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TR-8737A
//,�i iii.��.� S John M.Bredemeyer III,President i°•/V . O ti -. Town Hall Annex Michael J.Domino,Vice-President �1 4O ~ °= l® % 54375 Route 25 .4 a ARE JO- , P.O.Box 1179 Glenn Goldsmith ; N .� t... ..' s Southold,New York 11971 bc A.Nicholas Krupski ,- a0�s Telephone(631) 765-1892 Charles J.Sanders l ., •F,.. �� Fax(631) 765-6641 ` - `rCOUNTV,t 1 - BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1204C Date: March 3, 2016 THIS CERTIFIES that the as-built replacement of existing 14'x23' irregularly shaped deck with a 14'x23'deck on existing footings; At 545 Beachwood Road, Cutchogue Suffolk County Tax Map#1000-116-4-22 Conforms to the application for a Trustees Permit heretofore filed in this office Dated October 30, 2015 pursuant to which Trustees Administrative Permit#8737A Dated February 17, 2016,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 as-built replacement of existing 14'x23' irregularly shaped deck with a 14'x23'deck on existing footings. The certificate is issued to RICHARD SUTER owner of the aforesaid property. 444 40. _ _, , Authorized Signature S�FFOL4 000 John M. Bredemeyer Ill, President 4074-0Z:‘, o�� Town Hall Annex Michael J. Domino, Vice-Presidents )***1 .,, y1; 54375 Route 25 .f Glenn Goldsmith y P.O. Box 1179 A. Nicholas Krupski k"4,'" ._ ` :. , Southold, NY 11971 Charles J. Sanders dol �a�, Telephone (631) 765-1892 � °� Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 3/3//6 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction 1/2 constructed 0 Project complete, compliance inspection. INSPECTED BY: l'J, grups w COMMENTS: NW-I- a pRK Qe(M,f req,,,r a`}s. CERTIFICATE OF COMPLIANCE: rb oi•IS®(/r - y® , John M.Bredemeyer III,President �� fr• Town Hall Annex Michael J.Domino,Vice-President 11� 4 )" O 54375 Route 25 A 1 P.O.Box 1179 Glenn Goldsmith Southold, New York 11971 r A. Nicholas Krupski `` �@�1 Telephone(631) 765-1892 Charles J. Sanders A. Fax Fax(631) 765-6641 se. ,I 081 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8737A Date of Receipt of Application: October 30, 2015 Applicant: Richard Suter SCTM#: 1000-116-4-22 Project Location: 545 Beachwood Road, Cutchogue Date of Resolution/Issuance: February 17, 2016 Date of Expiration: February 17, 2018 Reviewed by: Board of Trustees Project Description: As-built replacement of existing 14'x23' irregularly shaped deck with a 14'x23' deck on existing footings. Findings: The project meets all the requirements for issuance of an , - Administrative-Permit set forth in of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Richard M. Suter, Registered Architect, dated October 27, 2015, and stamped approved on February 17, 2016. Special Conditions: None. Inspections: Final Inspection. - If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. eygfot„ ,o,' John M. Bredemeyer III, President Board of Trustees - . ., „...._ . . c4,•<§e,,, t.li 41 8• rc=•---- ..---•Y ex, f=-1 # .--)- ----- -..--A:-- '•0—,..s '4! . 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Sanders Telephone (631)'765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: . h2112) Completed in field by: f rQ kcrnzi, - RICHARD SUTER requests an Administrative,Permit for the as-built replacement of existing 14'x23' irregularly shaped deck with a 14'x23' deck on existing footings. Located: 545 Beachwood Road, Cutchogue. SCTM# 1000-116-4-22 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual!? = "X" 1. Residence: 100 feet - 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Setback waiver required Part of Town Code proposed work falls under: SEQRA Type Ch. 275 Ch. 111 Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: ,C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: ()-e-7rr* ef -—.-d9 Present were: �/ J. Bredemeyer . M. Domino G. Goldsmith N. Krupski -Sanders Other Page 1 of 2 ®SUf °4-i:o i Town Hall Annex John M. Bredemeyer Ill, President �$ . Michael J. Domino, Vice-President '�� `y y<� 54375 Route 25 Glenn Goldsmith y r v P.O. Box 1179 A. Nicholas Krupski ,ay !'g r Southold, NY 11971 Charles J. Sanders 'h41 ` ���:' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES P TOWN OF SOUTHOLD Date/Time: a_`' G' 4, Completed in Work Session by: 6(o_A alit ��- RICHARD SUTER requests an Administrative Permit for the as-built replacement of existing 14'x23' irregularly shaped deck with a 14'x23' deck on existing footings. Located: 545 Beachwood Road, Cutchogue. SCTM# 1000-116-4-22 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause'a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion.protection structures and natural resources: D. <_25% Expansion/Calculation ' Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed .By: Present: Bredemey r M. Domino /G. Goldsmith N. Krupski. 'C. Sanders / E. Cantrell D. Di Salvo Other 7 Page2of2 • John Bredemeyer, President 4,61.1FFot Town Hall Annex Michael J. Domino, Vice-PresidentcOos�; 54375 Route 25 James F. King ;ti P.O. Box 1179 Charles J. Sanders 1 ' Southold, NY 11971 � �,� Dave Bergen o! * �a°!�'1 Telephone (631) 765-1892 " Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: D RICHARD SU R requests an Administrative Permit for the as-built replacement of existing 14'x23' irregularly shaped deck with a 14'x23' deck on existing footings. Located: 545 Beachwood Road, Cutchogue. SCTM# 1000-116-4-22 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 k/ Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: / /� 5- t f )( Z3 cis c. Modifications: Conditions: Present Were: J. Bredemeyer -a.-Domino IT King -Bergen C. Sanders Bay Constable Other Form filled out in the field by (3 Mailed/Faxed to: Date: Si l FAQ h : 2;!4#!.., .a W p i r • m 4 4F//JJ/J //�� F j f. .. //://7/ Y ea 9t w ; \ A,,,,t• ' ' ' . " 1 •, . • - . ---"-----------------------// _.443111_,.. I a 1 .. `i." .. ,/ r Yy - .> c .: , ni i=1- ' �� x \ A y(C . - " a ;,r ..,00,w,R. ...... SEE SEC NO 109 _ UNE _MATCH UNE N3 M2 MATCH _ -� _ Ntm� ,.s I \ FOR PCL NO A FOR PCL NO 4 us - \ SEE SEC NO SEE SEC NO A I 39'03-009 109-04.008 3 w I '\YI I \ / / 10 I a�. e l - / 5827(7) T.BAIc) 53 , 2tA(c) / TOOWNOrtSODUTHOLD dOD/,1rj'I 0 st OP 3 TOWN OF SOUTHOLD • 697(7) r: I '• \ � p, /// 83 9A PECONICAVO NOTRUST NT (((vv1t�� n ICOxsEi+vAnOx FgsEUENit ` k e4 n rcouNnoEsuFEOEK a ,¢+ 937(7)/ I' -m. 4 O 1, OEYELOMENTR,GHR] I + 337(7) ( 1�\ / 2 I r 5 • v• m n1 \\ . ' l 1 JOAN) 8 - I O `f ?If I a 117(7) I TOWN OF \\ \ / a I '6 .$r I l SOUTHOID A 26,17) ®., 37 i na�m.+,v,Tum (' • 6 +c w w 2]7(7) I m 1' 11 ,A I ] ^ 127(7 / I 1765171 to /----- r S t 237(7) / 4, 17 I1 g \ — \N 1 F.o ,.\ �� ® d °'' '� .• OL �+1 I r i. 1 d en 27 387(7) I 1z g ` I 9, I 31 'd• E '/ l3 F 657(7) E am ,art $ 1OA �� • �� , `5 I 31 )1 td I (cowry OF 50Ef0u PECONIC LAND TRUST A .7 \ o 316 z 1 r 1 3 4(2 I 1\. ,� 287(7) rA' ^� 32A(c) i I 1.0. EN111WIS) $ (7ONSEmAnON 5/4.5.1 N1) , z i 1) \ j ,r ro S e25 �"L oIPEcataniC 6 r is e= Hrt..., 19 -21'55 15( _ . \��8 I CONEERVAn0N USDA. 4S 29717) `- \ --- o- 4 y4 E i CASE ROv 0941 `)� 1 \\ i d \ \ lig 9,_ 4 _ 161 az.3 2 O 3227(7)1 \a, 2 n talc) v ae .,.ABTy n i� /'�// / \7N \ \2 \ a 3 s 7 6 . m 8 n1 n& \ 5 ' / C's s \\g /- '.. ,a \\ SUFFOLK E 264 I ''; 1 TOWN O UTHOLD Sw 8 6 8 l�8 x u,'4 8221 8`2226 v \ 1] � • �� °^ 357(7) /1 8 17 w> .n A�' ,2 16. mo 'n 23\ ` ke 161 0�[- w ( " ar895(7dp \ SOAIW• 12AwiOe I I ' m va ^ .r ,. - TT16175T>\ T n. \ d181 -e9 101 - 121 13 1q \ 98A(7� S 1 .107(7)Z ♦ \ 387(7) ,1Alcl N 117(7) 12A(c) 125 14717)76 297(7) eM- c ` Y Si < 8PT ` \ L y R 5 ria• -�\ .J • t d 'b J ,a F ." vin¢ C,PEHf (//J c �n v �n y _ 'n'1 6 127 Bi OII �9C�, t2A(c) 157(7) _ v\ \ __ _ TT „'— pan . .? 211 •„,.a„..,,'-- waw �/ i '• I O.d ® O a u d � a” -� 117(7 m_ =..„ OUTHOL. _ 6 awmi 117(7)a� ,,.rA ,. 16716) t .�, 15 �_ ---� w d / �� 41Al). a - a 27,)0 $ \ t ,' '+ o: �=�I ./r PECONIC \ -�J \ 1 .�. J1J TOWN �� ,9P\ 154(7) 50 OLD V ) 1. ^ ,66= a/� 6 / B ° \souTPtto. + n 4 +tan(7) ° 131 /a^] r6 �`" F0 29 1-D 4r-2.'°2-1-'° Pp 9p ss7) 4i �6 A(c) JSkil Ra n apay.a S SEE SEC NO 134-11111111 „a)oo eqy a j5 ? \�t I RS,1 3t aRe , *4 �� 6A Ilk,- f. 49N1r1 ; / 597(7)�'J / _ x L N30R w `N a wl PO 2%r ow° ,�q6 75 . 1 LLtit e) 6 `/ SOUTHOLD SECTION NO 6",.......„„f 4 _ �� _— —_ NOTICE ;,, COUNTY OF SUFFOLK © e L :��Wti - n�a.. -- as e , ReaclProperty Ta S.eNnICe Agency 5IpMAI:::t., daMMINIZI—_- E m.-.4-- --- ..wsem.d.., (21) .. O o.w —_..__ ...v u.-- •-- sex. ywo, unH¢nmr Rlrwme q N Nt O...........u... - ur--' .' I _ __ -- w.....,�..m...+ 'ice ;wry .. - ^ ....... - .. , BOARD MEMBERS ,o"�' soar= Southold Town Hall Leslie Kanes Weisman,Chairperson ��� �� yD 53095 Main Road•P.O.Box 1179 �,� �O 4 ,+. " - !� Southold,NY 11971-0959 Eric Dantes i � tee, x . �; * % Office Location: • Gerard P.Goehringer : G �r. ," `` ` Q t Town Annex/First Floor,Capital One Bank George Horning ', �O �� 54375 Main Road(at Youngs Avenue) Kenneth Schneider it --.4c®UN1{ .. Southold,NY 11971 http://southoldtown.northfork.netE 1V j ZONING BOARD OF APPEALS III HHS TOWN OF SOUTHOLD JAN 2 7 2016 it . Tel.(631)765-1809•Fax(631)765-9064 , - Southoid town ;4:n Ij FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF JANUARY 21,2016 ZBA FILE# 6908 NAME OF APPLICANT: L,D,A,R, Suter SCTM#1000-116-4-22 PROPERTY LOCATION: 545 Beachwood Road(adj.to Great Peconic Bay), Cutchogue,NY SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated December 10, 2015 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated December 18, 2015. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is INCONSISTENT with LWRP policy standards and therefore is INCONSISTENT with the LWRP. The LWRP coordinator was unable to determine if portions of the deck are located in a VE flood zone. However, the original deck was existing with a CO since 1978 and the applicant replaced it, squared it off and reduced the distance from the water. PROPERTY FACTS/DESCRIPTION: The parcel is a non-conforming 7,875 square foot waterfront parcel located in an R-40 zone. The parcel is a waterfront parcel with 60 feet of frontage on Great Peconic Bay. The property runs 40 feet along Beachwood Road. The property then runs +/-215 feet on the East side and +/-228 feet on the West side. The parcel is improved with a two story frame house with deck. All is shown on a survey by Roderick Van Tuyl, L.L.S. dated June 21, 1977 and a site plan by Richard Suter, Registered Architect dated November 16, 2015. BASIS OF APPLICATION: Request for Variance from Article XXIII Section 280-124 and the Building Inspector's November 23, 2015 Notice of Disapproval based on an application for building permit to legalize "as built" deck addition to existing single family dwelling, at; 1) more than the code maximum allowable lot coverage of 20%. RELIEF REQUESTED: The applicant requests a variance for an as built lot coverage of 25.7% where town code permits maximum lot coverage of 20%. k Page 2 of 3—January 21,2016 ZBA#6908—Suter SCTM#1000-116-4-22 ADDITIONAL INFORMATION: The applicant testified that the property's calculated lot coverage has increased since 1975 because of changes to the town code. When it was developed the property had conforming lot coverage. However, the town currently calculates lot coverage using buildable lot area instead of total lot area. Due to the applicant's parcel's proximity to the Great Peconic Bay and wetland, not all of the applicant's property is considered buildable. However, the entire square footage was used to calculate the total lot coverage when the house and deck were originally constructed in the 1978. The applicant testified that the deck was re-built after hurricane Sandy. The shape of the deck changed to a square and the total square footage of the deck remains the same as when it was originally constructed. The applicant further testified that the as-built deck is placed in an X flood zone and not a VE flood zone. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on January 7,2015 at which time written and oral evidence were presented: Based upon all testimony, documentation,personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law 4267-b(3)(b)(1). Grant of the variance will not produce an undesirablechange in the character of the neighborhood or a detriment to nearby properties. The neighborhood consists of single-family water'front homes. The as-built structure has been on the property since 1978 at which time the deck conformed to town code. Re-building the existing deck will not change the character of the neighborhood. 2. Town Law 4267-b(3)(b)(2).,The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue,other than an area variance. Due to changes in town code the applicant has pre-existing non-conforming structures on his property. Any change to the structures, other than demolishing them,will require an area variance. 3. Town Law 4267-b(3)(b)(3). The variance granted herein is mathematically substantial, representing 28.5% relief from the code. However, the as-built structures are pre-existing and the applicant only re-built a legal deck. The deck is approximate 12" above grade and is not covered,the rear of the dwelling has two sliding doors and the deck allows safe exit. 4. Town Law 4267-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5. Town Law 4267-b(3)(b)(5). The difficulty has not been self-created. The lot coverage on the parcel was conforming at the time the parcel was developed. The lot coverage became non-conforming when the town code changed the formula used to calculate lot coverage. - 6. Town Law 4267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a deck while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. - RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Dantes, seconded by Member Weisman (Chairperson), and duly carried,to GRANT the variance as applied,for, and shown on the Architectural plans by David A. Suter dated October 27, 2015 labeled PLAN and the SITE PLAN dated 11-16-15. • Page 3 of 3—January 21,2016 ZBA#6908—Suter SCTM#1000-116-4-22 Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s) granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration, grant an extension not to exceed three (3) consecutive one (1)year terms. Vote of the Board: Ayes:Members Weisman (Chairperson), Schneider, Dantes, Horning. Member Goehringer was absent. This Resolutionas duly adopted(4-0). [./ ALe7C14V4 i Leslie Kanes Weisman,Chairperson Approved for filing / /a 6 /2016 r John M. Bredemeyer III, President Town Hall Annex "' 54375 Main Road Michael J. Domino,Vice-President '`� rrw ,, '4;' =- ® 79 James F. Kin Trustee 1`1 , '�Si • P.O. Book 11 King, > Southold,New York 11971 0959 Dave Bergen,Trustee G• � ' ®:'"„' 4o I Telephone(631)765-1892 Charles J.Sanders,Trustee Ol �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ®� `� ���� To: Southold Town Building Department f0 TUT Re: Verification of Building Department Permit Requirements r t 6-4-4,V SCTM#: Property Owner Name: ' s �� t�df ® Date Sent to Bldg. Dept.: II `lam 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 _ Will the proposed project require a Building Permit? Will the proposed project require a variance determination from t mg Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? • COMMENTS: A • (3/5— Signature o' viewer �� Date SO(/1 OFFICE LOCATION: el ® � MAILING ADDRESS: Town Hall Annex 41 A P.O.�® Box 1179 54375 State Route 25 4Ig 4 sSouthold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 ` �pQ 3 Telephone: 631 765-1938 l,c®UNT`I,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM I-) I r P :1)1 To: John Bredemeyer, President NOV 2 2015 Town of Southold Board of Trustees ` SouthrIn Town F From: Mark Terry, Principal Planner �., ��r:!cf T,ate ___,___,. ..z� LWRP Coordinator Date: November 12, 2015 Re: Local Waterfront Coastal Consistency Review RICHARD SUTER SCTM# 1000-116-4-22 RICHARD SUTER requests an Administrative Permit for the as-built replacement of existing 14'x23' irregularly shaped deck with a 14'x23' deck on existing footings. Located: 545 Beachwood Road, Cutchogue. SCTM# 1000-116-4-22 The proposed actions have 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 the below Policy Standards and therefore is 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 deck was not constructed pursuant to a Board of Trustees Chapter 275 permit. • • 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 *of ®(/j� - Town Hall Annex John M.Bredemeyer III,President ���/Q� ®e 1,e h ® 54375 Main Road Michael J.Domino,Vice-President _ P.O.Box 1179 James F.King,Trustee ;° - - ; Southold,New York 11971-0959 Dave Bergen,Trustee • 4 CN Telephone (631) 765-1892 Charles J.Sanders,Trustee _ -V d�� Fax_(631.)'_65,6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application V Administrative Permit Amendment/Transfer/Extension Received Application: JO,361/5" Received Fee: $ ZOO.OV L h6-6111,Lt) • Completed Application: SO.,O./S- " - _ Incomplete: - -- ---- - - ''= _r ,_'. ' _SEQRA Classificon: " ` Type I Type II V Unlistee. ° ' s Coordination:(date sent): L.-.- LWRP Consistency Assessment Form: 1 '6./5- OCT 3 0 2015 G CAC Referral Sent: • Date of Inspection: I I.10.1 S Southold Town Receipt of CAC Report: �_ B arcl ni i ga e j _Lead Agency Determination: Technical Review: 17-Public Hearing Held: II.I gi Resolution: Name of Applicant: N 1 G o j( Mailing Address: -P 6 . `)L 71 C 6U r NX Phone Number: 1 ' F 71 1 0 6 3 Suffolk County Tax Map Number: 1000- f I Co . - Z Z Property Location: // C Cu 6vE N (570 r57-0F, Driv (provide LILCO Pole*, distance to cross streets, and location) AGENT: (If applicable) 1 Address: Phone: -ard of Trustees Applicati-- GENERAL DATA Land Area(in square feet): 7`400 t f r Area Zoning: 551 og%Nri-1d_ Previous use of property: )M )2-NC Intended use of property: '517, Covenants and Restrictions on property? Yes X No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? )< Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. _____._Does this project require_a variance from-.the-Zoning-Board_of Appeals?—__ ___Yes _ —_Na______ If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes )( No Does the structure(s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date '- -OWN v F .561/711A.0 bU I1/01V67. off_ 0 `19/ 7 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): tz j.c N 1)2U-C/T At, r.�xi iiiVI? ( 4 )4, Z 3' 6uo _g_10-9p-/o of&K A 14 x '3k Pak r , Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: SI/)i (1-1 r (12 .1i("�- EL( rill PfeiK Area of wetlands on lot: a square feet Percent coverage of lot: 12- % Closest distance between nearest existing structure and upland edge of wetlands: 1 )0` - feet Closest distance between nearest proposed structure and upland___ edge of wetlands: I I U + 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: r- 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): 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? 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 YES If Yes,identify: 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? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? { n 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: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: IX El 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 NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ IX b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? (Z ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: ��II 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline El Forest 0 Agricultural/grasslands El Early mid-successional ❑ Wetland 0 Urban IA 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.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? giNO DYES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: 12 NO nYES 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 INFO ATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: I/'1?jCkcirtz'i7 ck-) Date: i 0"3o-16- Signature: • Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the•following questions in Part 2 using the information contained in Part 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 r/( affect existing infrastructure for mass transit,biking or walkway? �/J 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate 1 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? 1 8. Will the proposed action impair the character or quality of important historic,archaeological, j architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? ✓ 1 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 problems? l l. 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. r • Check this box if you have determined,based on the information and analysis above,and any supporting documentation, at the proposed action may result in one or more potentially large or significant adverse impacts and an environmental 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 j I*-' I —15 Name Lead gency n Date ----- b h 'c' IQ bC2v President Print or Ty,-' ame es.•• ible Of-7cerlin Lead Agency Title of Responsible Officer Sir-of Resp. fficer in Lea gency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 • 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: 1\I G (Last name,first name,-rpiddle 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,—narpe the-activity-)- • ----- -- — ---- — Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO • If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); - C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP - - ( - Submitted this 13 d y of OGP Signature - yy Form TS 1 Print Name 0 R(c 4sAD I .- L ,rd of Trustees Applicatic- AFFIDAVIT t G� grti 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 A. REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY W /LAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TR 1.TEES DURING THE TERM OF THE PERMIT. Signature of Pro c erty Owner SWORN TO BEFORE ME THIS DAY OF OCTGWL , 20 I5- ps„ ,c2j , , tcr Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. 01D1475593 Qualified in Suffolk County Qe My Commission Expires April 30, 2010 • 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. on- 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# 1000 - - 4 — ,V< PROJECT NAME 41/1- i (1F CV 5 r• lilid0019 ,{ ,P The Application has been submitted to (check appropriate response): Town Board pi Planning Board Building Dept. Board of Trustees .4 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity, agency regulation,land transaction) ri (b) Financial assistance (e.g. grant,loan, subsidy) (c) Permit, approval, license,certification: Nater and exte t of action: Fc P�c K k j 4 19 - ® X m &, oT?Nom&a Location of action: 9 4 iCt-( t O P , C(.,,;e, G Site acreage: I C. Present land use: � j 01 1_ Present zoning classification: 'Z- 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: R l C I q-i2 'u (b) Mailing address: (2, 62 00 r 0955 . (c) Telephone number:Area Code( ) l ?7? [(0,6 ---(d)—Application—number,—if any:-- ---- — ------ – —— --Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes I 1 No El 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. w V Yes No li<Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See • LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes I I No Not Applicable ` l r 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 No Not Applicable Attach additional sheets if necessary ' NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes No X.Not Applicable • Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III-Policies; Pages 22 through 32 for evaluation criteria. II Yes No ' Not A: cable 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 Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. r Yes No N. Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public 'access to,rand 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.' r I Ye. No '- Not Applicable Attach additional sheets if necessary WORKING COAST POLICE 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 n No Not Applicable Attach additional sheets if necessary - Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes Nog 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 I No Ig 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. I Yes n No X Not Applicable PREPARED BY . F(,e X42 5 TITLE t 26a6 DATE /0 -►33•-/��"