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HomeMy WebLinkAboutTR-8756 9 i -%':="i; •.;� CC#: C16-26391 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK 1, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 06/16/2016 under Liber D00012868 and Page 216 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 06116/2016 SUFFOLK COUNTY CLERK JUDITH A.PASCALE SEAL ;- uu RECORDED ED 2015 Tun 16 02:54:61 Pill Number of pages 1/99 JUDITH R. PASCALE CLERK OF SUFFOLK COUNIr' This document will be public L DOOGI2868 P 21^ record.Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp I Recording/Filing Stamps 3 , FEES Page/Filing Fee l(y^ Mortgage Amt. 1,Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation 'l Spec./Assit. v EA-52 17(County) — Sub Total or Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County — Held for Appointment Comm.of Ed. 5. 00 `+ TransferTax Affidavit ' Mansion Tax IRed C -OpV... 5- The property covered by this mortgage is or will be improved by a one or two Surcharge 15. 00 2 family dwelling only. Sub Total YES or NO Other Grand Total If NO,see appropriate tax clause on page# of this instrument 4 Dist. 1000 3174069 1000 08600 0200 009000 ) 5 [Community Preservation Fund Real Property PTS Consideration Amount$ Tax Service R DHo A Agency 16JUN46 CPF Tax Due $ Verification -....-..... --....------- . ....... . ...... ... Improved 6 SatEaiott<tTl�ji�itrrestTtelases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land PATRICIA C MOORE ESQ TD 51020 MAIN ROAD SOUTHOLD NY 11971 TD TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk ITitle# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DECLARATION OF COVENANTS made by: (SPECIFY TYPE OF INSTRUMENT) Mi(_hAFl.P-C;AVQj N_ _ The premises herein is situated in SUSAN CAVOLMS SUFFOLK COUNTY,NEW YORK. TO In the TOWN of 301 rr OT.T) TQ WN nip SOT TTuO D In the VILLAGE or HAMLET of PFCl1NTC BOXES 6 THRU 8 MUST BETYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (r ti 1111111 IIII IIIII IIIII Ilfll IIIII IIIII IIIII IIIII IIII IIII NINE I Illfll IIIII IIIII IIII Illi SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 06/16/2016 Number of Pages: 4 At: 02 :54:51 PM Receipt Number : 16-0092751 LIBER: D00012868 PAGE : 216 District: Section: Block: Lot: 100.0 086.00 02 .00 009.00(}: EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20 .00 NO Handling $20 .00 NO COE $5 . 00 NO NYS SRCHG $15.00 NO TP-584 $0 .00 NO Notation $0.00 NO Cert.Copies $5 . 00 NO RPT $200 .00 NO Fees Paid $265.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County S i DECLARATION OF COVENANTS THIS DECLARATION made this d5day of March,2016, by MICHAEL P. CAVOUNl and SUSAN CAVOUNIS, and, residing at 187 Hemlock Road, Manhasset, New York 11030, ;fie i6t 1 r referred to as"DECLARANT(S)": WITNESSETH : WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located at3475 Wells Road, Peconic, Town of Southold, County of Suffolk, State of New York, described In the Suffolk County Tax Map as District 1000, Section 86 Block 2, Lot 9 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trusteesl pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated aotiVitis and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required a 10' wide Non-Disturbance buffer along the bulkhead; NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained a A0' wide Non-Disturbance buffer along the bulkhead by Chapter 275 of the Town Code and as depicted, on the site plan 2) These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, assigns, purchasers, or successors in Eiitdrest and may only be modified after a public hearing and upon resolution of the Truateas. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this A.lay: of March, 2016 J0 � Michael P. Cavounis su n Cavounis STATE OF NEW YORK ss: COUNTY OF SUFFOLK On theday of March , in the year 2016, before me the undersigned, a Notary�iOffq in and for said State, personally appeared MICHAEL P. CAVOUNIS and SUSAN CAVOUNIS personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/hedtheir!�On ture(s) on the instrument, the individual or the persons on behalf of which the individual(s) i�td; executed the instrument. Notary Public KAREN R. PERLOWSKY NOTARY PUBLIC-STATE Of NEW YORK No. OIPE4892380 Qualified in Suffolk County My Commission Expires May 04, 20—R 2 K" ABSTRACTINC. as Agptbr - Chieago TRIelinsurance cimpany Title Nuiiiber:. KGC4064- ...S All tlw-ebrtmu 014t,Oieeb,6r paiu!-a Iftudi jyjaiihe buildhigswRd MY of Su'ff6lk-:ihd:S.t-f6 6f-New York, gift mbi�i!,Particial-.irty4b6uniibd hnd*vrrJbtJ as foltow;V OINNING.sUpipolut-on jjje-east rly ddiof NVOk,1101i'd ii-fick"e' the I '— , ' - C - u'div or, rm 166g lxeJn �ltr�nt3±11:90 feet i -0-q-Y:2� A 6 YO, W'J RQUA iVDM the y side OFINbin RUNNING THEM,Kfr6msald os ,f-bpgiuuIqgb"W'j**g: said Ju�. j.yiicndoncdAfnd of kolvikhukNoy(b-89dcgrstro f4011i6n00 RUNNINGTHEM-7ri "thp,v.edin.#y-l!.I&,w4;#jp oud Cr.ock i.Wagae-ral southerly direction -a 444 Usk& IpMtibMd land north 69.degrees-:29 minutes°40 seconds west 1-5 ',TePtA0JlWZ25tOr!y side ofVft R#A" TTIENCE, al*ong,thp.casterly side of IW -Road itua porfhr)y. cae,4zbf-a tavb Left':UWVIIIg A MOR6D '2564f&t A'dIftb feit,f6 th.64ibhit or place-of Sdhedule A ftge 2 of 2 Michael J.Domino,President rjf S0Ujif� Town Hall Annex John M.Bredemeyer III,Vice-President '`� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ;rev O Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 20, 2019 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: MICHAEL & SUSAN CAVOUNIS 3475 WELLS ROAD, PECONIC SCTM# 1000-86-2-9 Dear Mrs. Moore: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, March 20, 2019: RESOLVED that the Southold Town Board of Trustees grants the Last One-Year Extension to Wetland Permit#8756, as issued on March 23, 2016. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, 0 o Michael J. Domino President, Board of Trustees MJD:dd i PATRICIA C. MOORS Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 www.mooreglys.com March 13, 2019 Board of Trustees Town of Southold f �-j� �?� PO Box 1179 Southold NY 11971 hand delivered Solt+f:cta 1�•;,n board of T•ts +�^s S RE: PERMIT EXTENSION CAVOUNIS; PERMIT#8756 Dear President Domino and Board: Please let this serve as a request to extend permit#8756 (copy enclosed) for property located at 3475 Wells Road, Peconic, (sctm:1000-86-2-9). My check is enclosed in the amount of$50.00 for said fee. Thank you and please do not hesitate to call should you have any questions. Very truly yours, Patricia C. Moore r� PCM/bp encls. Michael J.Domino,President O�"0fF01'�C'� Town Hall Annex John M.Bredemeyer I11,Vice-President ,`� Gy,,,� 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski d Southold,NY 11971 Greg Williams y' Telephone(631)765-1892 �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: Patricia Moore, Esq. on behalf of MICHAEL & SUSAN CAVOUNIS requests the Last One-Year Extension to Wetland Permit#8756, as issued on March 23, 2016. Located: 3475 Wells Road, Peconic. SCTM#"1000-86-2-9 CH. 275-3 - SETBACKS WETLAND BOUNDARY: _ Actual Footage or OK=� Setback Waiver Required 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 Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action -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: I have read &acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other Michael J. Domino,President ��0f SO�r�o Town Hall Annex John M. Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski G Q Telephone (631) 765-1892 Greg Williams O Fax(631) 765-6641 cou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 23, 2018 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: MICHAEL AND SUSAN CAVOUNIS 3475 WELLS ROAD, PECONIC SCTM# 1000-86-2-9 Dear Mrs. Moore: The following action was taken by the Southold Town Board of Trustees at their Special Meeting held on Friday, March 23, 2018: RESOLVED that the Southold Town Board of Trustees grants the One-Year Extension to Wetland Permit#8756, as issued on March 23, 2016. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, -XnLkaj X Michael J. Domino President, Board of Trustees MJD:dd I J! 7 r� CC, E � � E r� I PATRICIA C. MOORE r'? Attorney at Law L i. 51020 Main Road FEB - 5 2018 Southold,New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 Board o`?ust^c __ _1 www.mooreLMs.com February 5, 2018 Board of Trustees Town of Southold PO Box 1179 Southold NY 11971 hand delivered RE: PERMIT EXTENSION CAVOUNIS; PERMIT#8756 Dear President Domino and Board: , Please let this serve as a request to extend permit#8756 (copy enclosed) for property located at 3475 Wells Road, Peconic, (sctm:1000-86-2-9) for an additional two years. M client's check is enclosed in the amount of$50.00 for said fee. Thank you and please do not hesitate to call should you have any questions. Very y yours, P tricia C.Woore PCM/bp encls. Michael J Domino, Preside,' J NQco •• Town Hall Annex John M. Bredemeyer 111, Vice-President ,`�O Gym+ 54375 Route 25 Glenn Goldsmithti z P.O. Box 1179 A.Nicholas Krupski • 7 Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 ��l �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 3 y Completed in field by: " r Patricia C. Moore, Esq. on behalf of MICHAEL AND SUSAN CAVOUNIS requests a One Year Extension to Wetland Permit#8756, as issued on March 23, 2016. Located: 3475 Wells Road, Peconic. SCTM# 1000-86-2-9 - CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 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 Public NoticeofHearing Card Posted: Y / N Ch. 275y Ch. 111 SEQRA Type: 1 II Unlisted Action 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: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. redemeyer W ./Domino L,,//G. Goldsmith N. Krupski G. Williams 'Other Page 1 of 2 e Michael J. Domino, Preside o�QSyFFO(,�coG Town Hall Annex John M Bredemeyer III, Vice-President �� y.� 54375 Route 25 Glenn Goldsmith ti = P.O. Box 1179 A.Nicholas Krupski 1 A Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 ��l �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Patricia C. Moore, Esq. on behalf of MICHAEL AND SUSAN CAVOUNIS requests a One Year Extension to Wetland Permit#8756, as issued on March 23, 2016. Located: 3475 Wells Road, Peconic. SCTM# 1000-86-2-9 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. :525% 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: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 ( A a A` ■ V®uI John M.Bredemeyer III,President ®P®�`� ®� Town Hall Annex Michael J. Domino,Vice-President ® 54375 Route 25 8 P.O.Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski G ® O Telephone(631) 765-1892 Charles J. Sanders ��yC®UNTI' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 18, 2016 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: MICHAEL & SUSAN CAVOUNIS 3475 WELLS ROAD, PECONIC SCTM# 1000-86-2-9 Dear Mrs. Moore: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, May 18, 2016: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#8756 as issued on March 23, 2016, from Joseph & Alberta Schupler to Michael & Susan Cavounis. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. _ Sincerely, John M. Bredemeyer III, President Board of Trustees JMB/dd John M. Bredemeyer III, President '�SUFFUtr-�o Town Hall Annex Michael J. Domino, Vice-President ,�� Gym 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders y ® p�� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD IqK / Cr Date/Time: Completed in field by: �' y��wM ,.. Patricia C. Moore,.Esq. on behalf of MICHAEL & SUSAN CAVOUNIS request a Transfer of Wetland Permit#8756 from Joseph &Alberta Schupler to Michael & Susan Cavounis, as issued on March 23, 2016. Located: 3475 Wells Road, Peconic. SCTM# 1000-86-2-9 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 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 Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action 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: Present were: �"JB red D 'no G. Goldsmith N. Kru ski emeyer M. Do G m N p nders Other Page 1 of 2 John M. Bredemeyer III, President oSUFFD(/rTown Hall Annex Michael J. Domino, Vice-President ° �Gy54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A. Nicholas Krupski o ^* Southold, NY 11971 Charles J. Sanders yjj o�� Telephone (631) 765-1892 0� Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTH-OLD Date/Time: Completed in Work Session by: Patricia C. Moore, Esq. on behalf of MICHAEL & SUSAN CAVOUNIS request a Transfer of Wetland Permit#8756 from Joseph & Alberta Schupler to Michael & Susan Cavounis, as issued on March 23, 2016. Located: 3475 Wells Road, Peconic. SCTM# 1000-86-2-9 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. :525% 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: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 r ' 11_ John M. Bredemeyer III, President Su�Fat�oo�c Town Hall Annex Michael J. Domino, Vice-President �� yam , 54375 Route 25 Glenn Goldsmith i; z p. P.O. Box 1179 A. Nicholas Krupski �y ® y Southold, NY 11971 Charles J. Sanders �Ol ����� Telephone (631) 765-1892 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, hay bale line 1St day of construction % constructed Project complete, compliance inspection AR. . BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK M PERMIT NO. 8756 DATE: MARCH 23, 2016 ISSUED TO: JOSEPH & ALBERTA SCHUPLER PROPERTY ADDRESS: 3475 WELLS ROAD, PECONIC SCTM# 1000-86-2-9 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 23,2016,and in consideration of application fee in the sum of$250.00 paid by Joseph&Alberta Schupler and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Fr Wetland Permit for the existing 6'8"x8'2" cantilevered platform off bulkhead; replace M existing 6.51x17' catwalk with a 41x171 catwalk using thru-flow decking; existing 31x171 ramp; replace existing floating dock with a 5'x24' floating dock with float stops; and to relocate existing float piles as needed; with the condition to establish and subsequently maintain a 101 wide non-turf buffer along the landward edge of bulkhead; and as depicted on the survey prepared by Robert H. Fox, last dated on February 1, 2016, and stamped approved on March 23, 2016. .......... IN WITNESS WHEREOF,the said Board of Trustees hereby caufiqs its Corporate Seal to be affixed, resents to be subscribed by a majority of the said Bo Lrd�'j and these p '. s t"sg te ft CIO SIR RAMS AND CONDITIONS The Permittee Joseph&Alberta Schupler,residing at 3475 Wells Road Peconic New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the 'said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, -or-interest my real or personal property held or vested-in-a person-not-a party to the permit: -- ----- Hydfographc Map N Surveyed: 01-27-16 WE Amended: 02-01-16 s w SCT# 1000-66-2-9 W Situate: Peconic Town: Southold Suffolk County, IVB' m p pUA Datum: MLLW ® oom ' 1 1 I W W w cr m om 1 i m0I IQ iJI ' o00 I N I rn N N I I I (0 00 N N N M ! / LU / I r ; A r / V N 00 ® 0 � t / Ie CC1ipntbier walk . ,'x 17D h ➢thru zz 6) ® k1® P �x17 ® exlstl i � Z, N i I O c104k g N N !\) I - - tornp _ wiv i I 1 1 V NN N X f/P 0 — o0 00 . � N b Ir ;l c/'/ 7 replacessV existing with neOF w 2 ' loot 1 tN N ou J . zo �•.1 rqm o 1 0 o N I flop // ��// V N *A / N I 60 00 if Crossy, (� I' _ _ - it lace timber Section g - 6.5' x17' I� "thru flow" replaceU 20' FEB - g 20 r dick 4' x 17' a use existing } kIs f loot with sn� 5'x24' float ROBERT �,�„;G Owl NYS A ------H1�-_ NYS PLS#50197 5 a marsh 1.6 2611 —_ P 0 Box#366 float stop bttrrl. Aquebogue, NY 11931 �rV S0(ZT John M.Bredemeyer III,President Town Hall Annex Michael J.Domino,Vice-President 54375 Route 25 8i[ P.O. Box 1179 Glenn Goldsmith COO -liC Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Charles J. Sanders ®l rou Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 23, 2016 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: JOSEPH & ALBERTA SCHUPLER 3475 WELLS ROAD, PECONIC SCTM# 1000-86-2-9 Dear Ms. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 23, 2016 regarding the above matter: WHEREAS, Patricia C. Moore, Esq., on behalf of JOSEPH & ALBERTA SCHUPLER 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 February 9, 2016, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; and the installation of a 10" wide non-turf buffer along the landward edge of bulkhead ; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said g application_on-March23,20 6Tat which time-all-interested-per-sous-were-gi-ven-a^ opportunity to be heard, and, 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of JOSEPH & ALBERTA SCHUPLER for the existing 6'8"x8'2" cantilevered platform off bulkhead; replace existing 6.5'x17' catwalk with a 4'x17' catwalk using thru-flow decking; existing 3'x17' ramp; replace existing floating dock with a 5'x24' floating dock with float stops; and to relocate existing float piles as needed; with the condition to establish�and subsequently maintain a 10' wide non-turf buffer along the landward edge of bulkhead; and as depicted on the survey prepared by Robert H. Fox, last dated on February 1, 2016, and stamped approved on March 23, 2016. 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: $743.00 Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/dd I John M. Bredemeyer III, President i�'��SUfFU(�-e.G fi, Town Hall Annex Michael J. Domino, Vice-President 0 54375 Route 25 James F. King r y P.O. Box 1179 Dave Bergenp • �;� Southold, NY 11971 Charles J. Sanders ' yam©� �ar Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JOSEPH &ALBERTA SCHUPLER c/o PATRICIA C. MOORE, ESQ. Please be'advised that your application dated February 9 2016 has been reviewed by this Board at the regular meeting of March 23, 2016 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) '/z Constructed ($50.00) x Final Inspection Fee ($50.00) X Dock Fees ($3.00 per sq. ft.) x The Permitee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) days of the issuance of this permit. 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: '1 4'x15' catwalk = 60 sq. ft. x $3.00 = $ 180.00 ✓� �'/�/� 3'x17' ramp = 51 sq. ft. x $3.00 = 153.00 5'x24' floating dock = 120 sq.ft. x $3.00 = 360.00 TOTAL FEES DUE: $ 743.00 BY: John M. Bredemeyer III, President Board of Trustees John M. Bredemeyer III, Presiden' o�oS�ffOtq-�oG� _�' Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A. Nicholas Krupskioy �� Southold, NY 11971 Charles J. Sanders dot o Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD r- Date/Time: 3 � Completed in Work Session by: Patricia C. Moore, Esq. on behalf of JOSEPH & ALBERTA SCHUPLER requests a Wetland Permit for the existing 6'8"x8'2" cantilevered platform off bulkhead; replace existing 6.5'x17' catwalk with a 4'x17' catwalk using thru-flow decking; existing 3'x17' ramp; replace existing floating dock with a 5'x24' floating dock with float stops; and to relocate existing float piles as needed. Located: 3475 Wells Road, Peconic. SCTM# 1000-86-2-9 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. 525% Expansion/Calcul ion 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: /J. Bredemeyer / M. Domino G. Goldsmith N. Krupski ders . Cantrell D. Di Salvo Other Page 2 of 2 John M. Bredemeyer III, President ��4�QS�FFO( �oG��; �,4 Town Hall Annex Michael J. Domino, Vice-President = 54375 Route 25 Glenn Goldsmith y ? P.O. Box 1179 A. Nicholas Krupski a Southold, NY 11971 Charles J. Sanders ti��� �a Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 3 Completed in field by: ? Patricia C. Moore, Esq. on behalf'of JOSEPH & ALBERTA SCHUPLER requests a Wetland Permit for the existing 6'8"x8'2" cantilevered platform off bulkhead; replace existing 6.5'x17' catwalk with a 4'x17' catwalk using thru-flow decking; existing 3'x17' ramp; replace existing floating dock with a 5'x24' floating dock with float stops; and to relocate existing float piles as needed. Located: 3475 Wells Road, Peconic. SCTM# 1000-86-2-9 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual/2: _ "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 T. 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 V--'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 revie su tant/ ppli ation completeness/comments/standards: Present were: J/Bredemeyer M. Domino -,'G. Goldsmith P- N. Krupski :7/—C. Sanders Other Page 1 of 2 oseph&Alberta Schupler 75 Wells Road,Peconic CTM#: 1000-86-2-9 /16/16 -Y VAe M 3/ 16/2016 4 SIOFAS� psi ---_------- - - �( �. •a p Si n�v mon,�� •Iva. � w7--_;yL -------------- ;ZL *=Ps'0001 9.70 djopv C,.L N-ro-? IIS nS nsnoy 14-114"All z aL 8 cl GDOT4 OVA E. r3 �/ 1 U k. / T \ f SIN\ NMO-L -Ltl -ku 1. �L1 �--�.—�;-,i/ , .SCC- --�1' h1S� � -, Ij 07pinos 40 N"i. rr r yen - ! ----.._�".yam•.:. SCHUMER _. 3475 WELLS ROAD,PECONIC -= -. ,, '•. SCTM: 1000-86-2-9 i JIW 1 SCHUMER 3475 WELLS ROAD, PECONIC SCTM: 1000-86-2-9 . � -.•-•yit .-rtwr �r w..a. -.._..;;�.r. '�-ti'-�..• �L_,._�,�1,• � -r1.,.�_``"'�.4,' �. �µ.��'�".#,. �•w-!�1t►' ..t,�,..• "�`r"- 1 �'•..�.'� Vin.�"-+.��' �~�._ `_~. - ..,gam,."•^` � �- _ �"��a..r. �1.,.;�3w`-_""�11..,-�+'�e.�=�Pk,?.+k..''r!a.-` "``".�-',�,.{�+�"'� { S : �i v SCHUPLER 3475 WELLS ROAD, PECONIC SCTM: 1000-86-2-9 r)j]{ .� __ -." .-- ,-�. ... . _ ,• � �a, r ILS,. 'fir♦rT�vr�d-'�yM14 w �Y ok r - or • T- ':.,it. John Bredemeyer, President �ogoFF014- Town Hall Annex Michael J. Domino, Vice-President °re 54375 Route 25 James F. King y i P.O. Box 1179 Charles J. Sandersc • Southold, NY 11971 Dave Bergen y�o! ,� �a Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: �p,�, Patricia C. Moore, Esq. on behalf of JOSEPH SCHUPLER requests a Pre-Submission Inspection regarding the existing dock. Located: 3475 Wells Road, Peconic. SCTM# 1000-86-2-9 Type, f area to be impacted: altwater 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 ! t Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: 1 Conditions: ..j' - � Present Were: /J. Bredeme er � Domino 04 Kin '/D. Ber en �'�C. Sanders Y g9 Bay Constable Other Form filled out in the field by 211 Mailed/Faxed to: Date: ' • , � � - �T � � • - °, - - - - ; '. .. s "F8s - a .• � � i - 3 � E C-0 N A_C" = ` _4"?i+._I,1 Lvs -:.Rte.�,�.CO......,_._.____„- / „ "*_..._�_a._.--_._,� '°..4.- •. ., - .:x 1.-- , �.< � •' _ 'Q _ - .. IJ V J S- 1-r �. 's �.4'� _ �, _� � •'gyp , - s� _ - . ._ , .. . . r�° 'y. . PNAUTI{ORQEU'AMP.Ali0N OX ADDlTIOh J. TO;-THIS SURVEY 15 A VIOLATIO; OF ' ' ECT(ON 7209 Of THE.NEW YO_RK'STATE,. . ;EDUCATION_LAW. COPiES;OP THIS SURVEY`f6AP NOT_6EARING LAND'SURVEYOR_SrIjUED-SEAL OR" - - 4hA6055ED SEAL 54ALL PtOT BE—CONSIDERED VALID TRUE CQPY: ON ORLY OGuiIPNTEES TIT INDICATED HER tibm, HE RUN QNEY 1O tHE PERSUN LOP.WNOhS.THE SURVEY 0 t IS PREPARED,'AND ON HI5 BEHALP'TO VE �jq(«Y't31�1 � '�1C Avg G7Y CAL7� C C>R'HI;,C,tAkt i TitlE COh1PANY,,GOVERNMEtdTA1 AGENCY AN`.I r-p tENDiNG tN5TtTUiiON•L15TED'HERfOi,ANA CAS :��t va 1{�E'cA -CSG "•.- ���, -.1 : TO THE'ASSIGNEES dE THE LENDING fKi TI- + fis - TUT10N.GUARANTEES'ARE NOT TRAN6EERAI' - S 'CA k e .Q ADortIQNAL INsnturlor+s oa suRsrasJ.11.k v ts o v ,. - _.--- _��-'c�__a_:» _msss__.�*�• e-e_r_-..cr.ia ____.__.._._1_.___."....-_..---.--_____-� - ___...._...�:__ -. _a—..._..v`.....,.�..._..._,_._. _.___-......_�_�_._.._.......y._.._ .._._.-____.,._.____..�—.—'^'"�fY G-"'�:�''{ !7�',' l` �'`a�.�._._•`~Q-4`"�;,� - ` f PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel:(631)765-4330 Fax: (631)765-4643 April 15, 2016 Southold Town Trustees Main Road Southold,NY 11971 Re: Schupler Permit transfer to new owner Sctm: 1000-86-2-9 Permit# q 15 W Dear President Bredemeyer and Board members: With reference to the above permit,please let this serve as a request to transfer the above permit to Michael P. Cavounis and Susan Cavounis. My client's check is enclosed for the transfer fee. Thank you for your assistance in this matter. Veericia y yours, PaC. oore j APR 15 2016 - . f 6 f JCii+hCiG R"3) OFFICE LOCATION: �q s®�r�® MAILING ADDRESS: Town Hall Annex �® l® P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) us ac G @ Telephone: 631 765-1938 Southold, NY 11971 � • �® P ®lyC®U ,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: March 16, 2016 Re: Local Waterfront Coastal,Consistency Review JOSEPH &ALBERTA SCHUPLER SCTM# 1000-86-2-9 Patricia C. Moore, Esq. on behalf of JOSEPH &ALBERTA SCHUPLER requests a Wetland Permit for the existing 6'8"x8'2" cantilevered platform off bulkhead; replace existing 6.5'x17' catwalk with a 4'x17' catwalk using thru-flow decking; existing 3'x17' ramp; replace existing floating dock with a 5'x24' floating dock with float stops; and to relocate existing float piles as needed. Located: 3475 Wells Road, Peconic. SCTM# 1000-86-2-9 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 action is INCONSISTENT with the Policy Standards (Policy 6.3) and therefore is INCONSISTENT with 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. A permit for the dock was not found in Town records. 2 Permit 7525A conditions to establish a 10' wide non-turf buffer has riot been met. 3. 1962 and 1978 aerials do not show a dock(Suffolk County GIS Viewer) Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. FO�►,��d Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 ��/P� �` Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., March 16, 2016 the following recommendation was made: Moved by Peter Meeker, seconded by Jack McGreevy, it was RESOLVED to NOT SUPPORT the application of JOSPEH & ALBERTA SCHUPLER for the existing 6'X 8' landing; replace existing 6.5'X 17' walk with thru-flow decking on 4'X 17' walk; existing 3'X 17' ramp, float stop, replace existing float with 5'X 24' float and relocate piles as needed.- Located: 3475 Wells Rd., Peconic. SCTM#86-2-9 Inspected by: Peter Young, Peter Meeker The CAC does Not Support the application because the floating dock should not exceed 6'X 20'. The CAC recommends a 10' non-turf buffer along the landward side of the bulkhead and no additional pilings on the floating dock. Vote of Council: Ayes: All Motion Carried John M.Bredemeyer III,President �� , Town Hall Annex Michael J.Domino,Vice-President �' ' f 54375 Main Road ,sem P.O.Box 1179 James F.King,Trustee N t Southold,New York 11971-0959 Dave Bergen,TrusteeO Telephone(631) 765-1892 Charles J.Sanders,Trustee Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application Wetland Permit Application _Administrative Permit _Amendment/Transfer/Extension —� d Received Application: 2•q'l& F:jF �ReceivedFee:$ 250,�Completed Application:Incomplete: SEQRA Classification: B 9 2016 ; Type l Type II Unlisted ; Coordination:(date sent): �_ 3���/� �_ l LWRP Consistency Assessment Form: '''�' ' '��} j V- CAC Referral Sent: 2--26. Date of Inspection: 3,1�o,/(o Receipt of CAC Report: . _Lead Agency Determination: Technical Review: Public Hearing Held: ,Z:5, Resolution: Name of Applicant 0 5�� (� � . `7���'JP�Y t ScAl V o_k-- r Mailing Address: 5(p W e St MeckAUVXtziYlG+Cp✓1 Phone Number: ro 75 Suffolk County Tax Map Number: 1000- C; -- Property Location: _- 2L4-7S_ _ W e- f t S oad (provide LILCO Pole#, distance to cross streets, and location) AGENT-:- - - :: �_. t-(�' 2 C-_ 1 CSO rc -- (If applicable) \ Address:. 5162-0 �a( rel ``C GL S LcnL 0 (j V,3 Phone:. . r Lrd of Trueteee Applicatic GENERAL DATA Land Area(in square feet): 'f c2q oz: Q__ Area Zoning:., Previous use of property:;_-. _._ (_5T dV(, (alJb if ; 1 K/57`111&----SOC e 13 iA14.7' P'(bie' To Intended use of property: We--MANO PQM/T Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? --Yes,. )C- _No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes �_ _No If"Yes",please provide copy of decision. Will this project require 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 hoc a-T7 7- 91 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): Ivan - � x-�7'� bio ���, ae--e-1 WA 6'n a V-* A/oaa` &c e5 4,5 lwaed I '-rd of Trustees Applicatic,' WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of-the proposed operations: 11f ex Area of wetlands on lot: 27 -square feet (,UrWa-ea-1 of ���Q�� Percent coverage of lot: Z. % Closest distance between nearest existing structure and upland edge of wetlands:, feet - aloe Closest distance between nearest proposed structure and upland edge of wetlands:-, CeD_ __ ..,. feet o6Dr_1'1_ Does the project involve excavation or filling? No Yes (?,Ie-s If yes, how much material will be excavated?-. cubic yards How much material will be filled?-_-- C) cubic yards Depth of which material will be removed or deposited: . feet Proposed slope throughout the area of operations: _. Manner in which material will be removed or deposited: ALA Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): 617.20 Appendix B Short Environmental Assessment Form Instructions for Com616ti t : Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part I. 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 i Name of Action or Project, ,'Project Location(descri e;and attach-'a location'map): 3V 7 S wG AS fooaC// e e-01"L Brief Description of Proposed Action:' , Ilia y 'Ore _ 70 mom e-oI7�-,,�7 1iV'c� �C�(JCccl I/1/�G�7�► �cl tel'CG�Pi�tel" i Name of Applicant or_Spons//or.'- / Telephone: LCL �Address: alp W,-_st l e Ok- goad I City/p0 - _ - State: Zip Code: Punk 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES' administrative rule,or regulation? _ If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does'the proposed action-require a permit-,-approval or funding from any other governmental Agency? -NO. . YES If Yes,list agency(s)name and'permit or approval: 3.4.Total acreage of the site of theproposed action? _ acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? J acres .'4. Check all"land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial [:]Commercial ❑Residential(suburban) ❑Forest ❑Agriculture Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES 'N/A_ i a. A permitted use under the zoning regulations? i �M' n �' b.Consistent with the adopted comprehensive Ian? ELJi 6. is the proposed action consistent with the predominant character of the existing built or natural i NO---,YES'lI" landscape? IF/-1!a Q; -7. Is the site of the proposed-action located in,or does it adjoiri,'a state listed Critical Environmental Area? NO_ YES; 1 If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO-J. YES b.Are public transportation service(s)available at or near the site of the proposed action? AfA Ti C'Are any pedestrian accommodations or bicycle routes available on or near site of the proposed actionEl , D 9-066es the proposed action meet or exceed the state energy code requirements? _ -NO 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-:, ___ __-_ A(/� 11.Will the proposed action connect to existing wastewater utilities? NO'-'YES', If No,describe method for providing wastewater treatment: '110 �. 12 a.Does the site contain a structure that is listed on either the State or National Register of Historic NO -I YES," Places? ,,/ n b.Is the proposed action located in an archeological sensitive area? IVIA r fi I I 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:__- _ L2SJ-L' = , 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional Wetland ❑Urban ❑Suburban �15.Does the site of the proposed action contain any-specie—sof animal,or associated habitats,listed NO -YES by the State or Federal government as threatened or endangered? I' ❑i 16.is the project site located in the 100 year flood plain? NO '.i YES i !`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? 'v JA E]NO DYES � �I� D ' T b.Will storm water discharges be directed to established conveyance sy� � s� ff ms,=.(runoand storm drains)? If Yes,briefly describe: /V�4 Q NO DYES r Page 2 of 4 r , 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: -J Y Y y-- _ -v-_- - u,-_ - -- —Y-^---+ _ _ �. ©;i ,!❑ p pose i - I ! 19.Has the site of the proposed action or an adjoining property been the location of an active or closed 'N_O_ YES,, solid waste management facility? If Yes,describe:. Ib _ 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: ®' a, I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE,AND ACCURATE TO THE BEST OF MY ',KNOWLEDGE / Applicant/sponsorname: __ u, Gt ,rt _C_. pQ/`t' Date j 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?" -1 No,or ' Moderate small to large i ;impact impact may may -'occur r occur T Will the proposed action-create a material conflict with an adopted land use-plan or zoning regulations? y a' 2. Will the proposed action result in a change in the use or intensity of use of land? ' n 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 SII establishment of a Critical Environmental Area(CEA)? 'D" 5. Will the proposed action result in an adverse change in the existing level of traffic or j 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? ; El '❑" 7. W ill the proposed action impact existing: - a.public/private water supplies? f b.public/private wastewater treatment utilities? , ET 8. Will the proposed action impair the character or quality of important historic,archaeological, ` architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g., wetlands, I waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 -- - No,or j, Moderate .small to large impact € impact (, may I' may `1,;,occur I occur 10. Will the proposed action-result in an increase in the potential for erosion,flooding or drainage I - problems? - i 1.1. Will the proposed action create a hazard to environmental resources or human health. T 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. FJI Check this box if you have determined,based on the information and-analysis`above,'and any supporting cibcumentatid ,-I hat 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. t Town of Southold-Board of Trustees Name of Lead Agency - _- President Print or Type me of Responsible Officer in Lead Agency l Title of Responsible Officer Si a of Respo a Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) ^PRINT Page 4 of 4 ' I BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of ,AFFIDAVIT OF SCHUPLER MAILING Applicant's Land Identified as 1000-86-2-9 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, Betsy Perkins, residing at Mattituck, New York, being duly sworn, depose and say that: J On the day of March, 2016, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the persons listed on the attached list at the addresses set below their respective names; that the addresses set below the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said notices were mailed at the United States Post Office at Southold, New York, that said Notices were mailed to each of said persons by CERTIFIED MAIURETURN RECEIPT. Attached hereto is the white receiptst-marked by the outhold Post Office on said date. Betsy Perki (Signature Sworn to before me this ��7H day of MHACH,���;U0/6 C { (Wtary Public) MARGARET C. RUTKOWSKI Notary Public,State of New York No. 4982528 Qualified in Suffolk County Commission Expires June 3, Schupler neighbor list William&Angela Weissert 23 Seaton Street Massapequa NY 11758 sctm: 1000-864-13 Kowalchuk Family 2008 Irr. Tr 3110 Bleller Road Emmaus PA 18049 sctm: 1000-86-2-8 Robert Sterling 104 Roxen Road Rockville Centre NY 11570 sctm: 1000-86-2-10 RECEIPT RECEIPT I RECEIPT 7104 2438 8090 0000 6930 7104 2438 8090 0000 6947 FROM � 7104 2438 8090 0000 6954 FROM FROM. Moore Law Office- i Moore Law Office RE schupI trustee RE schupler trustees Moore Law Office Mus®q H 0�� H® ( RE schupler trustees SE D. 0�9/! I S ND 01,1 SE TO ®�j` i willia &Angelejssert Ko alchuk FSmBy 2008 Ir Se ton Street �f Cp I 311,Bleller Road'�� C0 ' Rob Sterling �Illyyy}}}} s a qua NY 11751 %d i mm us PA 1804$f� 'd 10 Roxen Road \ V CSckvdle Ceatle NY 11 FEES. l ! FEES: �. FES ® `� Postage 0 485 Postage 0 485 sta e c" Certified Fee 330 I Certified Fee 3 30 g E�0' 0 485 Return Receipt 2 70 2 70 Ce fled Feet 3 30 P Return Receipt —� Restricted I Restricted Return Receipt 2 70 It� RestrictedTOTAL $6485 TOTAL $6485 f TOTAL $6.485 POSTMARK OR DATE POSTMARK OR DATE POSTMARK OR DATE PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel:(631)765-4330 Fax:(631)765-4643 March 11, 2016 CERTIFIED MAIL RETURN RECEIPT REQUESTED RE: SCHUPLER PROPERTY ADDRESS:3475 Wells Road Peconic SCTM: 1000-86-2-9 Dear Neighbor: I represent the above with regard to their application to the Board of Trustees of the Town of Southold for a permit as more fully outlined on the attached Notice of Hearing. A copy of the site plan is also enclosed. The hearing on this matter has been scheduled for WEDNESDAY, MARCH 23, 2016 at or about 5: 30 p.m. at Southold Town Hall. If you have an interest in this project, you may review the files at the Board of Trustees office prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. If you have any questions, or you wish to support this application, please do not hesitate to contact me. Thank you. V r truly yours, U at ' is C. Moo a PCM/ encl J ' ;< T 1"' C R1 C 0_,:�,F_1_H_' A'— -77 NOTICE-,IS =HEREIBY_GIV,EN==that a- Public Tearing will_,be_h`eld-;by the Southold Town=--B:oar-d of Trustees,=at­,the=Town Hall, -53095 Main -,11oad,-5,6uthold;=Nevi-Yor-k,-c'o.ncerning-fia ,is_property., OWNER, OF RE-C- 0, JIOSEPRA ALBERTA SCRUPLER SU`-BJ--E.CT-_O:F .;PU For-a- Wetland- Perriiif for the.existing 6'8'W-211° cantileve red-_platfo-r-rn- off.-bulkhead;,:re:plac-e existing 6. 'x_17' catwalk_with--a 4'x1.7'-catty-a,lk--using,,thru=flow, decking _.existirng 3'yx17", ramp; replace ex isting=floa.ting'dock with a 5'x24' flo,ating-doc"k whh float"stops; and10, relocate existing-float p,iies as=nee,de,d: _Lo'cated,- 3475r-Wel'fs� Road;. Pe-conic. S.CTIV1 1000''.6-2-9 TIM E'-,&,--DATE -O�F• P�U,B-LIC� -H=EAR:11VC W e.d n e s da- '-Ma rc h -2 3, 201=6. - at ordb.olu t 5 ::3'O P _. If you have an-in teeest in this -pro je,ct,:you-a-are.-T iVited:to wiew::the,Town' file(s):wh1chy are available for inspection prior to the day oftle=hearing-'during= normal brus;iness=;daysb=etween - the hours of 8 a"-m. and 4.p:m. ,,BOARD'OF.T;RUSTEE k:. F. = S TOWN �O�FiSO:UTH-OLD= 7;6.5K 1892 _ . _ ) i} _ Hydrographic , N Surveyed: 01-27-16 wE Amended: 02-01-16 s W •� SGT# 1000-86-2-9 Situate: Peconic Town: Southold �' �4 Suffolk County, NY I' L Datum: MLLWo=d doom ��( I n 30' m���oma r„ W t,, W mm to N OF i i O I rn N N I I I Oo N N N 00 0 fr�c i r a_ r it .0 o)31� N N N I ► C rr d W v w B� VI ONI N N V NI V NI 00 0.0 (o C Place tibewet fhtu wal 6�$ 7io flow dock �x1 ' CL oI ' 02 0p 00 GIOGC QFO } mmom0v r ,�ci� I V 00 NP1ace existingh w^N f flout � o1 floofN „ O V (O N I clock � OI I O O 0 N N I � rnp /i// IIOgt /// j I 0) V N / I 00 N o , r� I Gross ' s h; re lace timber x "' -,. p > fit .,r r walk 6.5 x 17 Section ar ter,";inI,dep;' " with thru flow" replace 20' deck 4' x 17' LAS@ existing t► � ekiS¢ih f loaf with v � ,���� 5x24 float ROBERT H.SOX ' L.W NYS PLS#50197 75 2 marsh float I.6 2.6 P 0 Box#366 stop bttm. Aquebogue, NY 11931 6"fII ©1� John M. Bredemeyer III, PresidenL' �� �o�y 7 own Hall Annex Michael J. Domino, Vice-President < 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A. Nicholas Krupskiy� o� Southold, NY 11971 Charles J. Sanders 01 �aJ 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 JOSEPH & ALBERTA SCHUPLER COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO m COMPLETED AFTER POSTING REMAINS IN PLACE FOR NOT LESS THAN SEVEN DAYS I, A� �C.1`U Q I oy residing at/dba w, being duly sworn, depose and say: That on the �� day of N��- , 20 , I personally o ted the pro,Wey known as LA- by placing the Board of Trustees official poster where it can ea ily 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, March 23, 2016. Dated:— 3— uo`' CIZ," (signature)` Sworn to before me this 0(�2:> day ofd- 20 l Q otary Publ' BETSY A.PERKINS Nota►Public,State of New York No.01 PE6130636 Qualified in Suffolk Coun Commission Expires July 1 ,NUTILL Uim HtAKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: JOSEPH & ALBERTA SCHUPLER SUBJECT OF PUBLIC HEARING : For a Wetland Permit for the existing 6'8"x8'2" cantilevered platform off bulkhead; replace existing 6.5'x17' catwalk with a 4'x17' catwalk using thru-f low decking; existing 3'x17' ramp; replace existing floating dock with a 5'x24' floating dock with float stops; and to relocate existing float piles as needed. Located: 3475 Wells Road, Peconic. SCTM# 1000-86-2-9 TIME & DATE OF PUBLIC HEARING : Wednesday, March 23, 2016 — 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 B( -- d of Trustees Application• County of Suffolk State of New York Joseph Schupler& Alberta Schupler, BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Joseph Schupler Alberta Schupler Sworn tobefore me this day of , 2016 YP C BET SY .PERKINS No_a;y ' i 'ic, State of NOWYOrk i.,n• ;i; E6130636 C� 'i; in Suffiolk COU Commisc!"r -- ",i;e's July 18 — Board of Trustees AUTHORIZATION (where the applicant is not the owner) Joseph&Alberta Schupler, as owner of premises 3475 Wells Road, Peconic, (sctm: 1000-86-2-9)residing at 336 W.Neck Road, Huntington,New York do hereby authorize my attorney, Patricia C. Moore, act as our agent for the pre-submission site inspection, and to apply for permit(s) and appear before the Southold Board of Town Trustees on our behalf. This authorization further allows the Board of Trustees to enter the property for said inspection together with Patricia C. Moore. Owner's signature) (owner's signature) L \ APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information,which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: SCHUPLER JOSEPH&ALBERTA AND MOORE,PATRICIA (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company. If so,indicate the other person or company name.) NATURE OF APPLICATION:(Check all that apply.) Tax Grievance Variance Special Exception If"Other", name the activity: Change of Zone Approval of Plat Exemption from Plat or Official Map Other Trustees X Do you personally,(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the Town officer or employee has even a partial ownership of(or employment by) a corporation in which the Town officer or employee owns more than 5% of the shares. YES NO_X Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself(the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of Signature: Jo h Sc h pier Aber 7r -atricia C.Moore Town of Southold ,LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants fo'r 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 sigiiificant Ueneicial'"and adveirsc;oi�ects upon:tlaecoastal,area:�'whieh-includ�s:.all�o�Svtithold.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. Thuis,,,`d9ch*risrv#f, inti"st;lig:a ilaiu e+d i s de 'eil�li tin 'bcitli"sul�nor is :a ii'.tion: 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# a PROJECT NAME ¢ �� The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees f 1. Category of Town of Southold agency action(check appropriate"response): (a) Action undertaken directly by Town agency(e.g. capital , construction,planning activity,agency regulation,land transaction) (b)- Financial assistance(e.g.,grant,loan,subsidy) (c) Permit,approval,license,certification: ; Nature and extent of action: arrl _ ��� �� Mint -- Location of action:,---, Site acreage: Present land use:.- Present zoning classification:. 2. If an application for the proposed action has.been filed with the Town,of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: N 14/1 .......... (c) Telephone number: Area Code (d) Application number,if Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 0 Nd - If yes,which state or federal, l� 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 I 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. LWYes i0 No Not Applicable � '%rr � - - V'e" (Z" Av >46e -7 l tach_addl6rial sheets if nieiceisiairy' 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 U Yest] No LN Not Applicable Attach additional sheets if necessary - - Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IH—Policies Pages 6 through 7 for evaluation criteria Yes 0', No 0 Not Applicable Attach additional sheets if necessary T NATURAL COAST POLICIES r 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 E] Not Applicable ;. —XU',+'' - 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 V = Yes No El Not Applicable 4Attach 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. + r Yes No Not'ApplicaQle D L x 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. a Yes [:],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. E] is '❑ Yes E. No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. Q Ye�] No® Not Applicable Attacli-additional sheets if necessary - p _ J WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable.locations. See.LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ;Ej No Not Applicable Attach additional sheets if necessary r. Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. 'Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the ,Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. J Yes F] No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. F]Yes 'Q No M', Not Applicable PREPARED BY . .�G 2GGR---�i;�(,O _ __ TITLE__. DATE o2 -3 �� J PATRICIA C. MOORS Attorney at Law 51020 Main Road , .J Southold, New York 11971 NOV 2 0 2015 Tel: (631) 765-4330 s Fax: (631) 765-4643 www.mooregllys.com s.com aarr.L r Tres ee email: pemoore@mooregMs.com s.com November 20, 2015 Town of Southold Board of Trustees hand delivered Re: 3475 Wells Road,Peconic Cctm:1-00-0=8 -9 Dear President Bredemeyer: Enclosed please find my client's request to transfer his existing permit and the filing fee. There is an existing dock and float built in the 1980's and was eligible for a grandfather permit. We wish to apply for a wetland permit for the existing dock. I would request to meet the Board during the inspection on December 9r''. Thank you. Very truly s, LJ. �Zia PCM/bp encls Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) Joseph&All Schupler,as owner of premises 3175 Wells Road,Peconic, (setm: 1000-86- 2-9)residing at 336 W.Neck Road,Huntington,New York do hereby authorize my attorney, Patricia C.Moore,act as our agent for the pre-submission site inspection, and to apple for pen-nit(s) and appear before the Southold Board of Town Trustees on our behalf. This authorization further allows the Board of Trustees to enter the property for said inspection together with Patricia C.Moore. XiNm r i f� (Oe s signature) i L -{Owner's signature) JOSEPH M. SCHUMER P. O. Box 444 Huntington, NY 11743-0444 631-425-1333 vipsystm(&opton1ine.get November 19, 2015 0 E 1° n tT tt a Southold Town Hall Nov 2 0 2015 Board of Trustees P. O. Box 1179n,;;,�;t;=;,;- -- Southold, NY 11971 Buard ofT Attention: Southold Board of Trustees Re: Bulkhead Permit ##15-65 I am requesting the name on this permit be transferred into my name. I am the owner of the house at 3475 Wells Road in Peconic. In requesting the transfer of this permit, I grant the Board of Trustees the right to enter my property and inspect the bulkhead. Thank you. Joseph Schupler