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HomeMy WebLinkAboutTR-8650 / „ iii i��• John M. Bredemeyer III, President ••0'40f. S0045, Town Hall Annex '® ® . 54375 Main Road Michael J. Domino,Vice-President �1 � {' P.O.Box 1179 James F. King,Trustee ; c®s , Southold, New York 11971-0959 Dave Bergen,Trustee ZS-' Telephone(631) 765-1892 Charles J. Sanders, Trustee �� Fax(631) 765 6641 �4'C®UNTV,� . BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1160C Date: August 25, 2015 THIS CERTIFIES that the existing 86' of timber bulkhead; with the condition to install and subsequently maintain a 10' wide non-turf buffer along the landward edge of the bulkhead At 70 Wiggins Lane, Greenport Suffolk County Tax Map#35-4-26 Conforms to the application for a Trustees Permit heretofore filed in this office Dated June 26, 2015 pursuant to which Trustees Wetland Permit#8650 Dated July 22, 2015,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the existing 86' of timber bulkhead; with the condition to install and subsequently maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. The certificate is issued to GEORGE O. THOGERSEN, JR. TRUST owner of the aforesaid property. 69114, 844140,,,vm_w_ Authorized Signature • CC#: C15-35457 cc>"y�l�. COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 09/0112015 under Liber D00012830 and Page 358 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 09/01/2015 . SUFFOLK COUNTY CLERK c24-oGe:=(._ JUDITH A.PASCALE SEAL • > SUFFOLK CO. HEALTH DEPT. APPROVAL APPROVED / H.S. NO. 9- SO:-5-a.' No-1 : Lo-f <I8 19 reit -n - - • APPROVED BY ' - • _ , rap or r " rot-dlnrxrr-r Ac r•'es- 5� : ,Two, filed in Mfr su (� co. Clerk60ARD�_OF TRUSTEES _ . office crs r` c No. 46C) • OF $OUT�-ia�.® - +DATE ,xi,1V r a 15 , • . ' - MQp O P2QF 2 Y , STATEMENT OF JNTENT 5Uk'_Y �'rF0 ? THE WATER SUPPLY AND SEWAGE DISPOSAL r,___P141 ., .. _ -� SYSTEMS FOR THIS RESIDENCE WILL t" � { - / CONFORM TO THE STANDARDS OF THE 6-- rsid:-e►dc,• ) _ -- _- - ________ ,__:__.-_____-_� A P.3 .____ _ . `___-_ _ ----- SUFFOLK CO. DEPT. OF HEALTH SERVICES. (S) :ti- _�_ -- t� - )at APPLICANT - Yov 't f Or= � nrit-iot_o,,N."t': �� �� Q �s, SUFFOLK COUNTY DEPT. = OF HEALTH (IN _1 - SERVICES ,--• FOR APPROVAL • OF ' CONSTRUCTION ONLY , :4"wcit- rr ; rricxiri -c'.__. -, , } _ ___' Y -_ DATE: 1 N. 0"'G?(°'U'" ." (?Q,Q_ _asci 31 H. S. REF. NO.: 9- 5O-62 �- •$ { - j - , APPROVED: 1 '% its . - N {f ) I V t f SUFFOLK CO. TAX MAP DESIGNATION: f ) . 8 t7J , ° - 1 DIST. SECT. BLOCK PCL. tai (000 0357 -se' I t, 1. V6- \ I� OWNERS ADDRESS: 7// s. Dr 'MA 47..5 L,-). ro sir x _ Fe z, � 1 ? e° ;I! 8AY"Fot '', N.' . 11704 1 bfitid. � f23' cLt' drive a /` (.."7"&7. t - - a-� -- 1 t/ ,; Ili- -�`i4y,' -.----,---- •' ! (f/I -470-1:-F.557..-3) 9 1 \\ Y �... fCrrr�' oi . R71R .Iw 1 I. '1•_, - 1a JJ cele . 50'-= r ''� DEED: L. NjA P. ,, t `.ou� Tr. �`' _ J}�j��, ,�� C3rect -- '.:,r,3�3.02:5q'.14-- TEST HOLE STAMP r ' .y, -.a , y• `��` 'N UNAUTHORIZED ALTERATION OR ADDITION rr '.(11'.t. ���,�' \/ ,,/ - - - - ---- - - - - --, � b. � - �:t -- rttorru rrr� f .,'ij .,) ; I Q,J- 1 ;/ _ i TO THIS SURVEY IS A VIOLATION OF j' }} `' "' s = trot-i SECTION 7269 Or ME NEW YORK STATE _1 j�y�' f-. • • - ! ( EDUCATION LAW. • 1 ,`� . 5.66 0(• -4: - (38.8 I f COPIES OF THIS SURVEY MAP NOT BCAI:ING C) { ' THE LANG SU;VET`R'S 1T t.D i,T L OR O - p ,7 1 - - / EMBOSSED SEAL SrIA:I N31/1;CS;;IScD:RCD ' r , TO BE A VALID TRUE COPY 1 ' s fY ' - S �., } t t �,� ` GUARANTIPS iND1CA1ED I'EITEON SHALL RUN 41 I �• 1 , ,itt! .-•"•"� (('lp+ ONLY TO THE r'Er<SO,� =OR WrIOtI T`IE SURVEY ' f 1 '. q+� +r • Q h' l IS PREPARED, ANO OT -I., B IIAIF TO TNT �i' , I til t 7 {- • ( E 7# ,/ reef Cfr, - TITLE COMrAHY, GO*_ID-s INTAL AGENCY NCY AND J / �. I _ j I j ", LENDING INSI:TUTIcN LIEIED }it?.TIOTI,AND ( •x� / - I ""-' + TO THE ASSIGNEES Or THE LENDING INSTI- FG Y �`- ` ; 'x I / See TUTION. GUAP,ANTEES ARE NOT TPANSFERABLE -.f ' '�, j 1 i I R { r r f�_/ 10 ADDITIONAL INSTITUTIONS OR SUBSEQUENT ' I.f ', j - (vacc t-ri) , 1 ,,,� i ' Tl � ' (tio. ar �c`�-:�L'Y�� 'rt` rr(!pf-/,7l WNERS. 1/j� i ' f �\ .�_..� f'� SEAL --__ 1 t ___--i f� \ r E + IV - - !i • l ! / - p`: t:'.' Lt ' Guoe-t:trrf C0.( {o 41 re c--,vrr -arta( 'La • I's- f t I - — — C(ricacyo 774-le Irrt;(Ji— trce C1--). as ti--a .:), Survecici tvkb-,28, 1980. - , 4 0 - (0 i'1 �i _,._ ' ' JUN 2 6 2015 ROODERIC}K VAN T P.C. V II • 5 1LAND - - ' ' ' � ( �-- ' --�-=----- f----- LICENSED SURVE RS , j; 1 , - l'.,:Kc! Ft = GREENPORT NEW YORK 1111111 liii 11101111111111111111111111111111111111111 11111111111111111 IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 09/01/2015 Number of Pages: 5 At: 11 :48 :55 AM Receipt Number : 15-0117977 LIBER: D00012830 PAGE : 358 District: Section: Block: Lot: 1000 035.00 04 .00 026. 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25.00 NO Handling $20.00 NO COE $5 .00 NO NYS SRCHG $15.00 NO TP-584 $0 .00 NO Notation $0.00 NO Cert.Copies $6.25 NO RPT $60. 00 NO Fees Paid $131.25 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE• County Clerk, Suffolk County 1 2 RECORDED Number of pages ,_5; 2015 Sep 01 11:48:55 AM JUDITH H. PASCPLE CLERK OF This document will be public SUFFOLk COUNT`/ record. Please remove all L D00012830 Social Security Numbers P 358 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation SpecJAssit. or EA-52 17(County) _ Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX oa,r`` Dual Town Dual County_ R.P.T.S A. C'n 40: i.)a?: Held for Appointment Comm.of Ed. 5. 00a pg: Transfer Tax -.M0.../4Mansion Tax �Aff� ^ The property covered by this mortgage is /C:ertified Copy or will be improved by a one or two NY urcharge 15. 00 family dwelling only. Sub Total / YES or NO Other _ Grand TotalPT—J- If NO,see appropriate tax lause on Spage# of tips-in me t I 1 1 \U 4 'Dist. 1000 03500 0400 02e000 5 Community Prese ation nd 2990463 Real Proper PTS I ft ll(ll I�IIII IIM I��II1II IIII I�� CPF Consideration aal Due Amount$ Tax Servic LPA I iJ Agency 01-SEP-15 Verificatio Improved 6 Satisfactidns/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: • Vacant Land G — Ileci_ TD Wy TD c.., ?j-ow,--\ N 1 \c U) TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recoding & Endo sement Page This page forms part of the attac d C__1CM O made by: (SPECIFY TYPE OF INSTRUMENT) (-:;a 0 ' The premises herein is situated in SUFFOLK COUNTY,NEW YORIVOed cl TO In the TOWN of ���� In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12.01D4 io,oatk (over) DECLARATION OF COVENANTS /' THIS DECLARATIONAAAmade this SI day of g�3- , 20S , by G � p O p4 4 eVVJS ?Cr `1 e,C crz o (iW', resza gr att)� Co.r gv,q -kk R hereinafter referred to as "DECLARANT(S) ": t1' ' • (087 7 WITNESSETH : WHEREAS, DECLARANT(S) is/are the owner(s)�of certain real property located on 7 d 'cam 1'v S LA e , ����dl-'�' , Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section O3'. .0°, Block OA.'" , Lot O) 0.00° which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a tudc 'J1 °ak \o 44 i "non-turf buffer" adjacent to and landward of �'1��4� 05r ()w{`hi\s`'I c 4< Ov w. C.C.0-Not I ; NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained 0.61,07,44- y t q, $.nr (4 L 1(-tktarX K Y A % A9 ku%C 4 "non-turf buffer" as defined by Chapter 275 of` th Town Code; and as depicted on the Svr`r+•( S�Ve pleh �1KR �aE 4N� ,t1 0.1p�W,te.l? IA, `� 3t,I. ir ."-,, , see Exhibit A attached; and 2) These covenants shall run with the land and shall be binding on the DECLARANT(S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this day of AV0uC,\-- E3 1 , 2o15. LA IV`ii -C1.* NANCY LYNN WAGNER 2 ER'S S NATURE I Notary Public,State Of New York No. 6071170 Qualified In Nassau County I� Commission Expires March 11,20-10. OWNER'S SIGNATURE STATE OF �ev�ycxv....., : ss: COUNTY OF KOS 6uAi On the 3k day ofl a� , in the year 201C), before me the undersigned, a Notary Public in and for said State, personally appeared QeOcq . O.1pecS� , personally known to me or proved to me on the basis of satisfactory evs!de_nce to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same In his/her/their capacity, and that by his/her/their signature(s) on the instrument, the individual or the persons on behalf of which the individual(s) acted, executed the instrument. \ \...„ \ CL\-"\ otary Publ' 2 ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in Greenport,Town of Southold,County of Suffolk and State of New York,being bounded and described as follows: • BEGINNING at a monument at the intersection of the southerly line of the North Road with the westerly line of Wiggins Lane,said point of beginning being the northeasterly corner of Lot 18,"Map of Fordham Acres,Section II" filed in the Suftblk County Clerk's Office as Map#4605; THENCE along Wiggins Lane South 23"58'40"East 150.0 feet; THENCE along lot 19,as shown on said map,South 66°01'20"West 138 feet,more or less,to the shore of a dredged canal; • THENCE northerly and then westerly along said shore 90 feet,more or less,to land of Germansky, THENCE along said land,North 23"58'40"West 87 feet,more or less,to an iron pipe on said southerly line of the North Road; THENCE along said southerly line North 66"01'20"East 170.0 feet to the point or place of BEGINNING. SAID PREMISES also known as 70 Wiggins Lane,Greenport,NY 11944 BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated the 281h day of Apiil 1980 and recorded in the Office of the Suffolk County Clerk on June 6,1980 in Liber 8834,Page 177. Section: t6:99;Block 0-34.00;Lot 94:90 /000 - 035:00 - Off,0 0 —O .DO C.) A SUFFOLK CO HEALTH DEPT.APPROVAL • Nat. Lam' l8 s 19 refer io APPROVED BY �`��k b1 II H E. NO. 9-50-52 "Moly of rvd-Fam Acrar.•s«/.T o; BOARD OF TRUSTEES H.: fried,n the Suffolk CO.Clerk's TOWN OF SOUTHCW • office a r,NIuH No 4605. _ • DATE Sl lyo2ara.o,j MQP Or F'IZOF'sErl"rY STATEMENT OF INTENT ( /�" S(.JTGVF_`!6D FGY2 THE WATER SUPPLY AND SEWAGE DISPOSAL / r� J !/� /- �•-} h ' SYSTEMS FOR THIS RESIDENCE WILL GE-0,2G _77—OCL=_J•'.SIE CONFORM TO THE STANDARDS OF THE (re aI<i50-5rce) NEA2 - SUFFOLK CO.DEPT.OF HEALTH SERVICES _.' '1'------_-_- - _— '-"------'•---'--- — GrzF-N�tzr 15) APPLICANT • TOWN OF Sarre40A,N.Y- SUFFOLK COUNTY DEPT OF HEALTF• - NoczrL� LOAD 9iA r SERVICES— FOR APPROVAL OF CONSTRUCTION ONLY .. ,.oi.rr m DATE: y--_'-�i,• - - N 66-01.20"C=' = J70.O," `et,a 91 / H S REF.NO.: 9-50-52 8 / jJ APPROVED. I I I a N Y SUFFOLK CO TAX MAP DESIGNATION• QIs N I OW I - • UUUN��� 1 0 Ul g - rf I DIST SECT BLOCK PCL i vacarrf•, �Wj � <1 1 / t000 o35 4 26 { �'.t,'+' ` ` /' OWNERS ADDRESS: ,� , J, ; •--� �• . m - i, // Tf•ADur SEN ' rI,�a a' /l 2 DESMArrC�.LA _ / 1�1/ tea+ 4 n°y+ • y• ,aa_ . sa`•-- `6wo-lor ,, `til Cc.' 1, SAYf-b!<'T,!47 i/?OS j" �~ I f‘si` dr, a R /1 (Tct 472-/ 521 '1 ; rely,l iv s ; 1 r.'1Ia., _s.��•_.—""N • ? // r� • gg Q i��f \a+^ h.Ht f7�, v /, '5ccrle 50'=!' DEED L.NM P ('i 1S_ . /, .y .J Sj • Area=25.300-1Y.fr- TEST HOLE STAMP Nix • s .a / /(� /Io»-j rf AA,- J3 a mor.urneft+ w.m,mmm,,.n..nal oI...K. _ii S ' $ I J N I - - 0e iron frf c wr c`n°.no"IO to Dos kart-tSo�rm:.v u°i..r, lAw C; 0.m .:�al 5.66'Ol'?_O"W. (38.8 I -� Corm.1.5 SLIMY,0..n u...‘ CI TO u A YAM ran=I' 1 ... r • RRLI YO,_.4 o rMlx.u•l LUN i{1 I, ;, ht Q n i ...� 610+' MAT 74.:0.n<.,..,VII'WTI, ill ui• „Y I _ rny'.�- mu cam•J....1., c a r.,..n c,.ca.o uo (� I. I 11 D I- II,N..G 5<I'^Jn:..l,:,G vL',I.NN 5 PJ 'p nee , !`-9I I I i •., I . 5a ml.!u.Ss a-.1.2.hu•:� 1 1 • 1 -. •A < i 10 A2.1w,W 0SIMPPE CAI Iavdt fJl ri ! (vacant-) I '1 �I I Ti''Fle No.7908-0822&9 •ieta%o) •�na — C ,-'4' ^ SEAL f�- • Z i Z ' 1 k 11 GI 0 R r --• -- - '— Guwvxtecc'N 4o-14re crore.-elm/Po L a I (:j v . , q Cfricotyc,Tr•Re insular,...Co.a5 'G ( 1" 'l• —50—_� .1-..I II Surveyed Mal-.28,(980. 0 l :1. JUN 2 fi 2015 J RODERI VAN T�YL•P.C. 7 LICENSED LAND SURV i ' — ,--. . _ GREENPORT NEW YORK o I- i�''••�•�---''- Town Hall,53095 Main Rd. John M. Bredemeyer Ill,President ,�`�stfFfit 1,1 �' �C, P.O.Box 1179 Michael J. Domino,Vice-President d �O� y o : Southold,NY 11971 James F. King � � x Dave BergenITelephone(631)765-1892 y'11p1 Charles J. Sanders "0,..!''� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE O INSPECTION: et:7)1' ? Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, silt fence 1st day of construction 1/2 constructed /Project complete, compliance inspection. INSPECTED BY: (I' ,f ✓/" t COMMENTS: G 1n CERTIFICATE OF COMPLIANC r /d� II ita oeffr a;s' e„ °a t °+�,,,K, � @� oi: .;Nooto fir� . ��z� f�r+�� r` ,„,,,-,-4.00,-.;;;,,,l,,,,:---,,U10:. ; r�—r^t ° (f �l- ry'- ,,,71 1 e <-; ,,a w �gi k ttlr •.. ,.-w ry s:.. ii,°�a��,-.- nu .. .,,,,,,,,, ,,:,.,,z,,,,-.,- , so faa> l',,,...,. .._.,.,: T r, ,G .y.w+4,1/� f-7. ,,,t.:,-,.-,-,,,',..-..: %},ro”, ,t:. ;; / t ,,,,1 Mis..,:, ryd.. 4' v., K,:. �t, 3'... .`lf �s"��,o P+�„m�.(gy.f � ..,!...-..„3-;,,,:- L Q �-.l �'� �� t� � ti� „,,,,,,-;,?,>‘�d „,L— � €€J.s`.�, t,�' ��' �.. ...,-.,.,..",,,,,,,c„....4,-..„3-.-,.. „.i. „,, ..t ,, l�\ -t, / It 7 ;i_ '� . ,..d:..Ea��va�. 42 i%•i.�:�?L9.,n9'•,•;e.:I't2. '?z,.,.7,,,,,:,— ..,.;.,,,,,,,,,,,i,,,,,,;;;‘,..,:,..4.�,.:eS sr .vi,. „o.b.+r:iS: ttk ._L/i_.,'S„Cx,.��Sfs. �+L�i'.?.1 . _— __ __----_ __— -- -- :::41,7W .__ )ate' F . �J' r;f• i ' ''4i •-\'-:'.. -;;Is� 4I r l.: . � „ , i BOARD OF SOUTHOOLD t O WN TRUS I EES a, `,SOUTfIOLD NEW YORK �`.- i: . V''.'4 ; PERMIT NO, 8650 DATE: JULY 22, 2015 I '' 051 -:,, : ', ISSUED TO: GEORGE O. THOGERSEN,JR. TRUST `' 4.f i i i. ...r.,.•••,",\--'QI PROPERTY ADDRESS: 70 WIGGINS LANE, GREENPORT o' }q I , 1�' IIII `.2% Vii ,..: SCTM# 35-4-26 s wti • fns ' AUTHORIZATIONj: 1: �E�, c,,,, Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in '''>74-11:::'.:!‘!” accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 22,2015 and in `�' 5 - st consideration of application fee in the sum of$250.00 paid by George O.Thogersen,Jr.Trust arid subject to the `� ,ay0 Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits 3;''.:2.....6.77 fr'. the following: ,. ,i ” i Wetland Permit for the existing 86' of timber bulkhead; with the condition to install O'40�'r and subsequently maintain a 10' wide non-turf buffer along the landward edge of the F,pn j, •;1 bulkhead; and as depicted on the survey prepared by Roderick Van Tuyl, P.C., :-.-- t sf s I received on June 26,2015, and stamped approved on July 22, 2015. �1„, . 10, 1 1,w"`”. ' .���' , IN WITNESS WHEREOF,the said Board of Trustees herebycauses its Corporate Seal to be affixed, � '`,r and these presents to be subscribed by a majority of the said Bo. • as of this date. . f� 3 s. 0. 44` 2«* s f. ����®��}�����"� - 4i'''' it .1 .),..4- /1 y � , ti { R`Or W 7T 1 ...,„4, 11.,1/4 ' ti: % „, • )/-�' ='moti , :( Ceat`tit3-.j ',. 7 ::*; (( !, -$ , i,.., tip. ,_ , - ,..\ i , -',Z4'.'-' N'Y�' �, � l; t • K f' \ iA YfRf _ .1;1711.= .� --, 1 ..7.,=.4' e i'2 ." .a:'R 1+4.(r1 0,Y.` :`v 1,'4.4s{$SY1M430l f'td ,,A,,..;',,"A"`�W47, :;4.-'15.?112,,;A,.,.ur.rAt:,,,,.i' h 1 \d',A R+.s7 v«K 7,liri`i:.i "itS`,,,SPS g. �.Y�°i�$'ri.l.Y("1,1.F., {. , �t '� ".- :r' �t'''� � ""l ��a t "-i� 'I)�.�,C :�+����•x �9l f 1 rte'.k "� ,= � -., • t-sy '4',' z $ ^'S .",pT`"'ry? t -: �`� }i:.'KSq i '2'"""''m7"'"'-^'M •} -1.-',.:•:, ,,,,,,•-•..,,,,44, 'gym r.evflt f. f- ,.-'F - , �,$'i r:.:',t.744A..fdf fet,.. c'4ifff,g. 63iSad ..'es" 1{�,k a r , '4,,,e. '� .,. dba,'.t� �tttli a� frill 8} - r CERT IS AND CONDITIONS The Permittee George O.Thogersen, Jr.Trust, residing at 70 Wiggins Lane, Greenport,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. 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 may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. 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. low" iii pf Ski _ John M. Bredemeyer III, President X) Town Hall Annex 54375 Main Road Michael J. Domino,Vice-President * aNg P.O. Box 1179 James F. King,Trustee N ;; J Southold, New York 11971-0959 • Dave Bergen, Trustee �� - ����,, •� ��� Telephone (631) 765-1892 Charles J. Sanders,Trustee =`�C®UNTI, �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 22, 2015 George O. Thogersen, Jr. 19 West Court Smithtown, NY 11786 RE: GEORGE O. THOGERSEN, JR. TRUST 70 WIGGINS LANE, GREENPORT SCTM# 35-4-26 Dear Mr. Thogersen: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 22, 2015 regarding the above matter: WHEREAS, GEORGE O. THOGERSEN, JR. TRUST 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 June 26, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policies 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the installation of a non-turf buffer area along the landward edge of the bulkhead; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 22, 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, 2 • 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of GEORGE O. THOGERSEN, JR. TRUST for the existing 86' of timber bulkhead; with the condition to install and subsequently maintain a 10' wide non-turf buffer along the landward edge of the bulkhead; and as depicted on the survey prepared by Roderick Van Tuyl, P.C., received on June 26, 2015, and stamped approved on July 22, 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, 60.069740 JW. John M. Bredemeyer III President, Board of Trustees JMB/eac John M. Bredemeyer Ell, President ,01�g�}FF0(,f- Town Hall,53095 Main Rd. Michael J. Domino, Vice-President 11-FP.O. Box 1179 - • G�� James F King 4 y " Southold,NY 11971 Charles J. Sanders #A, ������ Telephone(631)765-1892 Dave Bergen Oljje Fax(631)765-6641 BOARD OF TOWN TRUSTEES - TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. - • INSPECTION SCHEDULE Pre-construction, silt fence 1st day of construction '/ constructed )C -Project complete, compliance inspection '‘.-,..'1.i. -1,.."*.,-.00. •..,“-••,.,.. it,.••- ..?'. -:....,.z.;,, -, ..,-; ,:...:.-..;.-'1....,. ''.....,./. ,••-" N.1,,,. fit 1- . „... ysl i':P4('' ^:1, '. ,-';';,,,. ',-.1 %.':^ •'„.,, ' . li,?.. '....r.„* '. .*.; s: '';'4:t.;., i-4.Pii-!,,I, t.,.' .•.i. -.Iv, ' .'•,'.' , 41 • .,"; ` - '' p,,4: .•4 ,... ,,; '2,.. ,,:l... .—. 4,-% ..`,. t....; •-', :-. 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Issued Te6eorti T-r- . . . • . , „ Address , . • THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION . s TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL • 765-1892 • John Bredemeyer, President = Town Hall Annex Michael J. Domino, Vice-President ,,,*.z° °y 54375 Route 25 James F. King ;y P.O. Box 1179 Charles J. Sanders � ��� Southold, NY 11971 Dave Bergen Ol ,p ,r Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: / yv i° GEORGE O. THOGERSEN, JR. TRUST requests a Wetland Permit for the existing 86' of timber bulkhead. Located: 70 Wiggins Lane, Greenport. SCTM# 35-4-26 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: Modifications: Conditions: b/,A / — Z� /�✓ 6-7�Q �. • i l zoo = i ��i/� / / / , , - Present Were: A.Bredeme Bredemeyer BVI. Domino �/J. Kin /). Ber en . Sanders Y gg Bay Constable Other Form filled out in the field by dL �c�"? .-, Mailed/Faxed to: Date: . . . :ake &a I Ivilonsw-iiiirti - , _ I, • . ...—.... ...40;00g0 .- -:' si SI * ' Pr P . ., . 1 111A r JUN .4 .. + r. f }" "_ • ,a • e r. .*.,11 Rap .* -- L.,• . .. *111 • a - • V-.4 • , .,a s sem• • wt "•r- • -St �► •AI . • ,•Z '•.i�' 7.. . tom. .Or •0� - IP .4307 41 • `- ,r 4,"+ i eorge 0.Thogersen,Jr.Trust � `�'• ` Tae,Greenport P > s CM#35-4-26 x ` A � • •' is : • t • • /15/2015 a s ,r... .:t 7 / 15/2015 9 : 59 P• i • �• ,': cy. 1 • T t I'I Rhtl I i(J, NEW YORK�, t DEPARTOCNT (Jr r-NVIRONMi -HAL I ONSf .\'AlPs.:,-,,,-' ----- 1 TW : 5278-0158"A" PW • UNDER THE ENVIftONhiEr_IcAl. CONSE2VATION LAI py ARTICLE 15, (Protection of Water) I ARTICLE :.1, 'Tidal Win ..nr! } ARTICLE 24, (Freshwater Wetlands) L] ARTICLE 3u, (Ccnstrucw,n :n Floud H(-z.rr,: ,'r,-a•.) PERMIT ISSUED TO - Costello Marine Contracting Corporation for. J, Sucher - ADDRESS OF PERMITTEE I — -- — — - -- - - --- Box AK, - Greenport, New York 11944 • ------ -------------------- -------------------------------- LOCATION OF PROJECT(Section of stream, tidal wetland, darn, building) East side of Fordham Canal north of Wiggens Lane DESCRIPTION OF PROJECT Construct 160 * 1.f. of timber bulkhead coilsi ;ting of LI 7-0' sec cion aligned with southern bulkhead, than a 10' section to TUU landward, red into a 50 ' section aligned with northern bulkhead and one 20' southern rcLurn and 1-10 ' eturn. Conctrurt. 4Y x 0'r floating dock, 8 x 3' ramp. Dredge 10' x 140 ' area Lo depth rf 5 ' be'-ow mean _ow wager — (250 cu. yds.) spoil to be ''placed-behind bulkhead, COMMUNITY NAME(City, Town, Village) . I TOWN Greenport • ' Southold . - COUN1 Y FIA COMMUNITY rio. I DAM NO. I L'(01 LXPIRAI ION DA1 E Suffolk — i I3/31/82 GENERAL -CONDI T1 ONS • 1. the permittee shall file in the office of the appropriate Regional 8. 1:,at the Stale 01 ''ew York =h.,ll ir, no ca',i• L' liable (or any damage 'ermit Administrator, a notice of intention to commence work al laasl 48 (II injury to the struLi',ic• i.r work hc•cout authorize,: -,;titch may be caused by of lours in advance of the time of commencement and shall also notify him result trim future op, axons uni!er.rien I,/ rim `,i,.tr• lot the ronseivation or iromptly in writing of the completion of the work. improvement 01 n,rvi; ,tii,it, 01 cur 'user ourur-sr'•, run no claim or right to r ompensallun Shall ar rue Iron an) :Lich(aria;e, 2. The permitted work shall be subject to inspection by an authorized epresentallve of the Department of Environmental Conseivation who may 9. Taal if the dis.,l,tl of light', and ,Ii;nal'. on ray wuik heci`by authorize(' irder the work suspended if the public interest so requires. Is not otherwise pro'. tied for by law, ',rico I,glits rim signal, as may be pre- scribed by the Unite( Stries Coast r•uard ,null u,• ,nstalled and maintained 3. As a condition of the issuance of this permit, the applicant has ac- by and at the expense it the owner. epted expressly, by the execution of the application, the full legal respon- ibility for all damages, direct or indirect, of whatever nature, and by whom- 10. All work carr '(1 out under [lin- perm,' snail be performed in accoi- ver suffered, arising out of the project described herein and has agreed to dance with establish, engineering hr,iLtile-,Lid ui a ,vorkinanlike manner. ndeninify and save harmless the State from suits, actions, damages and osts of every name and description resulting from the said project. 11. II granted undo I Article:. 24 ,,r 25, the Uei.,urinent reserves the light to recons.irler (his ap•rov,il at any :tile rn,l atter clue notice and hearing to 4. Any material dredged in the prosecution of the work herein permitted Continue, c;--,cnid or ',wilily this porn,.' in ,i„n a „',inner as m„y be found to hall be removed evenly, without leaving large refuse piles, ridges across the oe just and equitable it upon the e•.ai,iratiun or ievoration of this permit, the ed of the waterway or flood plain or deep holes that may have a tendency to modification of the wetland hereby authorized h,e. 'rot been completed, the ause injury to navigable channels or to the banks of the waterway, tpplicani ,hall, with.rrn expense to the ',tate, nut :c, ,rich extent and in such 5, Anymaterial to be deposited or dumped under this lime and manner as III' Ueparinu-III WI '.nvrronnteni„I C unscrvatiun may require, p permit, either in ienrove .ill or any pun'con at the uncompleted t,Iruitun• or fill ,ind restore the me waterway or on shore above high-water mark, shall be deposited or (lumped site to its; forme' cor.ditiun No r lacm •,hese( be midi against the State of New 1 the locality shown on the drawing hereto attached, and, if so prescribed York on di wont Lit are sm I; removal of allvr,Iliuil tereon, within or behind a good and substantial bulkhead or bulkheads, such s will prevent escape of the material into the waterway. 12. Inc, perml ,e,„II nit be COiV tiw`c' ,i . ,un.cymg to the applicant any right to tie•,pass upon ilii lands, or uurrieri with 'hr iipaiIan rights of other, 6. There shall be no unreasonable interference with navigation by the to perform (he pernutic d work or as auuiu'ving lhr impairment of any rights, ork herein aulhonzed' title or :merest in rc, , i.11 per,unal ,m ipeity held ei vested in a person nut a 7, - That if future-operations by the State of New York require an alteration party to the permit. i the position of the structure or work herein authorized, or if, in the opinion 13. the permittee i, respoii mitre for crowning any other permits, ap- t the Department of Environmental Conservation II shall cause unreasonable novals, l.uls, easeco•,n„ and (Nies-id-v.-a. „hurl, may be required for this ustruction to the free navigation of said waters or flood flows or endanger project, ie health, safety or welfare of the people of the Slate, or loss or destruction the natural resources of the State, the owner may be ordered by the Depart- 14. If ;;ranted unci,, /ruche .16, ihis permit is ,-ranted solely on the basis ent to remove or alter the structural work, obstructions, or hazards caused Lit the requirements o, Aliicle 31) of the Enyic,'niimin,cl Conservation Law and iereby without expense to the State; and If, upon the expiration or revocation fart 500 of 6 NYCKR t•.ui,,truclion 11 ;•loo(1 I'laui reit-as having Special Flood this permit, the structure, fill, excavation, or other modification of the IlaLards — Building Perm is) and cn no w„t• '.ij',nrie', that the project will be atercourse hereby authorized shall not be completed, the owners shall, tree hoer rlooding. ilhoul expense to the Slate, and to such extent and In such time and rnannei 15. is; ,ecce,tanCr ci us pr••ru,i•r "i'lul';'i,in'i.r`_ r r� I ,gees liry the permit s the Department of Environmental Conservation may require, remove all or iy portion of the uncompleted structure or fill and restore to its former is Contingent upon. sinrr C9rnlrFiadr. „Y+i_!�'_Ihi°,-.'jlilcJ_al_con(lid ns on the zndition the navigable and flood capacity of the watercourse. No claim `,hall reverse ,ie!v, r made against the State of New York on account of any such removal or ! c :,.. lerallon, , JUN 2 6 2015 3-20-4 (9/75) i , (SLE REVERSE SIDE) , • r . I Application No. 80-256 Name of Applicant GEORGE 0, ,THOGERSEN Effective Date 29 May 1980 • Expiration Date (If applicable) N/A r L. DEPARTMENT OF THE ARMY PERMIT No. 11414 JUN 2 6 2015 Referring to written request dated 10 April 1980 for a permit to: , IK 1 Perform work in or affecting navigable waters of the United States,upon the recommendatio the-Chief of,Engineefs;_ppursuant_ to Section 10 of the Rivers and Harbors Act of March 3, 1899 (33 U.S.C.403), Discharge dredged or fill material into waters of the United States upon the issuance of a permit from the Secretary of the Army acting through the Chief of Engineers pursuant to Section 404 of the Federal Water Pollution Control Act (86 Stat.816,P.L.92-500); ( ) Transport dredged material for the purpose of dumping it into ocean waters upon the issuance of a permit from the Secretary of the Army acting through the Chief of Engineers pursuant to Section 103 of the Marine Protection, Research and Sanctuaries Act of 1972 (86 Stat. 1052,P.L.92.532), GEORGE O. THOGERSEN 10 WIGGINS LANE GREENPORT, NEW YORK is hereby authorized by the Secretary of the Army• to maintain the construction of 105 + feet of bulkhead, and the dredging operation performed to a maximum depth of 5 feet below the plane of MLW to remove 50 + cubic yards of material. The dredged material was placed behind the completed structure where it will be ( or has been ) suitably retained to prevent its return to the waterway. The purpose of this work was to enable the applicant to construct a family residence on the site. in Fordham Canal, Shelter Island Sound at Southold, Suffolk County, New York - in accordance with the plans and drawings attached hereto which are incorporated in and made a part of this permit(on drawings:give file number or other definite identification marks.) 1522 - 15 ( Shelter Island Sound - Thogersen, George Oe - Bulkhead, Dredge & Fill) subject to the following conditions. I. General Conditions: a. That all activities identified and authorized herein shall be consistent with the terms and conditions of this permit;and that any activities not specifically identified and authorized herein shall constitute a violation of the terms and conditions of this permit which may result in the modification, suspension or revocation of this permit, in whole or in part, as set forth more specifically in General Conditions or k hereto, and in the institution of such legal proceedings as the United States Government may consider appropriate, whether or not this permit has been previously modified,suspended or revoked in whole or in part. ENG FORM 1721 EDITION OF 1 APR 74 IS OBSOLETE. (ER 1145-2-303) 1 JUL 77 , b That all activities authorized herein shall, if they involve, during their construction or operation,any discharge of pollutants into waters of the United States or ocean waters, be at all times consistent with applicable water quality standards,effluent limitations and standards of. performance, prohibitions, pretreatment standards and management practices established pursuant to the Federal Water Pollution Control Act of 1972 (P L 92-500, 86 Stat 816), the Marine Protection,Research and Sanctuaries Act of 1972 (P.L.92-532, 86 Stat 1052),or pursuant to applicable State and local law: c That when the activity authorized herein involves a discharge during its construction or operation, of any pollutant (including dredged or fill material), into waters of the United States, the authorized activity shall, if applicable water quality standards are revised or modified during the term of this permit, be modified,if necessary,to conform with such revised or modified water quality standards within 6 months of the effective date of any revision or modification of water quality standards, or as directed by an implementat on plan contained in such revised or modified standards, or within such longer period of time as the District Engineer, in consultation with the Regional Administrator of the Environmental Protection Agency,may determine to be reasonable under the circumstances. d That the discharge will not destroy a threatened or endangered species as identified under the Endangered Species Act, or endanger the critical habitat of such species e That the permittee agrees to make every reasonable effort to prosecute the construction or operation of the work authorized herein in a manner so as to minimize any adverse impact on fish,wildlife,and natural environmental values. f That the permittee agrees that he will prosecute the construction or work authorized herein in a manner so as to minimize any degradation of water quality g That the permittee shall permit the District Engineer or his authorized representative(s) or designee(s) to make periodic inspections at any time deemed necessary in order to assure that the activity being performed under authority of this permit is in accordance with the terms and conditions prescribed herein h That the permittee shall maintain the structure or work authorized herein in good condition and in accordance with the plans and drawings attached hereto i. That this permit does not convey any property rights, either in real estate or material,or any exclusive privileges;and that it does not authorize any injury to property or invasion of rights or any infringement of Federal,State,or local laws or regulations nor does it obviate the requirement to obtain State or local assent required by law for the activity authorized herein. j. That this permit may be summarily suspended, in whole or in part, upon a finding by the District Engineer that immediate suspension of the activity authorized herein would be in the general public interest. Such suspension shall be effective upon receipt by the permittee of a written notice thereof which.shall indicate (1) the extent of the suspension, (2) the reasons for this action,and (3)any corrective or preventative measures to be taken by the permittee which are deemed necessary by the District Engineer to abate imminent hazards to the general public interest.The permittee shall take immediate action to comply-with the provisions of this notice. Within ten days following receipt of this notice of suspension, the permittee may request a hearing in order to present information relevant to a decision as to whether his permit should be reinstated,modified or revoked. If a hearing is requested,it shall be conducted pursuant to procedures prescribed by the Chief of Engineers.After completion of the hearing,or within a reasonable time after issuance of the suspension notice to the permittee if no hearing is requested,the permit will either be reinstated,modified or revoked. k. That this permit may be either modified,suspended or revoked in whole or in part if the Secretary of the Army or his authorized representative determines that there has been a violation of any of the terms or conditions of this permit or that such action would otherwise be in the public interest Any such modification,suspension,or revocation shall become effective 30 days after receipt by the permittee of written notice of such action which shall specify the facts or conduct warranting same unless (1)within the 30-day period the permittee is able to satisfactorily demonstrate that (a)the alleged violation of the terms and the conditions of this permit did not,in fact, occur or (b) the alleged violation.was accidental,and the permittee has been operating in compliance with the terms and conditions of the permit and is able to provide satisfactory assurances that future operations shall be in full compliance with the terms and conditions of this permit, or (2)within the aforesaid 30-day period, the permittee requests that a public hearing be held to present oral and written evidence concerning the proposed modification, suspension or revocation. The conduct of this hearing and the procedures for making a final decision either to modify,suspend or revoke this permit in whole or in part shall be pursuant to procedures prescribed by the Chief of Engineers I. That in issuing this permit,the Government has relied on the information and data which the permittee has provided in connection with his permit application. If, subsequent to the issuance of this permit, such information and data prove to be false, incomplete or inaccurate, this permit may be modified, suspended or revoked, in whole or in part,and/or the Government may, in addition,institute appropriate legal proceedings. m. That any modification, suspension, or revocation of this permit shall not be the basis for any claim for damages against the United States n That the permittee shall notify the District Engineer at what time the activity authorized herein will be commenced,as far in advance of the time of commencement as the District Engineer may specify,and of any suspension of work,if for a period of more than one week,resumption of work and its completion. - 2 r'r;;; • i[., I, ....1 ' Y y • `' /P4a J` •. is e., P:: ar f r ` �, 1r 'YI 1' • VII 0110 •r . I\ r V) .�1 11� 7. , '411114111111.11111 i 1. A - t v . %Ft . ... i . .....\._ vii i ,4.-1_. c. idamLs. •t . • t • _ .o 011/ • f Cf iJalp. lL E G C y,J+ J v r y� •• • '' . ITs 4 t;Ott ; J3 ` - ` r - ,{t .,,,.t , - - '. .mss',, t�.:.: i�\.; - - � � ' ti 3 ! i. M fu 44� a or• !' fy, F4r.• y ✓ J fit. is. �. • • • 4, _ _. • r '�` a !!c 4..• r t. 4. 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P 0.3.2.. �'_r'i"a TNCTxo ua PROPERTY UM Cantrell, Elizabeth From: George Thogersen <thogy@hotmail.com> Sent: Tuesday,August 18, 2015 12:01 PM To: Cantrell, Elizabeth Subject: 70 Wiggins Lane -Thogersen Trust Attachments: 70 Wiggins.JPG;70 Wiggins.JPG Hi Elizabeth - As per my phone conversation with Diane of your office, we would like to arrange for a final inspection of the existing bulkhead at 70 Wiggins Lane. As you know, a permit was issued by the Board of Trustees pending the installation of a 10' non-turf buffer. This has been completed as per attached photos. If you require anything else on our part, please let me know and we will address immediately. Thank you for your assistance in this matter. 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A :sr- ...ss(Lt ,• 1.'.... s ti .140.1114.1.' i'r,".. ,.is ::.-4-‘• ' "II ��*QF south®l MAILING ADDRESS: OFFICE LOCATION: Town Hall Annex �� P.O.Box 1179 54375 State Route 25 ` Jill 3,111 % Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) ` Southold,NY 11971 ` Pk"ie , Telephone: 631 765-1938 &®i66Ypi 9 b9� /�, •04° LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM ih; E To: John Bredemeyer, President Y JUL 2 2015 $' Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: July 20, 2015 Re: Proposed Wetland Permit for GEORGE O. THOGERSEN, JR. TRUST SCTM# 1000-35-4-26 GEORGE O. THOGERSEN, JR. TRUST requests a Wetland Permit for the existing 86' of timber bulkhead. Located: 70 Wiggins Lane, Greenport. SCTM# 35-4-26 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 INCONSISTENT with LWRP Policy 6, specifically 6.3 (below) and therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The bulkhead was not constructed with the benefit of a Board of Trustees review or permit. If the action is approved and to further Policy 4.2 Protect and restore natural protective features and Policy 6; it is recommended that vegetated non-turf buffer be required landward of the bulkhead. 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 • I ; V Peter Young,Chairman , Town Hall,53095 Main Rd Lauren Standish,Secretary ,. P.O.Box 1179 e9 471? Southold,NY 11971 ; 4►�;t. Telephone(631)765-1889 � 1 lit * I'lFax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., July 15, 2015 the following recommendation was made: Moved by Doug Hardy, seconded by John Stein, it was RESOLVED to SUPPORT the application of GEORGE O. THOGERSEN, JR. TRUST for the existing 86' bulkhead. Located: 70 Wiggins Lane, Greenport. SCTM#35-4-26 Inspected by: Keith McCamy, Doug Hardy, Peter Meeker The CAC Supports the application with the Condition the height of the bulkhead is no higher than the adjacent bulkheads. Vote of Council: Ayes: All Motion Carried " John M.Bredemeyer III,President 1# t r SO1j11O Town Hall Annex Michael J.Domino Vice-President 1� `` o f 4 : 54375 Main Road ' ' ' x' ` P.O.Box 1179 James F.King,Trustee ; ,: Southold,New York 11971-0959 • Dave Bergen,Trustee G ' ;r' • mac► y® g Telephone(631) 765-1892 Charles J.Sanders,Trustee \ "t elf �� ` .01 Fax(631) 765-6641 COU , 0'4�i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ( ;. r°� ,` , 7 Coastal Erosion Permit Application • Wetland Permit Application Administrative Permit Amendment/Tra fiscptensionJUN 2 7015 Received Application: S— Received Fee:$p�� - y , _ Completed Application 0,26/0-- `' `' H'` Incomplete SEQRA Classification: Type I Type II Unlisted _Coordination:(date sent) LWRP Consistency Asses ment Form 7,10//)_ CAC Referral Sent: 7 Date of Inspection: yam' Receipt of CAC Rep.rt: _Lead Agency Determination: Technical Review: r Public Hearing Held: 7/01.21/5-- Resolution: Name of Applicant Ge 0 e 0. T o e r3e j j v. 76✓S+ Mailing Address 16 Vit$1 CO✓I+ v.,;c` 14'clo vt N y 1 (7% Phone Number:Pi. 53 ( ' 7a9O Suffolk County Tax Map Number: 1000 - 35 — _LI — 2 Property Location: 70 n/i 55;AS tree rte.(l- NY SW co/n'ee o 4 IQ-t 25 s. W1'0.Na Leri (provide LILCO Pole #, distance to cross streets, and location) /524- F AGENT: Georlt O. 1't oge.✓Sev Jr. � 1S MY - L (If applicable) I Address: 19 West V t ;1n,r4 1''n d i/ 1 im Phone: (vii • Y311 7Dl 0 &3( - '102 - B4 I of Trustees Application/ GENERAL DATA Land Area(in square feet): 23! 3 0-0 Area Zoning: Re,Si ien'A aZ Previous use of property: Residence Intended use of property: At 5;oiCn c e. Covenants and Restrictions on property? Yes ✓ No If"Yes",please provide a copy. VNo this project require a Building Permit as per Town Code? Yes Y 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]ny demolition as per Town Code or as determined by the Building Dept.? Yes o✓ No Does the structure (s) on property have a valid Certificate of Occupancy? Yes ✓No Prior permits/approvals for site improvements: � Y,S ge /�C G �"/�ID f /17 USA Cor ' o -f en9-eeVs 11//0 / iii0 To✓� /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): f1t4 Ifit- Cy( ( Boa \of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: 53 feet Closest distance between nearest proposed structure and upland edge of wetlands: 53 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? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: 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): lJo effFc- 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I 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 3-1; Name e �e ' e 1 Name of Acfion or Project: Gearle 0. RoleJ r. j iv51--' Project Lodation(describe,and attch a location map): �o 1/" i4.s Lah e Yee„po (t N y 119'I It Brief Description of Proposed Action: fedtx 7 i 86 oc e sit/ bdlk6taa( — <✓o 1.410 -k. Name of ApplicantAor Sponsor: - /� ( Telephone: 19M C )c i'�i-E�- / €oY1C 1 L 2 c.z+n E-Mail: Address: 1 West Coy) -t City/PAI: State: Zip Code: �t Z R4-c ►� �' II �g'7i - 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 ✓ n may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: Er ❑ 3.a.Total acreage of the site of the proposed action? .55 acres b.Total acreage to be physically disturbed? ® acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? , 53 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural (non-agriculture) ❑Industrial ❑Commercial LJ Residential(suburban) ❑Forest ❑Agriculture grAquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? - [�/ b.Consistent with the adopted comprehensive plan? 4".I 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? Vr# 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: I v l 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ‘'.1/y c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? r✓ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and techno gies: iv6' 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 4 ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? [ ❑ b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NOYES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ e'1 b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? Vr If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: p6/ DN r6eeth►i0" CG'Ao 1 14. IId,�dejtify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Lf Shoreline ['Forest ❑Agricultural/grasslands ['Early mid-successional Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO ,YES by the State or Federal government as threatened or endangered? 16.1s the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? LNrO EYES b.Will storm water discharges be directed to established conveyance systems(run and storm drains)? If Yes,briefly describe: NO OYES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE I 0 MATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE evoke 0 ColeiS.Z•t)Sr. T is'r Applicant/sponsor ame: L► ' C .• AL Date: 672_yzvlr Signature: `._ 1.1 1 i Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 12/ 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 I� establishment of a Critical Environmental Area(CEA)? V( 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 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? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, %/r waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 i 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? F✓ 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 eyivironmental impact statement is required. heck this box if you have determined,based on the information and analysis above,and any supporting documentation, i' that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees ,'7/i5> 1 ` Name of Lead A ency Date j ?/P 12 "rof e ereiet eli Ci President Print or Type Name of Rsible Officer in Lead Agency Title of Responsible Officer i � 1 Si o 'ature of Responsible Officer inead ency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 4 ° o d PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 1 II 1 LIVlir -mak wu::4--- (.9 ; A Getl!_12)t. Ele,‘''‘ INCSkAn 11'\1 1 0 V STATE OF NEW YORK COUNTY OF AUFFOLK Qt1L . C./vjf k . , , residing at K)17 being duly sworn,deposes and says that on the ° day of ,J,1 `i , 20 (c, deponent mailed a true copy of the Notice set orth in the Board of Ttustees 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 assessment, oll ofRheiTown of Southold; that said Notices were mailed at the United States Post Office at I .. - -Q'Q N" 1,(1 21, that said Notices were mailed to each of said persons by CERTI D MAIL/RETURN RECEIPT. 4-4.4k Sworn to before me this S Day of \ \ , 20 r5 NANCY LYNN WAGNER g - Notary Public, State Of New York Qualified�n NassauoCounty \blic ) �> Commission Expires March 11,20 otary blictt U.S. Postal Service'M'i r- TM i lJ S, Postal •Service ,,,' ,� CERTIFIED; MAIL® RECEIPT ,� " CERTIFIED MAIL® RECEIPT o Domestic Mail Only 1 4 Domestic Mail Only m For delivery information,visit our website at www.usps.coma. 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S E ' i co Certified Mall Fee . p Certified Mall Fee Er $ $3.45 .Ir $ $3.45 , ' Extra Services&Fees(check box add fee as appro.ate) 0729. - Extra Services&Fees(check bay add fee as appropriate) 0729 I u7 ❑Return Receipt(hardcopy) $ -- '1 -_ u7 ❑Return Receipt(hardcopy) $ ,1 7 0 0 Return Receipt(electronic) - $ •Ili{lIl 08 Postmark II 0 Return Receipt(electronic) $ fIRy,11 �ft4 kprk, ' 1 0 Certified Mall Restricted Delivery $ I•I I Here CI ❑Certified Mail Restricted Delivery $ Ti tit •' re [(Adult Signature Required - $ -- A. �\ 1=1 ❑Adult Signature Required $ / i 0 ['Adult Signature Restricted Delivery$ `,•"'—".�, ['Adult Signature Restricted Delivery$ _ Postage $0.49 07/01(501 5 Postage $0.49 .1-10.`07/08,0 - 0 Total Postage and Fees I r� CI Total Postage and Fees � - f $ *6.74 zs, S v u7 $ $6.74 \ , i ul q O Sent To /t_ a \ J —� O Sent To ��„�}q((r„ 1 (/ � t - - K K/ c y N Street andApt Mo.,or PO§ox Nb. , ,{�- '�y'u, r` Street andApt.No.,or PO Box Nb U , City,State,ZIPi•4e et v1/4.4 Crty,State,ZIP+48 U7 f'I l�' �I�'t��f. IIt� PS F• 3800,:A• 4 2015'- • ,-, -•„-•r4 S--Re - -f•r I t u ti• PS Form 3800,April 2015 PSN 7530-02.000-9047 See Reverse for lnstructrons'j John Bredemeyer, President 'goFFot Town Hall Annex Michael J. Domino, Vice-President °°Y c°� 54375 Route 25 James F. King P.O. Box 1179 Dave Bergen 'o Southold, NY 11971 Charles J. Sanders y�o1,� °!�' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of GEORGE O. THOGERSEN,JR. TRUST COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS �� ` , residing at/tea tckk-Q)24Co-* mg) being duly sworn, depose and say: That on the"-7,day of ,`AI , 201(,II pe o ally e,p posted throperty known\as1 /al TIAC5 r) 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,July 22,2015. Dated: ?eti 24-4V • cOe' (signa e) Sworn to before me this aa.day ofjOkl 20 �5 NANCY LYNN WAGNER Notary Public, State Of New York No. 6071170 Qualified In Nassau County Commission Expires March 11, 20, Notary Pub is NUTILL OF HtAKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: GEORGE O. THOGERSEN, JR. TRUST ) SUBJECT OF PUBLIC HEARING : For a Wetland Permit for the existing 86' of timber bulkhead. Located: 70 Wiggins Lane, Greenport. SCTM# 35-4-26 TIME & DATE OF PUBLIC HEARING : Wednesday, July 22, 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 Boa' '', of Trustees Application AUTHORIZATION (where the applicant is not the owner) 1 4-7-4.4- residing at 1� % "'J'" "" (print owner GQ‘iseof property) (mailing address) 5vv ,A ii.--\ t-1 087 do hereby authorize (Agent) .Th S"k ( to apply for permit(s)from the Southold Board of wn Trustees on my behalf. (ow.er's signature) B d of Trustees Applicatio County of Suffolk State of New York TA°0Pvili ) 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 BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. D g"'l • 1 nature of Prope y Owner SWORN TO BEFORE ME THIS c -.1 DAY OF .4 1:-/"9 ,20 \ c-4 C/36. Notary Public VICKI TOTH Nothry Public Stat of New York • No.01T06190696 - ' Qualified in Suffolk County ` ' Commission Expires July 28,20 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: 9ijel ��►O rCt e� 9 r e Q TS eL ,4y4.t-�(Last n e,fust name,_middle initial,unlessjT5a4c 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 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 12"stec SAA t SS L ! 111-4&r Submitted this V4 itf 200 Signature l�yr Print Name l.J� -- Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION 6 SCTM# 3LJ - 'q - PROJECT NAME 6l-et"'"1 e 0. Ili oq e✓slv►l J r. Try S 1- 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): - c (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: / inI6 0 �c�s n 64I(keaI } ` P Location of action: 7 o We 5fflit,5Ithe 'e v f o t Site acreage: 2-J( 3 o 0 Present land use: Resrd e Whet I Present zoning classification: �S i ti t k1 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: Gf e o`q,.e C9, -o f erSeh 7C vS f • (b) Mailing address: /9 welt r r Snir, JNY //7�d (c) Telephone number: Area Code(61 • ro 2 • S 2-0 2-- (d) (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. No IN Not Applicable s-fi vc.*1 v-e Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See' LWRP Section III—Poj Policies Pages 3 through 6 for evaluation criteria Yes No Zi 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 n Yes n No j;<1 Not Applicable 12.Xi5- n' .‘Yrvc.itvnc — no pii9( 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 I Not Applicable exiSHey .S vavi---c- 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 n No R.Not Applicable e34's1 S�vc7Vr� 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. Yes No Not Applicau;e 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 n No 12 Not Applicable €fit S iy Slyidelvyt Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria._ ❑ Yes ❑ No ® Not Applicable exiclbij 5frvc.1-,vc 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. n Yen No Not Applicable 0-0 ►''`''Pti ,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. ❑ Yes ❑ No X Not Applicable exail/ .Stx,,fv"-'- 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 [ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No® 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 Ih Not Applicable PREPARED BY9,),1TITLE 1-615k DATE .14 ((