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HomeMy WebLinkAboutTR-8675 .,'`,,,,,,, -' Town Hall, 53095 Main Rd. John M. Bredemeyer 111, President , OFO(�c;` <<�� 0G Michael J. Domino, Vice President t �\ P.O.Box 1179 &. Southold,NY 1 1971 James E. King W ~~ i Charles J.Sanders ;y� '.M1 o�y,0 Telephone(631)765-1892 c _Dave Bergen__ 'Ql ' ` '1'% 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 ✓ Project complete, compliance inspection air;,_ a y1,1i *r,P'f <11' ;,si p®s, ,,, „,x",,,,,;.4;. d”,, 9a rp� ''F , ,,0e4 rt"t,, _7;;;i„,,..14,-,:;;;;;.c.,,,.. {'„,..1`, f1°9yA ,, \ 5'" i tf r t 'aV 4Gf _ 4• "1.. t .r' '»"� '�s-. .,i,cU1,,.:,w�,��GL } 1�i..:.xp.r 1 1.11:—.‘14'' d{r�� ,��„ 4 �,lf U,4 s'-m r—s yat Y{ti� ,,.{ 'II ,,I s 's- 7 . ...,=7-,c:: 1/41 .,,': a ''g All;'-'---g .y t `\A r ) s. 0.,$`;`r a9 _ 1-,:;,i�:N :,,<r,g1.,,,..... '.._.^Ms•7„3 ,r,,�r,?Mer,,,,,,I,,. ..:.et, _°D^'.:Z. rr2,.....m Yk.1st::a,..T."-a.;:il::w.i s`.gK,.z,p..S .�.. ,, ai x,,,,?.{,'',,,,,S41,4.:1SA. .::{rs Q..1',',,,t ? - **--- '7'7,77 -- k '?3:•K.u.,;au '<T,•�i'x? 1 te.Zs. .&n, s„ ...{.i x . i e e 1 p 4 ,L 4£ , . BOARD OF SOUTHOLD TOWN TRUSTEES ��^€ALF .'� ` SOUTHOLD,NEW YORK `�_"�' � .t `£• 4. N �.,.. � � PERMIT-NO. 8675 DATE: SEPTEMBER 16, 2015 'g1 �` £' � ISSUED TO: CORCHAUG VIEW LLC ' $w i ,,., ys, .... ....,,, , 13�it PROPERTY ADDRESS: 3000 MOORES LANE, CUTCHOGUE e:`u' I = SCTM# 1000-116-1-8.3 inf. ' AUTHORIZATION .;" `'' i Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on September 16,2015, Ih and in consideration of application fee in the sum of$250.00 paid by Corchaug View LLC. and subject to the ' .4. s ,, Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits 1.1( ,,„ the following: '�°` ( m .!:":-.t4: ',',_' Wetland Permit to relocate existing gazebo; relocate mechanicals to the north side of 41 P-," the dwelling; construct an 800sq.ft. raised pool and 2,140sq.ft. pool patio with pool j $a;1 za enclosure fencing; install pool equipment area and a backwash drywell; install an m- 's • ' „ ground 1,000 gallon propane tank; install a propane generator; existing covered porch cl ti = •i,,ii k,11 r! on dwelling to be removed and converted to an enclosed addition; construct a 276sq. ft. i • 4 covered porch ontolandward side of dwelling; provide new drywells for covered porch * 0 and pool/patio; remove 27 trees ranging from 2"-18" caliper for pool, solar project, or p.4.44., dying, and as depicted on the site plan prepared by Mark Schwartz& Associates last 1-4 - dated on August 31, 2015, and stamped approved on September 16,2015. IA.? 4 t'Ts'i� . IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, e1,. y""a and these presents to be subscribed by a majority of the said Board as of this date. F. ,;„ w #e4to k Apr ! �� . ....:77...';"<", ,' p Of Fat i"� - Michael J. Domino (lay P,. it, . .: . - - t .'1 9a...,-,..,4„, g:( ,/,..1 „,.., 4 01.1 ' '"lyse�.P to l 1 a 1. �W , o ,r,. G rim -11 `'1- Oat i c$ <:7 '-1"-:- -- 1 a v3 s 1'u. ?u 7.i 7, ^e^�55..+,7t7& :kYfil.1 t hi. ,';',,,N..5m h' r}` }.Lw"Y;5`iA Ay:.u• sY 5 `.',.� ,_",Yc'L.oXC t Y.;,'^'e�2• l". �' (,i, ��, ,1 '1 /`+{ .1 3 t 1 .' '.•"° ,ii. w ye�A .:., t`. ,1,�._ ti'. - '.k.“ —2 :t. s yr 1 \,;'7t-;if `"► •„,.-_, ,r ,,,„ n� t\ „, /f `�S.f`,C ° �.. •,, °'y+6L 'l'�7. ` is ..m...4� u ».i'�• 11 h'pu„,� „._1.3.'," /"J'.-4, ...-:°--,i + ,.. tf/ 'p4; ytQ -•_t idi {�et '`5......-.^' `1,1 As •''''e%-::-.714101: per..,0'4:: .--5- t St” 111:4,P*----•-....�.%. `f”" ain '111%°:!` ' 11 s _ • t.4... ta0 a c n' .+ ,t }y ..- c"4'. e0:!.« „�I, ,! 'o. t�' f+s, '.0'. �i�e ,i!: Ly11 I TERMS AND CONDITIONS The Permittee Corchaug View LLC, residing at 3000 Moores Lane,Cutchogue, 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. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. 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. John M. Bredemeyer III,President �l� �� 4/0l Town Hall Annex 54375 Main Road Michael J.Domino,Vice-President ��� �g oFit& P.O.Box 1179 James F.King,Trustee gre .-"4. Southold,New York 11971-0959 Dave Bergen,Trustee G � 4, ��$ Telephone(631) 765-1892 Charles J. Sanders,Trustee Fax(631) 765-6641 COUNT`1�to � �%... ..• BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 16, 2015 Michael A. Kimack 321 Riverside Drive Riverhead, NY 11901 RE: CORCHAUG VIEW LLC 3000 MOORES LANE, CUTCHOGUE SCTM# 1000-116-1-8.3 Dear Mr. Kimack: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 16, 2015 regarding the above matter: WHEREAS, Michael Kimack on behalf of CORCHAUG VIEW LLC 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 August 14, 2015, and, WHEREAS, said application was-referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 16, 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 the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of CORCHAUG VIEW LLC to relocate existing gazebo; relocate mechanicals to the north side of the dwelling; construct an 800sq.ft. raised pool and 2,140sq.ft. pool patio with pool enclosure fencing; install pool equipment area and a backwash drywell; install an in-ground 1,000 gallon propane tank; install a propane generator; existing covered porch on dwelling to be removed and converted to an enclosed addition; construct a 276sq. ft. covered porch onto landward side of dwelling; provide new drywells for covered porch and pool/patio; remove 27 trees ranging from 2"-18" caliper for pool, solar" project, or dying, and as depicted on the site plan prepared by Mark Schwartz& Associates last dated on August 31, 2015, and stamped approved on September 16, 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, ilf John M. Bredemeyer III President, Board of Trustees JMB/dd John M. Bredemeyer III, President "� gu1:FOj Town Hall Annex Michael J. Domino,Vice-President ,�'°, 4�0 cOGy> 54375 Route 25,P.O.Box 1179 James F. King � y ; Southold,NY 11971 rPr + Telephone(631)765-1892 Charles J. Sanders :_y � , P Dave Bergen ` �� ' �aO`'° Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CORA-06- VI Cid LW �? 6M � � �� ✓` TO: t. 4 14 0245- Please be advised that your application dated , ° has been reviewed by this, Board at the regular meeting of 4f f t4V /4X16--- and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Silt Fence Inspection Fee ($50.00) 1st Day of Construction ($50.00) ' Constructed ($50.00) X Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: �!►�AL /W5 INsPecroN Fur- 45-49,6-0 . , 10.12-15-- r „ TOTAL FEES DUE: $ d BY: John M. 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Sanders Southold, NY 11971 Dave Bergen 'yOl * �a°��' Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: / Michael Kimack on behalf of CORCHAUG VIEW LLC requests a Wetland Permit to relocate existing gazebo; relocate mechanicals to the north side of the dwelling; construct an 800sq.ft. raised pool and 2,502sq.ft. pool patio with pool enclosure fencing; install pool equipment area and a backwash drywell; install an in-ground 1,000 gallon propane tank; install a propane generator; existing covered porch on dwelling to be removed and converted to an enclosed addition; construct a 276sq.ft. covered porch onto landward side of dwelling; provide new drywells for covered porch and pool/patio; remove 23 trees ranging from 2"-18" caliper for pool, solar project, or dying. Located: 3000 Moores Lane, Cutchogue. SCTM# 116-1-8.3 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 eed d: ®® �� 71- 4).2:>( J r arr -e-s lc? p 1 Modifications: Conditions: Present Were: J Bredemeyer 'IOM. Domino J. King 'D. Bergen C. 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Peter Young,Chairman + Town Hall,53095 Main Rd Lauren Standish,Secretary Ny.. reit 2 P O.Box 1 179 `kz" Southold,NY 11971 /� ��`��e Telephone(631)765-1889 illi j'� Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 9, 2015 the following recommendation was made: Moved by Jack McGreevy, seconded by John Stein, it was' RESOLVED to SUPPORT the application of CORCHAUG VIEW, LLC for the existing gazebo to be relocated and relocate mechanicals to north side of existing dwelling; construct raised pool and patio and propane pool heater; existing covered porch to be removed and converted to enclosed expanded mudroom; construct covered porch addition. Install propane generator with transfer switch. Provide new drywells for covered porch and pool/patio. Install new inground 1000 gallon propane tank and remove trees for pool and solar project. Located: 3000 Moore's Lane, Cutchogue. SCTM#116-1-8.3 Inspected by: John Stein, Jack McGreevy - Vote of Council: Ayes: All Motion Carried I James F.King,President ofii-OF SO(/T,y- Town Hall Annex Bob Ghosio,Jr.,Vice-President .. p� . Ql 54375 Main Road le h O ; P.O.Box 1179 Dave Bergen ; % So9hold;�Iew--er-k 1X97-1-095_ John Bredemeyer i IC, it ;' 1 r irril ` �O 10 Telep one-(-634 Michael J.Domino : �` Q rF' (631) 765-6641 — D 1TCDUtrli , '''� ;! 1.1 AUG 2 4 201T iI r � BOARD OF TOWN TRUSTEES "t DG DEPT TOWN OF SOUTHOLD — =� MIIIHOLD To: Southold Town Building Department Re: Verification of Building Department Permit Requirements SCTM#: /16 — ) e 5.1 3 Property Owner Name: CO r(-lo i Ii c ccJ LLC Date Sent to Bldg. Dept.: a, l/5 The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO ill the proposed project require a Building Permit? // Will the proposed project require a variance determination from e Zoning Board of Appeals? 1/1 Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: r ®Y , /s® Signature of viewer Date ��OF SOi j Aor OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex �� �® l® ; P.O. Box 1179 54375 State Route 25 411Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) t 1 ® ��I� Telephone: 631 765-1938 Southold, NY 11971 iie COUNri is • I" 11 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM n /7Iry 1 yytt-1 ti' s • SPP 1 1 2015 ' To: John Bredemeyer, President Town of Southold Board of Trustees Southold Town From: Mark Terry, Principal Planner •``'" ` LWRP Coordinator Date: September 11, 2015 Re: Local Waterfront Coastal Consistency Review for CORCHAUG VIEW LLC SCTM# 1000-116-1-8.3 Michael Kimack on behalf of CORCHAUG VIEW LLC requests a Wetland Permit to relocate existing gazebo; relocate mechanicals to the north side of the dwelling; construct an 800sq.ft. raised pool and 2,502sq.ft. pool patio with pool enclosure fencing; install pool equipment area and a backwash drywell; install an in-ground 1,000 gallon propane tank; install a propane generator; existing covered porch on dwelling to be removed and converted to an enclosed addition; construct a 276sq.ft. covered porch onto landward side of dwelling; provide new drywells for covered porch and pool/patio; remove 23 trees ranging from 2"-18" caliper for pool, solar project, or dying. Located: 3000 Moores Lane, Cutchogue. SCTM# 116-1-8.3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with LWRP policies, therefore CONSISTENT with the LWRP provided the following below recommendations are required to further policy 6.1. 6.1 Protect and restore ecological quality throughout the Town of Southold. B. Protect and restore ecological quality by adhering to the following measures. 1. Maintain values associated with natural ecological communities. Each natural ecological community has associated values which contribute to the ecological quality of the Town of Southold. These values should be assessed on a case-by-case basis. 2. Retain and add indigenous plants to maintain and restore values of natural ecological communities. John M. Bredemeyer III, President t' ', Town Hall Annex { " � , `�,4 54375 Main Road Zii Michael J.Domino,Vice-President 4' _ h ,,$; . a' P.O.Box 1179 James F.King, Trusteeb n `p Southold, New York 11971-0959 Dave Bergen, Trustee ct ) „,; 'i ti 't, , es,,z Telephone (631) 765-1892 Charles J. Sanders, Trustee \% l ti" ,t0 Nii,\\ ;ij; . Fax(631) 765-6641 <',:›,z, .,•i:,.s,1'. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD -_- _-- - - -- - Office Use Only 1-' ' s 1-v'' .--7, fN Coastal Erosion Permit Application LLL'_,;+ — i; � t)Wetland Permit Application Administrative Permit _ 3 AUG 1 4 205 i Amendment/Transfer/Etension I Received Application:`V) / /J — - --, Received Fee: $ L " � Completed Application: _ /�_ _ • Incomplete: ___� .._._.-._._. . ._ __ _ ---- SEQRA Classification: Type I Type II Unlisted Coordination:(date sent): +LWRP Consistency Assessment Form: 9/4///..5-- CAC Referral Sent: *7 5--- J Date of Inspection: • /4 Receipt of CAC Report: _Lead Agency Determination: Technical Review: _40.Public Hearing Held-2767-6777) Resolution: Name of Applicant: _ _reee C)-441U(.7,-_..1/1. CZ e Mailing Address: _ ?/O 6-7444v. .u1/4 A/,z-il1 S/� iWe /I/,V / GD 2/ Phone Number: Suffolk County Tax Map Number: 1000 - _,_f/G —_ 0/- cP 3 Property Location: .3,00 tf 6 S ,(,,,A ', e v�1 1 Q&4 24 4/ eF.),r fa e.tuAvs) c .4 ]vo/?yxi_�iwe coOev Y_c(0/8. (provide LILCO Pole#, distance to cross streets, and location) AGENT: _ P 4 ,��/�L (If applicable) Address: .._..M.. ..I21....e/Vtil_VAe":,40i✓ _._-. .� -__RIYAe J?`_H Y - _ _ Phone: _ 32 i 72 7 07/ 3 & 4\a- _, , Cantrell, Elizabeth From: Mike Kimack <mkimack2@verizon.net> Sent: Monday, August 31, 2015 8:12 PM To: Cantrell, Elizabeth Subject: Corchaug View LLC Hi Elizabeth: Please make the following two amendments to my application on behalf of Corchaug View LLC(Rivkin residence): 1. Trees to be removed-27 2. Proposed patio; 2,139.85 sq.ft Thanks 1 Bc' "I of Trustees Application,-- } QR/ 'I1W/ts' GENERAL DATA Land Area (in square feet): 2 04 0,51? Area Zoning: / C ; e _.s' Previous use of property: � r..227g/(/VA Intended use of property: , 'z 7'17 L Covenants and Restrictions on property? Yes t/ No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? t Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes tNo If"Yes", please provide copy of decision. Will th .project require any demolition as per Town Code or as determined by the Building Dept.? V _Yes No Does the structure (s)on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? v No Yes If yes, provide explanation: Project Description(use attachments if necessary): , ? /dli4-TE Ii I.44 /eims• re, N D4Pfl' .N467 O�ieJr77v& t$Of4. C'ONPTiooc,rRi ire p &L `oPpa st"✓ ,cr) AL>v12 19AVI L -Q A/hil/J P Nein l/l/Js L /PooL 011'/YA/7"LN/fACJ1GlliOrWW DRY("34 4ND.RA96/ 4 /,9 Pact 11X9 .E%T)r-b1/� 'ov/_`RAP—P07217{71, BW REM CVE0 AICD ceivvee ,t, ro ,iV CL o_r.80 0xmiv.DE,G /vv.* e 4 i. caNP2 r/cT cov -RE,0 eoie' 4'/fl44s (i276 ,E1 /iVJ LL pRoP4WW 6 iv, le%<1ron `el/ f` & A/J) 9/2 .nld w [5_' oie COVE R. /2 leo)P cW 4Nb F 6°47 M Y?a /h!rY11L NOW _ __lN /zo vnva /CVO 644. f'9t Mis YAW& ave 7 s=e* defro /P fox "04G/.fa n rn'c*Tte7/ N/A/(, Ba' `L of Trustees Application' WETLAND/TRUSTEE LANDS APPLICATION DATA C DNpr/2Uer1.P.E2po oz Purpose of the proposed operations: wip0 / ,e4S 0 pPf7 0" CZoJ'L ,LX/JY7A/17 toVE1?-p po/2 cN, ,g /71UA/ or AJE C 01/ ` .l' C. . P.07:441.L Pi o1Wt GENS/14.7212 /16672 WA/10 Ppc PANE 7r` N1-, iJF J D,��u��1l ALAlb ,p Z oC/4.-)71ye5C' i CAL, Area of wetlands on lot: 44 / /6 square feet Percent coverage of lot: O. 9 7 Closest distance between nearest existing structure and up nd edge of wetlands: 'r 9'2.*feet (GA Z (�) Closest distance between nearest proposed structure andpland edge of wetlands: � `°^ - feet l C. Z ,BBJ Does the project involve excavationxcor filling? No P' Yes If yes, how much material will be excavated? /6 0 cubic yards How much material will be filled? ?Z cubic yards Depth of which material will be removed or deposited: 4- feet Proposed slope throughout the area of operations: < 2 70 Manner in which material will be removed or deposited: 27wzic ,ex C141497ZV . ,q ND 1/2am z a4.19,cie Ta 2.x/`901/ib •tIWP Z _ Q'D , .0 EreAM19 L`A/ /- _ ,r .6 70 6A4PZ. 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): rilEjel,2cWILL 5 ,iv ci,ecZ cj ,8y 4 Nisi)/B1-/ ZrpC/ P-&/Zf -SP1 7t be ?Wim r4.4AIQS' Ativp p7D• L 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 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information egg Ci -t'& IV1. LLC - N 'oat 'A- v OR CM 4 _ y 0111 Name of Action or Project: o®f,��_Ol? S'.L-4A/, C!/7c1,060E _�_.�_ Project ocation(describe,and attach a location map): Jie ,VW120 UA'P--- ,eiv c'C os-a Brief Description of Proposed Action:.ErX/J77A/& CP, ., .4:6A2 . :6A 2 rO$A ,40 r_ . 4 oc47Z MEVe/AA/re/Us' rD/Vo4,7771 ,r/o4. pOiiJ77NG N OUSE. CO/11SD ,e'Ver '4 4r440poot`�D&PTFr) /-u i PA-no i2is'aeraler) IN//9° E iYr,E• /A/J7-414VafL C Q vitweivr IN/8�t�/6.w�)1 pie)wezz.,, fp /°n o vas' p oal Il,EA-mit• CX/Jp/w& Cov/z,Ep pp/2c/.9 To ,®'F 46/tUilea, ,4N2 CoNVl-'n,7' ) o t PAAl,'Eb MVP!•C OGr1. C a/I trieU1 C a-I/-1 ty l/°'LJ /NCU � `JC ,44,f/ 274•rvFr.).DV.7741/ "WA AMe(RoenteR.401 ,vdilT /iV'6 , Alp A D�eYWal . XL co v,�y2n 61r�/�c� G L/r°a r/ror,Oa1 b.� oPAA/ 345't A Z. '1epJ, i�� '. . J`GIClLI'OOrrger y�NG I"elepllone: w PficA/Ag A. t/,4s4Ck E-Mail:11eall 1 &.kms ,, • 4. 7-- Address: J2/ RI V.e4f/Tpt'ei v, City/PO: State: Zip Code: £/V LA1,-P .T _ivy_--__-- __meo/ 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 IX 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: NYS D 'C , BIP6- .049,7-: 3.a.Total acreage of the site of the proposed action? 6... .... acres b.Total acreage to be physically disturbed? __ _5f7 acres c Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 4 6.615- acres 4. Check all land uses that occur on,adjoining and near the proposed action. m El Urban �❑�RuralRu� (non-agriculture) ID Industrial ❑Commercial Residential (suburban) EForest U2'Agriculture ❑Aquatic ❑Other(specify): _,_ ,_ , m__ _W_.__ ❑Parkland • Page 1 of 4 ( , 5. is the proposed action, N O YES N/A a. A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan9 r' 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO Y_ES If Yes,identify: — - - - - - - - -- /.►� 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES LJ b. Are public transportation service(s)available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? —� 9. Does the proposed action meet or exceed the state energy code requirements? NO YES if the proposed action will exceed requirements,describe design features and technologies: I - -- ------_--_ �� ��_4-Al _y c gags- - --- - - 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: —^_ 1 I.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 NO YES wetlands or other waterbodies regulated by a federal,state or local agency? • b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Idepify the typical habitat types that occur_oryr or are likely to be found on the project site. Check all that apply: Shoreline ❑Forest Agricultural/grasslands ED Early mid-successional tt.r W.etland D Urban 0 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? I4 16. Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? NO DYES — b.Will storm water discharges be directed to established conveyance systems (runoff and stow drains)? If Yes,briefly describe- ENO ES A1E4 -101eY 041-23'�a12 Poa P'9774 .4-NP ,4,ti,bl Tjt�/ d COU/ 1 12 cell 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: I 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: .., ----- ____ - rA I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: 1LCA/ .-_,t/G�1 Date: �'f7 � �jr 0` , .. Signature: /// l/l. IL / _s��i�Co 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? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or 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: / 1 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, ` 1 architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g, wetlands, 1 waterbodies,groundwater,air quality, flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage F!! problems? 11. Will the proposed action create a hazard to environmental resources or human health? 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. [1 Check this box if you have determined, based on the information and analysis above,and any supporting documentation, t that the proposed action may result in one or more potentially large or significant adverse impacts and an nvironmental impact statement is required. 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. Town of Southold-Board of Trustees q—a p J C ]_iam of Lead /ency Date Y 0/1 v.` foga,ei..e-�- .President Print or Type e of Responsi e Officer in Lead Agency Title of Responsible Officer S' 'of Respons Meer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Be, .l of Trustees Application(,--- AFFIDAVIT %,,,,,t, A._ W ,%:\,..f k-,-, 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, INCLUDING 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. 3L.- c3- / 7 f al(BER, Signature of Property Owner C e41(146-u V I�W G,�G SWORN TO BEFORE ME THIS , /14 DAY OF 4706 CJS , 20J5-- 7/fredaiZagd Notary Public MICHAEL A.KIMACK NOTARY PUBLIC,STATE OF NEW YORK Registration No.02KI5056823 Qualified in Nassau County Commission Expires March 11.2018 �a, l of Trustees Application, AUTHORIZATION (where the applicant is not the owner) _n I, �a. 3 cl `LVA r\ residing at L 10 9'T v�� (print name of owner of property) (mailing address) I\l2x,)M Q\ f 1 '5'c32-1 do hereby authorize (Agent) "1/C149e2 to apply for permit(s) from the Southold Board of Town Trustees on my behalf. " S (Owner's signature) i ! APPLICANT/AGENT/REPRESENTATIV'E TRANSACTIONAL DISCLOSURE FORM The Town.of Southold's Code of Ethics prohibits conflicts of interest on the part ofiown tsfficcrs'and employgo&l.e purpose of this form(s to provide information which can alert the town of possible conflicts of interes and allow it to take whatever action is necessary to avoid same. YOUR NAME: . 11 j /WC, 4 L (Last name,first name,.gniddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building ✓ 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,at 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 officci'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 this tsday of,'C1 20p75-- Signature O% 'Signature a/Cm L Print Name 11/C/y1/4E2 /VA CJL Form TS 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: - Address: /0 9- 3-- / vcww,/jecjive roogx cc ve /?G. /,9 oX -72c- /0 ? -1-45 CvTCb'o 6v, y //9.5.‘ 1/6 -1- A / WEJ''i e/w is j/ie-W, G(C 9/D , tea41 /N) y pc z/ o f {{{{7777 /Al1vCS, STATE OF NEW YORK COUNTY OF SUFFOLK /y/c'AM7/2_ /G/H4S'Q e' , residing at JZ/R/Y KJ'f,,2.% op. ,Q/wz2620.,0 it/Y/l50/ , being duly sworn,deposes and says that on the g Am day of p0US r , 20/5-, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at 1'dvY"-4104,d> ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. &‘(4,44f.1/7. 0ad Sworn to before me this Day of 5q)-)-fir , 20 IS TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.OlDW6306900 ji arid e. RERAOU QUALIFIED IN SUFFOLK COUNTY Notary Pub COMMISSION EXPIRES JUNE 30,2010 U.S. 4 �A �"+`,,fp'��77,7,- f 1U.S �D.S�t�a�se Vkep 3 �'- ,, a s Yi d 7 4, b Arr y " ,'F, m I(D„omestic!Maik Only;No,Msurance;.CoyeragetProvided)i �. 1 Foec elive';Information visit our website at ww"w.us s.com® tk ra -o NEW Y ., AtY=1G021 L. ti if- ['--, `,,1 L- , 4- F-`- Postage $ $3.45_13f y Certified Fee 7,4:a)'' 971 r1-9s U J 02 Postmar .I Return Receipt Feeo (Endorsement Required) M.10 C ^lrn 8 g ,*'' ® Restricted Delivery Fee tig ` o (Endorsement Required) : o $1.42 \= 415 fU Total Postage&Fees $ US?' $7.67 Sent To - o Street,Apt No; �y r., or PO Box No. //�-A f , .A4 V..., City,State,ZIP+4 r e obit) yo x V / UOZ/ PS Forrn 800, 2006 1;f'b{fir "•'Sr'''t M. a See Reverse0 Instructions �yy,,f t sr }e cs � ^',r' " a " +� ,st l ,", c'f pule kcrN9 S, Pos I�I ServiceTM ?nt q �' 'p: n5�SAR9'GA5 t7°+9P.r�rV� � , s i t CERTIFIED, MAILTM.RECEIPT CERTIFIED MAI'LT RECEIPT (Domestic Mail Only;N6 Insurance Coverage Provided) (potnestic Mad OW.No Insurance.Coverage Provided) r4-1 For delivery information visit,our.website at www.usps coin® t.,1 For,lelivery informationyisitkour website-at wxiinr.usps.com CUTCH }Y 11935j U H �, ,e�eery p�< i NAPLESIL 34148 t ( A 1 i r ,- I a f`- Postage $ $3.45 ® L 'f`- Postage $ $3.45 •�j/,._.._.1..\(-::... > 1-0 `� 71 ' +`° cU�i7�1 Certified Fee . 1, Certified Fee ;ii �j� r-1 ark CO ra ' :' Vvost�i n' 0 Return Receipt Fee I*:t a O. oeFeeI I�t o (Endorsement Required) Here p O Restncted Delivery Fee Nig I_ =.' ?'; Restncted Delivery Fee \ - 0 (Endorsement Required) Sr,E - " ci (Endorsement Required) o $1.42 `48%28/ 5 0 • 48 32415 rU Total Postage&Fees $ 11-I Total Postage&Fees r-R ria Sent T/1401e L-X__.CO C ca A/ i q_ Sent To Lam/ /e477/ �f` COAW p Street,Apt.No.; 1:3 e Ap. 0.; ,v r_ or PO Box No. � �f OX 723 or PO Box No ` 7 �f,RIle- -- y�- Ij?IS• City,State,''P+4- �/ 0 �l City,State,ZIP+4 v y-c oGUaC 0� / ��. rs $i m 3E00`44;s1a200,6 f; ,,,, 2 Viz, , ,� „See Reverse fo Instructions) i orm 3800,Audust 2006'f " '"' ' ' See Revese for,lnsfructionsa' John Bredemeyer, President ,,,,,. Town Hall Annex Y 'am°°SufFD��e°°�,, 54375 Route 25 Michael J. Domino, Vice-President James F. King c g P O. Box 1179 Dave Bergen \ts p>,,� Southold, NY 11971 Charles J. Sanders ;sol �a°�r� 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 CORCHAUG VIEW LLC COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS 1, Al/ 01/4,7. ! /6htii9c/ , residing at/dba P/1/4/. 2f'/y94 d12. v,6/21", Av,N# po/ being duly sworn, depose and say: That on theZB day of//00././2- , 2016', I personally posted the property known as 300® ra oLA1W,E, CU rCWo&yU.L by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, September 16, 2015. Dated: Zal#7/ (signature) Sworn to before me this g ' day of SepirW2015 TRACEY L. DWYER Ji, , NOTARY PUBLIC,STATE OF NEW YORK Owr NO.01 DW6306900 tUALIFIED IN SUFFOLK COUNTY Notary blic COMMISSION EXPIRES JUNE 30,25.a' NUTILL OF HLARING 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: CORCHAUG VIEW LLC SUBJECT OF PUBLIC HEARING : For a Wetland Permit to relocate existing gazebo; relocate mechanicals to the north side of the dwelling; construct an 800sq.ft. raised pool and 2,502sq.ft. pool patio with pool enclosure fencing; install pool equipment area and a backwash drywell; install an in-ground 1,000 gallon propane tank; install a propane generator; existing covered porch on dwelling to be removed and converted to an enclosed addition; construct a 276sq.ft. covered porch onto landward side of dwelling; provide new drywells for covered porch and pool/patio; remove 23 trees ranging from 2"-18" caliper for pool, solar project, or dying. Located: 3000 Moores Lane, Cutchogue. SCTM# 116-1-8.3 TIME & DATE OF PUBLIC HEARING : Wednesday, September 16, 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 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 details 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# /16 - Q 1 - 8.3 PROJECT NAME C ' jeo 1,4c : NVQ if)oa,.//A- D/ /1/�Gi C DY/ /?.40/x®12'' The Application has been submitted to (check appropriate response): Town Board ri Planning Board n Building Dept. C. Board of Trustees r 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: Ex>rT/N(, 6.4z -.90 re ee A74400 , L crAVX fl 444/VOLS Nature and extent of action: y- et/vg0,/JYP DA OX!J7ti6 iV®!/JE. c aivinza�-/ /s-$$/moo°LW ', M/�) 4/P 1,4-rito`2,s®z PO Ar) t QQ/po oL pNNe .GN—tt P otL EQ U1Pir1.5,Air v/ 8A—£!//4.P/h IJ�Y.IitAz L I 1 •. -. r' . nreA• LX/)T"// > ' ' �' i.� s :-O 29/c >"LEna/ li ¢wa CoAl t Ye.,0/Vq r'�e94A40 UP'? c0/14011c7 C 01/4Sil ..29 PGA thl /�-al�ly/d v n i fl;,l /!1!- aJSLG � o • . r: _ ,At/ .. x .ftWjrcA, MollPIY eilivzs Fag. CO V R&' O/Zcc hiti4 ®Get/ J,-/o. !1 /� villi IOIJ 0 G/,LL, pf2®o.44! y_!Lp yyI'6 e?4/`1CV2 03M66,7 ' 2k GPd' /Z p60L tC A '2 fi3OO O , Location of action: 000 if/l mss' �M/1/ CU Sr d&U, Site acreage: Present land use: Present zoning classification: i?, f72'E/V 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: CC1,P /16 c (b) Mailing address: 9/./313?�ti,�'V�i1/!J/= 4/,EW YO8,e, my /UDZ/ (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 IX 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 No ® Not Applicable .,, ar G .1'4//4 i1V62 ) /2,4Pm,-i, L Iry Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—PoIicies Pages 3 through 6 for evaluation criteria r Yes No Not Applicable /9-1 11,"6 !frp-/2/c Pit `¢&C.A/S��oG t' &/C4 L Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes No,1 Not Applicable P/2DPfPEJO p of/y -r!c W/LLH41/ Lo�i1/ 4F/4 44,0 _ BY 0x/17/IV& b ,14e. 1'c/z— .fi1_gpd PC ,4AJb Z64i4.iYr fy7 'i, fjt/Otil- - i'Le4Y/IL Bfi___ rP/2E� 7, 40112&.i4 fV/112ePA/A Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources, from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes No Not Applicable 17771 /972, 7Eer b Dt r vor //1!e/Up. - of a , L :r e la Wei—mi, 4--,- .PWF VA171/1,0 L O.W L,/1V ,42112 /peg- e/2/,�-- A/Y 1f 2/'0 11'l rUA-771) /S 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 Yes ❑ No Not Applicable 7 a/ Wco PIeoser (O/1 it-r~6.25- J ofi/7j.Lf 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 HI—Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Applicable • /'/2 d,G ,/20 7.-F?T WJLZ vote' /414V, .A -o ,J'.4-0t1 OC Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes No // Not Applicable WE P pa.P AP& �1E cJ p s'vor //ti d�V. weir cD �i���i2 - 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 is , -ter d '/2 /T" w/z7 titer G �� W/Ai �1S p/2� 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. nn 11 Yell] Nog Not Applicable VI) s0A2o72cr4 tDC/J7. tis I)� w c C Mme'• #G /-I D/Z ,v .� C S' P 441/#69 Attach additional sheets if necessary —_ WORDING 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. j Yes No WI Not Applicable /_'/2 C Y1F-Cir W/u /9,1'T L.. '/ cam'_...._.._ 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 Ti.. til//LL 1/ W /./V/' Gf 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 Nog] Not Applicable • L Alr &//COL rP12 Z./VA/75 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. Fri Yes P No U Not Applicable Z 'Z ` "O 4' 'A C L/Z S D /12-S' • PREPARED BY/337,7,e,l za e ,,/TITLE G,5t/f _DATE ?R/5. REVISIONS: N / O / F SEQUENCE OF PROJECT: SITE DATA: SCTM # 1000-116-1-8.3 1 SITE CLEARING:CLEARANCE OF MINIMUM SITE WORK AS NEEDED.INSTALL BERMS,HAYBALES,SILT FENCING AS REQUIRED.RUNOFF NORTH FORK PROTECTION TO BE MAINTAINED DURING LENGTH OF CONSTRUCTION.EXCAVATION MUST NOT BEGIN UNTIL THE LOCATIONS OF UNDERGROUND WIRES,CABLES AND PIPES HAVE BEEN MARKED OR UNTIL VERIFICATION FROM UTILITY COMPANIES THAT THE AREA IS CLEAR. CLEAR THE SITE AT LEAST 20.25 FEET(IF APPLICABLE)FROM THE PROJECT PERIMETER.DO NOT CLEAR OR EXCAVATE LARGE AREAS TO FAR IN ADVANCE OF CONSTRUCTION:DISTURB VEGETATION ONLY AS NEEDED.THEN RESEED OR REPLANT AS SOON AS COUNTRY CLUB PRACTICAL.LIMIT EQUIPMENT TRAFFIC IN AND OUT OF THE JOB SITE•DO NOT DRIVE OVER UNCLEARED AREAS.PROTECT UNCLEARED AREAS WITH FENCING OR OTHER BARRIERS,PLACE BARRIERS AROUND THE DRIP-LINE OF TREES TO PREVENT INJURY TO THE ROOT SYSTEM.IF A PERMANENT DRIVE CAN NOT BE INSTALLED BEFORE CONSTRUCTION BEGINS.A TEMPOARY GRAVEL DRIVEWAY SHOULD BE INSTALLED WHERE VEHICLES ENTER THE JOB SITE. S ^ O'� 2 POLLUTION CONTROL:CONSTRUCTION DUMPSTER AND PORTALAV TO BE ON SITE AND MAINTAINED DURING LENGTH OF PROJECT. `oJ 3 SOIL CONTROL:EXCAVATED SOIL TO BE RETAINED ON SITE AS INDICATED ON SITE PLAN.RETAIN AS MUCH TOP SOIL AS POSSIBLE TO L. EL ^ A / • 7' PRESERVE THE ENVIROMENTAL QUALITY OF THE PROJECT SITE.EXCESS FILL TO BE SHIPPED OFF SITE.CONTRACTOR AND EXCAVATOR 00 L_u]-/`•'J / SHALL INSPECT PROPERTY FOR EXISTING UTILITIES BEFORE EXCAVATION BEGINS.ANY DIGGING WITHIN 24 ICHES OF UTILITY MUST BE N / O / F / 7 • EL. DONE BY HAND.WHEN THE TOP SOIL IS PRESERVED,TILL THE SOIL FIRST,AND THEN REMOVE TO A SAFE LOCATION WITH A FRONT END LOADER.PROTECT GRASS,TREES AND OTHER PLANTS WHENEVER POSSIBLE. 71C) ' \ / B EXCAVATION SHOULD BE AS LEVEL AS POSSIBLE.SET ELEVATION BENCH MARK PRIOR TO EXCAVATION.OVER DIG NORTH FORK ' FOUNDATION HOLES TO GIVE PLENN OF ROOM FOR AWELL-DRAINING BACK FILL AND TO PROVIDE ROOM FOR ALL WORK. \ / A).IF THE DEPTH OF EXCAVATION IS 6 FEET OR LESS,OVER DIG BY 3-4 FEET. ' / ' / B).IF THE EXCAVATION IS DEEPER THAN 7 FEET,THE SIDES MUST BE SLOPED OUTWARDS AT A 45 DEGREE ANGLE ABOVE 4 FEET OR COUNTRY CLUB -_ \ — — ' ./ INSTALL SHORING. / HILLSIDE EXCAVATION:EXCAVATE THE HILL BACK TO AN ANGLE OF REPOSE-THE ANGLE AT WHICH THE SLOPE IS STABLE,USSUALLY \ ..... / BACK TO A SLOPE OF 2:I(VERIFY SOIL CONDITIONS). / // / \ - - / / A).AN UNSHORED VERTICLE CUT SHOULD NOT EXCEED 5 FEET ON A SLOPED SITE. ' / /fL.// / \ / et' ,' �L 4 STORM WATER RUNOFF CONTROL:INSTALL DRYWELLS(AND SEPTIC IF NEEDED)DURING CONSTRUCTION.GUTTERS AND DOWN SPOUTS v TO BE IMMEDIATLY INSTALLED AT TIME OF COMPLETION OF ROOF.ALL DOWNSPOUTS TO BE PIPED TO DRYWELLS AT THIS TIME. / % 1 / / �I 1 UNDERGROUND HOOKUPS(ELECTRIC,WATER,GAS,ETC.)TO BE INSTALLED. / I I 1 / \A\./ / /4 / 5 PROJECT COMPLETION:FINAL GRADE TO CONTROL RUNOFF DIRECTION TO STAY WITHIN SITE.PITCH GRADE ALONG PERIMETER i / / / / I / �i (WHERE POSSIBLE)OF LAND DISTURBANCE AWAY FROM NEIGHBORING PROPERTIES AND ROADWAYS.INSTALL CATCH BASINS WITH / DRYWELLS AS REQUIRED TO CONTROL RUNOFF THAT CANNOT STAY WITHIN DISTURBED AREA. '' / / / / \ / ' / �w / e • I M / / EL. I/'1 / / / / N / 9' / / / / / // N� %/ ' / ' ,/ Co / MEETS & BOUNDS �1►O • / 1 6,� ' , ,/ / / BY: JOHN FREERS, LAND SURVEYOR 61.) �z ` / / ' ,/ /' // DATED: 11-19-2014 t/] T1TAL WETLAND , / , ' / / / - p / BOUNDRY - - ' H / - - / / /,/ / - 5.7.0 / DRIVE 1 a�i / / ATe . 1X/Ay / 1 / / / ' .� „„2.s..(6 ANIa:'P' '- I N / IO / F r1 / - ' ///.e JACQUELINE KNOBELAUCH ¢ I I il . >>� Q a 1 I BARBARA ROSS H i---" \ EXISTING FRAMEb 1 // e' " �- ��•�'• \ PLAYHOUSE S I O� ' , I TAMARA TYREE VD �' \ \ \ \ \ , 1 „vas. - I ,1 EY BALES/SILT FENCE I �` \ , \ PORCH I \o/o/ �I js OF OISTURBANC 1 \ \ 1 O 1 ,\ \ \ \ 1 I \ \ \ \ l �l I I \ 1 H MSI L EXISTING S2t 1 , 1 M—� 1 k`O�G � \ \ / •SOD : 1 ♦ F1 OJ`` / 0.O A0.FA 294 3 SO yr \ 1 �a1���� \ ) ( I JI `- -"°9'�z��RFzm.. \ i �� I'G,. \ ( \ ♦ e{ .. MO'NDE:43.4.-3'dee. Q �, ‘ DRIW LL 163.4 CU.FT.) 1 1 1 Fye 0� �N' ` �� 1 .41 �r• \ TREES TO BE REMOVE[) \O2 n / ` 1 o • (AS SHOWN ON PLAN �` ;D / 41111ZP /S ,` I /... ;D ,, ` MAIN A4N MIN.10'SEPERATION \ „1 -, N; I . '`",c,°4 •I BETWEF URYWFLL AND WATER LINE b 13"d,a., I +-'`" 'L 11dG �'1 tx.G' ENO.' 1 /- AND N.�0'SEPERATION BETWEEN \ '� JCEDAR I ../�"�," �'bdK 1 �X�CX •:1 WA O IL? FTO93-.M` ../•�-" D! ELL AND SEPTIC SYSTEM \ '7' HAY BALES/SILT FENCE�K �� I \ 1J Ex TpO ,,• ' LIMITS OFIDISTURBANCE 1' I •16"deOAK 1 -/�" •S E0. / �C/ \ ray.,T R LONSt M1dser' tPOv. 1 I \ I EXISTING I �, 1 `ti 9, ` DSR pN F 111:2.7 0. / \ARBOR / \ SED 1 i /'� II , \ , • RP OppPATIO EX1GA0.GL /' \ \\ va N / O / F 1I1 16'dla. �L'�'1 INSTALL NEW WAT4R METER AND i •1OAk 1 , I oAK ,,,1� \\ \ ` CTIONSTNDHOUSEVERIFY CD JACQUELINE KNOBELAUCHW 16^ �Vy .pNf ON SITE-LAVTO REMAINI '.. I � P•• tasW \ LOCATIONS AND PRG\VIDE PROPER1 1 4'dia• , EcF •ANSF ON SITE FOP DVRATiON .BIRCH \ tENf�"�"tp OE ,w of toNsrRLxnoN O \ SETBACKS FROM UNb RGROUND O , I , Op•SEp , aN5 IP , y �bF�Vs-fib �`UTILTIIES,SEPTICSY �M,�L. •N BARBARA ROSS t,� ' \ I pRpO•L K ; ;"°aoDD4 CSNCAETE� / \ I \5 \1 pM\4� \!. r (��,/�\\ 5' \2 , , 14"dla.0, ,n9F5M \ WASH OUT '3'.�., \ ` EL, \ TAMARA TYREE 0 a I I 140"dla .., 1 'OAK p vA�"- D0. U� \ ,\ d- l4"dia. d' Is ?co. ,s# _ •'•��:• "�1 ‘‘N \ /10' I \ 1 6"da BI0.CH 1` �. OAK 5 D1 74,0..14 A0`"Oh 9fl<a�CU ) . ✓ I \ �, 1 '` I ( WY EXISTING G/v'EBO ... • •• I' \,__.:__-\ �^ POOL pYylE�t/ INSTALL NEW 1o003L 'SL1 `LOCATION ELOCATE O,4dia. EQUIPMENTSOIL \ UNDERGROUND 1I• BY PON OA% I PROPANE TANK. \ \4WO,D'JOhN ,- _ CONNECT TO POOL O: ION H�USEAPP LANCES \ \ I ` EL. OI • 1 PROPANE HEATER HEATER,GENERATOR, \ T I I MAPLE _♦ 1' •e"m. ala,K o, •a^d1.,. EX. 1 \ \ \ \ I 5 ^ O� O\ ' 11' �'� M / y 8a( ' .� , H Q 'J�"'."r 14'dle. I /1 N`e OAK OAK .6'OFI APE \ \ \ 1.?./ y, / 6, OAK ♦ e w46......- .dia 0.di. MAPLE' / \ ry OQ ` ,• ♦I_/ •AK ,O.e' EXISTING WELL TO HOUSE TO / \ I -VV i, \ E 2 1 1 ,\ I 'Pnno AREA:2502 SQ FT.,m'1Da^A RUNN°FF/TN. 14' , BE USED AND RE-CONNECTED 1 ���„ \ ! Q • �•••�(CI ` IIB[U.FT.PROViDC.yy``])Bdla.,5derp FOR IRRIGATION USE ONLY / / --'"�`— \)(/ .O O M ,-,-, VEGETATED DR (]11 CU Ff l TO A EAPACI 44I CU FT 118"dm . 1 • , W W W /. Io .OAA ` \ `SWM0 1:4 0T1TAL WETLANDS �� ; I °A%/ EL - ' - - EL /' \, ; STONE DRIVEWAY _ O \ 1111111 '� N - 1 aG,O I (��� �� 7' EL. EL. / I - r n \ 1\ \ 651 / L. Jv� O W 7 8 9' EL / ( \N� 8' 10' I I' O�/"1 �1•/ ime I _� !J rnla. \' 387.0 3 ' o� 'v 1 / / t3; CD 1 � 4,-, 0 ilk° 1 I p In r:1 c 1- i SITE PLAN � � v ° ..- L. \/ � r..l S1x 04 u . J 6 SCALE: 1" = 30'-0' �.,,` w ' � N / O / F , d+ V 1 I Ig'0"x.c. KATHLEEN AND � � h RODGER COPE •a 1 L. .P '4 t%) °2 l 5' 'r�� aJ GRADE a cV o W I ��.immur1. I- m p. 1 �k 4." n J 6„N T u11111 • APPROVED V �Y '� —� BOARD OF RUSTEES 1 �' o0 4 4 " TOWN OF SOUTHOID , '.- ,, . li.mi teT3 \ N / 0 / F ``� � ��TE s��Pr cnr t�`�. 16�%s v ' j KATHLEEN AND PERSPECTIVE VIEW — o 8. , „ . . t/`� EMIVIAMMMEMM • 1 RODGER COPE ��tY- "' �• cz4 C,„; ., DOWNS (� 36" MINIMUM 2X2 E E K CR , FENCE POST / H WOVEN WIRE FENCE d 1lf, (6X6 - 10/10 WWF) L /WAY mi .` FILTER CLOTH f` Z Lk. 1. 6' �1un0 o C' �s E, t l x SLOPE I cv I9 .e i_, ,�'WELLS TO BE 10 MIN. �/ AUG 3 1 20151 (kiliIlli.1114„----:„,. .:!,-.....--...„.,,.....-- i� - f FROM HOUSE�� EMBED FILTER CLOTH I GRADE eft � MIN. 6" INTO GROUND I `�` ;�L ;;;,:�`""`-- \ _ 1 OO a Zii .�_ . _.- .:. 1a .�i4b ' •. O�/ 4 ° e �` Imo.._—_ \\`�' Dt 1 NOTE: 1 �', MAXIMUM DRAINAGE AREA DRAWN: MH/Ms 1/2 ACRE/ 100 LINEAR FEET SCALE: 1/4"=1'-0" JOB#: August 31,2015 SECTION DETAIL NEW SUFFOLK AVENUE SHEET NUMBER: SILT FENCE DETAILS S ...... SCALE:NTS 1