of Application: ✓ Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: a �L� r Modifications: Conditions: Present Were: ZJ. Bredemeyer M. Domino L,/J" . King '� Sanclersj_DEfergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: �K R o• Board Of Southold Town Trustees SOUTHOLD, NEW YORK t PERMIT NO. 564S QU DATE: ..October 17,2002 ISSUED TO ...........PETER.....................BOGER ......:....................... . .. .............................................. Aut4axtzatton x Pursuant to the provisions of Chapter 615 of the Laves of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN'WATERS;'•'. and in accordance with the Resolution of The Board adopted at a meeting held on ..-October 16, f 200Z, and in consideration of the sum of =......200.,.00 .. paid by 8 Peter Boger .................. . ............ . ..... ... ... . .............. ............................_.... ` of .......... Southold N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following; Wetland Permit to remove the rocks from in front of the bulkhead, relocate the rocks to the "eroded area" off of the ! north bulkhead, and re-vegetate the disturbed areas, all as depicted on the appyqved p an last rey sejd October 18 002. all in accordance with the dletaile specifications as presenfe� in the ori matin application. All work must be completed within 7 90 days Trom Me' date the permit is signed. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these sent: to be subscribed by a'majority of the id Board as of is data. � c en • a � Jq �� Tnrrruees ` k V --------- ---- TERMS and CONDITIONS 7be Permittee Peger Boger raiding at. 2444 Rockville Centre Parkway Oceanside X y, as Pan of the coosideratioo for the iswhamce of the Permit does tindetstasd and piesaibe to the Id- : I. Thu the said Board of Trustees and the Town of Southold arc released from any and tali damages, a Asioos fa damages, of suits arising direcdj at indiready as a result of my opa- atioa pedonmed pursuant to this permhiy and the add Prraaitoee wiU, at his of her ars agnase, defend any and all such sults Inklated by third parch,and the said Pe®dtoee gamma fdl liability with respect dmtt% to the complete calusia of die Board of Trustees of the Town of Southold Z. That this Petmlt is'valid for s period of 90 days]biia7C, is considered to be the estimated time required w rompkte the vtodc involved, but should circumstances wartaot, request for an extension may be made to the Board at a lata dace. I That this Pncmit should be retained indefinitely, or as long as the std Permittee widw to maiatsin the structure or project involved, to ptovide evidence to anyone axwerned that auth- orkmdoo was originally obtained. 4. That the work involved will be subjea to the iospeaion and approval of the Boad or 10 agents, and non-compliance with the provisions of the originating appilesdoo,may be cause far revocation of fids Permit by resolution of the said Board. S. That there will be no untessonsbie interferesa with navigation as a result of the weak herein &Aoc$ed. 6. That there shall be no interferaut with the vWx of the public to pass and " ttlosg the beach between high and low water marks. 7. That if future opersdoos of the Town of Southold require the noioval and/or dtaadoos in the location of the wodc perdu ssthodzed, or if, in the opinion of the Board of Tnweea,tine. wodc :hail cause iiareasosable obstrueoon to free navigation, the said Permittee wW be requited, upon due notice, to remove or alter this work or projea herein stated without atpeases to the Town Of Southold. S. That the said Board will be notified by the Permittee of the completion of the walk amp` orboed. 9. That the Permittee will obtain all other permits and ootaeoees that mg be required atop• plemental to this permit which may be subject to revoke upon failure to obtain same. I 31d0 4� lud.117�� k WaNTION Cf (vNeRFEMALTER N I�i� �I.QgA'1 To �crsrlrl� ® -j'- i ` #aCtSTINE� �` Vim"I ! t p CA) 1•'`'liY — � �X157'INGer' i �•. . �,// ♦ Wow 113REMKI1CH 1 + T;Rngq �M&\y AL �ZN%Aft WeAM 1 � cf�t-CC'RTLD r PROJECT PLAN Application regarding the property of ® AREAS TO BE PLANTED WITH S PATENS ON 18'CENTERS. Peter Boger,SCTM#1000-874-4 Represented by PROPER-T PERMIT SERVICES ® AREAS TO BE PLANTED WITH S ALTERNlFLORA ON W CENTERS. 4_ 't P.O.Box 617,Cutdwgue,NY 11935 James E.Fitzgerald,Jr. 631-734-5800 Y Revised October 18,2002 Brut James King,Vice-Presi SV SCC 53095 Route 25 Artie Foster �� P.O. Box 1179 Ken Poliwoda Southold,New York 11971-0959 Peggy A.Dickerson Telephone(631)765-1892 Oy Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 26,2002 Proper-T Permit PO Box 617 Cutchogue,NY 11935-0617 RE: SCTM#87-4-4 Peter Boger Windy Point Lane Southold, NY Dear Mr. Fitzgerald: The following action was taken at the Southold Town Board of Trustees Regular Meeting on September 25, 2002. RESOLVED,that the Southold Town Board of Trustees grant permission to remove the concrete block retaining wall and allow a sufficient amount of backfill to insure that none of the fill enters the creek. If you have any questions,please contact our office at 765-1892. Sincerely, Albert J. Kru s'ki p , r.J President, Board of Trustees AJK:cjc I A.. AL `r - 3txxli>=ASS ::� (J AWA 1 LCOATCH C31' (04OR617F i c-Bu flEA-D To ttf; 'Bt H f M"VEb EX16TI N617 -� IV- -S. AL7MN i _ xBobt r SIC TO X +1 / rr_CFR 1u06DY MIrMcH I UVM AeVA f _ `! sL ` PROJECT PLAN Application regarding the property of AREAS TO BE PLANTED WITH S PATENS ON 18'CENTERS. Peter Boger.SCTM#1000-8744 Represented by PROPER-T PERMIT SERVICES ® AREAS TO BE PLANTED WITH S.ALTERN1f=LOAA ON 18'CENTERS. chA : r/ 4 ' P.O. Box 617,Cutchogue,NY 11935 James E. Fitzgerald,Jr. 631-734-5800 September 3,2002 • 0 PETER BOGER,717 PRIVATE ROAD#12 (AKA WINDY PT. LANE), SOUTHOLD Figure 1. Looking south at subject dwelling from Windy Point Lane(right)and at neighboring two-story dwellings and accessory structures at 705 Windy Point Lane(center)and 625 Windy Point Lane(left). E � � RD/ MAY 2 2 0014 r. MMMM .. r Figure 2. Looking east at a)existing dwelling to be removed and shed to be raised;b)stakes demarcating corners of proposed dwelling;and c)neighboring two-story dwellings and accessory structures. PETER BOGER,717 PRIVATE ROAD#12 (AKA WINDY PT. LANE),SOUTHOLD - � X111 ■ � �� ■!was ■ III ■ ; !!!!�� ■ 111_ � .iii y Y Figure 3. Looking northeast over driveway to be relocated at existing dwelling to be removed and at stakes demarcating corners of proposed dwelling and new,upgraded sanitary system. ' c AR ' � !►. . �Qa � 4 .. , r .i r f �P Figure 4. Aerial view of existing dwelling(center);neighboring dwellings and accessory structures;and surrounding tidal wetlands. Photo by Microsoft Corporation. ,s nasty oxa o, _ °Y r4a N"` MAIN Bq mew, 1'VIEW na ,.m mt)O A` LA y • ° 4 . aI ,u SEC SEE SEC. as 2].r O TnE W�VEWwAT 50UTMEG S e n 2 DA 2e•14 > e ° IONMVlOUraOID ♦Nd T , I! ,2 "r 9 •• '� ^ >` o of -- 11 ],n a°4e3 am" d S,A S� awa e�No - wrrecT F.0.26 LID.43 ar a Ch" CI-o \ a r r cauw=.,t / i AIDS ,tea my 4� V e i2,i — ,� __ _— n ,cE 7 COUNTY OF SUFFOLK © K u ewTr,aEn sscTioN no —�— O ReaI roperty Tax Service Agency r 87 M PROPERTYeUP BOARD MEMBERS �F SU!/ Southold Town Hall Leslie Kanes Weisman,Chairperson hO�� jy�l0 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Eric Dantes Office Location: Gerard P.Goehringer r/s ac Town Annex/First Floor,Capital One Bank George Horning �� 54375 Main Road(at Youngs Avenue) Kenneth Schneider �l�'C�U ��.` Southold,NY 11971 ECF http://southoldtown.northfork.net D :n ZONING BOARD OF APPEALS TOWN OF SOUTHOLD MAY 2 2 2014 Tel.(631)765-1809•Fax(631)765-9064 FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF MAY 15,2014 ZBA FILE: 6741 NAME OF APPLICANT: Peter M.Boger SCTM#1000-87-4-4 PROPERTY LOCATION: 717 Private Road#12(aka Windy Point Road)(adj.to Corey Creek) Southold,NY. SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type 11 category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated April 4, 2014, stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268,Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated April 24, 2014. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. PROPERTY FACTS/DESCRIPTION The applicant's property is an irregularly shaped, non-conforming 13, 580 sq. ft. parcel in the R-40 Zone. The northwesterly lot line measures+/- 119.48 feet along adjacent property. The easterly to line measures 108 feet along other property. The southerly lot line measures 144.5 feet along an adjoining property, and the westerly lot line measures 147.05 feet along Corey Creek. A 10 foot wide private ROW, approximately 165 feet in length bisects the property, and provides access to one adjacent parcel. The property is improved with a seasonal single family dwelling and accessory shed, as shown, with proposed new construction and proposed front and rear yard setbacks, on the site plan survey sheet 1 drawn by Samuels & Steelman,Architects, dated June 13, 2013. BASIS OF APPLICATION: Request for Variances from Article XXIII Section280-124 and the Building Inspector's January 28, 2014 Notice of Disapproval based on an application for building permit for demolition of an existing single family dwelling and construction of a new single family dwelling, at: 1) less than the code required front yard setback of 35 feet, 2)less than the code required rear yard setback of 35 feet. RELIEF REQUESTED: The applicant requests variances to construct a new two story single family dwelling with a nonconforming front yard setback of+/-25 feet, and a nonconforming rear yard setback of+/-32 feet where Code requires a minimum front yard and rear yard setback of 35 feet. This new construction will be done after the demolition of what is described as an existing single story seasonal cottage on brick piers. 0 • Page 2 of 3—May 15,2014 ZBA#6741—Boger SCTM#1000-87-4-4 ADDITIONAL INFORMATION: The applicant's proposed project includes construction of a new, FEMA compliant dwelling, a new permeable gravel driveway, a new septic system, and a stone walkway. The applicant will also establish a combination of a non-turf buffer and a landscaped buffer with plantings. The applicant has secured a NYSDEC Tidal Wetlands Permit for the proposed construction. Prior ZBA decision #5341, dated July 29, 2003, granted a variance for a new 8ft x 12ft.accessory shed with a nonconforming front yard setback. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on May 1,2014, at which time written and oral evidence were presented. Based upon all testimony,documentation,personal inspection of the property and surrounding neighborhood,and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law 6267-b(3)(b)(1). Grant of the variances will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. A dwelling with nonconforming setbacks has existed on this site since before Zoning Code. Several other seasonal cottages in the neighborhood have been converted to larger year round homes similar to what the applicant proposes. 2. Town Law 4267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. Due to the non-conforming size and irregular shape of this waterfront property, and the existing wetlands,the proposed new construction cannot be done without variances. 3. Town Law 6267-b(3)(b)(3). The variance granted herein for the rear yard of 25 feet is mathematically substantial, representing 28% relief from the code.However,this is mitigated by the fact that there is already a pre- existing cottage with non-conforming setbacks on the property, and because the new front yard and rear setbacks will be more conforming to the code with the relocation on the site of the proposed new dwelling.The variance granted herein for the front yard of 32 feet is not mathematically substantial,representing 8%relief from the code. 4. Town Law 4267-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. The applicant will construct a new septic system. A combination of a non-turf buffer and a landscaped buffer with plantings will be established from the edge of the driveway/ROW to the edge of the wetlands. A permeable gravel driveway will be constructed to help control any potential storm water runoff. 5. Town Law 6267-b(3)(b)(5). The difficulty has not been self-created. The applicant and his family have owned the subject property and the adjacent property since prior to zoning. 6. Town Law &267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a new single family dwelling, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Horning, seconded by Member Weisman (Chairperson), and duly carried,to GRANT, the variances as applied for, and shown on the site plan survey sheet 1 drawn by Samuels & Steelman, Architects,dated June 13,2013. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Page 3 of 3—May 15,2014 ZBA#6741—Boger SCTM#1000-87-4-4 Any deviation from the variances)granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes: Members Weisman (Chairperson), Schneider, Horning, Goehringer, Dantes. This Resolution was duly adopted(5-0). 4 Leslie Kanes Weisman,Chairperson Approved for filing /f1 /2014 o�*QF SU OFFICE LOCATION: (/ryOl MAILING ADDRESS: Town Hall Annex 'l O P.O. Box 1179 54375 State Route 25 l Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) vs Itor Southold, NY 11971Q Telephone: 631 765-1938 Fax: 631 765-3136 olyc4U ,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner JUN 1 6 2014 LWRP Coordinator Date: June 16, 2014 6'.ar, Re: Proposed Wetland Permit for PETER BOGER SCTM# 1000-87-4-4 En-Consultants on behalf of PETER BOGER request a Wetland Permit to demolish and remove existing one-story, 928sq.ft. single family dwelling with attached decks and steps and construct new two-story, 824sq.ft. single family dwelling on raised foundation with covered entry, masonry walkway, and steps; raise existing shed; remove existing sanitary system and install new sanitary system raised 2 feet above groundwater with concrete retaining wall and approximately 328 cubic yards of clean fill; install a drainage system of gutters to leaders to drywells to dwelling; remove existing driveway and install new pervious gravel driveway and parking area; and establish in place of existing lawn areas located more than 4' seaward of proposed driveway approximately 1,790 square feet of landscaped buffer areas to be planted with native vegetation and approximately 500 square feet of non-turf buffer to consist of un-vegetated clean sand. Located: 717 Private Road #12, Southold. SCTM#87-4-4 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed actions are CONSISTENT with the Policy Standards and therefore are CONSISTENT with the LWRP based on the following. 1. There is no ability to relocate the dwelling out of the FEMA Flood Zone AE el 6 and the structures will be constructed to meet FEMA requirements. 2. The sanitary system is proposed to be upgraded. 3. The proposed landscape buffer, non-turf buffer, pervious driveways and storm water controls mitigate impacts of the reconstruction of the dwelling. 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 -� Town Hall,53095 Main Rd. Lauren Standish,Secretary w P.O. Box 1179 +, A� Southold,NY 11971 / Off` Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Thurs., June 12, 2014 the following recommendation was made: Moved by Doug Hardy, seconded by Keith McCamy, it was RESOLVED to NOT SUPPORT the application of PETER M. BOGER to demolish and remove existing, one-story 928 sq. single family dwelling and attached decks and steps, and construct new, two-story 824 sf. single family dwelling on raised foundation with covered entry, masonry walkway and steps; raise existing shed; remove existing sanitary system consisting of two leaching pools in groundwater and install new sanitary system raised 2' above groundwater with concrete retaining wall and approx.. 328 cy. of clean fill; install drainage system of leaders, gutters and drywells; remove existing driveway and install new pervious driveway and parking area; and establish in place of existing lawn areas located more than 4' seaward of proposed driveway an approx.. 2,240 sf. non-turf buffer to be planted with native vegetation. Located: 717 Private Road #12 (aka Windy Point Lane), Southold. SCTM#87-4-4 Inspected by: Keith McCamy, Peter Meeker, Peter Young, Doug Hardy, John Stein 1� The CAC does Not Support the application because of the concern with nutrients possibly releasing into the bay waters. The enormity of the leaching pool field is certain to affect the groundwater. There is also a concern with the setbacks of the structures less than 100' from the wetlands. Vote of Council: Ayes: All D ; Motion Carried 1 JUN 1 3 2014 g,�fFti�,r • James F.King,President Town Hall, 53095 Main Rd. Bob Ghosio,Jr.,Vice-President %96 r P.O.Box 1179 Dave Bergen Southold,NY 11971 John Bredemeyer '�¢1 ,�aa Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application Wetland Permit Application Administrative Permit _Amendment/Transf /Ex ension Received Application: J� ( E C Peceived Fee: -. completed Application ZZ Incomplete MAY 2 2 2014 SEQRA Classification: Type I Type II Unlisted ,Coordination: date sent WRP Consistency Asse sm t Form 3 ,,. _CAC Referral Sent: ate of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Pechnical Review: ublic Hearing Held: Resolution: Name of Applicant Peter M.Boger 2444 Rockville Centre Parkway Address Oceanside,NY 11572 Phone Number: 718 240-4757 Suffolk County Tax Map Number: 1000 - 87-4-4 Property Location:717 Private Road#12(aka Windy Point Lane), Southold (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) Address: 1319 North Sea Road, Southampton,NY 11968 Phone:631-283-6360 Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Thursday, May 29, 2014 3:49 PM To: Robert Herrmann Subject: RE: Boger Sounds good to me Rob. I am editing your description and it will have the modified verbiage below in the Legal Notice. From: Robert Herrmann [ma i Ito:rherrma n n(a)enconsu ltants.com] Sent: Thursday, May 29, 2014 3:20 PM To: Cantrell, Elizabeth Subject: Boger Liz, while correcting the buffer description as you requested, I also noticed a)we used the term "landscaped buffer" as it appears in Chapter 268 to describe the areas to be planted and nonturf buffer for the unplanted sand; and b) I had a typo in the total buffer area,which is 2,290, not 2,240. So below is my suggested re-wording of the buffer part of the project description for the wetlands permit. "...and establish in place of existing lawn areas located more than 4'seaward of proposed driveway approximately 1,790 square feet of landscaped buffer areas to be planted with native vegetation and approximately 500 square feet of nonturf buffer to consist of unvegetated clean sand, all as depicted..." Please confirm the description now makes sense and jibes with the plan, and thanks so much for bringing my attention to this, as this all would definitely have become an issue come covenant time. Rob Robert E.Herrmann,MEM Coastal Management Specialist En-Consultants 1319 North Sea Road Southampton,NY 11968 Phone:631-283-6360 Fax:631-283-6136 Email:rherrmann@enconsultants.com www.enconsultants.com 1 Board of Trustees Applic*ri GENERAL DATA Land Area(in square feet): 13,580 Area Zoning: R-40 Previous use of property: Residential,single family dwelling with shed Intended use of property: No change Covenants and Restrictions: Yes X No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals X Yes No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by Building Dept. X Yes No Does the structure(s)on property have a valid Certificate of Occupancy X Yes No Prior permits/approvals for site improvements: Agency Date NYS DEC#1-4738-04275/00001 01/23/14 Southold ZBA #5341 07/10/03 Southold Trustees#5652 10/17/02 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Demolish and remove existing,one-story,928 square-foot,single family dwelling and attached decks and steps,and construct new,two-story, 824 square-foot,single family dwelling on raised foundation with covered entry,masonry walkway,and steps;raise existing shed;remove existing sanitary system consisting of two leaching pools in groundwater and install new sanitary system raised 2 feet above groundwater with concrete retaining wall and approximately 328 cubic yards of clean fill;install drainage system of leaders,gutters,and drywells;remove existing driveway and install new pervious gravel driveway and parking area;and establish in place of existing lawn areas located more than 4'seaward of proposed driveway an approximately 2,240 square-foot nonturf buffer to be planted with native vegetation,all as depicted on the site plan prepared by Samuels&Steelman Architects,dated March 5, 2014. eard of Trustees Applic xtioe WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To improve property to include modern,code compliant and hurricane resistant dwelling which can be occupied year round. Area of wetlands on lot: +/-4,080 square feet Percent coverage of lot: +/-30 oio Closest distance between nearest existing structure and upland edge of wetlands: +/-56 feet (existing dwelling) Closest distance between nearest proposed structure and upland edge of wetlands: +/-57 feet (proposed dwelling) Does the project involve excavation or filling? No X Yes (as required for installation of piling foundation, If yes, how much material will be excavated? TBD cubic yards drywells;and existing septic to be removed) How much material will be filled? +/-328 cubic yards Depth of which material will be rzmoc% dxeix deposited: +/-3 feet (raised septic) Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: Excavation via standard construction processes;approximately 328 cubic yards clean sand fill to be trucked in from an approved upland source and placed within proposed retaining walls to elevate proposed septic system above groundwater. 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): See attached. WETLANDS/TRUSTEE LANDS APPLICATION DATA ADDENDUM for PETER BOGER 717 PRIVATE ROAD#12 (aka Windy Point Lane) SOUTHOLD,NY SCTM#1000-87-4-4 STATEMENT OF EFFECT Due to the location of the tidal wetlands boundary and small size and configuration of the subject parcel, it is not possible for any structure on this property to meet a 100' wetlands setback. However,the renovations have been designed to maintain and in fact increase by one foot the wetlands setback to the dwelling; to reduce the footprint of the dwelling by 104 square feet or roughly 11%; and to essentially maintain(but for an increase of 15 square feet) lot coverage by impervious surfaces. The new dwelling structure would also be raised by approximately 1.5 feet and into conformance with the New York State base flood elevation requirement of 8'MSL in this FEMA AE-6 flood zone, thus providing the benefit of reducing the risk of damage to the structure as a result of flooding and erosion. Additional mitigation measures have also been included in the project design both to offset any potential impacts of the proposed construction activities and to improve upon existing site conditions and create a net environmental benefit upon project completion. Specifically,the project will result in an improvement to both groundwater and, ultimately, surface water quality as a result of the replacement of the existing nonconforming sanitary system likely resting in groundwater with a new, upgraded sanitary system with all of its components elevated at least 2 feet above groundwater. Additionally, a drainage system of leaders, gutters, and drywells will be installed to collect roof and site runoff; and all lawn areas located more than 4 feet seaward of the proposed pervious driveway are proposed to be replaced with an approximately 2,240 square foot buffer area of native plantings, which can serve both as a sink and filter for stormwater runoff and contaminants. By thus increasing on-site groundwater recharge, reducing lawn areas, and increasing the setback of lawn areas from wetlands,the potential quantity of site runoff reaching the adjacent tidal waters will be decreased, and the quality of any runoff that does reach tidal waters will be improved through a reduced concentration of potential fertilizers,pesticides, and insecticides. Together with the above noted design mitigation, these mitigation measures will protect and restore the ecological quality of the site through the protection of on-site wetlands; establishment of wetland buffers and enhancement of indigenous vegetation; and protecting and improving groundwater and surface water quality, all for the purpose of ensuring against ant adverse impacts to the adjacent tidal wetlands and surface waters of the Town. 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-Project Information.The applicant or project sponsor is responsible for the completion of Part 1.Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project: Boger Residence Project Location(describe,and attach a location map): 717 Private Road#12(aka Windy Point Lane),Town of Southold,Suffolk County; SCTM#1000-87-4-4;property is located at south east end of Pivate Road(aka Windy Point Lane); location map attached. Brief Description of Proposed Action: Demolish and remove existing,one-story,928 square-foot,single family dwelling and attached decks and steps,and construct new, two-story,824 square-foot,single family dwelling on raised foundation with covered entry,masonry walkway,and steps;raise existing shed;remove existing sanitary system consisting of two leaching pools in groundwater and install new sanitary system raised 2 feet above groundwater with concrete retaining wall and approximately 328 cubic yards of clean fill;install drainage system of leaders,gutters,and drywells;remove existing driveway and install new pervious gravel driveway and parking area;and establish in place of existing lawn areas located more than 4'seaward of proposed driveway an approximately 2,240 square-foot nonturf buffer to be planted with native vegetation,all as depicted on the site plan prepared by Samuels&Steelman Architects,dated March 5, 2014. Name of Applicant or Sponsor: PE-Mail: elephone: 718-240-4757 Peter M.Boger pboger@ridgewoodbank.com Address: 2444 Rockville Centre Parkway City/PO: State: Zip Code: Oceanside NY 11572 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. X 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: NYS DEC, SCDH,Southold ZBA X 3.a.Total acreage of the site of the proposed action? 13,580 s.f. acres b.Total acreage to be physically disturbed? +/-9,500 s.f. acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 13,580 s.f.acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑ Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture 8 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? X b.Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 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: X 8.a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 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: X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: X 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: A new,upgraded on-site septic system is proposed. X 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? X X 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? X 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: X 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply. ® Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® Wetland ❑Urban ®Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? X 16. Is the project site located in the 100 year flood plain? NO YES X 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? ❑NO❑YES X b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑YES Page 2 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: X 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: X 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: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Robert E.He ann,Coastal M mt. Specialist Date: May 12,2014 Signature: Part 2-Impact Assessment.The Lead Agency is responsible for the completion of Part 2.Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer.When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" 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 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? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g., wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 y No,or Moderate small to large impact impact may may 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 I 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. l lq 11-f Name'of Lead Agency D h By rUelJ � Print ora Name Responsible Officer in Lead Agency Title of Responsible Officer gA "JZL�,� 'Vafure o sponsible Officer iWlead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 0 0 Scott A. Russell o�°SUS STORMWATER SUPERVISOR MANAGEMENT SOUTHOLD TOWN HALL-P. 0. Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 119710, Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) x A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet Of ground surface. x B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. x C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. x D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. x E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. x F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information,Date& County Tax Map Number! Chapter 236 does not apply to your project. 4C If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. S. APPLICANT:(Property er,Design Professional,Agent,Contractor,Other) C.T.M. Dist!11Q Date: NAME: Robert errmann,Agent for Owner 87 4 4 May 12,2014 Print Section Block Lot arm" FOR BUILDING DEPARTMENT USE ONLY Contact Information: 631-283-6360 Telephone Number - - — — — — — — — — — — — — — — — Reviewed By: - - - - - - -Date_ Property Address/Location of Construction Work: — — — — — — — 717 Private Raod#12(aka Windy Point Lane) F-1 Approved for processing Building Permit. Stormwater Management Control Plan Not Required, Southold R Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM * SMCP-TOS MAY 2014 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Peter M.Boger S C T M#1000-87-4-4 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Demolish and remove existing,one-story,928 square-foot,single family dwelling and attached decks and steps,and construct new,two-story,824 square-foot,single family dwelling on raised foundation with covered entry,masonry walkway,and steps;raise existing shed;remove existing sanitary system consisting of two leaching pools in groundwater and install new sanitary system raised 2 feet above groundwater with concrete retaining wall and approximately 328 cubic yards of clean fill; install drainage system of leaders,gutters,and drywells;remove existing driveway and install new pervious gravel driveway and parking area;and establish in place of existing lawn areas located more than 4'seaward of proposed driveway an approximately 2,240 square-foot nonturf buffer to be planted with native vegetation, all as depicted on the site plan prepared by Samuels&Steelman Architects,dated March 5,2014. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 717 Private Road#12(aka Windy Point Lane), Southold 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Wednesday,June 18,2014 @ 5:30 p.m. You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Peter M.Boger PROPERTY OWNERS NAME: 2444 Rockville Centre Parkway MAILING ADDRESS: Oceanside,NY 11572 PHONE#: 718-240-4757 AGENT: En-Consultants MAILING ADDRESS: 1319 North Sea Road, Southampton,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. GOOF OF MAILING OF NOTICE 10 ATTACH CERTIFIED MAIL RECEIPTS Narne: Address: Mark Hansen 26 Wilmington Drive Melville,NY 11747 Susan Johnson 9650 131 st Street N Seminole,FL 33776 C A Burst Testamentary Credit Shelter Trust 7 Chatham Place Huntington Station,NY 11746 Town of Southold P.O.Box 1179 Southold,NY 11971 Gutierrez Living Trust 615 S 11th Street New Hyde Park, NY 11040 STATE OF NEW YORK COUNTY OF SUFFOLK Robert E.Herrmann doing business at En-Consultants 1319 North Sea Road Southampton,NY 11968 , being day svwrn, deposes and says that on the day of June ,20 14 , 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 their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Southampton , that said Notices were iled to each of said persons by (certified)(regietevect mail. Robert E.H ann Coastal Management Specialist Sworn to before me this 6th day of June ,2014 NIMH ST�PRENS N01R ., `� ; ''BLIC STA', T-, F P:E 1 YORK COMM i )' I "! ;I Pi`! . 5015931 Notary blic OUALIFIE�1 i �+ SUFFOLK COUNTY EXP Ii, Es A! LC`Y 2 , 20LI Postal Postal ServiceT. (DomesticCERTIFIED MAILT. RECEIPT CERTIFIED MAILT. RECEIPT Only; (DomesticOnly; M __ � A [�- Postage $ ON N Q x -0 1716- Postage $ G ru Certified Fee P N tiY � rU Certified Fee �Z � Return Receipt Fee FpaN C3 (Endorsement Required) HAra r� Return Receipt Fee N �v Here O C5 (Endorsement Required) 0 Restricted Delivery Fee N 5 2004 .. 0 Restricted Delivery Fee 0 (Endorsement Required) (Endorsement Required) U1 Total Postage Usg iY37` C3 ru Ln Total Post---n-_--- sent To Mark Hansen U rU ti rU Sent To m Susan Johnson Sfreet,Apt IVo., 26 Wilmington Drive m _ st or PO Box No. Street,Apt 9650 131 Street N C1 e vi e„NY 11 47 C3 or PO Box (- City State,ZlP� Seminole FL 33776 f` City State, � ------ See U.S. Postal ServiceT11 :rr Postal ServiceTM CERTIFIED MAILT. RECEIPT CERTIFIED RECEIPT (Domestic Mail Only;No Insurance Coverage Provided)r'q N I• Only; ,-, ill For delivery information visit our website at www.usps.comD Ln rq For delivery information visit our website at www.usps.comu 77 rq Er Er '. r`- Postage $ NQS 0 N N Y� N Postage $ 0 N /t/ rU Certified Fee ru Certified Fee Postmark r-qC3 Return Receipt Fee H ra Retum Recel Post C3 (Endorsement Required) pt Fee 7 ' � p (Endorsement Regwred) r C3Restricted Delivery FeeN O Restricted Delive Fee � \ i (Endorsement Required) c3 (Endorsement Required) O LnTotal Postage° ^^^ @ C3ru U Ln Total Pos' U Sent To CA Burst Testment ru m ___ _ __. Credit Shelter Trust ru sent To Town of Southold � - Street,Apt.No.; m _ ________. __--- rq or PO Bax No. 7 Chatham Place r-9 Street,Apt. P.O. BOX 1179 (` ------------------ ity State,ZIP+ or PO Box Huntington Station,NY 1174 r` ...........t , Southold,NY 11971 ----- U.S. :rr ostal Service,,., CERTIFIED MAILTr, RECEIPT Ln (Domestic 'rFor , delivery, rmation visit our website at www.uspsxomQ� M � ' Sze x rl-- Postage $ Tye —0 �! IU Certified Fee i rq Return Receipt Fee C O Ostmark C3. (Endorsement Required) un Z Here O Restricted Delivery Fee S C (Endorsement Required) O Ln Total Postac-" ru ru Sent To Gutierrez Liv t � Street,Apt.Ni 615S 11�' Str t C3 ..PO Box No New Hyde Park,NY 11040 r�- Ciry state,Z11 I John Bredemeyer, President guFFoc� Town Hall Annex Michael J. Domino, Vice-President °°�° c°os 54375 Route 25 James F. King P.O. Box 1179 Dave Bergen o • Southold, NY 11971 Charles J. Sanders y�o! , , �a°� 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 PETER BOGER COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS 1, Robert E. Herrmann , residing at/dba En-Consultants 1319 North Sea Road, Southampton, NY 11%8 being duly sworn, depose and say: That on the 10tYlay of June , 2014, I personally posted the property known as 717 Private Road #12 (may Point Lane), Southold, SCM #1000-,97-d-4 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,June 18 2014. Dated: (signature worn to before me this day of JU4 20/Y a ublic KIM N . STEPHENS NOTARY PUBLIC STATE OF NEW YORK COMMISSION N0 , 5015931 QUALIFIED IN SUFFOLK COUNTY EXPIRES AUGUST NOTICE 0 -F - HEARINGI 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. Demolish and remove existing one-story, 928sq.ft. deckssingle family dwelling with "ached and steps and Construct new two-story, 824sq.ft. single y OWNER(S) OF RECORD: . on raised foundation with r� system er sarAwry systern raisW 2 feet above groundwater retaining wall and approximately 328 wa *mvve system of SUBJECT O P LIC H Viers to dole"Wist© dwelling; remove existing driveway and install n rWwway WO 00"area; s"d softfish in plece of e s kwA#ed more than 4' serivarol of l be . and approximately square,feet of non-tuff buffer to consist of urs clew sand. TIME & DATE OF PUBLIC H ARING: ed '• 19, �2014 a, a& 54:30 If you have an interest in this project, you are invited to view the Town file(s) which are available for ins ection rior to the day of the hearing during normal business days between the ours o 8 a.m and ,4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 r , 'Roard of Trustees Application AUTHORIZATION (where the applicant is not the owner) �%yyy 9.-0cJ&V W-E (E,,3zak residing at_ O«Ns%o(,, N`( \1512 (print owner of property) (mailing address) do hereby authorize (Agent) E to—Co� �U LT P"/,j TS to apply for permit(s) from the Southold Board of Town Trustees on my behalf. A7- &�, (Owner's signature) 190ard of Trustees Application County of Suffolk State of New York P r -cam M. f3 0 C'Ecz. BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)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. Signatur SWORN TO BEFORE ME THIS DAY OF Nb(1A--0'a0r 201Z—_ 0 NotaryP i NOTARY PUBLIC,Stele or Nm York No.01816175592 OmPlsd in Quem Cm* Corea bww Expires October 15,20_! 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 purpose 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: %0 G,C-1, P Elep- M. (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee p( 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 X — 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 of N aV Signature Print Name Pofiz M o Form TS I Town of Southold • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1, All applicants for perm its' including Town of Southold agencies, shall com plete this CCAF for proposed actions that are subject to the Town of Southold W aterfront Consistency Review Law . This assessor ent is intended to supplem ent other inform ation used by a Town of Southold agency in m a k in g a d e t e r m in a t i o n o f c o n s is t e n c y, *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 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# 87 - 4 - 4 MAY 2 2 2014 PROJECT NAME Peter M.Boger The Application has been submitted to (check appropriate response): - Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees, Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) ❑ (c) Permit, approval, license, certification: ❑ Nature and extent of action: Demolish and remove existing,one-story,928 square-foot,single family dwelling and attached decks and steps,and construct new, two-story,824 square-foot,single family dwelling on raised foundation with covered entry,masonry walkway,and steps;raise existing shed;remove existing sanitary system consisting of two leaching pools in groundwater and install new sanitary system raised 2 feet above groundwater with concrete retaining wall and approximately 328 cubic yards of clean fill;install drainage system of leaders, gutters,and drywells;remove existing driveway and install new pervious gravel driveway and parking area;and establish in place of existing lawn areas located more than 4'seaward of proposed driveway an approximately 2,240 square-foot nonturf buffer to be planted with native vegetation,all as depicted on the site plan prepared by Samuels& Steelman Architects,dated March 5,2014. Location of action:717 Private Road#12(aka Windy Point Lane),Southold Site acreage: 13,580 s.f. Present land use: Residential,single family dwelling Present zoning classification: R-40 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: Peter M.Boger (b) Mailing address: 2444 Rockville Centre Parkway Oceanside,NY 11572 (c) Telephone number: Area Code 718-240-4757 (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? DEC, Southold Trustees, SCDH 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 1:1No ® Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ® Yes ❑ No ❑ Not Applicable The proposed dwelling will remain in essentially the same location as the existing and will be consistent in character with neighboring dwellings,which over time have been similarly increased in size and height;and the establishment of the approximately 2,240 square foot buffer area to be planted with native vegetation will expand the area of existing natural vegetation along the shoreline of Corey Creek,thus having the effect of preserving existing vegetation and establishing new indigenous vegetation to enhance scenic quality, consistent with Policy 3. 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 The new dwelling structure would be raised by approximately 1.5 feet and into conformance with the New York State base flood elevation requirement of 8'MSL in this FEMA AE-6 flood zone,thus providing the benefit of reducing and minimizing the risk of structural damage as a result of flooding and erosion,consistent with Policy 4. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ®Yes ❑ No ❑ Not Applicable In association with the proposed dwelling renovations,a drainage system of leaders,gutters,and drywells will be installed to collect roof and site runoff,and an approximately 2,240 square foot buffer area to be planted with native vegetation will be established between Corey Creek and the developed portion of the property, which can serve both as a sink and filter for stormwater runoff and contaminants. By thus increasing on-site groundwater recharge,reducing lawn areas,and increasing the setback of lawn areas from wetlands,the potential quantity of site runoff reaching the adjacent tidal waters will be decreased,and the quality of any runoff that does reach tidal waters will be improved through a reduced concentration of potential fertilizers,pesticides,and insecticides. Groundwater and ultimately surface water quality will also benefit from the replacement of the existing sanitary system likely sitting in groundwater with a new sanitary system raised so that all of its components would be situated at least 2 feet above groundwater. Therefore,the project is consistent with Policy 5,as water quality and supply will be both protected and improved as a result of the mitigation measures associated with the project. 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 Applicable See attached. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [:] No® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® 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 POLICIES Policy 10. Protect Southold's A-dependent uses and promote sit f new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 5 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. El Yes El No ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY TITLE coastal Mgmt. Specialist DATEMarch 7,2014 Robert E. Nomann Amended on 811105 EN-CONSULTANTS May 19,2014 OUF,ST FOR A WFT ANDS PERMIT Town of Southold ELMAY Board of Trustees 54375 Main Road Post Office Box 1179 2 2014 Southold, New York 11971 Re: Peter Boger 717 Private Road#12 (aka Windy Point Lane), Southold `"=- -- SCTM#1000-87-4-4 Dear Board of Trustees: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Three(3)Wetland Permit Applications including: a) Authorization&Disclosure Forms; b) Chapter 236—Stormwater Management Work Sheet; c) Short Environmental Assessment Form; d) Survey prepared by Peconic Surveyors, P.C., dated July 25, 2012. e) Site Plan prepared by Samuels& Steelman,Architects, last dated March 5, 2014. 2. One(1)set of site photographs. 3. Copy of ZBA Findings,Deliberations and Determination. 4. Application fee of$250.00. 5. Three(3)LWRP Consistency Assessment Forms including: a) Survey. I hope this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Since ly, Robert E. Herrmann Coastal Management Specialist /khs Enc. -- 1319 North Sea Road I Southampton,New York 11968 1 p 631.283.6360 1 f 631.283.6136 www.enconsultants.com environmental consulting / � En SURVEY OF PROPERTY QMAY 2 2 2014 4 AT B A Y V I E W TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 1000-87-04-04 SCALE: 1"=20' / JULY 25, 2012 / `a WA TER METERS CAN 30 / d C77 � '• �, \ ;� V/S m 292 4.4 " � J y y vv v \ ` 3 \ Y 1+1 y it y \ n v- \ \ C . N y y q^"l y \ y� yyy It Y yit v IL \ \� yOy y q y y y it IL \ z y- tit v Y y cI �V y 'L v y y vy v y IL \V Y IL Y IL v y v v '. Y y Y GJ .y y • 0; y v y y y y v y 3TC . AREA=13,580 SF, y y v s� " y y �,�, �P,�EOF N �vY0 TO TIE LINES y y R�� Cr� NOTE: PROPERTY IS LOCATED ENTIRELY IN FLOOD Y v y ZONE AE 6 FROM FEMA MAP # 36103CO166H. y y I ELEVATIONS AND CONTOUR LINES ARE REFERENCED v 4s � TO NAVD.'88 X = WETLAND FLAG; TIDAL WETLANDS DELINEATED Y.S. LIC, NO. 49618 BY EN-CONSULTANTS, 5/25/12. `�' ECONIC S R ORS, P,C. �s (631) 765 - 5020 FAX.(631) 765-1797 OF 'i �� arm;�OF P,E, S, �,aAW. P, 0. BOX 909 EXCEPT AS PER SECTION 7299-SLBolVMM 2 ALL CERTFICATMMS�EREO1230 TRAVELER STREET MW M ARE Va.E St THrs ww W coPgs nOF T &P ff SOUTHOLD, N.Y. 11971 102 - � 565j saID ww ar caogs sEiw rr,�n�ssEn SEAL a�of n.wvEroR WKWE Stawn wE*ff' r korm "WINDY REVISIONS POINT RD." LOT COVERAGE TABLE SITE DATA 13(6/13 SANDY (50 PRIVATE ROAD) s I TE AREA TOTAL: 13,580 s f AREA EXISTING WATER METERS SCTM # 1000-87-04-04 3/5/14 SITE AREA UPLAND FROM PROPERTY: 717 Private Road #12 = r TIDAL WETLAND BOUNDARY: X1,500 sf ADDRESS Southold, NY 11971 APPROVED BY _,, OWNER: Peter Boger PROPOSED PURL I G WATER SERV I GE LINE �' 244 Rockville Center Pkwy BOARD OF TRUSTEES: -"`' = PROPOSED LANDSCAPED !.i Oceanside NY 11572 H O' w_ �' BUFFER AREA: 2,240 sf TOWN OF SOUT 01.x? ACRES � ` EXISTING SHED TO BE RAISED TO SITE: 13,580 SQ. FT. 0.311 DATE V- _ MEET NEW GRADE STRUCTURES EXISTING PERCENTAGE PROPOSED PERCENTAGE ZONING: R -40 LINE OF 75 FT SETBACK FROM `y' TIDAL WETLANDS BOUNDRY . `' HOUSE: 4128 sf FILL: 328 cy �,: : ;Vr_ti„ q.77� 824 sf 8.679b REQUIREDA�e n c L2 `k : _ : "`�=` }`' SHED: 101 sf 1.06% 101 sf 1.06% PROPOSED CONTOURS _'� = '_� � _-_ �jt SURVEYOR: Peconic Surveyors, PCD0 r:. 4 - PORCH: O O 72 sf 0.76% MAY 2 2014 ,. __ 1230 Traveler Street we Southold , NY 119 71DECKS• 0.55% O p .EXISTING CONTOURS E # 49618LICENS PERMANENT STORM WATER RUNOFF WALKWAY: O O 102 sf DATED 25 2012 RELOCATED DRIVEWAY TOTAL: 1084 sf I1.41 Ojiq sf 1560 - CONTROL MEASURE D : NEW Y. ..:;: -- - Z NOTE: PROPERTY IS LOCATED ENTIRELY IN FLOOD R DRYWE L s SIZED FOR --_ ERG ROUND L UND 6H. _ 6 03C016 _ - AP 3 1 AE 6 FROM FEMA M ZONE REMOVED CP "SITE AREA UPLAND FROM TIDAL WETLANDS BOUNDARY EXISTING DRIVEAAY TO BE T DIA x 2 FT = W A 2 RAINFALL (DA) (8 F ?' ELEVATIONS AND CONTOUR LINES ARE REFERENCED O AND TOWN OF SOUTHOLD F FROM (NYSDEG ADJACENT AREA , HT) FOR RAINWATER RUNOFF- - _ TO NAVD. 88 LIMIT OF PROPOSED GUTTERS AT THE BUILDING STRUCTURE BUILDABLE LAND) o, y� ,, X = WETLAND FLAG; TIDAL WETLANDS DELINEATED LANDSCAPED BUFFER — 2.8 BY EN CONSULTANTS 5/25/12. T O EE TEs HOLE L :t o RE5 _ - OVERHEAD W _ = XISTING CONTROL .. : . .,. . . . .:. -. . ��' ________= o DRAINAGE CALCULATIONS TEMPORARY STORM WATER RUNOFF L =>_'= _-____ ___ - _ _ LOCATIONMAP _FEN : ;..=::;;:;.,_.; ; .= -.: _•._:._.. MEASURE. PROPOSED HAY BALES � SILT - ---._.---'--.--"---'-'--._:...........:._. .._ :��.._.,.• - : -::.:: ....._..:::. ...;. ._..:. .- .... - -, ....,,.::;...- NEW HOUSE WILL BE RAISED +1.5 FT AREA OF NEW ROOF DW DURING CONSTRUCTION SEE DETAIL) DE DRY WELL AREA x RAINFALL x RUNOFF FACTOR ( . �:::..... ,.. ;.A�;:_:.o-:: :r .,��: ABOVE THE EXISTING GRA .t:.. ' ..:_::-_____:.:__- _._._-'___-- •__ -- : ,...::::.::.: .:u. •..,:. ..:.: .--.:.::,-„:.:. . .. :..:.>:.. . . (2/12 FT. x 1.0 - 138 GU. FT. a� '• .__.........._._._._...__._..._._._...._...-'--'-__-_-- '- DW 824 SrSF ( / ) .. ..:....,. :.. .. :<.:;_1:•' :.-. : ._ . �- .. . . r: _ :.-:.__:.___�_____=:-. __._. _:::..._= ; ____:-; �__..._..::::_:_.__.=::=.;:_ -;=:_:= USE: 2) 8 DIAMETER x 2 HIGH POOL - ::.:.,:.,:'::: :.,. ..,::-,.• :,. . _=. _ ..:s ==_==- =__;_ _ _—_.-:.:... ::::.:::::' ..:_ ( o e Labe sem:: __._:._:_. _ EXISTING NE (2) 8 X 2 STORM DRAIN RING 169 CU. FT. PROPOSED RELOCATED PROVIDED REQUIRED n , >-:' ....: ' :•' . . - - .• .. .. O .___� �:-__-=-:_:_;_;;-... .___._--. __:_:. .::: _<::__::-;=__-_:-:_--:__�:. RETAINING WALL .. F - :::..�_�...:.:::.:_.... \ 9 GU. FT. 138 10 FT RIGHT OF WAY ..� ._. . ... ..� ... .:: .-. n.._. _..-----'---...............--.:_::.:__:_...----::._....__..........._..:-_- --_ _----=- ---- ►►m Rd LINE OF FOOTPRINT OF q28 5F EXISTING /�) .:•. - : ... - ':.-'=_-_-:--______-_.__:_:_::____�__:.:=__:_.___::::::_:.:::::._:.:.:::::.::.:. ;_-_=_____-_. ..>....,:. . :.•- ,....; :._.:. . . .,:..._:.. . . ,..;t: ._•. .:.:___.:__::___:___::__:_:_:.:::_::.__.:____.::�____::_:.:_:_:.__....__..... ..- --- -- - - 2 STORY HOUSE TO BE REMOVED :............ �L -;:_:__:__; _ \ EXISTING UTILITY POLE .Y. ,.:........ ... ITE ...... ..... Ileweew 061 =- -_--_ _-- \ EXISTING v __� _- =_� _ -.. ==_===_==_ = - O O NEIGHBORING 2� - PROPOSED NEW SEPTIC SYSTEM \ __ BULKHEAD 6 o FOR A 5 BEDROOM RESIDENCE ca -p - (1) 1200 GAL SEPTIC TANK (ST) O 10 FT DIA x 2 FT LD (5) 8' DIA x 2' HIGH LEACHING POOL (LP) EXISTING STONE RIPRAP - L d - FUTURE LOGATI ON FOR (5) 8' D I A x 2' BY MARK McDONALD 1 - ` 3 ; �j LP m :z : . , HIGH LEACHING POOL (EXP) TEST HOLE GEOSCIENCE SOUTHOLD, off Z , � N r 4� - ti TY I NEW YORK 11971 �, Z LOCATION OF EXISTING SANITARY TEST HOLE DATA 1014112 ELEV +2.8' V1 Q . os EXP l�,�� I•-� SYSTEM TO BE REMOVED cp I_ \ _ o �c 1.0 FT. DARK BROWN LOAM OL -I a ` - • C I �••.0 0 v ROOF GONG. RETAINING WALL WATERP 1.8 FT. BROWN CLAYEY SAND SC W J O p0 APPROX. 5 FT HIGH ABOVE GRADE MARK w MEAN HIGH WATER - '= TL dJ V_ V _ z EXISTING CONTOURS 9.0 FT. WATER IN BROWN CLAYEY SAND SC ry arc M w RE OGAT �i`J I VEWAY - r \9 a N Lv = 'C w . Nod �L =Y LINE OF 75 FT SETBACK FROM WATER IN BROWN SILTY SAND SM = Nil20 FT. Q F. V edn / TIDAL WETLANDS BOUNDARY -tel • 'O �L -- _`-±' r'' 'y”' 28 FT. WATER IN BROWN FINE SAND SP U) U) , o ._ =:�'r O AREA OF FILL, APPROXIMATELY 528 GY, GLEAN SAND -- \/L - • `~~ `j 3'4_ / FILL SHALL BE TRUCKED IN FROM AN APPROVED COMMENTS: WATER ENCOUNTERED UPLAND SOURCE TO RAI5E PROPOSED SANITARY 1.8' BELOW SURFACE, ELEV+1.00 `` 3 SYSTEM SANDr..- :;_ WATERPROOF GONG. RETAINING WALL, OF NEWY PROPOSED LANDSCAPED BUFFER V_ - APPROX. 3 FT HIGH ABOVE GRADE �� SPS C. Sq Pf (APPROX. 1,500 5F) -- -- PROPOSED CONTOURS NOTE re: LANDSCAPED BUFFER �� 1 � WIRE FENCE W/ N � � � � � � * The areas to be established as landscaped buffers shall be FILTER CLOTH EDGE OF MARSH LIMIT OF PROPOSED LANDSCAPED BUFFER planted w with native vegetation and maintained pursuant to the '� 018350-'\ c� V_ \� PROP05ED LANDSCAPED BUFFER* definition of "landscaped buffer" set forth in section 268-5 of BOUND HAYBALE \L (APPROX. 4410 5F) the Southold Town Code, i.e., "A land area of a Certain length L PROPOSED 20 ft. WIDE NON-TURF BUFFER and width which is planted with indigenous, drought-tolerant FLO„ PROJECT NO: -+ \ TO CONSIST OF UN-VEGETATED GLEAN vegetation similar to that found within the immediate proximity of FILTER CLOTH MIN. wk w 1209 the parcel. Vegetation shall be installed in sufficient densities 6" BELOW GRADE ;,� V_ SAND. (APPROX. 500 5F) to achieve 415 ground cover within two years of Installation. \ \ DRAWN BY: UT kX Y z ?� TIDAL WETLANDS BOUNDARY survival of planted vegetation shall be g09b for a period of "��//� // CHECKED BY: � r'' � DELINEATED BY EN-CONSULTANTS 5/25/12 three years. Maintenance activities within the buffer are limited ` ` METAL WIRE FENCE YV TS �4o,� w (FROM SURVEY BY PECONIC 5URVEYOR-51 to removing vegetation which is hazardous to life and property, FILTER CLOTH AND MET S��-TQM h0 PG DATED 7/25/12) trimming tree limbs up to a height of 15 feet to maintain POSTS IO MAX SPACING DATE: GQ E� �L ^• viewsheds, replanting of vegetation, and establishing a Jun® 13, 2013 �L �LV o, four-foot-wide access path constructed of pervious material s SCALE: ., - ., F.F.K � \ � for access to the water body. � � t 1 10 -o � t _V \ � � SHEET TITLE: � BUILDING WALL FF EL 8.0 FTAN&LE STAKE �L GRADE LINE ELEVATION 6.6 FT. IOC OR t � , � � PREVIOUS BALE To GRADE LINE ELEVATION ±6.85 FT. SLOPE 5% � go � t�` t .y� FLOW �[ V_ 2" REBAR,STEEL PICKETS � � � I' MIN. 2' MAX. FT t tt t OR 2" X 2" STAKES 1-1/2" FT S -0 FLUSH W/ TOP OF BAVE LES� GRADE EL: 5.,5 FT. SITE PLAN \L �L V_ +, �L �L Aft a 1/4" TOP OF POOL w,�,TERPROOF I NG LL k w x x BOUND HAYBALES I(ABUT TO I/8 /FT. 525 FT. k ADJOINING BALE TIGHTLY) w V_ ��, V_ �O SEPTIC n HALEBALE TO BE EMBEDDED INTO LEACH I NG I SOIL MINIMUM OF 4" AND BINDINGS SCALE. O��O�� o,, C� V N TANK POOL EXIST. GRADE 2.41 PLACED HORIZONTALLY SHEET NO: !y IE. +5.6' IE. +5.0' BOT OF POOL co 5.25 FT. A. V IE. +5.5 IE. +4.92' AND DRIVE STAKE THROU HER YBALE n n GROUND WATER 5' 8, ELEV 1.0 FT HAYBALE DETAILS MEAN HIGH RATER MARK MEAN H 1 GH T.S.) WATER MARK SEPTIC PROFILE- ED&E OF MARSH ,� ,� V_ (N.T.S.) AGENCY APPROVALS