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HomeMy WebLinkAboutColumbo, Elena Nunemaker, Amanda From: David Cichanowicz <creativeenvdesign@yahoo.com> Sent: Monday,June 10, 2013 3:08 PM To: Nunemaker, Amanda Cc: Elena Columbo Subject: Colombo 53-5-p/o12.6 Amanda, Please be advised that we would like to postpone the application of Elena Colombo (53-5-p/o12.6). We will inform you when we are ready to put it on the next available calendar. Thank You, Jill Doherty Office Manager Creative Environmental Design 631-734-7923 Aee , D P-t,Aorlz.J-lon dUN 1 0 2013 Southold Town V� :0,is Tusees +' ���g�FFOp,�CeZ Peter Young,Chairman Town Hall,53095 Main Rd Lauren Standish, Secretary ,��. P.O.Box 1179 �1� Southold,NY 11971 `;r4 +�b��+'� Telephone(631)765-1892 :( AltFax(631)765-6641 �s.ad i1�l Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., June 12, 2013 the following recommendation was made: Moved by John Stein, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of ELENA COLUMBO to move existing dwelling and raise to Town elevation; install approx. 350 cy. of sand loam; revegetate renovated areas; proposed construction of 430 sf. deck and steps on seaward side of dwelling; 5'X 14' addition to dwelling landward of dwelling; 15'X 20' deck with steps; 15'X 10' deck with steps; relocate sanitary system beyond 100' from seaward; and connect gutters and leaders to drywells. Located: Breezy Shores, Sage Blvd., Unit C-3, Greenport. SCTM#53-5-p/o12.6 Inspected by: John Stein The CAC Supports the application with the Condition best practices are used when raising the dwelling. Vote of Council: Ayes: All Motion Carried X1..0 SOU4, Town Hall Annex James F.King,President i' ,3 0l 54375 Main Road Bob Ghosio,Jr.,Vice-President 1` `'.W P.O.Box 1179 �s Southold,New York 11971-0959 Dave Bergen s , John Bredemeyer G b Telephone(631)765-1892 Michael J.Domino � 'g l� Fax(631) 765-6641 C ly pUM'1� ?''� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RECEIIVE1• Office Use Only _Coastal Erosion Permit Application MAY 2 U 2013 i Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application: /c� 7)3 Southold Town Received Fee:$ <950GYM _.Board of Trustees Completed Application _ _Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) )( LWRP Consistency Ass-.ssm-ntForm C5)3))1_3 c CAC Referral Sent: S • 3 • V Date of Inspection: , - / Receipt of CAC Repo : _Lead Agency Determination: Technical Review: Public Hearing Held: 0)03 Resolution: NarneofApplicant LEct\lA aQuo IvL2o Address 312. rr.nn L Jut- j rU�oa�1 : 1 v kJ _ . 1 1 r2-0> Phone Number:(ile 39/ -- a a 3 , Suffolk County Tax Map Number: 1000 - 4'S — 06-- P/O 12 . t' Property Location:�( Z L 5 ti oe es 1 SPrtjj. 6 Lud f u w--,-k- C '3 1. C€Q po Q -1 N-) _ t k q`f`f (provide LILCO Pole#, distance to cross streets, and location) AGENT: I)We- C c-kl+t.l DW c,2 C't e&Ai u C. 6k1Vi Rivriel e(l 13 e-Si----VL (If applicable)Pia �p Address: 60 llit 0 o (kojic �._ t�-� V Phone: 6 3 I — 734— 7 / 2-3t:pt�l 1 rd of Trustees Applicatio' • GENERAL DATA Land Area(in square feet): 17 Ts-0 P ()20'� (Pit-cf- Co (7 p 1 Area Zoning: Previous use of property: (Pe Intended use of property: 22 Covenants and Restrictions: Yes No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes ✓ No If"Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency Date Xlo prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspende a governmental agency? No Yes If yes,provide explanation: See_ fed Project Description (use attachments if necessary): Mo\L Lc .I 5-1—; Cc L Q CQ A A-i S UA_. C 4 ` To w aJ Co b-e_ omat. wl U A--p?i2,01., 3c u _ adAs 110 111-'ll - - - - - UMOI PIo4InoS CLOZ' 6 Z kill ! . __ __ _ __ _ . _ ... , _ , , _ _ _ 0 . 3-A 1 Di :-1 -4 , _ _ ._ . , . _ . _ . , 5 1 4 . . nf r 1v `- r7 j_rn2-vv 97 a SJ Q 7/Slka r f nT Ii O yam le`i'07 091 Crv►Q J--aca l i-51S jos In-6.10a , r VS 3�� �� t LA.,-w3rvIG .�o 0 t m -la o f )c s l . .. �r� 7 ,� iu SdI-.mss y�. �l 0 , , 91A--,-7iatsla ? zl-nI 0) ph TI S61-315 vlim --).p c� / Z A 5I • - i-14- -n-3 r►i`r 40 QZi_Nnv Ci1vii S 1r-11rvig. c v o ,t'Qt C►id ,i-A mac- ' ‘,Ns-+„fir d a , -a 0,S-1,?s Sd31S caro 7 >I -id bc 0E17 1,0 f oy-'7r SNc7. sc4citd . - S,,a ?al-temp) 7g .RI-rid-A-a p 721 - 'yviyci CI CS, .(; 'c1h•n-D ciS S ruddy -nkLisNi i 7c0) I,...1-prwui mcvtc2L at.%.Y,11-va `i?ua S2, ' e,/c+s1o -1.01101M • - :.01.1-3--)s7-Q, rAs 9d .737 U al»Sad obi vin r11 c-9 l` mrd of Trustees Applicaticr- WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: VA1 S4 Ov vti S ,g) c � �h 5 l G`:2Y\ce . 4130 Wl�'2koy`L, tik., 1 e-MAJ rel SclooCk Z__-J 4-A Co De..i . Area of wetlands on lot: I ODO square feet Percent coverage of lot: , Oco % Closest distance between ne est existing structure and upland edge of wetlands: ' feet 3 ( Closest distance between nearest proposed structure and upland edge of wetlands: -53 '. feet Does the project involve excavation or filling? No ^� Yes YlOkie If yes,how much material will be excavated? aLt cubic yards How much material will be filled? 39) cubic yards i Depth of which material will be removed or deposited: 3 4-0' feet Proposed slope throughout the area of operations: I /2_O Manner in which material will be removed or deposited: :511---t [-0 k-De ✓ 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): Agqh LWIT fLcSU-e_vtiLi 44- ; Vvl as{Zk.. .b4.1"-ICG: p v S k 11-- tnJ a tm Pia_c.vo6,4A, �`Fv�z_e__ . • 3 ;rd of Trustees Applicatic;`— COASTAL EROSION APPLICATION DATA Purposes of proposed activity: QA-,S �It s o,��—� ) VIA LO Nf. Rook ( 6.(z- S I lariu ih?nz t 5 . Are wetlands present within 100 feet of the proposed activity? No ✓ Yes Does the project invol ve or filling? No If Yes, how much material will be excavated? )`44q- cubic yards) How much material will be filled? 3_5O (cubic yards) Manner in which material will be removed or deposited: 6v--t, L0 A©1 7 Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) 4 I ' PROJECT ID NUMBER 617.20 SEAR IAPPENDIX 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) PLICANT/ PO OR 6 2.PROJECT NAME Ary 1 \C 0 -fn1oDl tJl CZ- CO LU nn (3 0 3.PROJECT LOCATION: f Municipality 56) -f ,, County 5� '�(�� l `L- 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map rTDIZ4Z-21 6 tld,�,s I saie.. alQ£ , CJ k-; iT C'-3 . 5.IS PROPOSED ACTION: 0 New n Expansion odification/alteration 6.DESCRIBE PROJECT BRIEFLY: I t vno v o- v 0 ,L f-1 51—vt VV:e_.4-7 i D-e_n c-& +6 l___c11/\' `tL-A/U�_. ii.....) MA IF- oe3k ZJ AJZ. C Cl J-e.__ 7 AMOUNT QF LAND AFFECTED: Initially (y/ acres Ultimately - /fJINacres 8.WILL PR POSED ACTION COMPLY WITH EXISTING ZOG OR OTHER RESTRICTIONS? Yes n No If no,describe briefly: 9.WHA IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) esidential n 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, ate or Local) 0Yes o If yes, list agency name and permit / approval: 11.DOES ANY AECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes No If yes, list agency name and permit / approval: 12. A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? es ❑No I CERTIFY THAT THE INFOR TION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant •onsor N. e \C F 1A f`)Cw(C2(0.QS• C'-D • Date: C-2.-&---1.-3" Signature 14Ww- 004 If the is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment Cc>t U ry Re-5t C h Z 1 co. . • M.oVtdt. ole asiDev ta, A 2A-c5i-K% I., wcJ l=Ceve.icic5-4 Cope • I tsJ ; (( E N Pcc f'23S-0 L' (v,cic1 a. vF. gA�0 E-) LoA .. F/2 t�L c L TA- j.te dJ&Ad e c 1q-Q a It 5 • c) CoA) 1-201-3o 54 F . •D4La. anck sTEP6 Se4.5'OL OF At�!7t710,1 jta Dw5 (rtw4Dwk2-i OF 1bwG-0_,..42 IS ji 2Di 96c-V- w'iT1t fCPC) VJ Cof�1�2 cg lDweLLA-v.o • 16-')c 10 51'C-P5 M 6 COB J or DWt- L( Y 5 •° ?C Lo c.A;C .v • , 2-11 5C sl-c,tc t3� i 100 ' Lo '4 c I sta_vicak • ttC C,tri-"}"evs/t..eikcec-.2 4a !3E ,nne�-�c:4 A_E_C_E iVE D MAY 2 9 2013 Southold Town ward of Trustee$ PART II - IMPACT ASSESSMENT(1' _;o completed by Lead Agency) A DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF Yes 0 No B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617 6? If No,a negative declaration may be superseded by another involved agency ❑Yes ❑�.No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING.(Answers may be handwritten,if legible) Cl Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly C5. Growth,subsequent development,or related,activities likely to be induced by the proposed action?Explain briefly. C6. Long term,short term,cumulative,or other effects not identified in Cl-05? Explain briefly C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? ❑ Yes ❑✓ No If Yes,explain briefly E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? El Yes E✓ No If Yes,explain bnefly PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or,otherwise significant Each effect should be assessed in connection with its(a)setting (i.e. urban or rural); (b)probability of occurring; (c)duration; (d)irreversibility; (e) geographic scope; and (f) magnitude If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ▪ 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 AND provide,on attachments as necessary,the reasons supporting this determination Board of Trustees Name of Lead Agency . Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD. 6 le To move the existing dwelling and raise it to town SUBJECT OF PUBLIC I-I EAR I N G, elevation code requirements; proposed construction of a 430sq.ft. deck and steps on the seaward side of dwelling, construct a 5'x14' addition to dwelling on landward side; construct a 15'x20' deck with steps on northwest corner of dwelling; construct 15'x10' deck with steps on northeast corner of dwelling; relocate sanitary system beyond 100' landward of seawall; all gutters and leaders to be connected to new drywells on dwelling; install approximately 350 cubic yards of sandy loam; and re-vegetate disturbed and renovated areas. TIME & DATE OF PUBLIC HEARING: 63e4 nesd0. 3t&ne 19 ?OI!jz off" or 4,1)0453014l If you have an interest in this protect, 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 LSoard of Trustees Applicai _ n 375- NH "' County of Suffolk State of New York `at 13N. Not-tJ o,'N t Jam, BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. { Signature of Property Owner SWORN TO BEFORE ME THIS 'D DAY OF 116-:-( ',20 (7.7 I Lk-6 Notary Public *t t ..._TM * 6 AIM Z7 USA M$CHELLER,NOTARYPUBLIC CITY OF SCRANTON LACKAWANNA COMITY MY COMMISSION EXPIRE$MAY' 17 Ed of Trustees Applicati4 AUTHORIZATION (where the applicant is not the owner) F;47-U2—C,7,-Lifiiir C.- I, VUt21,3 C1c cvli3o residing at "; Pk-V-1f— iX"‘1,--ce pi N1 .2-j) (print owner of property) (mailing address) do hereby authorize David Cichanowicz, Pres. (Agent) Creative Environmental Design to apply for permit(s) from the Southold Board of Town Trustees on my behalf. 4 (Owners signature) 'ADRII AND SI/WITTED i.IEFORE ME THIS q. (t),AY Of "41 - 20 1:3) • , COMMONWEALTH a PENNSYLVANIA ° LISA M SCMHETLLER,NOTARY' PUBLIC ' CITY OF SCRANTON LACKAWANNA COUNTY MY COMMISSION RPM MAYM41017 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics_prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: C`lG— 4-N d w 1 G Z tt b L C� (Last name,fust name,griddle inifial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee �C 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 al' r •: o gam/20Q1 Signature 111110"" , Print Name ( ,�'� q ,� Form TS 1 `�� • ' ,j1,IIIIIfII1j•I 0.„, osu � Town of Southold p%-... z ; Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM `� • PROPERTY LOCATION: S.C.T.M.#3: 1. _,�- THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 04 Ye➢,+•'• STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN +.+ DistrictSection Block —Cot' CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT YesNo 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 I l Li Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) (S.F A s (This item will include all run-off created by site b. What is the Total Area of Land Clearing ! /111 . clearing and/or construction activities as well as alt and/or Ground Disturbance for the proposed q 000 12 I Site Improvements and the permanent creation of construction activity? /(s F ) impervious surfaces.) 2 Does the Site Plan and/or Survey Show Al Proposed PROVIDE BRIEF PROJECT DESCRIPTION (POvl�AdeklianaiPagesasNeeded) Drainage Structures Indicating Size&Location?This Item shall include all Proposed Grade Changes and L- EI MOV L-vL Q S vu� Slopes Controlling Surface Water Flow. `` 3 Does the Site Plan and/or Survey describe the erosion S - e_e_S LG\.0 v\est and sediment control practices that will be used to n/� c O �yQ- ` control site erosion and storm water discharges. This Ce/vA. t1-A-AWL , v�.- ] �\et z,\f, "'I1 IA.!A..� item must be maintained throughout the Entire � ^ Construction Period. O n COY- � �U I^�� 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural 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 E..] _ 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 including 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 111 for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the NOI.The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall descnbe 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 Area?(This Item will NOT include the Installation 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 In a Box and the construction site disturbance is between 5 000 S.F.&1 Acre in area, 3 All SWPPPs that require the post-construction storm water management practice 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 Panna (NOTE A Check Mark(j)andtor Ansmr ali 14Vygstipgoilktp r0 for a Complete Application) NzA^c rubiiu,Sia-ZS of New York STATE OF NEW YORK, No.01 BU6185050 COUNTY OF SS Ott lified in Suffolk County Commission Expires April 14,2/J That I, ..h,b6-1®rA ��C —I CSW(L2.being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Documennt And that he/she is thePI n , (Owner,Contractor,Agent,Corporate Officer,eta) 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; r ray of. f/ ,20.13 \ r'--I) Notary Public: \ ' ,. gnature of Appli-t. FORM - 06/10 CctUW►3c I? LC e(tC. . -- Ps ' Aoki City:*o* ts71N4 aSiDancG A 2A-Ast-vtvL -600cV t."Ceua_-(- s., CoDe iML[ (PF c 35D e(v.Lic&a. vp S 0 LO 1L c1 @_y_ "1`A-!� Q n(d Ja_le ca Alt a Lt_S . • Pecg05g CoN5Tl2-oc.+ o4( of LI-3° 54 Fr. "I)th o ncS STEPb SC4.5la oF • JF 'X � thi! ! 0 rLr Dwccl..L-4.s Ual0"JM2-D w�dl--�-v�c1 • I6 y 2.00t C)i_ wiTt4 Siiif tl1(J weLL`-4c I )c 10 Decla w tii h 51r—P5 6 CO 12.1/4.1e o¢ S>Apea_t..;) • ?E' Lo c a;C Soh + 1a-L1 s� sbr otc tic-tio#J0 10v 1 LAsin d LA.ap.e4 ._ ed-5 4a 3e Cc) Anzv4Cc,c mew bizrat,c I � ECE I MAY 2g 2013 Southold Town —I—.��oard-of iruste�S Town of Southold ) LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#/0 00 - Say - D5' - Ph 12 �o PROJECT NAME CO(--Li ni The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board Building Dept. Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity, agency regulation, land.transaction) (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license,certification:ta Nature and extent of action: e- See a(9We Y aii „S nv es ( e ee AS iat7 � - t adt en7 74-ojeLL,A;Li cal 01- Cot u vv1130 Re-Ade • MOJUt OF- LS,� Jc E.eSIDaAce, A e stK5- 'l�.�wcu Lav&1+s4 Cope S nss /ktL WR-Dy 3 sv((ev.c�c1 . F. 5000 Lj Com, • 12iQ.Q L y_kA-TE g.e dk.o /Ale c (het • PRqQ3t CaN.5112-vc_+1o4( oa '33o 5Q Fr-. 12x..A. 5.TEP5 SeL.SI 01 ill c\ S ' • 1 X p' R U;1 J/� 11 0 lv 1 w c LLL 16 j! 2o' 17�=c SfePe) 1DweLA_t_v \ I6 X 101 NEcX. with 51 t 5 d• 6)124%Jef- DQ DLAJSEL.4_.n c� y EI oC.A i� S/a ove TA-12-t.f 5c. S4- 1t( 13uvv01 100 ' LAAnAweiAr4 L weLit tatk 4u+)-ays/t-eA.ZeCc7 e Co rtAzt..,4 Jr„ metu REet_EiVE I MAY 2 g 2013 ISouthold Town Board of Trustees Location of action: I,�e. "' 6 11.dS bLvCc. Ueu a� C-5 Site acreage: kcf 2- Present land use: (afl-S Present zoning classification: g �S 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: (b) Mailing address: (c) Telephone number:Area Code( ) (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 Yes n No n Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria n Yes ❑ No /t Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Polici Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section —Policies Pages 8 through 16 for evaluation criteria Yes 1 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 throu 1 for evaluation criteria ol r 1 Yes ❑ No 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. n y' Yes No Not Ar_ 'able 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. n Yes ❑ NoNot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. e LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. Yel No Not Applicable Attach additional sheets if necessary . WORKING COAST POLICIL,_ r • Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L Section III Policies; Pages 47 through 56 for evaluation criteria. n Yes n No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island,Sound, the Peconic Estuary and Town wat . See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. n Yes n No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluat'on criteria. ❑ Yes No Not Applicable • Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. n Yes n No Klot Applicable PREPARED BYVA CC-0-A-Nlivut TITLEPrLeADATI;, 'Z5 a 1 009_ i.We EoIL `besvp, 7.2 James F King,Presidentp� �p P O Box 1179 Bob Ghosio,Jr,Vice-President '- Southold,NY 11971 Dave Bergen ; y -� Telephone(631 765-1892 John Bredemeyer , . Fax(631)765-6641 , Michael J Domino •d� dol * Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: Creative Environmental Consulting on behalf of ELENA COLUMBO requests a Wetland Permit to move the existing dwelling and raise it to town elevation code requirements; proposed construction of a 430sq.ft. deck and steps on the seaward side of dwelling; construct a 5'x14' addition to dwelling on landward side; construct a 15'x20' deck with steps on northwest corner of dwelling; construct 15'x10' deck with steps oh northeast corner of dwelling; relocate - sanitary system beyond 100' landward of seawall; all gutters and leaders to be connected to new drywells on dwelling; install approximately 350 cubic yards of sandy loam; and re-vegetate disturbed and renovated areas. Located: Unit#C-3, Sage Boulevard, Greenport. SCTM# 53-5-p/o12.6 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 Info needed: Modifications: Conditions: Present Were: J. King B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: Cil -r-to o 63--S - Pfr Ia.-6 A0.1- (e I 2 3 4 5 6 7 8 9 10 II 12 13 14 15 16 17 N �xasia+r�n� v F. Kti v M wp=or 7— • "`"°1. �g,,t _ -IIIIIIIIIIIIIIIIrl111111IIIIIIIIIIII11I1IIIIIIIII M a I l EEE L . IBRA H 11 ��,� i q q. ' ' H ! I I. . I I I II •F - a — nevznax r 7 z�� + za. + mz + eoz t zw t ' t 7 ` t t mrimx-co su.raxu p G PROPOSED EAST ELEVATION ® PROPOSED SOUTH ELEVATION .,,U #A /.. r e N • r.S E tE ca COLOMBO RESIDENCE n �K.� C E. ii''. _ -�1 ii;ii� ��� --ten,. 1 .IRO n.: ii C 11I�I1 J��I„ i���� ��I ��I��I RENOVATION,ADDITION C �� II I1p0111 - 11!1111111 I _ IIIIIIIIIIIILIIIIICII�IIJ;hIIIIIII�I 11__________,___1111111111i11111111 I I _I_ 11 _ �.Y.. it - -i —11iii�_w.+_ .,.a :- i=11111 II ELEVATIONS t `''J t LO'.'t CO t .'T t .evor�.ao..n.ze4 ir 7 coz 7.-e.u.s-, If,., i l omssoaoce. 0 w 6 PROPOSED NORTH ELEVATION ® PROPOSED WEST ELEVATION Am i — o, """ fECEVEr n A2 A MAY 2 8 2013 ii�� Southold Town oard of Trustees I 2 3 4 5 6 7 8 9 10 II I2 I3 14 15 16 17 N tiwun.w,qt, N t CP r.C. 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Design 631-734-7924 p.1 A LS EMAY282013 Southold Town °Jan IfTruste• ASPHALT ROAD SAGE BOULEVARD \ EXIST'NG t WATER I '` SERVICE DRAINAGE~CALCULATIONS NOTE:ELE -!CAL"'J', APPROX. SERVICE 0 BE RUN \ LOC. I.STREET 5'DE UNDERG'•LING FROM ,1 G67 5F x 0 17= I,4 C.F- NERES`POLE. \ PROVIDE 8'0x3'-G"D DRWJELL 12. WATER 5IDE PRE-EXISTING '', G58 5P x 0-17= I.2 C.F. ELEV.±4.0 --- e PROVIDE 8'ex3-6"D DRW/5LL 1 I PRP-5,45-ING I f ELV +13.0'---1 PROPOSED 1 \ j ELEVATION+G.O l 11, \ NEW CESDPO• ) IO'MINLOCATION. a�`N / % \PROPOSED illp9'x3'6' // ELEVP.TION+6 G' DRW4ELL I / /!r L� JI L. �/ . Ali $: b0N •il?Pole I -.",1W----., ////1 EXISTING BUIL ING WITH °��l i;�%, \//i;, P.6DITIONS AT EW LOCATION PROPOS D ELEVA7l0 +6 0' OP05 -PLRV. .Ili • - /i/i' ilii PROPOSE ��/ %/? ELEVATIO +6.0' I x71136 7 9221, / ATCHWG DICATES NEW ' T.�.. R.CKS EXISTING BUI ii INC AT, `• �'x3' ' k3:1 EXISTING LOCH ION DR LL \ I +PRE-EXISTING 1 b.ELEV ±3 0'--I3,•�_ \ / k i EXISTING CESSPOOL TO I If ABANDONED. PROPOSED E.3VAT'ON+5 0 ROCK SO. ALL BASED ON MAP OF DESCRIBED PROPERTY SITUATED AT COTTAGE 3,'BREEZY SHORES SHELTER ISLAND SOUND GREEN PORT,TOWN OF SOUTI-IOLD COLOM50 RC5IDENCC S.O.T.M.1000-53-05-PTO 12,6 BY.YOUNG&YOUNG LAND SURVEYOR J' { T ff PLAN 05/22/2013 DATED JAN.10,2013 SCALE: I"-20'-0' I18"=I'-0" PROPOSED RAISING AND RELOCATION ROBERT I.GROWN ARCHITECT,P.C. W/FAIRWEATHER DESIGN ASSOCIATES. INC. 205 BAY AVENUE GREENPORT.N Y.I 944 631-077-9752(1'')631.477.05-4774573 ASPHALT ROAD SAGE BOULEVARD EXISTING WATER ` SERVICE • DRAINAGE CALCULATIONS APPROX. ' NOTE: ELE RIGAL LOG. - I : STREET SIDE SERVICE OBE RUN 667 SF x 0. 17= I 14 G.F. UNDERG UND FROM , PROVIDE 50x3'-G"D DRYWELL NEAREST POLE. 2. WATER SIDE PRE-EXISTING ' '658 .516x31-GD x 0. 17= 112,C.F. ELEV. ±4.0' _ •• ' •PROVIDE '0x3'-6RYW "D DELL PRE- \STING ,- ELEV. 3.0' PROPOSED . ELEVATION +6.0' NEW CESSPO• .. I 0' MIN LOCATION. ; 01 - ` G 8'x '6" ' 0" p PRO'••5ED DRYWELL • A ION +6 O' 5 . . . A ' dill, _ , Ilp 0f A W ADDITON odoo -00° 0,,W4/.. ,r''frir 111� .TING BUILDING WITH . . a i;# 0,74' i•1 ,0+� DITIONS AT EW LOCATION. ' Milli _ - „ r..()FOS . ;_ ' 6,7 ; - __-_-1-_- - _L ----.--,-- -- -------- ' ---• . PROPOS t D • FI .FLI2. 113 ' ELEVATIO +6.0' , E EV.+9.0 , ° n , i J . PROP05Ei711- 1111111:" ELEVATIO +6.0' .....�».� - A TCHING I DILATES NEW , —AM. - .. ..�.��: DEC , EXISTING BUIL/'ING ATN8'x3''.' s ill EXISTING LOCA ON. DR LL PRE-EXISTING - 4x2• - 4.506a'pr. , , , . ELFV, ±3,0' hr°F'Q5 PF--1c- x �,' S ryes i D C� of-boos r • ' 3 q. Ammo „ .4 . , EXISTING ' \ cSs?0OL ' , FROPOSED ABANDONED. ELEVATION +5.0' ' ROCK SEAWALL • BASED ON MAP OF DESCRIBED PROPERTY SHELTER ISLAND SOUND SITUATED AT COTTAGE 3,'BREEZY SHORES'- GREENPORT,TOWN OF SOUTHOLD ' ' . • ' ' ' ' . COLOMBO RESIDENCE S.C.T.M. 1000-53-05-P/0 12.605/22/20 13 BY:,YOUNG &YOUNG LAND SURVEYOR : 5 I ' T E P LA A N ' , - 1' DATED JAN. 10,2013 ' ' lib"— !°-0" , . SCALE: ,I 20'-O" p IECEIVE ' PROPOSED RAISING AND* RELOCATION . _ J - ' ROBERT I. BROWN ARCHITECT,' P.C." . ' - MAY 282013 WI FAIRWEATHER DESIGN ASSOCIATES, INC. , ' Southold Town 205 BAY AVENUE GREENFOKT, N.Y. I 1944 Board of Trustees 631-477-9752 (Fax) G3 I-477-0973 , __ _ r _ _ •..., r r.,., . �. 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IAsl WITH Mr CLADDING. 001 ./--6"x6" CLAD COLUMNS. fti I®' ��� H , , ---1-- ' , , , _ _. __. __, • 1 ,— r o v �,, ,,, �_�1 r l f , i -+ aI■1■I■I■1■1■miii� ■r.r...r.r rr.r.r.r.r.r,rn .r,r.rr.. u u •- l_.�i. a xr�.r.r,r.�,rn immum ia■i■min. naariria■ 1 r■irlIria■i■im iui.:■Iriri 1111 BiiiKririii■i■n n fl a i u u u is nri■i■iri■i�i■�■n 111-117 0 0 0 0 m.■i■uia■i.�■i�a. ��■�■�■�a.ia.n n.,.lri.u�ii.n n■i■i■iaarirn ramir�.uir° u u ,, . u n naa. i■i i■n_._.r._._._. rr.r.r.r.r.���� rr.rlrlr.r .rn rr.r.r.r.r.r.r.i rr.rlr.r.rlrHM� 1 u u �i �I a 1� ..r.r.r��.rlM.r.. 0 4, EQ I t EQ I 4, EQ2 EQ2 EQ2 4, EQ2 ,` EQ4 ,i, EQ4 ,, EXISTING GRADE APPROX. NEW DECK. EXISTING/EXPANDED SUNROOM. iiii ELEVATION +4.5' 0 G PROPOSED EAST ELEVATION i PROPOSED SOUTH ELEVATION 2 • A2 A2 ra SCALE: " I'-0° SCALE: y4" = �'4" A2 RIGHTS Y4RESERVED THESE PLANS ARE AN INSTRUMENT OF 01114 SERVICE AND ARE THE PROPERTY OF 01 THE ARCHITECT. INFRINGEMENTS WILL 0 BE PROSECUTED, 0 , ff. 64 1• . ,• c..) of, ,.., 06, ._, Paul E Ea, gol Cin,... CLIENT/OWNER all II -e-a-,rPro Uirkv v v n a rie 7 EXISTING STRUCTURE REPAIRED iv COLOMBO RESIDENCE AND RELOCATED. � D ,'' IN\ ' NEW STANDING SEAM METAL ROOF. �'— E- 7, , ., I _ v-- ' - 2. ~� _ ALTERED SUNROOM, II lill .1=1,111=2= 111=11101•11111111911C 111 I7 Ill ll ■■ ■■ ......................7 IENI PROJECT TITLE G"x6" CLAD COLUMN. 1111 ilk RENOVATION / ADDITION r 97 y4146 C v v NNN • 0 Cu 0 • II 1 RELOCATED STRUCTURE 1` — -____________r ,_, __ PLANTER NEW DECK, Ell DRAWING TITLE u „ ii u „ ;ii i, I iiiii1iii.iaiiiii li ii u it ii u i II' -t--,i- -ii.---r=--r--E-- '1 Viiit rrr-Ir BOX iiGi�PiiGiiiiiiii iiiiiiGiiiGlGiiii -U111'ii a ni u ii' iiil�ifGiiiiiGiiii T r u ii ii y u ,i u IL na■i.1a ia. ,r a ��n n u nil i n i u �nr�� naa■uiaa.n n.uiaaa■i.n �i 111•11111111111111•111111111 ME1111111111111111111111111 �� n n t� n n naa.��■ia■s L_ !�� ELEVATIONS I Ern Of, E 5 EQ5 t EQ5 EQ5 ,f, ,i, EQ2 • NEW DECK AND PLANTER MI 6"x6" PRESURE TREATED WOOD PIERS FOR DECKING. cii.) 5 ..., PROPOSED WEST ELEVATION DATE SCALE PROPOSED NORTH ELEVATION 14,a,,_o„ 4PP SCALE: /4" = I'-0" A2 SCALE: Y4" = 1'-0" A2 ISSUE 0 MAY 24, 2013 9CEVEQ 1 DRAWING NO. • MAY282013 E A\stZ/6) Southold Town ria Board of Trusteeg 4 m A 0 gj REF. NO. 1117