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HomeMy WebLinkAboutTR-8538A John M. Bredemeyer III, President g�}EFQ( -moo Town Hall,53095 Main Rd_ Michael J_ Domino, Vice-President �� Gym P.O. Box 1179 James F. King y x Southold,NY 11971 Charles J. Sanders � �� Telephone(63 1)765-1892 DayeRi�rgen Fax (63 L)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction % constructed Project complete, compliance inspection John M.Bredemeyer III,President �� yQl Town Hall Annex Michael J.Domino,Vice-President ~ O 54375 Main Road 1 l P.O.Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee �pQ Q Charles J.Sanders, Trustee Telephone(631) 765-1892 Telephone Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8538A Date of Receipt of Application: October 21, 2014 Applicant: Jerome O. Morrissey SCTM#: 145-4-2.1 Project Location: 1780 Great Peconic Bay Boulevard, Laurel Date of Resolution/Issuance: December 17, 2014 Date of Expiration: December 17, 2016 Reviewed by: Board of Trustees Project Description: For the as-built 46"x22' cedar walkway from existing walkway to bulkhead; as-built 8 cubic yards of beach sand within a 20'x25' area; and to install approximately 155' of 6' high fencing along property line. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Jerome O. Morrissey, received on October 21, 2014, and stamped approved on December 17, 2014. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency, John M. Bredemeyer II President, Board of Trustees Jerome O. Morrissey fi 1780 Great Peconic Bay Blvd.,Laurel r SCTM#145-4-2.1 � 12/10/14 b r - d a _ 6 '_5`1.N -�nua''.m:::. tom,,_ t'^`."•.+,...w..., E e x 3 7 Jerome O.Morrissey 1780 Great Peconic Bay Blvd.,Laurel SCTM#145-4-2.1 12/10/14 ,yam ,c _'Jerome O.Morrissey 1780 Great Peconic Bay Blvd.,Laurel SCTM#145-4-2.1 12/10/14 � 0 �0 0 0 f JL AK NOW 12- / 10/20+ 14 16 : 3 +0 1, !"' ' "�•.. `+ ° - # s y Jolin Bredemeyer, President oSUFFot'. Town Hall Annex Michael J. Domino, Vice-President °°� �O�y 54375 Route 25 James F. King ti P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen y�O1 ,� �a Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: XC JEROME O. MORRISSEY requests an Administrative Permit for the as-built 46"x22' cedar walkway from existing walkway to bulkhead; as-built 8 cubic yards of beach sand within a 20'x25' area; and to install approximately 155' of 6' high fencing along property line. Located: 1780 Great Peconic Bay Boulevard, Laurel. SCTM# 145-4-2.1 Type of area to be impacted: - � �� za� Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: LOhapt.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: Modifications: /V661> Conditions: Present Were: J. Bredemeyerr- M. Domino A. King C. Sanders L-15. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: Town--of Southold A, 2 7 2.4 Suffolk County;N;Y The People of the State of Now York vs. LASTN MB(DEFENDANT) ,FIRST NAME MIDDLE INITIAL e►'n/Y155�'s( :1PZ0 Y11-le STREETADDRESS '. ..._ APT NO. Cmr ZIP •UCENSE OR REGISTRATION NUMBER . STA I TYPE OF LICENSE. :DA EXPIRES SER DATE OF.BIRTH OPERATOR ; ..� ..__ .;. `'Y1-. .�. ._.WNS VEHICLE; :THE OPERATOR OR REGISTER_ED OWNER OF VEHICLE DESCRIBED BEL W ❑YES. ❑NO. PLATE NO. '..4. - ... ..-_tw.. .DATE EXPIRES- STATE"" _ .: .. .PLATE TYPE . _ .. .. . ❑.N.Y. N.J.- .❑'NY ❑-N.J. ❑ ❑PASS "❑COMMA ❑ - _ - .... . .:. .. VEHICLE MAKE t 4 ❑ DODGE - .,] ❑ BUICK - --_ .❑- CHEV ❑- -CADILLAC-- ❑. °'PONTIAC .. ❑ FORD ❑ OLDS ❑ PLYM TOYOTA ❑ VOLKS BODY - --"❑ 2DR ❑ 4 DR ' ❑-BUS'. .. ❑ MCY _ .":❑- S.W. TYPE - ❑ TRUCK O TRAILER ❑ VAN ❑- - VIN:NUMBER- -'-THE PERSONDESCRIBED ABOVEIS CHARGEDAS FOLLOWS "-PLACE.OF OCCUI E - - - -- PCT �o G� l�cllY. DATE OF OFFENSE. 'AM71 CITY TOWN,.%nLLA�E,p,RH77SUFFOLK COUNTY M' —• e, a t tom'+ 'IN,VIOLATION OF SECTION8UBD OPINE❑VEHICLEAND TRAFFIC LAW OF THE STATE OF NEW YORK,. bTHER(SPECIFY) -'� _ ❑O.S. ❑COM ❑BUS -❑'HAZ DEF VEH �;I �y ❑- .SPEEDING-*- OTHER OFFE E. \ - 1 MPH IN A MPH ZONE - L} MISDEMEANOR❑ .. OCT — 6 2014 FACTUAL PART(NOT FOR TVB)- " -THEABOVE NAMED:DEFEND ANT.DID ON THE STATED-DATE,TIMEAN PLACE lin e l KI.JL� Cs,2 Southold Tea^rn k� ., �,- �,o{ ,,44, L. __.�•_of Tr)st2Ps fiyus�e+✓ >°f,'v���{,, = , The Forego ng'based on(Personal knowledge)a m ;- � - c1 ) datedl. PARKINGSCHEDULED FINES - CONTACT COURT -,� - THE PERSON DESCRIBED ABOVE IS SUMMONED TO APPEAR AT SOUTHOLD,TOWN JUSTICE COURT,,50095 ROUTE 25;SOUTHOLD;.NY 11971 DATE OF APPEARANCE(NOTFOR-MB) " ON I+o 7' -7 ...� _ AT �CT Lam. ` li ( FALSE STATEMEWS I-WREN AAE PUNISHABLEAS'A CLASS A MISDEMEANOR PURSUANT TO SECTION210.45 OF THE P.LN:YS. .,COMPLAINANT DATE ,..�. {fig• � .- p y. 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) -e Southold, NY 11971 aQ Telephone: 631 765-1938. COUNTY,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF'SOUTHOLD MEMORANDUM feeee t - r_, To: John Bredemeyer, President Ai Town of Southold Board of Trustees DEC 5 2014 `_"' From: Mark Terry, Principal Planner LWRP Coordinator Date: December 5, 2014 Re: Request for an Administrative.Permit for JEROME O. MORRISSEY SCTM# 1000-145-4-2.1 JEROME O. MORRISSEY requests.an Administrative Permit for the as-built 46"x22':cedar walkway from existing walkway to bulkhead; as-built 8 cubic yards of beach sand within a 20'x25' area; and to install approximately 1,55' of'6' high fencing along property line. Located: 1780 Great Peconic Bay Boulevard, Laurel. SCTM# 145-4-2.1 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 action is INCONSISTENT with the Policy Standards'(Policy 6.3) and therefore is INCONSISTENT with LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction - 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The as-built 461"x22' cedar walkway from existing walkway to bulkhead; as- built 8 cubic yards of beach sand within a 20'x25' area were not constructed pursuant to a Board of Trustees permit. The proposed fence is CONSISTENT. Pursuant to Chapter 268, the Board of Trustees shall consider.this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F.King,President �®F Sol Town Hall Annex i Bob Ghosio,Jr.,Vice-President �O� �� 54375 Main Road II, P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer �O Telephone(631)765-1892 Michael J.Domino O Pax(631)766-6641 • �y�4UN(`�,� 1 BOARD OF TOWN TRUSTEES y TOWN OF SOUTHOLD 1 i Office Use Only Coastal Erosion Permit Applicatioxy Wetland Permit Application Administrative Permit Amendment/Transfe/Ext nsion eceived Application: eceived Fee:$ _Completed Application' incomplete _SEQRA Classification: Type I Type I1 Unlisted OCT 2 1 2014 1' Coordination:(date sent) i 37LWRP Consistency Assessment Form CAC Referral Sent: ate.of Inspection: �- _ gra�f,?:I;(r,s Receipt of CAC Report: _Lead Agency Determination: Rechnical Review: Public Hearing Held: 12117 't Resolution: Name of Applicant I e_y'o io-A z C9. s Y e-/ Mailing Address 5'0 '1 /41 ovr•, s —A-%fe- 12dG1coe I I P ��✓'Z j T-7 U Phone Number:( '76 N FC/ Suffolk County Tax Map Number: 1000- j S — O g Property Location: f'7 �'J +' '+� P-e C 0,'j'C d�" (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: L _rd of Trustees Application, GENERAL DATA Land Area(in square feet): 3 ® . F-5 1 �`- - - Area Zoning: e oQ 1 o A- 1 Previous use of property: e Intended use of property: Sit e Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. ! . Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. t Does this project require a variance from the Zoning Board of Appeals? Yes 1,�No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s)on property have a valid Certificate of Occupancy? Yes' _ No � . Prior permits/approvals for site improvements: Agency Date F E ! No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓ No Yes. If yes,provide explanation: Project Description(use attachments if necessary): ���,+� tr✓� �,-� G'iln ��i ZZ -�.-�— �nn C„ -�(/(S�� ���i9'� ��("� I.�JGJ�U"-C-�'�fl.%�( r f fit,°- yPtV �`� � S i I Ba. of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot:' � ® square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland . edge of wetlands:I'- t feet Does the project involve ex ation or filling? _No Yes IfY es,how much material will be excavated?N cubic yards How much.material will be filled?� cubic yards �7 Depth of which material will be removed or deposited: $'-l v S Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: vvwe-d b CL V t(0 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): i . i 617.20 Appendix B i Short Environmental Assessment Form I. . Instructions for Completing Part I-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses i. become part of the application for approval or funding,are subject to public review,and may be subject to further verification, Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information a - i. Name of Action or Project: i I Project Location(describe,and attach a location map): i BriefDescription of Proposed Action: i VA Sponsor, Telephone: —d 7��p� �j/(7- Name of Applicant orpon n g i € ta`i!'G y9+1\ lA a i7 6�f l s e`. - -1Y1Q11� G6Ut e 0"A O f/"�'t Sf C� C°�Ci/'�i�1 ( .Cc V1, i Address: �6 4v e_ t City/PO: State: Zip Code: • �®L ��, i� C•���--� - �° -gyp S? 0 1.Does the proposed action only involve the legislative adoption of a plan,local law,oidin nce, NO YES administrative rule,or regulation? ❑ E 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 g6vernmental Agency? NO YES j If Yes,list agency(s)name and permit or approval: ❑ 3.a.Total acreage of the site df the proposed action? acres b.Total acreage to be physically disturbed?. acres c.Total acreage-(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres - i 4. Check all Iand uses that occur on,adjoining and near the proposedaction. i �� i E]Urban ❑Rural(non-agriculture) ❑Industrial Commercial 0<1dential(suburban) ❑Forest ❑Agricuiture ❑Aquatic Other(specify): ❑Parkland .Page I of 4 - i ' 1 1 5. [s the proposed action, NO YES N/A 3 a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive pian? ❑ ❑ ❑ !_ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ I t 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: ❑ ! 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES a '❑ 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: Q ❑ �I' 3 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: /❑ ❑ . I 12. a.Does the site contain a structure that is listed on either the State orNational Register of Historic NO YES Places? 0 ❑ 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? (�-. ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: I� 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 0 AAgricultural/grasslands ❑Early mid-successional ❑ Wetland 0 Urban EI 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, ❑ �IO OYES a.Will storm water discharges flow to adjacent properties? b.,Will storm-water discharges be directed to established conveyance systems runo d storm drains)? If Yes,briefly describe: ErNO ❑YES 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: Or ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ , 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE ( % Appiicant/spon name:—�'`-�'o l It `�✓ t S S ' Date: /0 -- 7.7, — Z®a y Signature• 141( 7 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 I ` responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to Targe impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ F-1regulations? 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? I ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment ofa Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or i� ❑ affect existing infrastructure for mass transit,biking or walkway? 1 6. -Will the proposed action-cause an increase in the use of energy and it fails to incorporate �j' ❑ 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 5 No,or Moderate small to large j impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage F ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? t s 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 wil l not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, LP that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of.Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 i t �a Town of Southold 5 Erosion, Sedimentation & Storm Water Run-off ASSESSMENT FORM C PROPERTY LOCATION: S.C.TAt.S: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A �1qfOct STORM WATER,GRADING,DRAINAGE AND EROSION CONTROL PIAN eon B16a CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YOR16 SCOPE OF WORK - PROPOSED CONSTRUCTION rfVM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? I Will this Project Retain All Storm Water Run-Off (Include Total Area of all Parcels located within Z_a ,( 2- ) Generated by a Two(2°)Inch Rainfall on Site? the Scope of Work for Proposed Construction) (s F.Jaae,) (This Item will include all run-off created by site a b. What is the Total Area of Land Gearing nearing and/or construction activities as well as all and/or Ground Disturbance for the proposedSite Improvements and the pennarrent creation of construction activlty2 impervious surfaces.) F.J Aces) PROVIDE BRIEF PROJECT DESCREMON (Prow&Ak Paste esNeed4 2 Does the Site Plan Indicatingndfor Si Shaw All Proposed a . Drainage Structures Indicating Size&Location?This item shall include all Proposed Grade Changes and to I ' ay,S!Or,rJ Slopes Controlling Surface Water now. 3 Does the Site Plan and/or Survey describe the emilon A- �t t I Ic- and sediment control practices that will be used to control site erosion and storm water discharges. This , item must be maintained throughout the Entire t f Construction Period. �rt 5'i��\—W4n v%--- 0- �^' 4. Will this Project Require any Land Filling,Grading or 7 { 1 l Excavation where there)s a change to the Natural ��}�(. `� '� S 1 Existing Grade Involving more than 200 Cubic Yards El ��` ���e— of Materia[within any Parcel? �..• Ij Will this Application Require Land Disturbing Activities ❑ l Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Piojectwifhin the Trustees jurisdiction General DEC SWPPP Regoiremerits• or within One Hundred(100)feet of a Wetland or — Submission of a SWPPP is required for all Construction activities Involving sail Beach? disturbances of one(t)or more acres;iraluding dishnbances of less than one acre that 7 Will there be Site preparation an Existing Grade Slopes l are part of a larger common plan that will uitenately disturb one or more acres of hand; which Exceed Fifteen(15)feet of Vertical Rise to FiInctuding Construction activities Imrolvimg soli disturbances of less than one(t)acre where One Hundred(I W)of Horizontal Distance? the DEC has determined that a SPDES permit is required forstorm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDF.S General Permit 8 Will Driveways.Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.613e-04MI.) Surfaces be Sloped to Direct Storm-Water Run--Off ❑ 1.The SWPPP shall be prepared prior to the submittal of the NOI.The NOI shall be into and/or in the direction of a Town right-of--way? submitted to the Department prior to the commencement of construction activity. 2-The SWPPP shall describe the erosion and sediment contra[pracdoes and where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used andlor Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permtL In addition,the SWPPP shall Area?f"mem win ncrr rode tm insmrswr or oawww Aprorm) identify potential sources of pollution which may reasonably be expected to affect the quarry of sh=water discharges NOTE: If Achy Amtwer to Questions One through Mine is Answered with a Chesil Mark 1 Aft SWPPPs that require the post-conshuction storm water management practice Ina Box and the construction Sita distudnnce Is between%000 S.F.&I Arae In area, component shalt be prepared by a qualified Design Professional Licensed in New York a Storm Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that is fmowiedgeable in the principles and practises of Storm Water Management Southold and!bust be Submitted for Review Prior to Issuance of Any Buikrmg Pmm% (NOTE. A Check Mark(#)endrer Answerfer each Ouewmh is Required for a CorWete Applicatimt) STATE OF NEW YORK, COUNTY OF... ..... ............SS 'llat I,..... ... Q'�D � being drily swom,deposes and says that he/she is the applicant for Permit, (Name of in�ual signbng Dadrment) . And that he s�is the kJ (Owner,Contractor,Agent Corporate Officer,ate.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this.application are true to the best of his knowledge and belie!;and that the work will be performed in the manner set forth iii the application filed herewith. MAUREEN CECERE Swornto before Itle this; NOTARY PUBLIC,State of New Yolk 4970950 Qtuallffi d�inn Nassau CO fttV .......... ...�. .................. .. y of.......... ..... ....:� .,2U. .. ` its August 20,Notary Public: ........ . ................................. .......--.._.. ........... ..........ofApplcant) FORM -06i l0, Of Trustees Application r_ i I . County of Suffolk : State of New York BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS�THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN.THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature of Prop e Owner SWORN TO BEFORE ME THIS 1. I DAY OF 20 I MAUREEN CECERE NOTARY PUBLIC,state of NowrYork No.4970950 Qualified in Nassau County Commission Expires August 20,' . Notary Public i I . i i I APPLICANT/AGENT/REPRESENTATWE TRANSACTIONAL DISCLOSURE,.FJORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emnlovees.The puroosd of this form is to Drovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is 1 necessary to avoid same. ] i YOUR NAME:—S`Q irc)tM-C ®H '(c ►2 t S S C (Last name,first name,middle initial,unless you are applyiing lit the name of someone else or other entity,such as a company.If so,indicate thb.other person's or company's name.) y NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Loll. - 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 iigterest_"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%ofthe shares. YES NO � if you answered"YES",complete the balance of this form and date and sign where indicated Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a nap-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 thi `24 s'davDf Q dCA zg- 200 V q Signature. y Print e tie t rs ✓1� S� y 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 f and other ministerial permits not located within the Coastal Erosion Hazard Area. I 2. Before answering the questions in Section C, the preparer of this form should review the exempt 3 minor action fist, policies and explanations of each policy contained in the Town of Southold Local l 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- sunportina 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# - C24 - t PROJECT NAME �d��e 'L i vr(s S C The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g.capital ❑ -construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: 6 l Location of action:, _ Site acreage: °�Q Present land use: s r Present zoning classification: Ar 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 *Y2 t>� e (b) Mailing address* ®y � I (c) Telephone number:Area Code( ) fico ?C (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? 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, pireserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies;Page 2 for evaluation criteria. ❑Yes ❑ No F—,—Kot Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—PPolicies Pages 3 through 6 for evaluation criteria 1:1Yes ❑ No D�Not Applicable j 3 t i 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 ri j. i Attach additional sheets if necessary NATURAL COAST POLICIES f Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pag through 16 for evaluation criteria j i ❑ Yes No Not Applicable i• Attach additional sheets if necessary Policy 5. Protect and improve water duality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria i. Yes 0 No MINot Applicable I, Attach additional sheets if nee essary 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. 5 Yes No "Not Appo cable . i 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. YesE]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 I ► 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. ❑ Yez] No O Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES 1 Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies;Pages 47 through 56 for evaluation criteria. Yes ❑ No Not Applicable I Attach additional sheets if necessary I 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 EJ 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 forevaluationcriteria. F] Yes El � No�i 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 ©eta V"I o s r¢ TITLE O w��f DATE to ,7 � 2 'zo►y Board of Trustees Town of Southold PO Box 1179 Southold,NY 11971-0959 October 20, 14 Dear Members of the Board of Trustees, On June 11, 2014 we became the proud owners of 1780 Great Peconic Bay Blvd in Laurel NY.Although the house and property were in very good condition,an area at the end of our walkway that lead to our dock was in need of repair.After Super storm Sandy hit the property,it left an area that was once filled with sand to a pit of unsightly dirt and gravel. We took it upon ourselves to make some minor repairs, extended an existing cedar walkway to the bulkhead,widened the existing stairs for safety issues and refilled the empty pit back with 8 yards of fine clean sand. We were extremely happy with the results. Being new homeowners in Laurel,we were unaware that a permit was needed to make these repairs. We are now aware of our error and are applying for a permit for the work that was completed. Along with this permit application we would additionally like to add a 6 foot fence along our property line on top of our cement retaining wall to cover the glaring white 6 foot PVC fencing that was installed by our neighbor.This fence will start at the beginning of our driveway running south along our property line and then turn East towards our bulkhead.We ultimately would like to use a decorative lattice fencing to help re-beautify our property and views and also for privacy from the adjoining commercial property of 1900 Great Peconic Bay Blvd.This section of fencing will replace an existing handrail and also be placed on masonry blocks in order to match the height of the neighboring fence. Thank you very much in advance for your consideration and understanding. Sincerely, Jerome a Lindrrisey L-LA _L 7- X (Dili" ­7 /t I J' I F7 t-A _77 T_ _-BY" APPROVED IL iOA RD OF 'i-R6 ..TO . 0 -STE S-'- MHCL i'— —�= = , , DA'!l -1 .A �.r _f I_ i .I -'.., �I" I I I -i iN _I-- I -r iii A I T_ i' 1=--1= ---!_ Ifl �-�''��--- - I -1- '- _I__ ! ----' —! - � I I -j = -1_, ___I--P' � I ��' - , - -- - I - �--- �`,�,i----!-^tib- --I---,-- ---- - -- — --�---; - - --,-- — --�-� c=�.�_.��,_.�. -- -� — - --I--- I f- -'--�-- ,--- .� - • ! - -I � -- ' I ! -�- � -51a - -!- I J J 1 I I l- � I �- j _ . _ _---III_ I 1) : _:�> ��.� f. , _ ��� __ ! �_ 2 14 c 7V" J OCT 2 .. .. .. / L E _., _ . .... .. .. :.. t 400 OsV de.-Averuo. vertu .Gr�! .; / �:� 1 to 3�.T2'f."�03 0 631.TT 0144 �� -r dm'nogo�g •vlgco^i N �;< ;� Ot ltts U t�otU�cj � . W.Yang,Land E, p D—Ias E.Ada—.F�oioes!o.^al Er91neer - _ r. c, xbe•c raDc.Arcnite` - v S SITE DATA b ,. :. /�•� :. :.AREA a 30,05990 P.T. + .. 51F3DIVISION-"MP Or.Ei.12Ae[TN:•.5ROb1AN.. GY .. �,�•:'t e.`� •r'"• .. .. .• .. FORE5T 1411-Ls IMFROVE"C"''"0.-iw-.FILED IN TN+'OFF:e=OF . TMC OLERK OF S.YOLK OOVN7Y ON JNUARY.;6.1943 A FILL NO: Pte ' Vl SURVEYOR'S CERTIFICATION ry�.s .: ` ''�� t J •1•�}ICQ£B••GER IPT TO.IEROME O.MORR166EYr LINDA Q • Qe�:/ �A s� K.MORRISSEY&FIRST AMERICAN TITLE l`,6 *r �• ,D8 .FI 11k,•^ 9 INSURANCE COMPANY TYAT TN1951R WAS PROP ^J IN AOOGRDANGE WITH THE G F PRAO E FOR L _ . .. / .. .. �, ADOPTED 23"Tr1[NEii YOR:C05TATE'A IATIGN OrAro .a •. I ., .. �l PRcF-xVCNAL LAND SIiRVEYOR4. .. \\\\\\ .. a ••��(�'•c+�'" .�P �$ 'mac Y , .. �... .. :. .. ... `/ WA4D . ..L5. _ .. N. NO �W YOVNS 4 NO.4584 5URVEY FOR JEROME O. MORRI55EY 4 K ,�, �, :� 1 LIND,4 K.•MORRI55EY .. LOTS 12 4:FART OF L'OT3 .. \\... ,Npd.�=. 1, n "MAP OF CL.:ZA TH MCSRO3IAN PORE5T HILL5' rIMPROVEMEN'S GO„INC" ' ;.. .. ... a L 1� at Laurel;-Town of Southold { 1, Suffolk Countu,New York TILE SURVEY N�. � �• � ,tel 23 I COumq Tax Mop 1,-1 1000 1--145 H OA Ie 2.1 .•. •.. .D•,: \ l F'ELD 9RVEY�0MPLETED :. 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(' ��_ ..� ... w5.20 GFI 26 4-00t�. .MO`al` T SET ©.MON9'EN-FOWD L•Q'S-Al:C.C' A-5rAre.=c a,r j OCT :2 1 2014 (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A NOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW(2)DISTANCES SHOWN HEREON FROM PROPERTY LINF-TO EXITING STRUCTURES AR FOP A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT REARING THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CDNSIDEPED TO BE A VALID TRUE COPY (4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPAPED AND ON HIS BEHALF TO THE TITLE COMPANY GOVERNMENTAL AGENCY AND LENDING INSTITUTION USTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS, (5)THE LOCATION OF WELLS(W) SEPTIC TANKS(ST)R CESSPOOLS(CR)�HONN HEREON ARE FROM FIELD OB ERVATIONS M D OR DATA OBTAINED FROM OTHERS. N400 Ostrander Avenue,Riverhead,New York 11901 tel 651 121.2303 fax 631?2'1.0144 admin®youngengineering.com w • Howard W Young,Land Surveyor t,Professional E ineer Thomas Douglas E AI amts,Professional Engineer Robert C To5t,Architect S SITE DATA AREA = 30,85q 50 P T SUBDIVISION-'MAP OF ELIZABETH MESROBIAN 4 FOREST HILLS IMPROVEMENTS CC INC,"FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JANUARY 16,11143 AS FILE NO 1381 SURVEYOR'S COMMENTS vr(T 54 L 2406 cp 411 DESCRIBES 20 FOOT WIDE RIGHT OF HAY RUNNING NG CURB _ ' FROM PECONIC BAY BOULEVARD TO PEGONIC BAY THE LOCATION OF GO HHIGH IS VAGUE _ _ IGiI 00 __ L 6140 cp 414 DESCRIBES THE SAME 20 FOOT HIDE R16HT OF HAY N6q'13100„� _ RUNNING FROM PEGONIG BAY BOULEVARD TO PEGONIG BAY AS 11F _ — _ – I , � DE5GROED IN L 2406 cp 41-1 THE LOCATION OF MICH 15 VAGUE i N6q°1 21 O O C.o wAL1 ` ` L 11341 cp 155 DE5GRIBE5 THE SAME 20 FOOT WIDE RIGHT OF HAY – I R"11,16 FROM PEGONIG BAY BOULEVARD TO PEGONIG BAY AS I �'c DESCRIBED IN L 2406 cp 411 4 L 8140 op 419 THE LOCATION OF LOt 2 s I HHIGH IS VA611E + Fj 1 Q L 2511 cp 804 DESCRIBES A RIGHT OF WAY RUNNING FROM PEGONIG I I BAY BOULEVARD TO PECONIG BAY WHICH MODIFIES 4 GHAN6E5 I � LOt I I -L N N RIGHT OF WAY DESCRIBED IN L 2406 cP 419 � 1, o L 5158 cp 335 DESCRIBES A RI6HT OF WAY PLOTTED HEREON I I (ANIT DIMENSIONS HAVE BEEN AMENDED BASED ON ADJACENT DEEDS AND A G IT 0 SURVEY DECISIONS I rj 1 1/2 STORY :2 I HOUSE3o `0' FRA I BRICK l � O p j,T 10 a� Fj ^� 41 b V' /_' I MA50T'IRY PI.?10 GONG � C { � I i � I 12 L � \�\ BELGIAN MOCK COM I 41-O I X650 x,41 E oo II a 0 STONE eRlveHt�Y I — YNOOD KALK- U�. — — — — y _ — Lot 3 "FUMEu D R LIL 85A 2101E VIM I O POST 4 RAIL PENCE o I I1 -- '> -tt I 575 45 40 W s,n-ow GONG 257 74' I I n I I 9 I now or formerly < II N Russell Palmer 4 Mary Lou Palmer I I � D o I ° I >x I 10 1111 D n I 3D t�t _ I I now or formerly IAlan Schlesinger 1 I I 1 _N837=X00„E -- _ _ -___�241- _ _ O � I I r nl 58 OO' -----581_4213011►N ° - _ 1 109 7ct' ---'__-- ____ J M I I m z -a I now or formerly I NO I0 I John J Harrigam, Jr I 0 -I 0 14 Agota Harrigan mol I now or formerly I I Douglas 5eeth Irrevocable Living Trust I - I 4 Jane 5eeth Irrevocable Living Trust I I i ILN-75045'40"rz, I 50 15 —�I I _ 58 C171 I5150-4540"N ?° I I I I A, I I 1 $off I i I 1 575045'40"W 1 I I � � I I l \ I I now or formerly 1 I I Thomas A Eschmann s �� now or formerly I I Elinore F Eschmann Joseph J Grillo Susan Grillo \ N 1 m I g ' I ------- T; � 'S" , ,� I I SURVEYORCERTIFICATION -'� J �1 +� I I l • HEHEREBYGERTIFYTO JEROME O MORRISSEY, LINDA K MORRISSEY & FIRST AMER10,A1 TLE ( �CI 214 i+ I 1 IN COMPANY THAT T' 1 IN ACCORDANCE WITH THE CODE OF P o ADOPTED BY THE NEW YORK STATE A ai I I I N I PROFESSIONAL LAND SURVEYOR5 Prpvi HOWARD W YOUNG,N L 5 NO 4 I I l I I l E I i M 1 SURVEY FOR ' JEROME O. MORR155EY I l LINDA K. MORRI55EY § LOTS I, 2 4 PART OF LOT 5 I I "MAP OF ELIZABETH ME5ROBIAN 4 I I FOREST HILLS IMPROVEMENTS CO, INC” I I at Laurel, Town of Southold APPROXIMAiE HIGH WATER MARK Suffolk County, New York I TITLE SURVEY County Tax Map DI,trlct 1000 s«e.«, 145 Block 04 Lot 21 FIELD SURVEY COMPLETED MAY 22 2014 MAP PREPARED MAY 23,2014 (000, Record of Revisions 5-7000i16"W RECORD OF REVIVON5 DATE RI6H75 OF WAY JUN 05 2014 JUN O6,2014 �Foom o SAY a M 80 O 15 80 60 0 a Scales 1" = 30' JOB NO 2014-0092 DWG 2014_0042_ts I OF I ❑ MONUMENT SET ■s MONUMENT FOUND ■ STAKE SET ■ STAKE FOUND