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TR-8546
• John M. Bredemeyer 111, President Michael J_ Domino, Vice -President James F. King Charles J. Sanders Dave Bergen BOARD OF TOWN TRUSTEES . TOWN OF SOUTHOLD a Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY l 1971 Telephone (63 I) 765-1892 Fax (631) 765-6641 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE -CONSTRUCTION INSPrECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre -construction, May bale line 1St day of construction %constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8546 DATE: DECEMBER 17, 2014 ISSUED TO: ALAN SCHLESINGER PROPERTY ADDRESS: 125 MESROBIAN DRIVE, LAUREL SCTM# 145-4-7 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_ December 17, 2014, and in consideration of application fee in the sum of $250.00 paid by Alan Russel Schlesinger and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and pen -nits the following: Wetland Permit to re -face the front and rear of existing 91 linear foot long timber bulkhead with plastic sheeting; replacement of existing 12.5'x5' wide timber platform and stairs utilizing existing piles and Trex decking; construction of a 10'x14' deck at grade on top of existing bulkhead with Trex decking; installation of 81x12' temporary storage shed at front of property; the addition of 20 cubic yards of clean sand to backfill behind the bulkhead; and to install and subsequently maintain a 10' wide non -turf buffer landward of the bulkhead; and as depicted on site plan prepared by Jeffrey Patanjo, last dated October 26, 2014 and stamped approved on December 17, 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 F ` TERMS AND CONDITIONS The Permittee Alan Schlesinger, residing at 125 Mesrobian Drive Laurel, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 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. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 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 maybe required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 1 l . 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. • John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee December 17, 2014 Mr. Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 • OF SOU k � O �Ol 4b, iQ COUNTY, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: ALAN SCHLESINGER 125 MESROBIAN DRIVE, LAUREL SCTM# 145-4-7 Dear Mr. Patanjo: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 17, 2014 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of ALAN SCHLESINGER 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 November 6, 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 December 17, 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 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 approves the application of ALAN SCHLESINGER to re -face the front and rear of existing 91 linear foot long timber bulkhead with plastic sheeting; replacement of existing 12.5'x5' wide timber platform and stairs utilizing existing piles and Trex decking; construction of a 10'x14' deck at grade on top of existing bulkhead with Trex decking; installation of 8'x12' temporary storage shed at front of property; the addition of 20 cubic yards of clean sand to backfill behind the bulkhead; and to install and subsequently maintain a 10' wide non -turf buffer landward of the bulkhead; and as depicted on site plan prepared by Jeffrey Patanjo, last dated October 26, 2014 and stamped approved on December 17, 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, John M. Bredemeyer III President, Board of Trustees JMB/amn John M. Bredemeyer 111, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen 4�Ogu1:F0(�-coG Q BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Jeffrey Patanjo for Alan Schlesinger Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Please be advised that your application dated 11/6/14 has been reviewed by this Board at the regular meeting of 12/17/14 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre -Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) XX Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) XX The Permittee is required to provide evidence that the non -turf buffer condition of the 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. 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: $ 50.00 BY: John M. Bredemeyer III, President Board of Trustees 9 f December 101h 2014 Board of Trustees, Town of Southold Re; Alan Schlesinger SCTM# 1000-145-04-07 I Mary Lou Palmer am the adjacent property owner to Alan Schlesinger. • I OPPOSE the installation of an 8 X 12 temporary shed. This proposed shed will be a definite eyesore if approved. Mr. Schlessinger has room for this shed on the south side of his property which would not impact any adjacent neighbor. Mr. Schlessinger has a habit of leaving trash around his yard (evidenced by 3 enclosed photos); if said shed is approved there is a great possibility that he would place debris behind this shed. Mr. Schlesssenger has a two car garage and parks his car outside (past 13 yrs. +). As a full time home owner with a two car garage I have ample room for lawn, garden and additional storage without the installation of a shed. FYI - Bulkhead work has already been started WITHOUT this permit. I believe that this is a Town and DEC violation. Previously he wanted to install a 6 foot stockade fence along the property line the town permit was denied. In lieu of this he has planted high growing shrubs obstructing my bay view. With the instillation of a 8 X 12 temporary shed my view continues to be obstructed. I hope that you will give me consideration when making your decision. Thanking you in advance, Mary Lou Palmer 85 Mesrobian Drive Laurel, N.Y. 11948 P' . ii j . r 1owl 1 4 7` nye. S, '�' t , �* • • � �{ ,, ,�:�*fir V� . 4 2 t e� IJNERM • John Bredemeyer, President SUFF91t Michael J. Domino, Vice -President James F. King Charles J. Sanders s Dave Bergen s Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time:___l7 Jeffrey Patanjo on behalf of ALAN SCHLESINGER requests a Wetland Permit to re- face the front and rear of existing 91 linear foot long timber bulkhead with plastic sheeting; replacement of existing 12.5x5' wide timber platform and stairs utilizing existing piles and Trex decking; construction of a 10'x14' deck at grade on top of existing bulkhead with Trex decking; installation of 8'x12' temporary storage shed at front of property; and the installation of a 10' wide non -turf buffer landward of the bulkhead. Located: 125 Mesrobian Drive, Laurel. SCTM# 145-4-7 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: ,v 0 rr'� Modifications: Conditions: Present Were: J. Bredemeyer—/M. Domino YJ. King C. Sanders /D. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: Photo 2 S NOV - 2014 u, -- Inx rt r...w Drr n�Nxl. ixu ru �__ �`� �r�•ru ._ _ 44 PROPERTY MAP / x a t Qt / 0,1 P pQ � r •� wN ji 9' l/. , / d � ' I .p �o WTICE P. COUNTY OF SUFFOLK © '`f w SWTHOLo SECTONI c ,,,_ ___ __ y;.,,�.,6 Real Property Taz Service Agentylr �— ^----�-- ! �.wN�... R..,...N.xx.x • s 145 IA o'w a n, -- --•-- —.,x� s:�'yf P 1000 PROPERTY 0 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 �O�*OF s�(/ryQl 0 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 N 2tr �p� Telephone: 631765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: December 5, 2014 Re: Proposed Wetland Permit for ALAN SCHLESINGER SCTM# 1000-145-4-7 ALAN SCHLESINGER requests a Wetland Permit to re -face the front and rear of existing 91 linear foot long timber bulkhead with plastic sheeting; replacement of existing 12.5'x5' wide timber platform and stairs utilizing existing piles and Trex decking; construction of a 10'x14' deck at grade on top of existing bulkhead with Trex decking; installation of 8'x12' temporary storage shed at front of property; and the installation of a 10' wide non -turf buffer landward of the bulkhead. Located: 125 Mesrobian Drive, Laurel. SCTM# 145-4-7 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided the following: It is recommended that the non -turf buffer be vegetated with native plants. 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 • gpFFO1/ • Peter Young, Chairman Lauren Standish, Secretary ,r Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 At the meeting of the Southold Town Conservation Advisory Council held Wed., December 10, 2014 the following recommendation was made: Moved by John Stein, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of ALAN SCHLESINGER for the re -facing of front and rear of existing timber bulkhead with plastic sheathing; replacement of existing storm damaged 12.5'X 5' wide timber platform and stairs utilizing piles and Trex decking, construction of 10'X 14' deck at grade on top of existing bulkhead with Trex and installation of 8'X 12' temporary storage shed at front of property. Located: 125 Mesrobian Dr., Laurel. SCTM#145-4-7 Inspected by: John Stein, Keith McCamy Vote of Council: Ayes: All Motion Carried 9 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino *pF SO!/T�o� COUNT`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: Southold Town Building Department 0 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Re: Verification of Building Department Permit Requirements SCTM#: I q� .y - 2 Property Owner Name: 6) Date Sent to Bldg. Dept.: Telephone (631) 765-1892 Fax (631) 765-6641 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 WWilikhe proposed project require a Building Permit? Will the proposed project require a variance determination from Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: / X / / Signature of R&Iewer Date 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino of soujy� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application Wetland Permit Application Administrative Permit / Amendment/Transfer/Extension V ceived Application: 11 161lq TO Cceived Fee:$ ompleted Application _Incomplete _SEQRA Classification: Type I Type II Unlisted - ordination: sent) WRP Consistency Assessment Form ELl CAC Referral Sent: // t /_Date of Inspection:40/ _Receipt of CAC Report: _Lead Agency Determination: Technical Review: _Public Hearing Held: / 17 Resolution: Name of Applicant Mailing Address i C. 6 o x y 1,3 1 L, N y I /q q S Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 Phone Number:( ) b-31. a q 8 -2.1-7-7 Suffolk County Tax Map Number: 1000 - 1 y 5'- y - 7 Property Location: 195- M e s.eb Ah Dr' LAVCe-% I 1 q Y & ?,lo, Ss" -+-h d F .eC..A Le- (g,, &v4 (provide LILCO Pole #, distance to cross streets, and location AGENT:�e (If applicable) Address: 1 v4 N e wt+i, QL vgk• CeA+er Nt a (IGgG S ,ISI 114 3L4 Phone: 1,31 . `%$ +{ -9 3 3 C)p�•� Ord of Trustees Application GENERAL DATA Land Area (in square feet): I y, A 6 I Area Zoning: R e s i d e ✓i + %e, C Previous use of property: R e s de n -k"4 Intended use of property: t2.e 51,4evi t, w L Covenants and Restrictions on property? Yes ✓ No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes ✓ No If "Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ✓No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure (s) on property have a valid Certificate of Occupancy? ✓Yes No Prior permits/approvals for site improvements: Agency Date 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): 125 MESROBIAN DRIVE, LAUREL, NY SCTM No. 1000-145-04-07 PROJECT DESCRIPTION The project includes re -facing front and rear of existing timber bulkhead with plastic sheeting, replacement of existing storm damaged 12.5'x 5' wide timber platform and stairs utilizing existing piles and Trex decking, construction of 10' x 14' deck at grade on top of existing bulkhead with Trex decking and installation of 8'x 12' temporary storage shed at front of property. Bod of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Scc e t-r-nc. h czL - Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: AJ JA feet Closest distance between nearest proposed structure and upland edge of wetlands: iv A feet Does the project involve excavation or filling? No ✓ Yes If yes, how much material will be excavated? cubic yards How much material will be filled? a D cubic yards Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: 0 -5 - Manner --S Manner in which material will be removed or deposited: S IG, 4 5 Zer-2 . TA C* 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): There- —ill b e N v "cq A -h v' L e Face+ Vv wt -r'1 k., *.s ,tL- T, sQti,C W .� �t t, l , 44e PG A4 r/L ;A s(wn4-1-tel 4c, c 4e -G V- (3di"-o/tti. • 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing • Part 1 - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part l based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1 - Project and Sponsor Information Name of Action or Project: Project Location (describe, and attach a location map): SGG .t••i;'4•tK"eA- Brief Description of Proposed Action: ft- l' cc st.c S P-e?laec hs'' k'7,J 5�trS �o.�s�r/L,.cr to'k!y' ePcUL 4r �tk.@e -mac.-,�. i'�.t3` •t«nP. S -'e rage Name of Applicant or Sponsor: Telephone: 3 f 1q $ at 7'7 lQ1An �Jc111Ciln cr IiMail: re, h/'G'Sinq aoC• Address: P tox q43 City/PO: State: Zip Code: LL NV II 'N 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES -/ administrative rule, or regulation? Yes, attach a narrative description of the intent of the proposed action and the environmental resources that R F]If 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 l If Yes, list agency(s) name and permit or approval: 3.a. Total acreage of the site of the proposed action? m • 3 a7 acres b. Total acreage to be physically disturbed? O• ono acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 0 337—acres 4. Check all land uses that occur on, adjoining and near the proposed action. -- // E] Urban ❑Rural (non -agriculture) ❑ Industrial ❑Commercial 'Residential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other (specify):.-___,___., _........ ❑Parkland Page 1 of 4 • • 5. Is the proposed action, ��- a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A 1:1 ❑ ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: NO YES _ ❑ S. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NO YES ❑ ❑ 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements, describe design features and technologies: NO YES ❑ 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: NO YES 1 I . Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: _ _ NO . YES d ❑ 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. is the proposed action located in an archeological sensitive area? NO YES P1 F1 13, a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: NO YES El - 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 ❑ rrcultural/grasslands ❑ Early mid -successional ❑ Wetland El Urban Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the Stale or Federal government as threatened or endangered? NO YES ❑ 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? 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 []YES NO YES ❑ Page 2 of 4 • • I 8. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: _,, _.. _._.,_ ., _ NO YES ❑ to large impact impact may 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: NO YES occur ❑ ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? If Yes, describe: NO YES 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area (CEA)? I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE p Applicant/spon me: IWT P�+�na� /4�eyt-1' Date: ft '%a•1Y_ 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?" Page 3 of 4 No, or Moderate small to large impact impact may may . occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? E 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 El existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a, public / private water supplies? El b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, El or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, waterbodics, groundwater, air quality, flora and fauna)? Page 3 of 4 Part 3 - Determination orsignificance. The Lead Agency is responsible for thecompletion 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. F] 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. u 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. i U Town of Southold - Board of Trustees '+ y✓/ Io Zme of L Agency Date e e President Print or IwehJarne of ReOoWble Officer in Lead A ency Title of Responsible Officer of Res onsi le Officer in Lead Agency Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 No, or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3 - Determination orsignificance. The Lead Agency is responsible for thecompletion 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. F] 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. u 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. i U Town of Southold - Board of Trustees '+ y✓/ Io Zme of L Agency Date e e President Print or IwehJarne of ReOoWble Officer in Lead A ency Title of Responsible Officer of Res onsi le Officer in Lead Agency Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 • 617.20 SEAR PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 1, APPLICANT/SPONSOR 2. PROJECT NAME Alar? SCk1zS1n -e 125' �e �ebc�,h fl2. La�rcL 1PROJECT LOCATION: n Municipality 6c, 0-t"h o 1 k County S�a LU_ 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc - or provide map )25'- D2 • -- 5een l -ek t-! o.0 AA,, 5. IS PROPOSED ACTION: ❑ New ❑ Expansion edification / alteration 6. DESCRIBE PROJECT BRIEFLY: Stc 4ff-QcG,e.,t 7. AMOUNT OF LAND AFFECTED: Initially 0, Dl acres Ultimately D• O I acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes ❑ No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) QResidential ❑ Industrial ❑ Commercial ❑Agriculture ❑ Park / Forest / Open Space ❑ Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [Rlyes ❑ No If yes, list agency name and permit / approval: —To,�,� 1p t- S&�4hv lit. T��srtGs 11. DOES ANY ASP CT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes L If yes, list agency name and permit / approval: 12. AS A RESUkT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Na Date: % / b . 7,401- a�� Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment 0 0 ear Town of Southold gErosion, Sedimentation & Storm-Water Run -off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. * THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN sal tTee3 trop -Toc rt— Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run -Off (Include Total Area of all Parcels located within 14 2 V 1 D 2 Generated by a Two (2") Inch Rainfall on Site? the Scope of Work for Proposed Construction) (s F / acres) (This item will include all run-off created by site a b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed q Ob D• 6' Site Improvements and the permanent creation of construction activity? impervious surfaces.) (s.F. /Acres) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Named) Drainage Structures Indicating Size & Location? This — ❑ n Item shall include all Proposed Grade Changes and ,SC 4C 6.__4A G 6 CA Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion / ❑ and sediment control practices that will be used to control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural a Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities ❑ / Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction — General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one (1) or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen (15) feet of Vertical Rise to Elincluding Construction activities involving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. ( SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious for Storm Water Discharges from Construction activity - Permit No. GP-040-001.) Surfaces be Sloped to Direct Storm-Water Run -Off 1. The SWPPP shall be prepared prior to the submittal of the NCI. 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 control practices and where 9 Will this Project Require the Placement of Material, ✓/ required, post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any — constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit. In addition, the SWPPP shall F-1 (This item will NOT Include the Installaaon of Driveway Aprons) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark 3. AN SWPPPs that require the post-construction storm water management practice In a Box and the construction site disturbance is between 5,000. S.F. & 1 Acre in area, component shall 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 knowledgeable In the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE: A Check Mark (4 ) and/or Answer for each Question is Required for a Complete Application) SPATE OF NEW YORK, /� (-i- fo L'1�. C/O, U�NTY OF . 1........................................ SS That I, ..f"I. I.Iei�T..1.....ScA�jJ.hgi ............. being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individual signing Do Qt) '� Andthat he/she is the Q!N'!�.................................................................................................................................. (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ............. U........ ........ �.�(.�...�... daay��of .. UC CIS ..,.................. , 20.4. Notary Public: ............/ N� 44 v �i; .......................� . Pa................................ .....................(Sig.(Signature of Ap FORM - 06110 QtWft In County fVo: 01 P 150861 mm Coission E*Wn 08107=./ Name: clave � �oujlks PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 1937 Js 5. 33 ' Im"i Lou. Pater jams A jorttht ?11SieftW* /do e l Gtr 0 mus �- STATE OF NEW YORK COUNTY OF SUFFOLK {0 boy-4-1t ,pp box cJ 9 7 am/ A/. 939oy ,t3el, e7 _JQfiN 3 Pa- ! o , residing at �� (p W?W I *yk ow being duly sworn, deposes and says that on the 1 day of M0eM -4iY , 20, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessmen�roll�the own o�Sout�hold; that said Notices were mailed at the United States Post M W that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. - A.:Z� Sworn to before me this Day of Dcce r,YA'Y` , 20JLf'fM*_ Notary Public L n Patenl1oo �Public of York 01PA6150 County Commission Expires 08/07/20 /8 9 John Bredemeyer, President Michael J. Domino, Vice -President James F. King Dave Bergen Charles J. Sanders BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ALAN SCHLESINGER COUNTY OF SUFFOLK) STATE OF NEW YORK) 11 Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, jcr�figm, residing at /dba 10(o LGe W l b B{ vd . being duly sworn, depose and say: That on the (o day of �wwtbe r , 2014, I personally posted the property known as 125 rneSrobl ars 1 ALJ W_ l 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, December 17, 2014. Dated: Sworn to before me this P day of 1XD 20 14 d6?Aa/K4t, Notary Public Loriann Patanio Noln Public Sta of New York uaNOe: 001 P�plunty Commission Expires 0��/20 43t;_ /gnVe) NOTICE 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: ALAN SCHLESINGER SUBJECT OF PUBLIC HEARING: 0 Re -face the front and rear of existing 91 linear foot long timber bulkhead with plastic sheeting; replacement of existing 12.5'x5' wide timber platform and stairs utilizing existing piles and Trex decking; construction of a 10'x14' deck at grade on top of existing bulkhead with Trex decking; installation of 8'x12' temporary storage shed at front of property; and the installation of a 10' wide non -turf buffer landward of the bulkhead. TIME & DATE OF PUBLIC HEARING: Wednesday, December 17, 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 I* Bdd of Trustees Application 9 County of Suffolk State of New York A 14.&n Se h I e 5 cr 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 o Property Owner SWORN TO BEFORE ME THIS a 6 DAY OF tWObe _ 520—j�— Notary Public Lodann Patan* Nota y Public Stat oftw York uaIiW in Sulk County No:01PA6150661 Commission Expires 06107/20!9 B * d of Trustees Application 0 AUTHORIZATION (where the applicant is not the owner) 1, Alk, Sr-tiles,nje/L. (print owner of property) L -..— re, L, A.--' Ll IIII 4°b residing at 175' Aesrmforkh DR (mailing address) do hereby authorize —J�7W✓c+,4 (Agent) Qa'rc� W7 1.0 to apply for permit(s) from the Ij Southold Board of Town Trustees on my behalf. (Owner's signature) • APPLICANT/AGENT/REPRESENTAnW TRANSACTIONAL DISCLOSURE FORM • The Town of S wthold's Code of Ethics prohibits conflicts of interest on the Dart of town off cern and emalovees The auroose of this form is to rovide information which can alert the town of ssible conflicts of interest and allow it to take whatever action is nPce a to avoid same. YOUR NAME: Sc h le A c Alen (Last name, first name, iddle 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 —7;—�'— Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If "Other', name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest- "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted th' e� B f ©4� 2Q0 —J Signature t� Print Name 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 sib t beneficial and adverse effects upon the coastal area (which includes all of Southold Town 1 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# 14 S - `'I - 7 PROJECT NAME 1257' DQ - L�cvrcL The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trustees L� 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: St G 4+t-r,"e A 125 MESROBIAN DRIVE, LAUREL, NY SCTM No. 1000-145-04-07 PROJECT DESCRIPTION The project includes re -facing front and rear of existing timber bulkhead with plastic sheeting, replacement of existing storm damaged 12.5' x 5' wide timber platform and stairs utilizing existing piles and Trex decking, construction of 10'x 14' deck at grade on top of existing bulkhead with Trex decking and installation of 8'x 12' temporary storage shed at front of property. Location of action: 12 S`' N(zs --o b t w ,ti Pa- L < - r e -C, 1,7 q,& Site acreage: l `i , L6 1 5 F % D. 3 a 7 t c Present land use: JZ es ; -ir.i Present zoning classification: Qe s i d+.c.. C 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: (a n Sc A ks In el?— (b) Mailing address: P-0 . /3 ox 1q 3 1A v re 1, ,v i 1114 V (c) Telephone number: Area Code ( ) &'31 • P7 `g - -,41 rJ 1J (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, 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. ayes ❑ No ❑ Not Applicable PtB � L CA I s r G,p✓ S I S 1'4e n r „rI 2 SLO r l v 1/1 -LI A NO 'of e s V545 access ^f'o wai'c.L u,SeS Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LV;" 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 Er Yes ❑ No ❑ Not Applicable { (e1�eG'E ProvLetes a- 9&,e1-4 t4 c- ST cIt-- %crI /V c I��'tho�'i,�g Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III — Policies Pages 8 through 16 for evaluation criteria ❑Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of ,Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria El Yes ❑ No u Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III — Policies; Pages 22 through 32 for evaluation criteria. c' ❑ R. Yes No Not Applicable PrsV6G4- Pf0-tec't5 CCc�Sti�i'f'�•nra �Y Pro .e f.v9 A— I4r'rLe/L- a7atn5t tro51P,,,> o --t- h„ w-ch-r&A 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 [::JNot 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 u 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. u Yej--] No ❑ Not Applicable vja.k f royi4es 'NLAilt-w f. ucceZ -r, iitstOe,%-t- Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water -dependent uses and promote siting of new water -dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ffyes ❑ No ❑ Not Applicable Pro 1rc% Protee-rs *-:e /t- -degenAe--i-r vsCS by •t1fm..x%.kr a1,CClS$ OiJ Q 1�c4'F.i'.H � o w�rGit. 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 U Not Applicable additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 forevaluation criteria. F] Yes 1:1No E 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 Awa n� a TITLE Al c r) -i DATE November 3, 2014 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 20 RE: 125 MESROBIAN DRIVE, LAUREL, NY SCTM No. 1000-145-04-07 • . - ` 'r .. -f APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Peffr'e4yPagta�njo 106 Hewitt Blvd. Center Moriches, NY 11934 PECONIC BAY BOULEVARD 19� 0% DPOSED 8'X12' TEMPORARY STORAGE SHED --{10.0' IV504j E' 5.0''��' cu 0 ASPHALT DRNOAY -GMV&DRryEWAY 83°00'00"'W ----- \ cD 12.5' E �4 W W Q4 REPLACE EXISTING 12.5' X 5' WIDE PLATFORM IN SAME LOCATION AS EXISTING DAMAGED DURING STORM ALL DECKING TO BE TREX AND OTHER TIMBER CCA EXISTING PILES TO REMAIN UNDISTURBED PROPOSED 10' X 14' TIMBER DECK AT GRADE PROPOSED 10' WIDE NON -TURF BUFFER REFACE EXISTING 91 LF OF EXISTING TIMBER BULKHEAD FRONT AND REAR OF SHEETING PROJECT LOCATION MAP N.T.S. ,tl AfPROVED BY BOARD OF 1 TRUSTEES TOWN OF SOUTHOLD DATEI�- !i PROPERTY OWNER: ALAN SCHLESINGER P.O. BOX 493 LAUREL, NY 11948 PREPARED BY: JEFFREY PATANJO 106 HEWITT BLVD. CENTER MORICHES, NY 11934 631-484-9332 PROJECT LOCATION PROPOSED 10'X14' TREX GRADE W/ CCA STINGERS, SUPPORT POSTS. DECK AT GIRDERS & RE-PLENISH 20 CY SAND LOST DURING STORM PROPOSED 2"X12" PLASTIC SHEET OVERLAY ON REAR OF EXISTING BULKHEAD SHEETING PROPOSED J" THICK HDPE PLASTIC SHEET OVERLAY ON FRONT OF EXISTING BULKHEAD SHEETING i EXISTING BULKHEAD TO REMAIN IN PLACE TYPICAL SECTION N.T.S. PROPOSED 12.5' X 5' WIDE TREX PLATFORM W/ CCA STINGERS, GIRDERS & EXISTING PILES IN SAME LOCATION AS EXISTING EXISTING PILES TO REMAIN r- UNDISTURBED i i APPROXIMATE M.H.W. APPROXIMATE M.L.W. EXISTING MUDLINE PROPERTY OWNER: ALAN SCHLESINGER P.O. BOX 493 LAUREL, NY 11948 PREPARED BY: JEFFREY PATANJO 106 HEWITT BLVD. CENTER MORICHES, 631-484-9332 NY 11934 0AY��C?CJLUAG�C� - ;. _ _�.. -x: _ : r - _ «_- �f,.—� wa� -ti• to Is 0 -,_ \ _ - - r._ J .w;•�' �« !J. ` _fit- _ �'� Y- � _ �•• t��.M •,. a ••• :..moi ��. A L _ i --�1—= _- w��h'•r`- s-.: j l.ti„ j •+t'- i J`' •;'•�-a Y •_ '" �''f ''i r- Kof�t Loi• tfutrr7(.v^•• r�4r- _ - _ - `" N• -. w�.r Y.::..'=r:?.1 «� i =j 'a:r��. = . 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