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HomeMy WebLinkAboutTR-8563John M. Bredemeyer 111, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen BOARD OF TOWN TRUSTEES . TOWN OF SOUTHOLD Town Hall, 53095 Main Rd_ P.O. Box 1 179 Southold, NY t 1971 Telephone (631) 765-1892 Fax (631) 765-6641 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN - APPOINTMENT FOR A PRE -CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre -construction, hay bale line 1St day of construction '/ constructed ItY Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8563 DATE: FEBRUARY 18, 2015 ISSUED TO: 430 WSD LLC C/O PETER COSOLA PROPERTY ADDRESS: 430 WEST SHORE DRIVE, SOUTHOLD SCTM# 80-5-2.1 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 February 18, 2015, and in consideration of application fee in the sum of $250.00 paid by Peter Cosola Inc. and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to demolish existing dwelling, sanitary system, driveway, and shed; construct new 47'x48' two-story dwelling; construct new 20'x32.5' garage; install new driveway; install new sanitary system landward of proposed dwelling; and the installation of gutters to leaders to drywells onto dwelling and garage; and as depicted on the survey prepared by John T. Metzger, Land Surveyor, last dated January 21, 2015 and stamped approved on February 18, 2015. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. �o�4gUFFOt,�-caG y� 0 h � TERMS AND CONDITIONS The Permittee, 430 WSD LLC c/o Peter Cosola residing at 430 West Shore Drive, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. 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 February 18, 2015 Ms. Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 pF SO�ryo� CA yC4UNT`I,� • BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: 430 WSD LLC C/O PETER COSOLA 430 WEST SHORE DRIVE, SOUTHOLD SCTM# 80-5-2.1 Dear Ms. Moore: 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, February 18, 2015 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of 430 WSD LLC C/O PETER COSOLA 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 January 22, 2015, 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 February 18, 2015, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 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 430 WSD LLC C/O PETER COSOLA to demolish existing dwelling, sanitary system, driveway, and shed; construct new 47'x48' two-story dwelling; construct new 20'x32.5' garage; install new driveway; install new sanitary system landward of proposed dwelling; and the installation of gutters to leaders to drywells onto dwelling and garage; and as depicted on the survey prepared by John T. Metzger, Land Surveyor, last dated January 21, 2015 and stamped approved on February 18, 2015. 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, OU - John M. Bredemeyer III President, Board of Trustees JMB/amn John M_ Bredemeyer lll, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen TO: ��q��gUFFQ(,f-cOG 0 ti � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Esq , Town Hall Annex 54375 Route 25, P.O. Box 1 179 Southold, NY 11971 Telephone (63 l) 765-1892 Fax (63 I) 765-6641 lt).S,D LLG c% pekr Casa Q Please be advised that your -application dated 2 has been reviewed by this Board at the regular meeting of 2 and your application has been - approved pending the completion of thfo owing items checked off below. Revised Plans for proposed project Pre -Construction Hay Bale Line Inspection Fee ($50.00) 15t flay of Construction'($50.00) "/ Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 6.O D BY: John M. Bredemeyer III, President Board of Trustees ^�- ?31 s i a �+< ^�- �7 John Bredemeyer, President F0(,t Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen 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 InspectionMork Session Report Date/Time: 2 ' l Patricia C. Moore, Esq. on behalf of 430 WSD LLC, c/o PETER COSOLA requests a Wetland Permit to demolish existing dwelling, sanitary system, driveway, and shed; construct new 47x48' two-story dwelling; construct new 20'x32.5' garage; install new driveway; install new sanitary system landward of proposed dwelling; and the installation of gutters to leaders to drywells onto dwelling and garage. Located: 430 West Shore Drive, Southold. SCTM# 80-5-2.1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound _ J Bay Distance of proposed work to edge of wetla Part of Town Code propo sed work falls under: Chapt.275 Chapt. 111 other Type of Application: Coastal Erosion Amendment Administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were: J. Bredemeyer ✓ M. Domino L/1' ✓C. Sanders Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: : ».....�.2:yam.. efth�., ......... ... © 40 WSD LLC ^ \ SCTM:IOOS052.1 0 430 WSD LLC SCTM: 1000-80-5-2.1 4 e �} 430 WSD LLC SCTM: 1000-80-5-2.1 SCTM: 1000-80-5-2.1 A W� b' N 7 °T `RF •deli � '„ �`-- H.f „ 6 J - -=• --_ __ - ---- _ - a -- -- wl -- _ - •�`- i ___ _ __________b__ ---- - -- Jy I _ _--- _{___ VA.___ -- 1° ane _ -_ -�=— -±f-- - --------- z.ay. LAKE 21 'l, ]p ----------- » --- __... _.. aYf .0.1. ° ----' 1e_ IN- n� . x / L tjy—J 09 m � (TROVE ' .i x wunroeo SECTION NO f� a SO e NOTICE COUNTY OF SUFFOLK © Real Property Tax Service A.., x v O tiw. » raf s •� �� --•-- rr--.w-- r ns✓+J M A P lnictno taN PROPERtt MM OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 QF $U(/j�,o� 4 CA y00UNV • MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President I- B B 1, 0 2015 Town of Southold Board of Trustees From: Mark Terry, Principal Planner i LWRP Coordinator Date: February 10, 2015 Re: Proposed Wetland Permit for 430 WSD LLC, c/o PETER COSOLA SCTM# 1000-80-5-2.1 Patricia C. Moore, Esq. on behalf of 430 WSD LLC, c/o PETER COSOLA requests a Wetland Permit to demolish existing dwelling, sanitary system, driveway, and shed; construct new 47'x48' two-story dwelling; construct new 20'x32.5' garage; install new driveway; install new sanitary system landward of proposed dwelling; and the installation of gutters to leaders to drywells onto dwelling and garage. Located: 430 West Shore Drive, Southold: SCTM# 80-5-2.1 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 proposed action is CONSISTENT with.the LWRP policies and therefore is CONSISTENT with the LWRP provided that the Board: 1. Clarify the regulated natural feature. The top -of -bank is the most landward regulated natural feature. Chapter 275 defines a SETBACK as the minimum distance by which any building, structure or operations must be separated from a wetland boundary, coastal erosion hazard line or bluffs. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Peter Young, Chairman Lauren Standish, Secretary 0 Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1889 Fax (631) 765-1823 At the meeting of the Southold Town Conservation Advisory Council held Wed., February 11, 2015 the following recommendation was made: Moved by Peter Meeker, seconded by John Stein, it was RESOLVED to SUPPORT the application of 430 WSD LLC to demolish the existing house 58' from the bulkhead and remove existing driveway and shed; construct new 47'X 48' two-story house 75' from the bulkhead; install a new driveway and new 20'X 32.5' garage; sanitary system in the front yard; install a 10' non -turf buffer at top of bank; walkways/patios, and install drywells and gutters. Located: 430 West Shore Dr., Southold. SCTM#80-5-2.1 Inspected by: John Stein, Peter Meeker The CAC Supports the application with the Condition of a 10' non -turf buffer. Vote of Council: Ayes: All Motion Carried 9 John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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#: -5-2f Property Owner Name: B Date Sent to Bldg. Dept.: LJ,C c - Telephone (631) 765-1892 Fax (631) 765-6641 JAN 2 8 2015 BLDG. DEPT, TOWN OF SOUTHOLD 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 WiH the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature of ewer Date 0 John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only � oastal Erosion Permit Application etland Permit Application Administrative Permit // _Amendment/Trans er/Ex ension veceived Application: �eoeived Fee:$ D _Completed Applications _Incomplete _SEQRA Classification: Type [____.Type II Unlisted Coordination:(date sent) �/LWRP Consistency A s ss"� en Form _ CAC Referral Sent: ..2`1._ . _RDate of Inspection: 1 eceipt of CAC Report: _Lead Agency Determination: echnical Review: Public Hearing Held: j Resolution: Name of Applicant L L -t" " 7 �1 LJ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 Mailing Address S 5 -7 �� A r S `�1�re ��" Lana -�saaiCi �/ Phone Number:( ) Suffolk County Tax Map Number: 1000 -� Property Location:_ Li 3o Jhol`e— _DCev e. �o two I8 I`'�f f (moi 7) (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: 5 ( OZD l Aai n Ko CQd , C`)�LAJ Phone: Cap Board of Trustees APplication GENERAL DATA Land Area (in square feet): Area Previous use of property: n'~i( t s lc Intended use of property:_ - Covenants and Restrictions on property? Yes _K_No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? ? Yes —No rior to a Board of'l'�t� review If "Yes", be advised this application will be reviewed by the Building Dept. p and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes _ x No If "Yes", please provide 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 1+f'u 6%0! No prior permits/appravals for site improvements. Has any peit/OppMval ever been revoked or suspended by a governmental agency? _X Na Yes If ye,,;, provide explanation: Project description: Demolish existing house @ 58' from bulkhead and remove existing driveway and shed Construct new 47 X 48 2 story house @ 75' from bulkhead, install new driveway and new 20 X 32.5 garage Sanitary In front yard; I O' non -turf buffer at top of bank and walkways/patios (per previous permit); install drywells and gutters ND -1 V ad of Trustees Application• WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: �&AA��a 17 Area of wetlands on lot: square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: � feet (6 W4� ; Closest distance between nearest proposed structure and upland edge of wetlands: `7e feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? cubic yards How much material will be filled? C) cubic yards Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: 4-fra-— Manner in which material will be removed or deposited: 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): • 617.20 Appendix B Short Environmental Assessment Form Instructions for Completine • Part l - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part l - Project and Sponsor Information —Tru tk'='0-f> Name of Action or Project: Liv© \IV 5 D L LC Project Location (describe, and attach a location map): Brief Description of Proposed Action: �� C�ris�►�vd' l9ec.J hovsP G�- 7� �rN Name of ApplicantorSponsor: Telephone: o `�p - mopes 7-� ( 1 7? o W 5 D L Q I E -Mail: Ppvc&e e mcoT! Address: 1 1^� City/PO: / v � �� � L State: N_, Zip Code: /Ito / 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? . .....................� If Yes, list agency(s) name and permit or approval: lJ ❑ 3.a. Total acreage of the site of the proposed action? _i . ................_.. acres b. Total acreage to be physically disturbed? , S2 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? _ mm_ _acres 4. Check all land uses that occur on, adjoining and near the proposed action. [-]Urban❑Rural (non -agriculture) ❑ Industrial [-]Commercialesidential (suburban) ❑Forest ❑Agriculture El Aquatic ❑Other(specify): ❑ Parkland Page 1 of 4 S- CCO*3 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO ❑ XNO N/A 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: YES ❑ NO YES ( 1 ❑ 8. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NO YES F� 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements, describe design features and technologies: NO YES 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: �( NO YES 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: P L -L_ _- __._ ...._ NO YES ❑ L J 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 ❑ 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 th@ wetland or water dy and extent of alterations in square feet or acres _........ NO YES ff- 14. !49Mfify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: S reline ❑Forest ❑Agricultural/grasslands El Early mid -successional L"1 Wetland ❑ Urban ❑ Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES ❑ 16. Is the project site located in the 100 year flood plain? 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? [T NO ❑YES b. Will storm water discharges be directed to established conveyance systems (runo nd storm drains)? If Yes, briefly describe: ®n �� �.�►,C�S O AYES NO YES _ff Q Page 2 of 4 • • 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES small 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 occur solid waste management facility? If Yes, describe:_m__ 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or NO YES .............................. 2. Will the proposed action result in a change in the use or intensity of use of land? r completed) for hazardous waste? If Yes, describe: ....__. — .—........ �— — 3. Will the proposed action impair the character or quality of the existing community? I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE ��/ T �c �a �(�G!`i Date: Applicant/spo ami: a 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? ....... _ ......... -- El 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 Q establishment of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or (�j El 1:1�.... affect existing infrastructure for mass transit, biking or walkway? ---....... -----. ..... ----.._-...._...- ............. 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate r/( ❑ conservation or renewable energy opportunities? reasonably available energyE J 7. Will the proposed action impact existing: a. public / private water supplies? 1-1 IJ - b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, Fl Elarchitectural or aesthetic resources? LLJJ 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 Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. tJ 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 impacts1 Town of Southold - Board of Trustees 1 Name of Lead Ag%icy Date D (2 G,' C Q}� �j President Print or TypeXWe of Re ponsible Officgr to Lad Agency Title of Responsible Officer Responsib er in Lead A gGcy 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 I —7�j r ❑ problems? JJ 11. Will the proposed action create a hazard to environmental resources or human health? El Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. tJ 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 impacts1 Town of Southold - Board of Trustees 1 Name of Lead Ag%icy Date D (2 G,' C Q}� �j President Print or TypeXWe of Re ponsible Officgr to Lad Agency Title of Responsible Officer Responsib er in Lead A gGcy Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF 430 WSD LLC (Cosola) MAILING Applicant's Land Identified as 1000-80-5-2.1 COUNTY OF SUFFOLK) STATE OF NEW YORK) FEE 1 8 2015 I I, Betsy Perkins, residing at Mattituck, New York, beincg-dWy sworn, depose and say that: On the, day of February, 2015, deponent mailed a true cop of the Notice set forth in the Board of Trustees Application, directed to each of the persons listed on the attached list at the addresses set below their respective names; that the addresses set below the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said notices were mailed at the United States Post Office at Southold, New York, that said Notices were mailed to each of said persons by CERTIFIED MAIURETURN RECEIPT. Attached hereto is the white receipt post -marked by the Southold Post Office on said date. Sworn to before me this Id T# da of FCB .,3-O%5-- (No ary Public) MARGARET C. RUTKOWSKI NAary puolic, state of New York i,4 o. 4982528 Qualifi-ed in Suffolk County Co: ,missiun Expires June 3, D.015- JOHN & LINDA VOLPE 1700 OAK DRIVE SOUTHOLD NY 11971 SCTM: 1000-80-5-1.1 AURIEL KARPAS 132 ANDOVER ROAD ROSLYN HEIGHTS NY 11577 SCTM: 1000-80-5-3.1 RECEIPT 7104 2438 8090 0000 4448 FROM: Moore Law Office RE: SEND T(: > Kr JOHN &V A VOLP!55;.y 17000 E SOUTHOL 1 FEES: Postage 0.48 Certified Fee 3.30 Return Receipt 2.70 Restricted ( c TOTAL $ POSTMARK OR DATE 430 WSD LLC (COSOLA) F F B 1 8 2015 SCTM: 1000-80-5-2.1 NEIGHBOR LIST RECEIPT 7104 2438 8090 0000 4455 FROM: Moore Law Office RE: SEND TO: AURIE� 1 RP/ 132 R ROAD ROSL'K I OHTS NY 11577;' f \ FEES: Postage 0.48 Certified Fee 3.30 Return Receipt 2.70 Restricted u TOTAL POSTMARK OR DATE JAMES & PAMELA SMITH 495 W. SHORE DRIVE SOUTHOLD NY 11971 SCTM: 1000-80-2-2 ELIZABETH PORTERFIELD 462 MORRIS AVE ROCKVILLE CTR NY 11570 SCTM: 1000-80-2-3 RECEIPT 71 04 2438 8090 0000 4462 FROM: Moore Law Office RE: rf SEND TOa ,..�Z+ ' JAMES & ELA SMITH j• 495 W.` Y DRIVE SOUTH04 J 1, I d . FEES: Postage 0.48 Certified Fee 3.30 Return Receipt 2.70 Restricted ( c TOTAL $_.§�,1f POSTMARK OR DATE RECEIPT 7104 2438 8090 0000 4479 FROM: Moore Law Office RE: SEND TO: ELIZABETH PORTERFIELD 462 MORRIS AVE ROCKVILLE CTR NY 11570 f , FEES: Postage 0.48 Certified Fee 3.30 Return Receipt 2.70 Restricted L TOTAL 44-48 �+' POSTMARK OR DATE • BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK x In the Matter of the Application of 430 WSD, LLC (Cosola) COUNTY OF SUFFOLK) STATE OF NEW YORK) 7 AFFIDAVIT OF SIGN POSTING (to be completed after posting remains in place for eight days) I, PATRICIA C. MOORE residing at 370 Terry Lane, Southold, New York being duly sworn, depose and say that: That on the �� day of February, 2015 1 personally posted the property known as 430 W. Shore Drive, Southold (sctm: 1000-80-5-2.1) by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the post has remained in place for eight (8) days prior to the date of the public hearing. Date of Hearing noted thereon to be held Wednesday. February 18. 2015 at or about 5:30 p•m• Sworn to before me this /FL' day of �� . X20►� Notary Pu is BETSY A. PERKINS Notary Public, State of New York No. 01 PE6130636 Qualified in Suffolk ly 18� , Commission Exp' PATRICIA C. MOORE FEB 1 _ SII s zoic 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: 430 WSD LLC, c/o PETER COSOLA 0 SUBJECT OF PUBLIC HEARING: A Wetland Permit to demolish existing dwelling, sanitary system, driveway, and shed; construct new 47'x48' two-story dwelling; construct new 20'x32.5' garage; install new driveway; install new sanitary system landward of proposed dwelling; and the installation of gutters to leaders to drywells onto dwelling and garage. TIME & DATE OF PUBLIC HEARING: Wednesday, February 18, 2015 — 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* *Board of Trustees Application 0 AUTHORIZATION (where the applicant is not the owner) I, Peter Cosola residing at (print owner of property) (mailing address) 13s wh)TehAjL 8ll0 3a CAQDC"j C nI Pohereby authorize Patricia C. Moore (Agent) to apply for permit(s) from the Southold and of Town Trustees, and any other agencies, on my behalf. (Owner's signature) 430 WSD LLC C/o Peter Cosola December 5, 2014 Patricia C. Moore 51020 Main Road Southold NY 11971 Dear Ms. Moore: I, Peter Colsola, as member of 430 WSD LLC, owner of property located 430 West Shore Drive, Southold, New York (sctm: 1000-80-5-2.1) hereby authorize you to act as our agent regarding any and all applications with the Town of Southold Zoning Board of Appeals, Suffolk County Board of Health, and any other agencies. Very truly yours, 430XeterCosola LC By Board of Trustees Application County of Suffolk State of New York �y-3o w5v Lcc. h, f Jx:-4" �! � c� (a, Man 6eA"" BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW DF THIS APPLICATION. Signature a441 DAY OF N� ��3Gr .20 1 4 SWORN TO BEFORE ME THIS � I MARY COSOLA Notary Public, State of New York No. 01 C06264244 Quaiifled In Nassau County Notary Public Commission Expires June 25, 2016 APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: 430 WSD, LLC (by Peter Cosola, member) AND MOORE, PATRICIA (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: (Check all that apply.) Tax Grievance Variance _ X Special Exception If "Other", name the activity: Change of Zone Approval of Plat _ Exemption from Plat or Official Map Other Trustees Do you personally, (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the Town officer or employee has even a partial ownership of (or employment by) a corporation in which the Town officer or employee owns more than 5% of the shares. YES NO_X Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of J Signature: 430 WSD LLC C. Moore LWRP CONSISTENCY ASSESSMENT FORM ,r A. INSTRUCTIONS JA N 2 2 2015 1. All applicants for permits* including Town of Southold agencies, shall - - complete this CCAF for proposed actions that are subject to the To)4QL-., } Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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 demolition of existing residence and construction of a new residence SCTM#1000- 80-05-2.1 430 West Shore Drive, Southold The Application has been submitted to (check appropriate response): Town Board _ Planning Dept._ Building Dept. Board of Trustees X_ 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: demolish existing residence and construct new residence Location of action:430 West Shore Drive, Southold Site acreage: .5 acre Present land use: residential- existing structures built 1950's being demolished Present zoning classification: r-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Peter Cosola (b) Mailing address:430 West Shore Drive, Southold (c) Telephone number: Area Code ( 917 ) 972-1589 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes No X If yes, which state or federal agency: DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes dverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. X Yes No Not Applicable New house to be constructed will be more conforming to the NY State building code Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria Yes No X Not Applicable Attach 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 X Yes No Not Applicable 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 X Yes No Not Applicable proposed house is landward of bulkhead without threat from flooding and erosion. additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria Yes No Not Applicable X 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. X No XNot Applicable House is landward of a bulkhead, no impact on fish and wildlife Attach Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. See Section III - Policies Pages; 34 through 38 for evaluation criteria. Yes No X 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 X Not Applicable Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. Yes No X Not Applicable lower platform landward of bulkhead Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water -dependent uses and promote siting of new water -dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. Yes No X Not Applicable Existing Attach additional sheets if necessary Attach 0 • 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 XNot Applicable additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. Yes No X 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 X Not Applicable PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax:: (631) 765-4643 January 21, 2015 Board of Trustees Town of Southold P.O. Box 1179 JAN 222015 Southold, NY 11971 DELIVERED rr Re:COSOLA Premises : 4;01 West Shore Drive, Southold SCTM: 1000-80-5-2.1 Dear President Bredemeyer and members: With reference to the above, enclosed please find an original and three copies of a wetland permit application together with my client's check in the amount of $250.00 Thank you. LVery tr yours, P icia C. Moore PCM/bp encls. C: Cosola PROPOSED SEP71C SYSTEM (4 BEDROOMS) [2] 8 FT. DIA. x 8 FT. DEEP PRECAST CONCRETE LEACHING BACKFILL WITH 3' SAND (SN) COLLAR, 3' ABOVE GROUND W [1] 1,000 GALLON PRECAST SEP77C TANK I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE D(SPOSO SYSTV4S FOR SINGLE FAMILY RESIDENCES AND WILL A BY THE COIVD17IONS SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT. 774E LOCATION OF PUBLIC WATER, WELLS AND CESSPL SHOWN HEREON ARE FROM FIELD OBSERVA AGNS AND FROM DATA OBTAINED FROM OTHERS AREA= 17,149 SO. FT. 0� RAIN RUNOFF CONTAINMENT: X44, DWELLING: 2256 Sq. Ft. 2256 x 0.17 x 1 = 383.5 Cu.Ft. Provide 2 DWs. 8' Dia. x 5' Deep / Connected by Gutters do Leaders GARAGE: 830 Sq. Ft. 930 x 0.17 x 1 - 141.1 Cu.Ft. Provide 1 DW. 8' Dia. x 4' Deep Connected by Gutters do Leaders LOT ,/ 's REFER TO "MAP OF REYDON SHORES" FILED THE SUFFOLK COUNTY CLERK'S OFFICE ON JULY 22, 1930 AS MAP ON. 631 ELEVA71ONS & CONTOURS ARE REFERENCED TO FLOOD ZONE FROM FIRM MAP NUMBER J610JCOI ■ = Monument ANY ALTERATION OR ADD177ON TO THIS SURVEY IS A VIOLATION OF SEC710N 72090E THE NEW YORK STATE EDUCA77ON LAW. EXCEPT AS PER SEC7701V 7209—SUBDIWSION 2. ALL CER77RCA77ONS HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR 774E IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000-80-05-2.1 SCALE.- 1'-= 30' February 14, 2012 APRIL 4, 2013 (UPDATE) JANUARY 30, 2014 (UPDATE) JANUARY 6, 2015 (UPDATE) JANUARY 20, 2015 (REVISIONS) JANUARY 21, 2015 (REVISIONS) TEST HOLE DATA McDONALD GrOSCADVCE 12/12/14 EL 19.9' 1 1 EL 4.8' DARK BRONN LOAM OL 1' N70NN SALTY SAND AIL 3' PALE BRONN SAAVY SILT SW B' LIRONN FW SAND SP III' WATER Av BRONN FNE SAND SP � �1r N9Mr Wil TSR ET KIOOlLIMERED 16.1' BELOW SLPFACE �`e--' ^' N. Y. . LIC. NO. 49618 VEYORS, P. C. (631) 765-5020 FAX (631) 765-1797 P.O. BOX 909 SOUTHOLD, N. Y. 11971 T 12-116