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Halkidis, George
� �� John M. Bredemo� soeyer III,Pres ®� Town Hall Annex Michael J. Domino,Vice-President 54375 Main Road P.O. Box 1179 James F. King,Trustee e� Southold, New York 11971-0959 Dave Bergen, Trustee �� Charles J. Sanders, Trustee ®��CFax((i311)) 765-1392 oUIVTY Telephone 765� 6641 9 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 23, 2014 Mr. Bruce Anderson Suffolk Environmental Consulting, Inc. PO Box 2003 Bridgehampton, NY 11932 RE: GEORGE HALKIDIS 1600 GREENWAY EAST, ORIENT SCTM# 15-2-7 Dear Mr. Anderson: The Southold Town Board of Trustees reviewed the site plan, supplemental materials supplied by the applicant consisting of a copy of the approved subdivision map for "Green Acres of Orient," a construction photo of the adjacent pond at the Board's 12/10/14 work session and a field inspection performed by the entire Board of Trustees, and determined the proposed construction of a single-family, two-story dwelling with a 2,800sq.ft. footprint, attached 720sq.ft. deck, new sanitary system and new driveway are out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. We find that the activity proposed is exempt from the provisions of Chapter 275 of the Town Code pursuant to 275-4(g) in that a man-made pond exists on the adjacent parcel as defined by 275-2. The water body's history and dedication as a subdivision "leaching area" and the straight-sided steeply sloped embankment shoreline noted at the field inspection was devoid of any emergent freshwater wetland vegetation Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 100' landward from the top of the bluff, without further authorization from the Southold Town Board of Trustees 2 pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, 11 ohn M. Br demeyer III President, Board of Trustees JMB:amn 1. A +l _ •, �•j I J 'o-�. 'R�.,`� ,. w. - .: � ..Irl►`E_�w�b,� � �. . K��t 4� ,.few 1F:.,✓F �Ir�� 1 + ` t +` _ — ��3 � .rty�! -- _ 1 \ �.� .. -' � .<4 •lana. y. lk 4 41W r , 1� 1 1 L600 Orient fyCTM#15-2-7 �. µ 4,4 !► 3 1 -"4� rll Z%i fir'' ,t• �`�� ;iy± _ _ w f L 1 •� —. .. � •_��y:- 0- � •��t a 5- �R�r, Zt,)rr�!IC' 5 SCF - � � -•� a 1 k 1N f ,�� `,:- t _ :� �.,�,�55 ,SIF'.' _ ��1a '\ � r ;•1 '. k '� �- 1.1 / 1'2/'20114 10 . 48 of �.• John Bredemeyer, President ®SurFot� Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King y P.O. Box 1179 Charles J. Sanders Southold, NY 11971 Dave Bergen 41 ,� ��°p Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: If Suffolk Environmental Consulting on behalf of GEORGE HALKIDIS requests a Wetland Permit to construct a single-family, two-story dwelling with a 2,800sq.ft. footprint; attached 720sq.ft. deck; new sanitary system; and new driveway. Located: 1600 Greenway East, Orient. SCTM# 15-2-7 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edgef wetland . Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: o 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: Modifications: Conditions: U'l � � ��i llllq c7. 77,`,,1 � Present Were: J. Bredemeyer M. Domino J. King C. Sanders•. D. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: HALKIDIS Property Situate: 1600 Greenway East ■ Orient ■ New York SCTM #: 1000 - 015 - 02 - 007 SUB.I CT PROPERTY �zwo- SUBJECT - t, q°.Y PROPERTY" � m r ` f _ ,.._d� 1155 �� 5`'�5 \`1 �, �� �� -'� tl � 't�.�• �%��G _ �`+Y., 4� r HALKIDIS Property Situate: 1600 Greenway East ■ Orient ■ New York SCTM #: 1000— 015 —02 — 007 (Photos taken on October 3, 2014) VA r , R Nor ftgm Atr tt tdy 3 c M _ r fii vdl .71 Photograph indicating the staked location of the northeastern corner of the proposed Dwelling/Deck. Photograph taken from the northeastern section of the property, facing northeast. HALKIDIS Property Situate: 1600 Greenway East ■ Orient ■ New York SCTM #: 1000 — 015 —02 — 007 (Photos taken on October 3, 2014 f M1Y r �`•wi�9 c- :l- rwr� 71 - X Al -�1 Photograph indicating the staked location of the northwestern corner of the proposed Dwelling. Photograph taken from the northwestern section of the property, facing east. liLI-0 It I OCT 2 S 20114 �' I Sou;hsid ioti n ' HALKIDIS Property Situate: 1600 Greenway East ■ Orient ■ New York SCTM #: 1000 — 015 —02 —007 (Photos taken on October 3, 2014) r i :.•^�- ,� � kap Lm. t 3. ; s Photograph indicating the conditions of the freshwater wetlands to the south of subject property. Photograph taken from the southerly property boundary, facing south. off Air 77 c M ti r r -p y r i y _ a ' � ♦ — ,dtv a .: yy s, 1 Oft- -,grip 1 • , I all • I 11 i � -- ISLAND ,\ a mM oz o n1 a,.ee O ,.NAS a s i, `•�':t\ mxx, r as.mdx r ° e , ,°°, a t1Nc1 4 �vtHW ,.e \ a V`!6'R• �... x. a a t>•Hp9 ta: tw N = o-mae ..9 ' ° A t1•,i+ w, ''a SCM.D.2F.D 25uJ ae+.no �- 'r ° 9 " we •<s tq n. +a, eb" ,., w LD.Ip M.D.60 P.D.65 y l/.� '3.sa ,� T ,en ^ .� �0. a .,ss ,.�-fir `ap• y a Na ,w N.te eOwgria ,�.^ � „ �E a = p, b.e °` ,.i,•to ,.� t nn Ii � ♦S q iM N, F� Ntt J 1M w N. „wi '^ p•3 • ,w � °',A .Iq S �r +4 ` '^ `(^° N 1x N.tx � b.,B ^ N S e ,Nt • t SNA "�to 9 `�r+c 1 .;P� ' N.m 9 1�^' " e + ne Na � Nae ,.,� � .,•1 y1A p ser '+' P' ` 7/ \ / 4a. PM y .8 raR Pa Ho. roR Pcs No s '4�,,s• �"/ iilN, �t.wtA A m � Ef SEF SEC,NO 6EF BEC.,a --_— _ 0 -- YY a' ------ ----- WTCH - yNE • O 1p� ]Wd L �a 7 t �'�� _�_ •• 1�1l w O —_F— NOTieE f.� COUNTY OF SUFFOLK © E d eexnxwa sECTRIN NO Real Property Tax Service Agency r t. 15 P teo lees PROPERTY MAP ulmik Environmental Consulting, Inc. Newman Village., Suite E,2322 Main Street,P.O. Box 2003,Bridgehampton,New Fork 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President L a Hand Delivered r DEC - 9 201 E December 8,2014' Mr.John M.Bredemeyer,III,President Board of Trustees Town Hall P.O.Box 1179 Southold,NY 11971 Ree HALMDIS Propel' Proposed Single-Fanzdy DweNng&Dee ' Situate: 1600 Greenway East®Orient®Tow of Southold®New Fork SCTM ##: 1000®015®02 007 Dear Mr.Brederneyer, As you know, this Firm represents Mr. George I3alkidis, owner of the above referenced property. Request for a Letter of Non Jurisdiction is hereby made based upon the information and evidence that determinesthe adjacent surface water area to be a constructed, manmade pond or recharge basin., as that tease is defined in Section 272-2 of the Town Code (Man-made fond). '� n support of our request for a Letter of Non Jurisdiction, please find an aerial photograph taken in 1962, which depicts the initial construction of the subdivision road (Greenway East), the constructed,man-made pond,which depicts the linear,,straight-line,configuration of the 'shoreline/pond edge and, spoil deposition area adjacent to the leaching area. Also enclosed herewith,please find a copy of the subdivision map, Gmen Acres of O lent,filed April 13, 1962 (file number 3540; abstract number 3939). The subdivision map depicts the pond' and leaching area. As a final matter, field inspection revealed the straightened shoreline of pond/leaching area to be vertical due to its prior construction and a substantial storm-water culvert installed at the road shoulder extending into the pond/leaching area/recharge area. The culvert directs stormwater from the paved surface of Greenway East to the pond/leaching area. It is apparent that the culvert was installed in connection with the construction of the subdivision road.. Based upon the foregoing(aerial photograph depicting unnatural shoreline and spoil deposition area, subdivision map which depicts pond and leaching area, and field conditions, installation of culvert and lack of natural shoreline), it is our contention that the surface water area adjacent to subject premises is a'constructed,' man-made pond, constructed stormwater retention pond or recharge area, not subject to Section 272 of the'Town Code. Kindly review the attached.Materials and render the requested Letter of'Non-jurisdiction at your earliest opportunity. Yours truly, Bruce A.Anderson Attachment Cc G.Hallddis SuffolkEnvironmental Consulting, Inc. N w,rnan Vill-tge,Suite E,2-322 Mairi Street,r. , Box 2003,B,i t� ,� �>��r,New York '1932-2-003 (631) 537-5160 ax: (631) 537.32 1 Bruce Anderson,X1.5.,President Via,E-mail November 18, 2014 � NOV Board of Trustees Town Hall �. P.O. Box 1174 Southold,NY 11971 Be; Ll�"1IDISApplication Proposed Smgle-FanzdyDwe g&Decking Situate: 1600 Greenway East s Orient-Town n of Southold m New fork SCTM c 1000—415—42--007 Dear Board, With respect to the application referenced above,please allow this correspondence to request an adjournment of tomorrow evening's public hearing concerning same. We are in the process of furnishing more information to the Board and wish to have as complete and concise of an application as possible. Should you have any questions, please feel free to contact this office with any questions. Thank you as always for your attention and consideration. Sincerely, Matt D. Ivans C G. I-lalkidis James F.King,President SQTown Hall Annex Bob Ghosio,Jr.,Vice-President O y®� 54375 Main Road � O P.O. Box 1179 Dave Bergen irSouthold, New York 1.1971-0959 John Bredemeyer cn Michael J.Domino � • y0 Telephone(631) 765-1892 Q Fax(631) 765-6641 l�COUNT(,Nc A j BOARD OF TOWN TRUSTEE NOV 1 8 2014 r. TOWN OF SOUTHOLD 9 E o: OCT 2 9 2014 & I� To: hold'Town Building Department Re: Verification of Building Department Permit Requireme is T Fn n SCTM#: 9 Property Owner Name: Cqe_ � aei Date Sent to Bldg. Dept.: 42 a h The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES. NO Wi a proposed project require a Building Permit? WIII the proposed project require a variance determination from e Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature>of Weviewer Date stl FEF Peter Young,Chairman g Town Fall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 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 Wed., November 12, 2014 the following recommendation was made: Moved by John Stein, seconded by Doug Hardy, it was RESOLVED to NOT SUPPORT the application of GEORGE HALKIDIS to construct a single-family, two-story dwelling (2,800 sf.) with attached decking (720 sf), sanitary system, private well and driveway. Located: 1600 Greenway East, Orient. SCTM#15-2-7 Inspected by: Peter Young, Doug Hardy, John Stein The CAC does Not Support the application because a field observation confirmed flooding during a medium to heavy rainfall and there is a concern with groundwater pollution into the wetlands. Vote;of Council: Ayes: All Motion Carried F 4 ifir h h td NOV 1 4 2014 e t n John M.1#redemey r 111,President � ��+�'��� Town lull Anne Michael J.Domino,Vico-President � �� 54376 Main Road P.O.Dox 1179 James FKing,Trustee t Southold,New York 11.971-0959 Dave Rergen,Tutee t 4. 14�0e1Iasrc t11? 19 Charlea J,Sanders,Trustee li)' F � 1V t' � a } pp BOARD OF TOWN TRUSTEES �CT 2 201 TOWN OF SOUTHOLD Office Use Only . Coastal Erosion Permit Application X Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application:/O&f Received Fee:$ Completed Application:/C7 Incomplete: SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) LWRP Consistency Assessment Form: :19`7 CAC Referral Sent: /0/,31#q ��Date ,`l Date of Inspection: Receipt of CAC Report: Lead Agency Determination Technical Review: V' Public Hearing Held: A g Resolution: Name of Applicant GEORGE HALKIDIS Address 1 Commerce Street - Brooklyn New York e 11231 Phone Number: (646) 339- 1463 Suffolk County Tax Map Number: 1000—015—02—007 Property Location: 1600 Greenway East ■ Orient ■ Town of Southold ■New York (provide LILCO Pole#, distance to cross streets, and location) AGENT: MATT D. IVANS 0 Suffolk Environmental Consulting. Inc. (If applicable) Address: P.O.Box 2003: Bridgehampton,NY 11932 Phone: (631) 537—5160 Board of Trustees Application GENERAL DATA Land Area (in square feet): 20. 900 sauare feet± Area Zoning R - 40 Previous use of property: Residential Use (Vacant) Intended use of property: Same (Improved) Covenants and Restrictions: YesX No If"Yes", please provide a copy. Will this project require a Building Permit as per;Town Code? X _Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals Yes X No If"Yes",please provide a decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure (s) on property have a valid Certificate of Occupancy? N/A Yes No Prior permits/approvals for site improvements: Agency Date 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): Applicant proposes to construct a Single-Family 2-Story Dwelling (2, 800 square foot footprint), with attached Decking (7� 20 square feet), Sanitary System, Private Well and Driveway. Please refer to the attached Survey for all project specifications. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed operations: Applicant proposes to construct a Single-Family 2-Story Dwelling (2, 800 square foot footprint), with attached Decking (720 square feet), Sanitary System, Private Well and Driveway. Please refer to the attached Survey for all Project specifications. Area of wetlands on lot: 0.0 square feet Percent coverage of lot: 0.0 % , Closest distance between nearest existing structures and upland edge of wetlands: N/A feet Closest distance between nearest proposed structures and upland edge of wetlands: 55.0' feet (Proposed Dwelling) Does the project involve excavation or filling? No X Yes If Yes,how much material will be excavated? 1, 000± (cubic yards) How much material will be filled? N/A (cubic yards) Depthof which material will be removed or deposited: 1.0± feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: Typical Excavator and by hand. 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): Minimal to no effect will result to the freshwater wetlands due to the substantial distance from the wetlands, and due to the utilization of common disturbance control actions (i.e., use of staked haybales & siltation fencing). 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and maybe subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,pleaseansweras thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: HALKIDIS Property Project Location(describe,and attach a location map): 1600 Greenway East;Orient;Town of Southold,New York Brief Description of Proposed Action: Applicant proposes to construct a Single-Family 2-Story Dwelling(2,800 square foot footprint),with attached Decking(720 square feet), Sanitary System,Private Well and Driveway. Please refer to the attached Survey for all project specifications. Name of Applicant or Sponsor: Telephone: (631)537-5160 Matt D.#vans-Suffolk Environmental Consulting,.Inc. E-Mail.- mdivans@optonline.net Address: P.O.Box 2003 City/po: State: Zip Code: Bridgehampton NY 11932 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: Suffolk County Department of Health Services Wastewater&Well Permit;New York State Department of Environmental Conservation;Town of Southold Building Permit. 3.a.Total acreage of site of the proposed action? 0.479 acres b.Total acreage to be physically disturbed? <0.2 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.479 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban []Rural(non-agriculture) [:]Industrial ❑Commercial 0 Residential(suburban) ❑Forest ❑Agriculture OAquatic []Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑ ❑ b.Consistent with the adopted:comprehensive plan`? ❑ RF IT 6. Is the proposedaction consistent with the predominant character of the existing built or natural JN00 YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ ❑ 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: ❑ Proiect will"meet'the state energy code requirements. 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ ❑ The project includes for the installation of a new private well within the southwestern corner of the property. 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: The project inclOes for the installation of anew sanitary system within the northeastern corner of the property. 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? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ ❑✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? Rl 1:1 If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: The freshwater wetlands is located directly to the south of subject property and measures 0.6 acres+/-in size. No portion of the project will encroach into these wetlands. 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 m'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? 16.Is the project site located in the 100 year flood plain? NO YES 17..Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes,. ❑ ❑ a.Will storm water discharges flow to adjacent properties`? NO ❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO mYES The psyect includes for theuseof gutters-leaders and dnnwells to contain a.gy and all roof runoff resulting from a maximum T rainfall. Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: F I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: t D.]vans-Suffolk Environmental Consulting,Inc. Date: October 8,2014 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 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? ❑ 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment 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? LJ 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? Ef. 7. Will the proposed action impact existing: El a.public/private water supplies? LA b.public/private wastewater treatment utilities? EJ R. 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 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or.reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be sigtuficant.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 enviromnental impact statement is required. ErCheck 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. J)'D Name of Lead Agency Date Print or Type a Responsible Officer in Lead Agency Title of Responsible Officer Si a of Re ` le Officer in Lea Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 ,NOTI -CE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: GEORGE HALKIDIS SUBJECT OF PUBLIC HEARING : Construct a single-family, two-story dwelling with a 2,800sq.ft. footprint; attached 720sq.ft. deck; new sanitary system; and new driveway. TIME & DATE OF PUBLIC HEARING : Wednesday, November 19, 2014 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Board of Trustees Application County of Suffolk State of New York GEORGE HALKIDIS BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE'DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO 'INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS DAY OF 0 G ,20 K0t9LA�ViA ''LIMAS Notary pulAc,S AO 0 Now V.o� No.014%IA6 3042 4 Qtas1 A in ring's E; 0 �a,e�g nmissE®n Expires Septrrarll.e�In ?0 �' Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, George Halkidis residing at 56-36 213t` Street, Bayside Hills, NY 11364 (owner of property) (mailing address) do hereby authorize Suffolk Environmental Consulting Inc. to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's s nature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of the 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: HALKIDIS, GEORGE (Last name,first name, middle initial,unless you are applying in the name of someone else of other entity, such as a company. If so,indicate the other person's or company's name.) NATURE OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X 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. Naive 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 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 then 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); Q an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this f ) 201 Print name GEORGMALKIDIS Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits*including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C,the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered"yes" or"no",then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus,each answer must be explained in detail,listing both supporting and non- supporting facts.. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 015 - 02 - 007 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees Z 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction,planning activity, agency regulation, land transaction) ❑ (b) Financial assistance(e.g. grant, loan, subsidy) ❑ (c) Permit, approval, license, certification: Z Nature and extent of action: Applicant Proposes to construct a Single-Family 2-Story Dwelling (2, 800 square foot footprint), with attached Decking (720 square feet,, Sanitary System, Private Well and Driveway. Please refer to the attached Surygy for all project specifications. Location of action: 1600 Greenway East■Orient■Town of Southold•New York Site acreage: 0.5±acres Present land use: Residential Use(Vacant) 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: GEORGE HALKIDIS (b) Mailing address: 1 Commerce Street . Brooklyn • New York • 11231 (c) Telephone number: Area Code(646) 339— 1463 (d) Application number,if any: N/A 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? 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. X Yes ❑ No ❑ Not Applicable Subject proposal is consistent with the policy in that we are constructing a single-family residence within a neighborhood characterized by single-family dwellings. Accordingly, we believe that this project is consistent with this policy. 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 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 5 through 7 for evaluation criteria Z_ Yes ❑ No ❑ Not Applicable Subject proposal will not adversely impact the visual quality of the surrounding area in that the neighborhood is characterized by similar residential development. Subiect parcel is a wooded lot whose character will remain after construction including a buffer to wetlands as appropriate. The siting, scale are compatible with the neighborhood. The remaining sub policies are not applicable. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life,structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Subiect proposal is not located within a flood zone, and there is no apparent erosion occurring within or surrounding subject parcel. 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 Subiect proposal incorporates compliant septic system and drainage control all of which will protect surface waters. 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 Z Yes ❑ No ❑ Not Applicable Subject proposal protects the guality by avoiding the loss of ecological components. In addition impacts relating to the proposed development are fully mitigated by septic design and placement, and drainage design,the expectation that a buffer will be established and suitable erosion control implemented. 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 Z Not Applicable 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 Not Applicable. Attach additional sheets if necessary 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 Not Applicable. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria ❑ Yes ❑ No ® Not Applicable 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 M Not Applicable Not Applicable. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies;Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No M Not Applicable 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 Not Applicable. Attach additional sheets if necessary Suffolk Environmental Consulting, Inc. Newman Village,Suite E, 2322 Main Street,P.O.Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President ® ---� OCT2'8 2014 Hand Delivered I October 28, 2014 Mr.John M.Bredemeyer, 111, President Board>of Trustees Town',Hall P.O. Box 1179 Southold,NY 11971 Re; HALKLOI.S Property Proposed SwgleFamily Dwelling&Decking Situate: 1600 Greenway East ® Orient ® Town of Southold ®New York SCI°M#: 1000®015 ®02®007 Dear Mr. Bredemeyer, This Firm represents the owner of the property referenced above, who is seeking all required regulatory approval to develop subject property in a residential fashion. Consequently, approval from your Department is required. Please find enclosed: (1) Town of Southold Trustees Wetlands Permit Application(original and three [3] copies); (2) Short Environmental Assessment Form(original and three [3] copies); (3) Town of Southold Focal Waterfront Revitalization Program Application` (four [4] sets); ( er (original and three [3] copies); 'Pi (5) Location Map for reference(four [4] copies); (6) Photographs of the site indicating current conditions thereon(four [4] sets); (7) Survey of subject property,prepared by JOHN C.EHLERS,L IND SLIRVErOR, last dated August 13, 2014,indicating the conditions thereon (four [4] prints); A (8) Check made payable to the Town of Southold to cover the requisite application fee. Kindly review these items and schedule for the next available Board of Trustees' meeting at the earliest opportunity. Should you have any questions regarding this matter, or require'additional information, please feel free to contact this office at any, time. Thank you in advance for your cooperation. Sincerely, Matt D. Ivans attachment CC: G. Halkidis' LIALK-IDIS A licatio Situate: 1600 Greenway East ■ Orient ■ Town of Southold ■ New York DEC 9 2014 SCTM #: 1000—015 —02 - 007 - d;. T, Aerial Photograph from 1962 indicating the preparation of roadways within the GREEN ACRES at ORIENT Subdivision, the location of the current HALKIDIS property and the condition of the leaching area to the immediate south. The linear condition of the shoreline mimics the shoreline of a typical recharge basin. 10 I t c asa Q7G -cam r' t f t c� as J-4 Is d 40 I ,+ • • ar• ':,�; ,�f. ,.;t •�J-: I !._ .. i. ; _ _r.,:'Y!'.` 'M a:r y t:',�•:\I••f S'�'V 7.,. rti _ -••r ',... t ... ,77 Y _ R•,4 `ve�i..S�i_-..._ . •_r i 1 ._ ,. + r ` I.. �r ,� I ,� ,r lu < 000 d FRID Aft 12 too ■ Q / r r w, C. L/P.40•m �/L OL"wfs _ Ee a& _A.. i +•' �`�t •r•.! ' ♦ _•'I�.N IJ L•M t .lsr rN•u .. � ..r.I we •om1 r •• •1 r• ,'•. � .sr. 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TOWN 0UTH L _ I Soat�L�ld iotivn 5U EEO LK COUNTY, NY rip 5URVEYED 05-05-2014 PROP05ED ACTIONS-08- 13-2014 SUFFOLK COUNTY TAX # j MAIN HOU5E INVEKT5 NOT TO SCALE 1 000 15 - 2 - 7 --PC'MIN E NAA -OC KING CAST FF ELEVATIaN.13.0 f" / LEACHING POOLS UVERTO GRADE CERTIFIED TO l ��,.:,toPE MAx GwADE EL=, 1.0 EL s`O iNV-8_2_ r MIN:2 MAX NV 7 5 NV i.7 GEORGE HALKIDIS 18'PER FC OT 1 000 GALLON �t e DIA x E.P. L} SEPTIC TANK 1 ( DfSTRdF3UfICN POOL — -- — -- 3'MIN. - — - -- --- — — --GR.OUND.W�.TEFS...E'=L.Z' -- - — WELL r }_ cn O I LST 27 it DWELLING I 5EPTlG IN REAR x j .4' ��EL..-1 2' t,E FE: 0.4' N __ - =" --- L.P. I 5® sr L:P. ` A 1530 - _� --- �, / E.P: �.P, L.P. o I i EL.=I 2' wv - � ID�� / ILT _ ` - _'_ S --1-77A r a PROP ® o r� fi � 18.0 ,- 11 i� ®.W 0,0 0-0 j ' �j�� soy S�PTIG �,� z -AS II -V--T 50 POSf0r°00 00 t Ct m`� I ova z cn z . r ' 2 i f /C�. / 1. D•Wc� ME HOUSE', a 713 � 11 �B�a I r-0I Q I T' cel ; I WELL �. I �o LST 2 [�' c»` I Q q5T® P � O_ . cn GOO 5F0 IO ALE I = r,� ! 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V mm (DRIVEWAY AREA= !CKJO 5a.Ft, Vvv OOt;Sa Ft X O.17 !70 .I BROWN SANDY SILT M.L �. - - --3' Li��/42.2=4 VERTICAL FT.OF 8'DIA.LEACHING POOL REQUIRED ROWN ANrn'su 5rn -VIDE(!)8'DIA.x 4 STORM DRAIN POOL WITH !0%URAVEL _--- - -- -8 PA'ut.BROWN FINE SW .. ._� "_�-... .1 I -- - -e s TO cOo.R5E SAND NOTE DRIVEWAY TO 2E PITC'r1ED TO DR WELLS A,ND TRENC I [URAfN To VOL DRAINAGE FROM ENrrERING TOWN R(GHT OF ---- - —-- WATER IN:PALE BROWN 5W --. j FINE TO COARSE 5AND j EQGE OF WETI AND5 A5 DELINEATED BY SUFFOLK ENVIRONMENTAL 5ERVICE5 10--l-O---2014 _ (COMMENTS:WATER ENCOUNTERED 8.3'BELOW SURFACE - I NOTES: ! &� � Unnuthnnzed — . ite,ation or addition r e map bear ng gtensed land su v yar sA y ) MONUMENT FOUND Lo van, a �aon bjvaathe, PIPE FOUND. E/11 New York'state Ed—tor,Low.- JOHN Ce L R5 LAND5 /EYO X GRAIN LINK PENCE "On copiea om mark d with car original o a f t ' of heand eui vey sII j .s,emper. seal shall be considered to be void t uel I G EAST MAIN STREET N.Y.S. LIC. NO. 50202 A h Cert'fiaatians indicated hereon signify that this gg survey.woe prepared:it accordance wi{h. the ex—I Area = 20,900 S Ft. RIVERHEAD N.Y. 11901 3G9-8288 fax 3GO-8287 q! fisting Code of Practice for Lord Surveys adopted '�' ° ® ..1, by the h York Stoie Association of Profecs!onc) Area = 0.479 AGreS �� �� I Land S --yo— Sold c i fcotions shall n only Ion I5landland5urve or.com gyp! g® to tr Person for whom the survoy is prepared, GRAPHIC SCALE I"= 30` 9 y e$�� �� � and an h, behalf to the t tie company, gavernmen— �AN� to l agency and lending institution 11 1-d hereon;dnd - ke the assignees of the leh6ng Institut on. CerLficn- _`_ tions ore not transferable to oddlt•dn ai instdutioris