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HomeMy WebLinkAboutTR-8804 Michael J.Domino,President O��QF SU(/ryo 1 Town Hall Annex John M.Bredemeyer III,Vice-President O 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski �pQ Telephone (631) 765-1892 Greg Williams OI�eou N Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1486C _ Date: July 3, 2018 THIS CERTIFIES that the conducting of construction activity within 100' from top of bluff for the construction of a 53'x20 4' (1 492sq ft)two-story dwelling with a 10'x20' (200sq.ft.)exterior storage space a 20.4'x39.0' (648sq ft) attached porch a 24'x24' (612sq.ft.)attached carport, and a 572sq ft attached wood deck; install a sanitary_system landward of dwelling; and to establish and perpetually maintain a 50' wide vegetated buffer area along the landward edge of the top of bluff using various types of native vegetation; At 29821 Main Road,Orient Suffolk County Tax Map#1000-14-2-1.9 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 15,2016 pursuant to which Trustees Wetland Permit#8804 Dated May 18, 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 conducting of construction activity within 100' from top of bluff for the construction of a 53'x20 4' (1 492sq ft.)two-story dwelling with a 10'x20' (200sq ft)exterior storage space a 20.4'x39.0' (648sq ft attached porch a 24'x24' (612sq.ft.)attached carportand a 572sq ft attached wood deck,• install a sanitary system landward of dwelling; and to establish and perpetually maintain a 50' wide vegetated buffer area along the landward edge of the top of bluff using various types of native vegetation. The certificate is issued to David&Lindsa, Levin owners of the aforesaid property.. -- _- - -------__-_-- _---Authorized--Authorized.Signature - RYALL SHERIDAN ARCHITECTS 174 57"AVENUE,SUITE 300 NEW YORK,NY 10010 646-809-4343 www ryallshendan com TRANSMITTAL DATE: 07-03-2018 TO: Southold Town Trustees Attn. Diane Di Salvo Southold Town Trustees Town Hall Annex/First Floor 54375 Route 25 P.O. Box 1179 Southold, NY 11971 RE: 1517—Levin House 29821 Main Road, Orient Permit#8804 FROM: Rodrigo Zamora, AIA ATTACHED: (1) Certified Copy of Recorded Covenants& Restrictions (recorded 7/2/18 with the Suffolk County Clerk) REMARKS: Dear Diane, , Enclosed herewith please find a certified copy of the recorded Covenants&Restrictions. Please let me know if you require any additional information to close the application and issue a Certificate of Compliance. Thank you, Rodrigo Zamora CC# : C18-28395 Y COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 07/02/2018 under Liber D00012967 and Page 772 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 07/02/2018 SUFFOLK COUNTY CLERK JUDITH A.PASCALE SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 07/02/2018 Number of Pages : 7 At: 10 : 38 : 39 AM Receipt Number : 18-0120313 LIBER: D00012967 PAGE : 772 District: Section: Block: Lot: 1000 014 . 00 02 . 00 001 . 009 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $35 . 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 $17 .50 NO RPT $200 . 00 NO Fees Paid $292 .50 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ❑1 ❑2 Number of pages RECORDED 2018 Jul 02 10:38t39 AM .J�iD1T111i A. -Pi-iSCALE, - CLERK OF This document will be public SUFFOLK COUNT,' record. Please remove all L Diaittl.967 Social Security Numbers P ; prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee `� — Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Sp6c./Assit. or EA-52 17 (County) Sub Total 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 Transfer Tax Affidavit � ��� Mansion Tax ` % The property covered by this mortgage is Certified Cop or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total 3- so YES or NO Other Grand Total a `�® If NO, see appropriate tax clause on page# of this instrument. 4 1 Dist. 3666137 1000 01400, 0200 001009 S Community Preservation Fund Real Property P T S I(IIIII IIIII IIIII IIIII IIIII VIII VIII IIII IIII Consideration Amount $ Tax Service R ABA A Agency 02-JUL-18 CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land Dauid Q Lindsa.!j L,viv, TD 40 64S+- lOV(t4 SiTVU� TD New yore., �y Ir0003 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Dec laccrkay, of Gw�av%ks made by: (SPECIFY TYPE OF INSTRUMENT) pow d 2- Un olScty Lpwi.v� The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of s OA A-tl o t d In the VILLAGE or HAMLET of O n em+ BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104 10/OBkk (over) DECLARATION OF COVENANTS THIS DECLARATION made this 6th day of June 2018, by David & Lindsay Levin residing at 40 East 19th Street, New York, New York 10003, hereinafter referred to as "DECLARANT (S) " : W I T N E S S E T H WHEREAS, DECLARANT (S) is/are the owner (s) of certain real property located on 29821 Main Road, Orient, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 014. 00 Block 02.00, Lot 001.009 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT (S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that "a 50 ' wide vegetated buffer area", "non-turf buffer" adjacent to and landward along the landward edge of the top of bluff"; NOW, THEREFORE, the DECLARANT (S) do/does hereby covenant and agree as follows: Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained consists of a 50 ' wide vegetated buffer area along the landward edge of the top of bluff using various types of native vegetation. 1) "non-turf buffer" as defined by Chapter 275 of the Town Code; and as depicted on survey/site plan last dated April 12, 2016 and stamped approved on May 18, 2016, see Exhibit A attached; and aS ctesuibeG( ;..� "E)c%,"bi Goanal of- SoVJA4,+-WI.o�,�� Twos+eI-A A-1+"1,-1-e,-ic„, & PQr V.,)r 2) These covenants shall run with the land and shall be binding on the DECLARANT (S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this 6th day of June, 2018 . OWNER'S SIGNATURE OWNER'S SIGNATURE STATE OF ss: COUNTY OF Q.WS LL On the (f day of in the year 2011 before me the undersigned, a Notary- Public in and for said State, personally appeared WA Ov 4" LQVk., , 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/her/their signature (s) on the instrument, the individual or the persons on behalf of which the individual (s) acted, executed the instrument. N y ublic MEI M. GONG NOTARY PUBLIC-STATE OF NEW YORK No. 01G06152562 Qualified in Que@ns County 2 My.Commission Expires Marqh 18, 20IR :,� AE3STRACTS, lN.CORPORATEO"" Raaidentlal6 Commaroial Title Insurance since 1 HH4 as agelll for Stewart Title Insurance Company SCHEDULE A DESCRIPTION Title Number:S202491 Page: 1 AMENDED 10/28/16 PARCEL 1:LOT 001.009 ALL that certain plot piece or parcel of land,situate,lying and being at Orient,in the Town of Southold,County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a point in the southwesterly comer of the premises to be described distantthe following course and distance from the intersection of the easterly line of land of Harrison M. Demarest,Jr.,Robert T.Demarest and Louis M.Demarest,formerly Lydia E.Young,and now or formerly of John Boyle,and the northerly line of Old Main Road,to wit:North 15 degrees 09 minutes 20 seconds west,845.74 feet to the southerly line of the premises herein described; RUNNING THENCE from said point of beginning running north 79 degrees 36 minutes 30 seconds east 219.05 feet along the southerly line of the premises herein described to other land formerly of Whitcom,investment Company,now or formerly of Joan Prager and Edward Prager,said point being the southeasterly comer of the premises herein described; THENCE running along said last mentioned land nodh 16 degrees 19 minutes 15 seconds west 1222.89 feet to the ordinary high water mark of Long Island Sound; THENCE on a tie line along the average high water mark of Long Island Sound South 81 degrees 41 minutes 20 seconds west a distance of 194.81 feet to land now or formerly of Harrison M. Demarest,Jr.,Robert T.Demarest and Louis M.Demarest,formerly Lydia E.Young and now or formerly of Cecilia and Parviz Lalezad; THENCE along said last mentioned land and lands of other south 15 degrees 09 minutes 20 seconds east 1227.53 feet to the point or place of BEGINNING. 1 J7,S •P •. �G TEC. MCATIOi� r '" Applicant proposes to establish a 50:0'Wid \:;L. .. G � Buffer(9,750.0 syuafe feet±)along the Top _ i $ W witi4 the port W. se den cOubject �..Y- o A 11931FiB pA -1hdpropos O tam 44.11V611 t ` � PED OY RoomgjL1J .�' lid p nted wdh the fotlo kOli ti llEitN B11,Ysmi i'` ,.����_ __� __ _ :�• PI4 - (MS'ricaPemYlYanial� .• L7 �;�*,, •;1�• t Groupings of 3 to j sPe ens'in .. venou ` _ " areas" hin liep �e�opBffert. plted3tglln:ize-*40' oj2t• x •:,�n'��,!`:ti �r1 g shown asViRs" ` S I�li1TIBEUBLmOlAiltS 1 b p —� {rscluding,hutnotifmiteE,tA: � +" j Z z S T1d1J �� rrT Beach Qot¢ur(Xanthfum echinatum) ;inti Q p e Bim cpeadk(fiadmntatgM entnm)- � -�- - ...� - Bc� diea(^[:ditbyrosmaridmtr s): _ i'®:`� •• �m _ Blue Flag(rris versicolor) p` g ^?` •-- r ' pluevdrvbin(v"eda'itidstata).• 't - - _ _-•. a� _ '°_ •Btue•eyed'Grass(3hyt�ind�huninlantlqu!1) A'��� C}51 m .: v` '� :;. ¢ristiY Saisapartila(Ardlio hispidn) .rte O V Busfiy'gster{AsterduMosu¢)' K r + cafr�d te�(Aiterrac Vftr*) coastPicrw_,¢ad(tec&eam4wmp) W C" Evift' P.riglrose(V ofhervblennts)'• �a a m dad y 1 Gem�ander(T-crNnccanadense) - i ;C• - •*'r - La Pu eAster ens• •0J •'i••. '-- s � ?`c��.;'•�°?:?-,• '`� s <<_ �, '- •_ Old'•FleltiToadflflaic;(ilndrJae¢npden�ts?". i�►i S.ilisirolf{5a4Solnkgi() �'ap °,2 '` �'•f " Scotch Lovage(Ltcurriscoihlaim)a Ia EXiSPING Sim RockK(CdkJle edentutaj '� '�' �'~ °Y Iy ^ •�TRS* � sealieachAmaranth(km-ardrrthuspumlfu3) �r / seabeachSanGwbrt{gjerJ?rjapeploldes) r.11/ W y '' ! Seaside.[4,idcrtvcl5ofdogg 3ernpp vlrEns) E B17FPHR sweetEve�lastfng(Gimphalitiraig6tustfoliuttl} t =:� ra � �4`[Nide B1ui5taik►vay ° � A a'€ft „ � -"�.t,_,,.} TallWoirnribod(Aiteinlsiacagd_ota) -;"�-. ✓ dJGLI. �+•�'^ v F•L le Established cal broadcis" d 4�• •Ys �- p� � };1 K {�J'Y shown as thus:' _ i.'. 0 tE"un, ° ,:�• q a 1+ APR1 JC 7 �_ PYgJt ,`~~r-f 'NC7 `i�t ' Ir�one�o['FeltiI.aeeanott�;`6 n� '�lea' _`' i•'j}^f Y 3' t —SMWT--m i i EXHIBIT "A" 15 , 1 Dry.f,� � `1t'i. . tTi'+3 •,q•� ,M 7. 'r•.rt. �• •3„.�l` Y U rc�sraw:cr a:en¢v v9rzanr+:ia:•evmmv--roscmcs�st^ nc ��•"�'°Y ..cis. S � BOARD OF SOUTHOLD TOWN TRUSTEES ,a SOUTHOLD,NEW YORK w 1 PERMIT NO.1804 DA'L'E: MAY 18,2016 ISSUED TO: DAVID &LINDSAY LEVIN PROPERTY ADDRESS: 29821 MAIN ROAD,ORIENT � SCTM#1000-14-2-1.9 ' 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 May 18.2016,and in consideration of application fee in the sum of$250,00 paid by David&Lindsay Levin and subject to the Terms .; and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the Wetlansi Permit to conduct construction activity within 100'from top of bluff for the cAstn'kiodof a 53'x20.4'(1,492sq.ft.y two,st6ry dwelling with a,1ON20'(200sq.ft.) exterior storage space,a 20.4'x39.0' (648sq.ft)Atac&d porc@e,'•gi4'x2d'(6129q.ft.) bed carport,and a 572sq.ft.attachgd wood deck; Install a spnitur ,system ,!<andward of dwelling; moil to establish and perpetually ma�ln !H a;50';>de vegetated r 14 ,1, oil, lI buffer area along the landward edge of the top of bluff using vuciouk f, '.- oftnative vegetation; and as depicted on the site plan prepared by Suffolk lEtEvironnaentgl Consulting,Inc.dated April 12,2016,and stamped approved on.M&y,18,20100 s' IN WPTNBSS WHEREOF,the said Board of Trustees hereby causes its Cotporate.Seal to be affixed, s. ` and these presents to be subscribed by a majority of the said Boardofthis Me-, Or ! S11�FAt�. 1 � �• fi Y x V l 'W 7E.�YJMu+Y.VZiw 7G'SSil.KlcSiN',l1L AS.n:L�TS*4FT uf1G,,:i.Piw 9:Y:v'f u.l ....eM'.M..v�'��lr:.dF,y,7S5LS4.T.�lA[➢d ,.' f ;fs :1� Wit, '-v` �{ .S •' `• a; ��;�lff: �.rn*'''�� ���' c• �+,. ����' 9�` t' �r.'�t L t .�,,�l�,.i,i < ` TERMS AND CONDITIONS The Permittee David&Lindsay Levin residing at 29821 Main Roa Orient Mew Mork as part of the consideration for the issuance of the Permit does understand and prescribe to the following: from any and 1, That the said Board of Trustees and of suits arising dlrec ly or indirectly,Town of Souold are � l damages,or claims for damages, 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 Pennittee 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, s the,nlttobtain permits ectconsents that may be wo supplemental Permitteewill permit,which may be ubjto evoke 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 n r does it authorize n a person nothe ent of any t a party to the phermit�e, or interest in real or personal property held or vested 4� r r � Michael J. Domino,President �� SOUT/s/O Town Hall Annex 54375 Route 25 John M. Bredemeyer III,Vice-President �O l0 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Telephone (631) 765-1892 Greg Williamsy�OUNTY,�� O Fax(631) 765-6641 � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 7/,� Af 4 ` Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/ constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: cc- 012 CERTIFICATE OF COMPLIANCE Michael J. Domino,President ��q SU(/TjyO 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 G • Q Telephone(631) 765-1892 Greg Williams 9OFax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD X) � DATE OF INSPECTION: �Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Ii Project complete, compliance inspection. J p p , INSPECTED BY: COMMENT °i CERTIFICATE OF COMPLIANCE: 'rid,Y pFFO( John M. Bredemeyer 111, Presidento��s Koos Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn Goldsmith ti ,_}' P.O. Box 1179 A. Nicholas Krupski y �;'; Southold, NY 11971 ' Charles J. Sanders hone 631 765-1892 Tele P ( ) <«r 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 complete,lete liance inspection J p com p p An- BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 8804 DATE: MAY 18, 2016 2 ISSUED TO: DAVID & LINDSAY LEVIN PROPERTY ADDRESS: 29821 MAIN ROAD, ORIENT SCTM# 1000-14-2-1.9 AUTHORIZATION M 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 May 18. 2016, and in consideration of application fee in the sum of$250.00 paid by David&Lindsay Levin and subject to the Terms J, and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the 41 t-"following: Wetland Permit to conduct construction activity within 100' from top of bluff for the construction of a 53'x20.4' (1,492sq.ft.)-two-story dwelling with a 101x201 (200sq.ft.) W. exterior storage space, a 20.4'x39.0' 648s ft. attached p' ollrich,`a'241x241 (612sq.ft.) ` ,Attached carport, and a 572sq.ft. attached wood deck; install a sanitary system Jandward of dwelling; and to establish and perpetually maintain a'5V wide vegetated area of bluff using various'' 'es of, buffer ar ng the landward edge of the top ttive p n.9 vegetation; and as depicted on the site plan prepared by Suffolk Environmental Consulting, Inc. dated April 12, 2016, and stamped approved on-,May,18, 20.16. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate-Seal to be affixed, and these presents to be subscribed by a majority of the said Board of this d e. Soa%jf fig PAW 14 1 NO TERMS AND CONDITIONS The Permittee David&Lindsay Levin residing at 29821 Main Road Orient,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 Pennittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. O�*OF S /y®l Town Hall Annex John M.Bredemeyer III, President Michael J.Domino,Vice-President ® 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski ® aQ Telephone(631) 765-1892 Charles J.Sanders �l�C®U Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 18, 2016 Bruce Anderson, President Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932-2003 RE: DAVID & LINDSAY LEVIN 29821 MAIN ROAD, ORIENT SCTM# 1000-14-2-1.9 Dear Mr. Anderson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday,_May 1.8,_201.6_regarding the-above-matter:- WHEREAS, Suffolk Environmental on behalf of DAVID & LINDSAY LEVIN 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 April 15, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 18, 2016, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of DAVID & LINDSAY LEVIN to conduct construction activity within 100' from top of bluff for the construction of a 53'x20.4' (1,492sq.ft.) two-story dwelling with a 10'x20' (200sq.ft.) exterior storage space, a 20.4'x39.0' (648sq.ft.) attached porch, a 24'x24' (612sq.ft.) attached carport, and a 572sq.ft. attached wood deck; install a sanitary system landward of dwelling; and to establish and perpetually maintain a 50' wide vegetated buffer area along the landward edge of the top of bluff using various types of native vegetation; and as depicted on the site plan prepared by Suffolk Environmental Consulting, Inc. dated April 12, 2016, and stamped approved on May 18, 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: $50.00 Very truly yours, *n a John M. Bredemeyer III President, Board of Trustees JMB/dd PAN PLANTING SPECIFICATIONS p k _s Applicant` proposes to establish a 50'.'0'-Wide - " 1; 101,J Buffer (g, 750.0 square feet _) along the Top Of re T ; .Lu T� ,� ; I Bluff within_ the northerly sectioALLAn of subject F o ;�a ►PROVED BY.: [ fa property.2, ame BY The proposed Buffer is to be actively ; SIMt } oa � _ VK I GRA planted, the following- SLUFF REE `' ' To kAN NORTHERN BAYBERRY = G o M,xl� ■ x _ f z.,- �_ (Myrica pensylvanica) Groupings of 3 to 7 specimens in various areas within the proposed Buffer■ -- - " planted at-3 to 5 gallonsize_:�5;0'-O/c± • =�9. ' - _ x - f _ '- 'OF shown as thus:' ;, ? Go, a ' 9 T 8V IL's' _ _ �z . �- ��i,�' - _ .;tl f .'ea'_. �� - � NATIVE WILDFLOWERS; -� W U Y ✓t_a,, r - ' _ q_Lin'°'" , Including,but not,limited,to:_• r �'�in1 � Z z OF Beach Clotbur(Xanthium echinatum) y`^ Z U Beach H Bather(Hudsonia tomentosa)4 >°<:,.:cid. }° ��., Z a Beach Pea (Lathyrus maritimus) b� ( -� ,� l`; r:3 Blue Flag(Iris versicolor) O� =Z' r` bn �Fa .r,„. ^' •:wb. ,.., . -, _y t,---„ •-d.>:., _” ., -v. >R- r =.we® , _,,. , �' , ,�. : ,r Blue.Vervain-(Verbena'hds'tata) •�` WV1 -o 0.. Blue-e ed Gr--ass Sisyrinchium-atlanticum) �+ o` z rx t•.- n :a, ° f•,Y ;., Bristl Sarsaparilla Aralia his ida �, U o r, ��g".��` �` " •an t< �4 ,•E't•• r���? •4, 'rt, �i�;p '7', ,' �, ,�...n �`. Ofl � ME. •, ; , : w,. % , ro BushyAster Aster dur►iosus cn >< r ( ) t O - - - - "• 'Zy , I4 M Calicd Aster Aster lateri lotus j, =o, _ Coast Pinweed(Lechea maritima) H u "r. r' t >8"#• r', "fit"nk Y v.. r'',i}.,' »'I .+s. f4 .0 ;� + <�' ., .,-.,,,. ;,•.,,z,. `-• " r � �� `�=� 'Even'in• Primrose Oenothera fiiennis Germander(Teucrium canadense) Aster le Late Pur Asterr�atens- ,n�vt! iky�,;C, '.:,�""'+c." z.,, .: , � •"Y}� e, r" ,. jam': 7 R ( patens ) I .A, n�Y z � '2^ -:!•` iSL`I:�� .1.. N a, r ty' �.. ": /// Old Field Toadflax Linaria canadensis W�� 1 d ,.ri.i�q, ygt. .' rsxf . `' 9 - b, .''ba' •�i•vt h�f'F e' ..c•--. � - , v. Saltvv0rt Salsolakali } ,hf'a .'.'b`,,. ,x" ',a t"'<""=`s'd ,�; ;F ,4 >•{- ,, _- Scotch Lovage(Ligusticum scothicum) EXISTING o ' Sea Rocket(Cakile edentula) ' � $1a ,, a TRWS' Seabeach Amaranth(Amardnthus purnil'us) - '-' e 'zSeabeach'Sandwort(A'renar►a peploides) ''W Seaside Goldenrod (Solidago sempervirens) 00; Sweet 5Q WIDE BUFFER _ Sweet Everlasting Gna_halium obtusi olium a�' o 4"'Wide Bluff Stairway; a _ g( p f. ) .. Access Path — Tall Wormwood(Artemisia caudata) a.. •ms's i g' �' ` ,. 9,• " f hf Id,! °j 4 +I L .( ' ` Established via typical broadcast spread o ° • � iRi� rj � shown'asthus: ° -° iFIR 4a ` 4a' ,'-sem_ ",,, i� -�# - Gr ¢p t"' :S`,,", — CL II CL E L t APR 1 5 201 NOTE Locations of"Fzistin Trees"not accurate.;Shown I - E 8 ei 3 t'h forrepres6ntational}urposes,di!ij: +' `� o n..... ........... .. n..... _ ... A U i i John M. Bredemeyer III, Pn ent 2 Town Hall Annex Michael J. Domino, Vice-Pr lent :�� y�;• 54375 Route 25 Glenn Goldsmith o ' z P O Box 1179 A. Nicholas Krupski y ® '' Southold, NY 11971 Charles J. Sanders `', of �a°„{ Telephone (631) 765-1892 :r Fax (631) 765-6641 BOARD OF TOWN TRUSTEES IAS TOWN OF SOUTHOLD - I TO: Q�v�Q q-E,l IVD�� L6l/V 6/0 SULte- I5_W19,9h4X,&W7AL__ Please be advised that your application dated MaL_ 166 2CI& has been reviewed by this Board at the regular meeting of 161�Nl - and your application has been approved pending the comp) tion 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) Y2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) The Permittee 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) calendar days of 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: TOTAL FEES DU $ BY: John M. Bredemeyer III, President Board of Trustees John M. Bredemeyer III, President Town Hall Annex Michael J. Domino, Vice-President Gy 54375 Route 25 Glenn Goldsmith o `' P.O. Box 1179 A Nicholas Krupski o Southold, NY 11971 Charles J. Sanders ti�jo ao�r Telephone (631) 765-1892 }� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: �1� Completed in field by: Suffolk Environmental Consulting on behalf of DAVID & LINDSAY LEVIN request a Wetland Permit to conduct construction activity within 100' from top of bluff for the construction of a 53'x20.4'. (1,492sq.ft.) two-story dwelling with a 10'x20' (200sq.ft.) exterior storage space, a 20.4'x39.0' (648sq.ft.) attached porch, a 24'x24' (612sq.ft.) attached carport, and a 572sq.ft. attached wood deck; install a sanitary system landward of dwelling; and to re-vegetate a 50' wide area along the landward edge of the top of bluff using various types of native vegetation. Located: 29821 Main Road; Orient. SCTM# 1000-14-2-1.9 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 1� Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I 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: J. Bredemeyer Domino G. Goldsmith N. Krupski __/C'�`Sanders Other Page 1 of 2 John M Bredemeyer III, PresidentTown Hall Annex Michael J Domino, Vice-President ° ° may54375 Route 25 Glenn Goldsmith P O. Box 1179 A. Nicholas Krupski o A Southold,'NY 11971 Charles J. Sanders ti�0 ao�^ � Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Suffolk Environmental Consulting on, behalf of DAVID & LINDSAY LEVIN request a Wetland Permit to conduct construction activity within 1 00' from top-of bluff for the construction of a 53'x20.4' (1,492sq.ft.) two-story-dwelling with a 10'x20' (200sq.ft.) exterior storage space, a 20.4'x39.0' (648sq.ft.) attached porch, a 24'x24' (612sq.ft.) attached carport, and a 572sq.ft. attached wood deck; install a sanitary system landward of dwelling; and to re-vegetate a 50' wide area along the landward edge of the top of bluff using various types of native vegetation. Located: 29821 Main Road, Orient. SCTM# 1000-14-2-1.9 -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 SURVEY OF PROPERTY IN ORIENT TOWN OF SO UTHOLD SUFFOLK COUNTY, NY G ISL�iN� 1000-14-02-1.9 LON UNIT SCALE: 1'-50' S� FEB. 10, 2016 MARCH 10, 2016 (REVISIONS) APRIL 4, 2016 (REVISIONS) N81_4120 E - �T1E UNE LOG ON P L /E Yaccarino Z�r-1 {C C'tMHWM 03-08-2016 WM LpERS 4 B� S MHWM ' PILE OF iD F 810 AT EI G 1214 6K., BOTT o OF'$1 UFS 0 22 ZOg1E 8 24 26 FlOOp ERS) LLS ZONE 101 OTTOM OF U - - '- VNE FF TO BOTTOM BLp�R�A NOF BL PARALLFI) C7 2 22 - UNE P�'_ FROM SUPPORTED BY FO&OygNG UNE n 26 _ --- a---- BLU P� 3'- BETS,ASS - -- STFP PLAN BEA 70 fn 2 -- 5e VIATH N \ 30 STEPS G O 32 LANDING J 'S 0 r r r 34_ ---� CCA ARD�N 38 xt a „X•• N ZONE 6 _ SEPTIC - _- OP-- F a 04X EEP BUJF �F �OJS -100' QOM P 0 T SILT FENCX G x x xrx EXISTIN �0 \ % NEIGHBORS x• _ x x PROPOSED ",� 32 x� " HOUSE ���. o WOOD DECK 1 DW- ,\\ K a x x ePROPOSED (p W't" D per-Rc_a•• 12 BEDROOM HOUSE Cp. GROUND F.F.EL 30' „ .UPPER LEVFFE39 �_... 3 ,- PROP ; \\ `,,'SEPTIC Sfpn OSfD e��. \,U�G PROP. SEP r C SyS P \ TANK. .—. 000 G ANk 11 � � _•,.`° CJ; \ TESTHAPORT EL27. 1 FC.F.2r ti CP• \m 28 ^� LEACNIN DEEP \ & C.P. 150' +) X,z cc- �1\; ,soo (WELL s�LTX x 1 m p x 1� 26 150.d WELL EX15(1NG x Q 00RS i POOL- \ c \GHti X i WELL N GARAGE ` ry DRY. 1l \ m FROM m COIL LEG - ` METER �, 24 m RMER” 0 - -7 .7 7� O XISTING P oopSF \ J N WELL DOS EQUp \ ` N O \ \ n N/0/F RP / \ Ar p-0 Z y � Z PJH REA►-N CO j \ G = ` 1. 1 v' I V. \ o- O O, a n LA - -n 'TIO -A \ \ 'ONSTR�FENCE KD \ PROPOSE[) m `\ UNRGRO E ESER151GE \\ 146' ppoPOSE SND \ a\ Z DNDETRICOL 25° �Z 1 ELEC' 25 - o \ \ - \� \ � RAIN RUN OFF CONTAINMENT PROPOSED HOUSE \ a oo X 991 sq.f.t 991 x 0.17 x 1 = 168.5 sq.f.f \ \ 0 169/42.2 = 4V PROVIDE (2) DWS 80 X 8' DEEP OR EQUAL TEST HOLE DATA MCDONALD GEOSCIENCE \ wooQ \\ � N 12121115 s EL. 27.1' BROWN SILTY SAND SM Z= ➢ \ N 0 �1 4' Z \ \ v\ \ ' BROWN SILT ML n A ' \ 0 CD O VL o o S \ U, � 0050 � "C BROWN SILTY SAND SM W \ \\ 2` `• M G Z \ -100 29' \ \ yin � QO WATER IN BROWN SILTY SAND SM \ \ n 30' WATER IN PALE BROWN FINE SAND SP \ 38' \ z NOTE. WATER ENCOUNTERED 29' BELOW SURFACE \\ \ y L 0 FIN. FLR. EL.30.0' GRADING PLAN \ \ N.T.S. m \ \ d 421.00' CMF III—"''=1111=11I1I=II n—n�=_11111=-1J111=1 F INISHED GRADE EL.27' ` LINE 5+ 9 .10 »w _zz 75, 1000 GAL SEPTIC IE ❑== l TANK 25' ❑D 0D❑01=1 _ P05 4" APPROVED 3' SAND 8� 3' SAND e' E�N6 fCCE 219• PIPE COLLAR LEAC POONG COLLAR o ; i rE >,W m 479 38 3 , 579.38 30 N/0 'Z OF 'Z PROPOSED SEPTIC SYSTEM EL.7' m CMF 71.92 4R3300�. SOUTME CONSERVANCY (4 BEDROOMS) 810 ? j O9 N ASR SAND 01. 1-1000 GAL. SEPTIC TANK & �o D GRAVEL N p 1-80 LEACHING POOL 12' DEEP EL.-3' Os WITH 3' CLEAN SAND COLLAR (SAND SP) � REMOVE MATER/AL DOWN ��NE TO SAND SP AND BACK FILL WITH CLEAN SAND VA TO BE BUILT TO SUFFOLK COUNTY DEPARTMENT OF HEALTH SER MICE SPECIFICATIONS f I { ® WELL FLOOD ZONES FROM FIRMr 36103C0068H 9/25/2009 D = MONUMENT CONTOUR LINES ARE REFERENCED TO NAVD 88 L IF ® = TEST HOLE r� 1 5 2016 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA77ON - - ---- N.Y.S. LIC. NO. 49618 OF SEC77 EXCEPT AOS PER SEC ON 7209-SUBDIVISION 2.72090F THE NEW ORK STATEUALL CER70CA77ONS TOTAL �" - J (631)LAWN765-50200FASX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IFA BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR AREA- 251,3 80. Fr. or 5.78 Acres 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 15-246 David&Lindsay Levin � a;rE - �' • 29821 Main Road,Orient T SCTM##: 1000-14-2-1.9 5/11/16 Aft 00 3 k 1 4 �29821 Main Road,Orient ♦CrM#: 1000-14-2-1.9 ' r . /i a "'�'� i, f r.a• �� « �^yy y . 1ey.I - `f �lY ay i '1ri4R' jIwo . r o i T i R f r xL _ y r 77 PQ ark ' ` ` '� +" LEVIN ProertP y Situate: 29821 Main Road ■ Orient ■ Town of Southold ■ NY "> SCTM #: 1000 —014—02—001.9 ;' (Photo taken on April 8, 2016) Photograph indicating the staked out location of the � t proposed Single Family Dwelling and related r } appurtenances. Photograph taken from the northerly section of the property, facing north towards Long 'v +' Island Sound. u m 4 :r- LEVIN Property Situate: 29821 Main Road ■ Orient ■ Town of Southold ■ NY SCTM #: 1000 —014—02—001.9 (Photo taken on April 8, 2016) -x Photograph indicating the staked out location of the proposed Single Family Dwelling and related appurtenances. Photograph taken from the northerly r section of the property, facing northeast towards Long Island Sound. j s ,. g LEVIN Property Situate: 29821 Main Road ■ Orient ■ Town of Southold ■ NY SCTM #: 1000—014—02—001.9 (Photo taken on April 8, 2016) f � Photograph indicating the staked out location of the 'yf proposed Single Family Dwelling and related appurtenances. Photograph taken from the northerly / section of the property, facing northwest towards Long Island Sound. g F r s R x . N , r .r A LEVIN Property p Situate: 29821 Main Road ■ Orient •Town of Southold ■ NY SCTM #: 1000 —014— 02—001.9 (Photo taken on April 8, 2016) p Photograph indicating the staked out location (arrows) of the proposed Single Family Dwelling and related appurtenances. Photograph taken from the northerly , section of the property, facing northeast towards Long ' Island Sound. ' F � k LEVIN Property Situate: 29821 Main Road ■ Orient ■Town of Southold ■ NY SCTM #: 1000-014-02 -001.9 r ti (Photo taken on April 8, 2016) ANf Photograph indicating the conditions along the Top Of Bluff within the northern section of subject property. Photograph m taken from the norther section of subject property, facing east, along Long Island Sound. r' no. a ..dna �� 4 4%. LEVIN Property Situate: 29821 Main Road ■ Orient ■ Town of Southold ■ NY ~` SCTM #: 1000—014—02 —001.9 ` 4 ' (Photo taken on April 8, 2016) Photograph indicating the conditions along the Top Of Bluff within the northern section of subject property. Photograph .4.. taken from the norther section of subject property, facing east, along Long Island Sound. Er LEVIN Property Situate: 29821 Main Road ■ Orient ■ Town of Southold ■ NY SCTM #: 1000—014—02—001.9 (Photo taken on April 8, 2016) Photograph indicating the current conditions of the shoreline and the approximate location of the tidal wetlands boundary (i.e., AHW) thereon. Photograph taken from the existing bluff stairway, facing north, overlooking Long Island Sound. .r LEVIN Pro ert _ � tr Situate: 29821 Main Road ■ Orient ■ Town of Southold ■ NY I d SCTM #: 1000-014-02-001.9 �tiy a ry` ! K (Photo taken on April 8, 2016) 4.7 Photograph indicating the current conditions of the shoreline and the approximate location of the tidal wetlands boundary (i.e., AHW) thereon. Photograph taken from the northerly shoreline of subject property, along Long Island Sound, facing south. WII Y "r� t WL LEVIN Property Situate: 29821 Main Road ■ Orient ■ Town of Southold ■ NY SCTM #: 1000-014-02- 001.9 SUBJECT PROPERTY ' SUBJECT PROPERTY r- IIAM3FWRE't F,I� III MAIN FF, ii�`Gh F.L',RF,T Fig ys, i�E.�,ly IJtiu UEWNFcI�i RG. 2W1 MUN RD + 'A 65 �y t'� 6°m � ,Win, � Sew i\\ N 11A(C) .5 2NO i IA(C) kc) I 18 I w.) 3,2 110 3N 13 sjaA(c) ISLAND 0 01-4 4 1-10 4 As 6 ONQ Z3 3m "I I FOR Pc-NO �14 9 Z--(-) elm SEE�No 1t4:xAlu�cas9-9vrNa ,+" i 133 A 4 4 5NW 1113 305 'm 293 21 &-N-) 1c) f 1114 330294z 139 4 7A(.) FOR Pc-NO FOR PCL NO FOR PCL.NO y 12SEES C NO SEE SEC NO SEE SEC NO 12 32 r25 m 019-02-0,22 � 01 -010 1 029111-0015 SRA(c) SO MAIN 13 cwl— LIE 14 112 SEE SEC NO 019 SEE SEC N0019 15 g 16 171 SR 25 (6fi) L NOTICE COUNTY OF SUFFOLK K or SOUTHOLD SECTION NO Real Pro r E (21) wws party Tax Service Agen_y Y G E M 014 D A 2n� P 1000 PROPERTY MAP OFFICE LOCATION: ®� ®ury®l MAILING ADDRESS: Town Hall Annex '` ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) coa �e Southold, NY 11971 ® �� Telephone: 631 765-1938 c®UNr1,� 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: May 17, 2016 Re: Local Waterfront Revitalization Program Coastal Consistency Review for DAVID & LINDSAY LEVIN SCTM# 1000-14-2-1.9 Note that this parcel was created by the Minor Subdivision Whitcom Investment Company in 1980 which established a 100' structure setback from the top of bluff. The lot has been cleared of most vegetation within Board of Trustee jurisdiction. Suffolk Environmental Consulting on behalf of DAVID & LINDSAY LEVIN request a Wetland Permit to conduct construction activity within 100' from top of bluff for the construction of a 53'x20.4' (1,492sq.ft.) two-story dwelling with a 10'x20' (200sq.ft.) exterior storage space, a 20.4'x39.0' (648sq.ft.) attached porch, a 24'x24' (612sq.ft.) attached carport, and a 572sq.ft. attached wood deck; install a sanitary system landward of dwelling; and to re-vegetate a 50' wide area along the landward edge of the top of bluff using various types of native vegetation. Located: 29821 Main Road, Orient. SCTM# 1000-14-2-1.9 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 proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP. 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: Stephen Kiely, Assistant Town Attorney Peter Young,Chairman ti Town Hall,53095 Main Rd. Lauren Standish,Secretary u. P.O.Box 1179 Southold,NY 11971 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., May 11, 2016 the following recommendation was made: Moved by Peter Meeker, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of DAVID & LINDSAY LEVIN to construct a 53'X 20.4' two-story dwelling with 200 sf. exterior storage space, a 20.4'X 39' attached porch, a 24'X'24' attached carport and a 572 sf. attached wood deck, and install native plantings from the top of the bluff to 50' landward thereof. Install septic system 190' from the top of the-bluff and a 50'X 15' pool with 15'X 12' patio 260' from the top of the bluff. Located: 29821 Main Rd., Orient. SCTM#14-2-1.9 Inspected by:�'Peter Meeker, Keith McCamy The CAC Supports the application with the assurance of best management practices within the CERA. Vote of Council: Ayes: All Motion Carried Office Use Only Coastal Erosion Permit Application X Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application: Received Fee:$Z5©OV Completed Application: I Ito - _ Incomplete: r`, f' SEQRA Classificatioll Type I Type II V Unlisted_ Coordination(date sent) APR , 5 2016 - } a LWRP Consistency Assessment Form: Date of Inspection: 5,11,1to9— F s ; Receipt of CAC Report: ,2-7 Jo�'hn Lead Agency Determination Technical Review: Public Hearing Held: a Resolution: Name of Applicant David and Lindsay Levin Address 40 E. 19th Street;New York,NY 10003 Phone Number: (646) 812-4940 Suffolk County Tax Map Number: 1000— 14—2—1.9 Property Location: 29821 Main Road; Orient,New York 421 east of Demartes Road (provide LILCO Pole#, distance to cross streets, and location) AGENT: BRUCE A. ANDERSON @ Suffolk Environmental Consulting,Inc. (If applicable) Address: P.O.Box 2003;Bridgehampton,NY 11932 Phone:X631)537—5160 Board of Trustees Application GENERAL DATA Land Area(in square feet): 251,933 square feet± Area Zoning: R- 80 Previous use of property: Residential Intended use of property: Residential Covenants and Restrictions: Yes X No If"Yes",please provide a copy. Does this project require a variance from the Zoning Board of Appeals Yes X 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 X No Prior permits/approvals for site improvements: Agency Date Trustee Permit 8263 &8263C August 21,2013 No prior permits/approvals for site improvements. Has any permittapproval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description(use attachments if necessary): Applicant proposes to construct a 53.0'x 20.4' (1492 s f) two story dwelling with a 10"x 20' (200 s.f.) exterior storage space a 20.4 x 39.0 (648 s f) attached porch a 24' x 24' (612 s. f.) attached carport and a 572 s.f attached wood deck The attached wood deck would be located 122' landward of the top of bluff the dwelling would be located 146 feet from top of the bluff and the attached porch would be located 125- feet from the top of the bluff. The applicant would install a septic system 190-feet from the to of the bluff and a 50'x 15 ` (750 s f) pool with 15'x 12'patio 260-feet from the top of the bluff. Applicant would install native plantings from the top of the bluff to 50' landward thereof. Form TS 1Board of Trustees Application N/A COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? No Yes 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) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed activity: Applicant proposes to construct a 53.0'x 20.4' (1492 s. f)two story dwelling with a 10"x 20' (200 s. f.) exterior storage space a 20.4 x 39.0 (648 s. f.) attached porch, a 24'x 24' (612 s. f) attached carport and a 572 s. f. attached wood deck. The attached wood deck would be located 122' landward of the top of bluff, the dwelling would be located 146 feet from top of the bluff and the attached porch would be located 125-feet from the tOD of the bluff. The applicant would install a septip c system 190-feet from the top of the bluff and a 50'x 15 ' pool (750 s. f.)with 15'x 12'patio 260-feet from the top of the bluff. Applicant would install native plantings from the top of the bluff to 50' landward thereof. Area of wetlands on lot: 0 square feet Percent coverage of lot: 1.7 % Closest distance between nearest existing structures and upland edge of wetlands: N/A feet(Vacant Parcel) Closest distance between nearest proposed structures and upland edge of wetlands: 180.01 ± feet(Attached deck) Does the project involve excavation or filling? X No Yes If Yes,how much material will be excavated? N/A (cubic yards) How much material will be filled? 0 (cubic yards) Manner in which material will be removed or deposited: N/A 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): No impact to the wetlands pr bluff are anticipated in that the proposed development is setback away from the and boundary and top of the bluff. Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: David and Lindsay Levin Project Location(describe,and attach a location map): 29821 Main Street,Orient Brief Description of Proposed Action: Applicant proposes to construct a 53.0'x 20.4'(1492 s.f.)two story dwelling with a 10"x 20'(200 s.f.)exterior storage space,a 20.4 x 39.0 (648 s.f.)attached porch,a 24'x 24'(612 s.f.)attached carport and a 572 s.f.attached wood deck. The attached wood deck would be located 122' landward of the top of bluff,the dwelling would be located 146 feet from top of the bluff and the attached porch would be located 125-feet from the top of the bluff. The applicant would install aseptic system 190-feet from the top of the bluff and a 50'x 15'pool(750 s.f.) with 15'x 12'patio 260-feet from the top of the bluff. Applicant would install native plantings from the top of the bluff to 50'landward thereof. Name of Applicant or Sponsor: Telephone: 646-812-4940 David and Lindsay Levin E-Mail: david.levin@mheducation.com Address: 40 E 19th Street City/PO: State: Zip Code: New York NY 10003 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: El W1SCDHS(Sewage disposal and water supply),Southold Town Building Permit 3.a.Total acreage of the site of the proposed action? 5.78 acres b.Total acreage to be physically disturbed? <0.5 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 5.78 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 El Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑✓ EI- b. 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? Z ❑ 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: El 7 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ ✓❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑✓ ❑ on site septic system 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? � ❑ b.Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ ✓❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑✓ ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: m Shoreline m Forest ❑Agricultural/grasslands m Early mid-successional ❑ Wetland [3Urban ❑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? m NO F]YES ❑ b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: I]NO mYES use of drowells to recharge stormwater I Page 2 of 3 I I 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: Fv/1 R I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicantssor n me: B A.Anderson Date: April 13,2016 Signature PRINT FORM Page 3 of 3 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 INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: 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 I 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 I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? Q1 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 El ❑ 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 El ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: El a.public/private water supplies? b.public/private wastewater treatment utilities? El ❑ 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, / ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3- Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should, in sufficient detail, identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an 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 5h, 6 `- 'Name of Lead Agency Date J d y-,- )O-V ` President Print orTyp ame of Responsible Officer in Lead Agency Title of Responsible Officer Sig of espon ' Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 ■ •stal Service'" ■ • CERTIFIED'm Domestic Mail Only i rU Pomestic Mail Only Ln i Com-. 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Certrfied Mad Fee $3.3 Q Extra Services&Fees(check box,add fee a p te) 0932= 1'7 ❑Return Receipt(tlardcopy) $ � C Q ❑Return Receipt(electronic) $ _ ` 06 gostmark Q ❑Certiied Mail Restricted Delivery $ • !Here ✓1li Q []Adult Signature Required I []Adult Signature Restricted Delivery$ Towm C3 Postage $0.68 Total Postage and Fees '^ $ $6.68 u7 Sent To � PS_hl f�-e-G-L E�-4 Q ---- ---- - ------ - ----------------------------------------------:------- Street an Apt.No, or PO Box o. __-3?------------------------------------------------------------ -v- -�- City State,ZlP+4® Lvk (S CC (^f I l :/1 1 r. r.o•. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS .. ........ Name: �v7- A0Q(, rkbat kc,V46, 2, / 3 STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at that said Notices were mailed to each of said persons by CERTIFIED MAELIRETURN RECEIPT. Sworn to before me this Day of - 20 Notary Public PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Edward and Joan Prager 300 Central Park W. New York,NY 10024 Sandra Sinclair P.O.Box 489 Orient,NY 11957 The Nature Conservancy 250 Lawrence Hill Road Cold Spring Harbor,NY 11724 Parviz and Cecelia Lalezari 1 Church Lane Scarsdale,10583 PJH Realty Corp. 48-1137`h Street Long Island City,NY 11101 STATE OF NEW YORK COUNTY OF NEW YORK Bruce A.Anderson c/o Suffolk Environmental Consulting. Inc., residing at 2322 Main St.: Newman Village Suite E: P.O. Box 2003: Bridgehampton, NY 11932 .being duly sworn deposes and says that on the 6 "F&' day of Atu-* .2016,deponent mailed a true copy of the Notice set forth in the Board of Trustees Application,directed to each of the above named persons at the addresses set opposite their respective names;that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold;that said Notices were mailed at the United States Post Office at Bridgehampton ,that said Notices were mailed to each of said persons by(certified) (registered) mail. Sworn to b f re me this day of 2016 Notary u is MatthPlm D h+ans Notar<, Commiss;or, —iuca+ 22 20('7 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: David and Lindsay Levin SCTM# 1000 - 14-2- 1.9 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to conduct regulated activities: Applicant proposes to construct a 53.0' x 20.4' (1492 s. f.) two story dwelling with a 10" x 20' (200 s. f.) exterior storage space, a 20.4 x 39.0 (648 s. f.) attached porch, a 24' x 24' (612 s. f.) attached carport and a 572 s. f. attached wood deck. The attached wood deck would be located 122' landward of the top of bluff, the dwelling would be located 146 feet from top of the bluff and the attached porch would be located 125-feet from the top of the bluff. The applicant would install a septic system 190- feet from the top of the bluff and a 50' x 15 ' pool (750 s. f.) with 15' x 12' patio 260-feet from the top of the bluff. Applicant would install native plantings from the top of the bluff to 50' landward thereof. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 29821 Main Road Orient - New York 3. That the project which is subject to Environmental Review under Chapters 96', 111 and/or 275 of the Town Code is open to public comment on: DATE: May 18, 2016 You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: David and Lindsay Levin MAILING ADDRESS: 40 E. 19th Street, New York, NY 10003 PHONE #: (646) 812-4940 AGENT: Bruce A. Anderson a- Suffolk Environmental Consulting Inc. MAILING ADDRESS: P. O. Box 2003, Bridgehampton, NY 11932 PHONE #: 631-537-5160 Enc: Copy of sketch or plan showing proposal for your convenience. Suffolk Environmental Consulting, Inc. Newman Village,Suite E,2322 Main Street,P.O. Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President Hand Delivered May 10, 2016 Mr.John M. Bredemeyer, III, President Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: LEVIN Property Situate: 29821 Main Road ■ Orient• New York SCTM#: 1000-014-02-01.9 Dear Mr. Bredemeyer, Attached herewith please find the Affidavit of Mailing in full satisfaction of the written notice requirements for the upcoming May 18th public hearing for the above referenced matter. Yours truly, Bruce A. Anderson attach. cc: W. Ryall d ,�OSOfFoi�o Town Hall Annex John M. Bredemeyer III, Prvo, ent � G,� Michael J. Domino, Vice-President �� �� 54375 Route 25 Glenn Goldsmith y ! P.O. Box 1179 A. Nicholas Krupski Southold, NY 11971 Charles J. Sanders y�o� ��� r Telephone (631) 765-1892 � r Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of DAVID & LINDSAY LEVIN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE l SUFFOLK ENVIRONMENTAL CONSULTING,INC. I, fir-*+ �. �`^�"'°' , residing at/dbM. BOX 2003 BRIDGEHAMPTON,NY 11932-2003 being duly sworn, depose and say: That on the S day of -�`� , 2016 , I personally posted the property known as LCQVr%6-% by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, May 18, 2016. Dated: r— 16-1 v 6® ) ' (signature) Sworn to be ore me this day of , 20/6 Notafy ublic Matthew D. (vans Notary Public of New York No OIIVG053859 Qualified in Suffolk County Commission Expires January 22, 2017 ,NOTICE OF HEARING 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: DAVID & LINDSAY LEVIN SUBJECT OF 'PUBLIC HEARING : For a Wetland Permit to conduct construction activity within 100' from top of bluff for the construction of a 53'x20.4' (1,492sq.ft.) two-story dwelling with a 10'x20' (200sq.ft.) exterior storage space, a 20.4'x39.0' (648sq.ft.) attached porch, a 24'x24' (612sq.ft.) attached carport, and a 572sq.ft. attached wood deck; install a sanitary system landward of dwelling; and to re-vegetate a 50' wide area along the landward edge of the top of bluff using various types of native vegetation. Located: 29821 Main Road, Orient. SCTM# 1000-124-2-1.9 TIME & DATE OF PUBLIC HEARING : Wednesday, May 18, 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 Board of Trustees Application County of Suffolk State of New York David Levin +Lindsay Levin 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 HARMELESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY BIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature Si ature SWORN TO BEFORE ME THIS 1 DAY OF 6 ,20_L& Notary 'WN CARN Notary Public, St„te of New YorkaM' No. 01 CA49679-6 D ° Qualified in New Y rk Co ty Commission Expires — � t� Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) We, David Levin and Lindsay Levin at 40 E lWh Street-Apt. 8,New York NY 10003 (print owner of property) (mailing address) do hereby authorize Suffolk Environmental Consulting. Inc. to apply for permit(s)from'the Southold Board of Town Trustees on my behalf. wner's signature) C� (Owner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of the 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. 1 YOUR NAME: Bruce A.Anderson (Last name, first name,middle initial,unless you are applying in the name of someone else of other entity, such as a company. If so, indicate the other d person's or company's name.) NATURE OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,"name the activity.) u 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 X 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: William H. Price, Jr.,Esq. Title or position of that person: Justice Describe the relationship between yourself(the applicant/agent/representdtive)and the town officer or employee.Either check 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 then 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 Brother in law N Submitted this l-jlh� day of201 Signature . Print namer' Bruce A. Anderson 3 i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the cart of the town officers and emplovees The purpose of this form is to provide information which can alert the town of gossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: David Levin (Last name,first name,middle initial,unless you are applying in the name of someone else of other entity,such as a company. If so,indicate the other person's or company's name.) NATURE OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,"name the activity.) Do you personally(or through your company,spouse,sibling,-parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X 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 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 then 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) i an officer,director,partner,or employee of the applicant;or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this da of Ck 201L Signature Print name David Levin APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of the 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: Lindsay Levin (Last name,first name,middle initial,unless you are applying in the name of someone else of other entity,such as a company.If so,indicate the other person's or company's name.) NATURE OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other �� (If"Other,"name the activity.) 4 t 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 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 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 then 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 MWKJA 201 Signature- 1.6,=eAS Print name Lindsay Levin 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",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus,the action should be analyzed in more detail and, if necessary,modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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# 090 - 14 - 1.9 The Application has been submitted to(check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity, agency regulation, land transaction) ❑ (b) Financial assistance(e.g. grant, loan, subsidy) ❑ (c) Permit, approval,license, certification: Nature and extent of action: Applicant proposes to construct a 53.0'x 20.4' 1492 s f)two story dwelling with a 10"x 20' (200 s. f.) exterior storage space a 20.4 x 39.0 (648 s Q attached porch a 24' x 24' (612 s. £) attached carport and a 572 s. f attached wood deck The attached wood deck would be located 122' landward of the top of bluff the dwelling would be located 146 feet from to of the bluff and the attached porch would be located 125- feet from the top of the bluff. The applicant would install a septic system 190-feet from the top of the bluff and a 50'x 15 `pool(750 s. f.)with 15'x 12'patio 260-feet from the top of the bluff. Applicant would install native plantings from the top of the bluff to 50'landward thereof. Attach additional sheets if necessary Location of action: 29821 Main Road,Orient,New York Site acreage: 5.78 acre f Present land use: 'vacant with revetment and beach access stairs Present zoning classification: R-80 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: David and Lindsay Levin (b) Mailing address: 40E. 19"'Street,New York,NY 10003 (c) Telephone number:Area Code(646)812—4940 (d) Application number, if any: N/A Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes❑ No® If yes,which state or federal agency? 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 Vocation,and minimizes adverse effects of development. See LWRP Section III—Policies;Page 2 for evaluation criteria. ® Yes ❑ No ❑ Not Applicable As indicated within Policy 1. "Development that does not reinforce the traditional land use pattern of the Town of Southold would result in a loss of the community and landscape character of Southold.", this proposal is to construct a new dwelling in keeping with the residential character of the area. 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 ❑ No ® Not Applicable Policy 2 is not applicable in that subject lot and the surrounding neighborhood cannot be deemed a substantial historic and/or archaeological resources. Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 5 through 7 for evaluation criteria ® Yes 0 No 0 Not Applicable Subject proposal will not adversely impact the visual quality of the surrounding area in that the neighborhood is characterized by similar residential development. Proposed development is setback from the top of the bluff by more than 100-feet and occupies 1.7% of lot area. The siting and scale are compatible with the neighborhood. The remaining sub policies are 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 Dwelling to be constructed in an "X"zone. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subject proposal incorporates compliant septic system and drainage control all of which will protect surface waters. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subject proposal protects the quality by avoiding the loss of ecological components . In addition impacts relating to the proposed development are fully mitigated by septic design and placement, drainage design, the expectation that a buffer will be established and suitable erosion control implemented. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III-Policies Pages 32 through 34 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Subject proposal is not applicable to Policy 7. Attach additional sheets if necessary Policy 8.Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Subject proposal is not applicable to Policy 8. Attach additional sheets if necessary 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 ❑ Yes ❑ No ® Not Applicable Subject proposal is not applicable to Policy 9. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III—Policies;Pages 47 through 56 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Subject proposal is not applicable to Policy 10. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound,the Peconic Estuary and Town Waters. See LWRP Section III—Policies;Pages 57 through 62 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Subiect proposal is not applicable to Policy 11. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies;Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Subject proposal is not applicable in that the proposal does not involve agricultural lands (i.e. the conversion of farmland, the establishment and/or maintenance of new coastal agricultural production etc...) Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Subiect proposal is not applicable in that the proposal does not involve the conservation of energy resources on a commercial level and/or the promotion of alternative energy sources,proper maintenance of fuel storage facilities and/or the extraction of mineral extraction Attach additional sheets if necessary Created on 5/25/05 11:20 AM Suffolk Environmental Consulting, Inc. Newman Village,Suite E,2322 Main Street,P.O. Box 2003,Bridgehampton,New York 11932-2003, (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President Hand Delivered April 15, 2016 APR 1 5 2016 Mr.John M. Bredemeyer, III, President Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: LEVIN Property Situate: 29821 Main Road • Orient • New York SCTM#: 1000—014—02—01.9 Dear Mr. Brederneyer, This Firm represents the owner of the above referenced property, who is seeking all required regulatory approval to residentially improve thereon. Please find enclosed: Mr, Town of Southold Trustees Wetlands Permit Application (original and three [3] copies); (2) Town of Southold Local Waterfront Revitalization Program Application (four [4] sets); (3) Short Environmental Assessment Form (original and three [3] copies); (4) Location Map for reference (four [4] copies); (5) Photographs of the site indicating current conditions thereon (four [4] sets); (6) Survey of subject property, prepared by PECONIC SURVEYORS, P.C., last dated April 4, 2016, indicating the conditions thereon (four [4] prints);\ (7) Native Planting Plan prepared by this office dated April 12, 2016, and (8) Check made payable to the Town of Southold to cover the requisite application fee. Kindly review these items and schedule for the next available Board of Trustees' meeting at the earliest opportunity. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time.Thank you in advance for your cooperation. Sincerely, 'Oe ). ) Bruce A. Anderson attach. cc: W. Ryall