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TR-8801
*rjv SO - Michael J.Domino,President �0� �l0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O. Box 1179 Charles J.Sanders G Southold,New York 11971 Glenn Goldsmith �O O �O Telephone(631) 765-1892 A.Nicholas Krupski I�COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1303C Date: JanuM 26,2017 THIS CERTIFIES that the removal of existing bulkhead and replace with 100 linear feet of new vinyl bulkhead in-place and raise the height an additional 18"above existing grade; install 16 linear foot vinyl bulkhead returns on both the east and west side of property install a 200sq.ft. deck landward of new bulkhead using untreated decking,• install a 4'x4' cantilevered platform with 4'x11' (overall dimensions) seasonal stairs to beach using untreated decking; and install and subsequently maintain a 10' wide non- turf buffer along the landward edge of the bulkhead; with the condition that the existing two(2) groins are to remain and not be repaired/altered during construction; At 1030 West Lake Drive, Southold Suffolk County Tax Map#1000-90-2-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 14, 2016,pursuant to which Trustees Wetland Permit#8801 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 that the removal of existing bulkhead and replace with 100 linear feet of new vinyl bulkhead in-place and raise the height an additional 18"above existing grade; install 16 linear foot vinyl bulkhead returns on both the east and west side of property; in a 200sQ.ft. deck landward of new bulkhead using untreated decking,• install a 4'x4' cantilevered platform with 4'x11' (overall dimensions)seasonal stairs to beach using untreated decking; and install and subsequently maintain a 10' wide non-turf buffer along the landward edge of the bulkhead, with the condition that the existingtwo wo (2) groins are to remain and not be repaired/altered during construction. The certificate is issued to JOSEPH SCHAFER owner of the aforesaid property. 4 � Authorized Signature March 24, 2017 p 1E(ZR0'VR D . Town of Southold Trustees Town Hall Annex Building MAR 2 8 2017 54375 Rte. 25 P.O. Box 1179 BUILDING DEPT. Southold, New York 11971 TOWN OF SOUTHOLD RE: 1030 WEST LAKE RD.-SOUTHOLD SCTIVI No. 1000-90-2-3 COVENANTS&RESTRICTIONS Dear Trustees: Attached please find copy of filled covenants and restrictions for non-turf buffer at the above referenced property. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 Cc: Schafer a CC# : C17-11606 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 03/23/2017 under Liber D00012905 and Page 589 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 03/23/2017 SUFFOLK COUNT/Y� CLERK <;7—-e-iz-.L Q. Y�a�ca 1Lz� JUDITH A.PASCALE SEAL IIIIIIIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIIIIIIIII I IIIIII VIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 03/23/2017 Number of Pages : 5 At: 09:40 : 49 AM Receipt Number : 17-0048743 LIBER: D00012905 PAGE : 589 District: Section: Block: Lot: 1000 090 . 00 02 .00 003 . 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25 .00 NO Handling $20 . 00 NO COE $5 .00 NO NYS SRCHG $15 . 00 NO TP-584 $0 . 00 NO Notation $0 . 00 NO Cert.Copies $6.25 NO RPT $200 . 00 NO Fees Paid $271 .25 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County [j] 21 RECORDED 2017 Mar 21 0%40:49 AM Number of pages jUDI TH G. PASCALE CLERK OF SUFFOLK COUta I Y This document will be public L D00012905 record. Please remove all P 589 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee �5 Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./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 Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total a YES or NO Other Grand Total '43 j If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. 3354560 1000 09000 0200 003000 5 Community Preservation Fund Real Property RPSMI A IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Consideration Amount $ Tax Service III Agency 20-MAR-1 CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD &RETURN TO: Vacant Land Pa*n r UTD TD Ly< <'l'J60CG-0S, 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 Pa e This page forms part of the attached 2 i made by: �n (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in jU le d�ePlU f E� �jf�((�• �. r'YJDYI Gds j19 SUFFOLK COUNTY,NEW YORK. I TO In the TOWN of In the VILLAGE r�� E' 1 IjAw or HAMLET of So u " l - BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104..10/08kk (over) DECLARATION OF COVENANTS THIS DECLARATION made this ��day of Much , 20t by Joseph Schafer & Cynthia Schafer, residing at 8 Eagle Lane Manorville, NY 11949, 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 1030 West Lake Road, Southold, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 90, Block 2, Lot 3 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 10' wide x 99. 95' long "non-turf buffer" adjacent to and landward of the bulkhead; NOW, THEREFORE, the DECLARANT (S) do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted i i I activities there shall be established and subsequently maintained 10' wide x 99. 95' long "non-turf buffer" as defined by Chapter 275 of the Y Town Code; and as depicted on surve_V/site plan last dated April 10, 2016 and stamped approved on May 18, 2016, see Exhibit A attached; and 2) These covenants shall run with the land and shall be binding on the DECLARANT (S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner (s) has/have duly executed this instrument this day of 005 , 20 . O OWNER'S SIGNATURE STATE OF CW qo --k ss: COUNTY OF S t-L Fo k On the k6 day of C..ICX'WD..r"�/ in the year 20 ( 7, before me the ersigned, a _Notary Public in and for said State, personally appeared Gr , personally known to me or proved to me on the basis of satis actory 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. Notary Public SUSAN SMITH Notary Public,State of New York No.01 SM6330036 Qualified in Suffolk County in Commission Expires September 68,20-P 2 wn Code; and as depicte o survey/site plan last dated April 10, 2016 and stamp roved on May 18, 2016, see A attached; and 2) These covenants shall with th nd and shall be binding on the DECLARANT(S) , s/her/their heirs, assigns, pur sers, or successors in inte and may only be modified after a public he g and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this � rM ay of 20V. OWNER'S SIGNATURE OWNER'S SIGNATURE STATE OF New8w�e--: ��QQ ss: 1 COUNTY OF �3k' `"! V ' °L On the 22 day of McL L.0 } , in the year 20n, before me the Cnddei;signe a t ry Public in and for said State, personally appeared � , personally known to me or proved to me on the basis of S ti.sfactor evidence be the individual(s) whose name(s) is/are subscribed to y ( ) 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. Notary lic LoriannPataniio-- Notary Public State of�Vew York Qual, O1P u'I aunty Commission Exires 08l�y/20 2 Chicago Title Insurance Company ;�- TITLE NO.C13-7474-14682-SUFF SCHEDULE A-1 (Description) ;- 'certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, at Cedar Beach Park, 7andof Suffolk, State of New York,known and designated as Plot Number One Hundred Sixteen(116), as shown on a n map entitled "Subdivision Map Cedar Beach Park, situate at Bayview, Town of Southold,New York" surveyed ertified by Otto W.Van Tuyl,Engineer and Surveyor,as Map Number Ninety(90)on or about December 19, 1927. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY.•Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. SCHEDULEA-1(Description) Rev.(03104) ar John M.Bredemeyer III,President �,�'of solTown Hall Annex y� Michael J.Domino,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® Q Telephone(631) 765-1892 Charles J. Sanders O Fax(631) 765-6641 lrouffm BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: l/ Ch. 275 Ch. 111 Now: �I�S INSPECTION SCHED IN (llll (i 3 Pre-construction, hay bale line/silt boom 1 st day of construction i Y2 constructed y Project complete,:compliance inspection. INSPECTED BY: 4'�;�— Comm TS: pr® CERTIFICATE OF COMPLIANCE: ' UFFO( y John M Bredemeyer III, President ;toes k�o� Town Hall Annex Michael J. Domino, Vice-President ,s yam', 54375 Route 25 Glenn Goldsmith t;� 2 ' P.O. Box 1179 A. Nicholas Krupski "`y Southold, NY 11971 Charles J. Sanders �'4-xp 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 Y constructed complete,lete liance inspection J P com P p A M1.1 V9 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK "A 23 PERMIT NO. 8801 DATE: MAY 18, 2016 ISSUED TO: JOSEPH SCHAFER PROPERTY ADDRESS: 1030 WEST LAKE DRIVE, SOUTHOLD SCTM# 1000-90-2-3 AUTHORIZATION Pursuantio the provisions of Cha6t6i'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 Joseph Schafer and tSu6je8fio'ifie"Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the -fbllowing: Wetland Permit to remove existing bulkhead and replace with 100 linear feet of new e1h�-height an �existifig vin"yl'b'ulkhe'a'di'n"�-'pla'c'e"ifidriiis"' nal-1811 above' rade; install 16 linear foot vinyl bulkhead returns on both th6'easi and wes't side of property; 1,,, install a 200sq.ft. deck landward of new bulkhead,using untreated decking; install a ',x4' cantilevered Dlatform W 4 x1l" (overall,dimensions) seasonal stairs to beach �,t` f' using tmtreated,.decking;and install and subsequently maintain a 10' wide mn-turf buffer along,the.landivyard edge of ilie bulkhead;.with the condition that the existing two (2) groins are to remain and not be repaired/altered during construction;.and as depicted on the site plan prepared by Jeffrey Patanjo, dated April 10,2016, and stamped approved on;May.18, 2016.-1, fNVITNESS'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 his.date. . lid R coo N TERMS AND CONDITIONS The Permittee Joseph Schafer, residing at 1030 West Lake Drive Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. John M. Bredemeyer III, President ®��'QF SOU�yOl Town Hall Annex Michael J.Domino,Vice-President � 54375 Route 25 P.O.Box 1179 Glenn Goldsmith JIF Southold, New York 11971 CA 41C A.Nicholas Krupski � • aOQ Telephone (631) 765-1892 Charles J.Sanders a COU01 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 18, 2016 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: JOSEPH SCHAFER 1030 WEST LAKE DRIVE, SOUTHOLD SCTM# 1000-90-2-3 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 18, 2016 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of JOSEPH SCHAFER 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 14, 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, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JOSEPH SCHAFER to remove existing bulkhead and replace with 100 linear feet of new vinyl bulkhead in- place and raise the height an additional 18" above existing grade; install 16 linear foot vinyl bulkhead returns on both the east and west side of property; install a 200sq.ft. deck landward of new bulkhead using untreated decking; install a 4'x4' cantilevered platform with 4'x11' (overall dimensions) seasonal stairs to beach using untreated decking; and install and subsequently maintain a 10' wide non-turf buffer along the landward edge of the bulkhead; with the condition that the existing two (2) groins are to remain and not be repaired/altered during construction; and as depicted on the site plan prepared by Jeffrey Patanjo, dated April 10, 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: None Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/dd NOTES: 1. ELEVATIONS REFER TO N.A.V.D. 1988 DATUM !r '' �ti creatL peecA6.d riff Hog Neck o 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: �s JOHN C. FREERS LAND SURVEYOR 6 EAST MAIN ST. RIVERHEAD, NY 11901 SURVEY LATEST -DATED -01-26-16 ,'540 5 0 " " d�--7 RO / \ 4 ;,yapnQ allonh Fork Sign S Raniew _ c s Wiew Rd_,'.",-� F - tl� �heriEimem 1f - �1 O ¢o � a � Mam`RaY,kre�q �,' �u,aaaesoianoa:�t 1 - Q' B2hard Ln_„ --Mare Bayv,ew qd�J i I 1"00.1) °, APPROVED BY �, w `e4'WaZARD � ,easynt PlL �4fy 'Terrace=�t fi '!4. �.Tr .. OF ■RuE �•u_ •t'' .. ..� � _ - � } -�—�_l1" cod � ,'" � i.` --� `-.J' .,� •- 114' - F; a � y /� "`^�-n_ .ti �`".y�'Westp,^_� "r� .- '��o •, f - - :,,`,,,,y..;-..-u�' - .. 2[& hyVy If PROJECT LOCATION PROJECT LOCATION MAP o � N.T.S. NOTE REMOVE EIOSnNG BULKHEAD C 0WRED PoRCN STRUCTURE IN ITS ENTIRETY PROPOSED FIR TIMBER TOP CAP AND INSTALL NEW BULKHEAD - I 11 IN THE EXACT SAME POSITION PROPOSED 3•X8' IL WITH RAZED ISED ELEVATION OF REM WALE PROPOSED 18' LONG Burr t PROPOSED 16' LONG VI APR 1 4 2016 BULKHEAD RETURN 1BHEIGHT ABOVE EXIST.TDPCAP CCA TREATED TIMBER PILE, 8' • I D.C. I PROPOSED 200 S.F. DECK TO BE --- OF UNTREATED LUMBER `' U"" -•a TOP. MIDDLE k BOTTOM PROPOSED 4'X4' PLATFORM W/ PROPOSED B•■B•CCA SEASONAL STAIRS TO BEACH WALE 2O. - a - STONf uTE APPRo7vLULr.B.25* EXISTING JETTY TO REMAIN 23' 0 ` RET Wq� 3 '\ LLARY LDG�PILE RP CCA _ MHW ALONG FACE OF BULKHEADd ^ EXISTING BULKHEAD / rI PROPOSED L•RP CCA PILE, L' To BE REMOVED IN EXISTING TIMBER BULKHEAD eITS ENTIRETY. O.C. 8' LENGTH. BOLTED To —M.L.W.—.. .� �- LAY—LOG WITH 3/4' %,� %\� APPRMMPNE Lu.9 EL 0.0* - GALVANIZED THRU—BOLTS. PROPOSED 16' LONG VINYL PROPOSED 16' LONG 1•DIA ��\\���\\������\\\�\\i�\\��� 99.95, BULKHEAD RETURN cALv.TIE ROD. L' o.c. PROPOSED 100 LF VINYL BULKHEAD TYPICAL SECTION (IN SAME ALIGNMENT AS EXIST.) PROPOSED C 99 NYL1SHEETING CIRC LINE OF 10' WIDE NON-TURF BUFFER ` N.T.S. PROPERTY OWNER: l �TJOSEPH SCHAFER 1L� 8 EAGLE LANE BULKHEAD PERMIT PLANS SCALE: A&cvo a EXISTING JETTY TO REMAIN MANORVILLE, NY 11949 AS NOTED PROPOSED PLAN, SECTION DATE: Al,tc PREPARED TA & LOCATION MAP4-1o-1s JEFFREY- PATANJO PPLANN 106 HEWITT BOULEVARD 1030 WEST LAKE ROAD L_A � � CENTER MORICHES, NY 11934 SOUTHOLD, TOWN OF SOUTHOLD SCALE: 1"=20' 631-484-9332 SUFFOLK COUNTY, NY SHEET: JPATANJO@OPTONLINE.NET TAX MAP N0. 1000-90-2-3 1 OF 1 SO fktr John M Bredemeyer III, President ;+opo cow": Town Hall Annex Michael J. Domino, Vice-President ;:`�� ��,; 54375 Route 25 Glenn Goldsmithz P-O. Box 1179 " A. Nicholas Krupski y ® Southold, NY 11971 � �� ` Telephone 631 765-1892 o Charles J. Sanders X11 , � ' p ( ) Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUFI✓� TO.- TEF-F FA-"ItWU® Please be advised that your application dated ANIL- 'qr `tel has been reviewed by this Board at the regular meeting of ` L 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) 1St Day of Construction ($50.00) '/2 Constructed ($50.00) X Final Inspection Fee ($50.00) QLD 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 DUE: $ N69F BY: John M. Bredemeyer III, President Board of Trustees SURVEY OF LOT 1 1 6 N AS SHOWN ON A CERTAIN MAP ENTITLED "SUBDIVISION MAP CEDAR BEACH PARK, SITUATE AT BAYVI EW,TOWN OF SOUTHOLD, NEW YORK," —"— ---SURVEYED AND AND CERTIFIED BY OTTO W. VAN TUYL, ENGINEER AND SURV OR,SUFFC ! AS MAP NUMBER NINETY(90) ON OR ABOUT DECEMBER 19, 1927. AF1'nr•cl'i,• , _ .iG,. S 1 T U ATE : DAYV I EW8 A�11°.,0�L FA.MI Y f; ����:v;�?<✓ DateJAN 2 2016 H.S.�`��,No.. �1(�-I''� � OCj i`1 TOWN :: SO UT�1 O LD The sewage disposal end Watct•Supply far_ilities et Us facaticla 9 -tmn ' J' U f 1=O L I \ COUNTY, NY llispec!ed and/or cerLited by!"';D^Partlner or other agerees aW a0 bt:sofs;,�c•:ut y FOR A ir4'=.7:il�i► (try V�_� t3ETJivi�fl"ri,�. SURVEYED 09-1 1 -2013 UPDATE 09-17-20 1 3 -7 FLOOD ZONE 12-1 1 -2013 viz!:'orj ;it.ar:;f, P:�:,;C i�i.f 6� REVISED 1,-G-201 3, TEST HOLE 02-OG-2014 FINAL 08- 10-2015, 01-2G-201 G �ra3�_ _, �_ ,r .m•_.r<_�w_",.__r__" ,mA� _< SUFFOLK COUNTY TAX'# Q / 1000 - 00 - 2 - 3 O� CERTIFIED T0: CYNTHIA A SCHAEFER JOSEPH SCHAEFER CHICAGO TITLE INSURANCE COMPANY �\ F S�00FM 4,31 F ,q F , FFM FL pp0�O p / o pot NF op i3 F a R O ON /0to � wqL 0.00 3 - - - sr -- -_ ---- - 0 O 40 LO. P S LP � 40 U)o r O O \ 3/ 3'0 v d' s 9.8 � TON�WALL O , ` V ca LOT ow F�ZONF Xso � q FLO O °O ZpNI VE I'►'ooO a��Khe roN�W444 `� O �G3o - 3110 rFPs , \ , FgcH C/� '140 N e0 IN rFR hFgD iV S r0 APR 1 4 2016 1I;= 5.C.D.H.5. PERMIT 10-0- 14-001 7 FLOOD ZONES SHOWN REF. FEMA FIRM #3G 103CO I G9H ELEVATION5 SHOWN REF. N.A.V.D. "Unauthorized alteration or addition to a;survey NOTES: ®f N� map bearing a!tensed land surveyors 2,ol4,e'•e JOHN C. E H LE RS LAND SURVEYOR ��N� � � v.alal'an of sealbn Y.,, subte Education 2, of the tlevr Yorl< Slate Education Lo,r" ® PIPE FOUND �0�0� y�F�� "only copies from the original of this survey DW = DRYWELL AS PER INSTALLER �� marked with on anginal or the land surveyor's stamped seal shall be considered to be valaliaddtrue true copies" G EAST MAIN STREET N.Y.S. LIC. NO. 50202 , j "Certifications indicated hereon signify that this Area = 10,921 Set. Ft. ` � survey was prepared in accordance with the ex— Area = 0.2507 Acres RIVERHEAD, N.Y. 11901 3G9-8288 Fax 3G9-8287 ;� y Ab Cade of Practice for iati Surveys Profesadoptsional by the New York Slate Association of Profess�onol Land Surveyors Said certifications shall run only "= 20' lonegl5landland5urveyor.com °F,L �o to the person for whom the survey prepared, GRAPHIC SCALE 1 and on his behalf to the linge company, overnmen— l�� 2 ��� tat agency and lending institution listed hereon, and D SAND gv to the assignees of the lending institution. Certifico— tans are nal transferable to additional institutions ]J Orl.n G U ern JeM ooamen„N b •,]r3-,O, , John M. Bredemeyer III, President ovat Z4,� � Town Hall Annex Michael J. Domino, Vice-President OGy54375 Route 25 Glenn Goldsmith o '` '' P.O. Box 1179 A. Nicholas Krupski' o Southold, NY 11971 Charles J. Sanders y,, o� Telephone (631) 765-1892 -Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 1� 2,dJ4 Completed in field by: 7_," �'-�- Jeffrey Patanjo on behalf of JOSEPH SCHAFER requests a Wetland Permit to remove existing bulkhead and replace with 100 linear feet of new vinyl bulkhead in-place and raise the height an additional 18" above existing grade; install 16 linear foot vinyl bulkhead returns on both the east and west side of'property; install a 200sgft deck landward of new bulkhead using untreated decking; install-a 4'x4' cantilevered platform with 4'x11' (overall dimensions) seasonal stairs to beach using untreated decking; and install and subsequently maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 1030 West Lake Road, Southold. SCTM# 1000-90-2-3 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: 00 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: J-. Bredemeyer M. Domino f, G: Goldsmith . Krupski 7C. Sanders Other Page 1 of 2 John M. Bredemeyer III, Presidento�pS�FFOIkcOG Town Hall Annex Michael J. Domino, Vice-President � �� 54375 Route 25 Glenn GoldsmithN P.O. Box 1179 A Nicholas Krupski Southold, NY 11971 Charles J Sanders Telephone (631) 765-1892 �Ql C` Fax(631) 765-6641 aznx� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Jeffrey Patanjo on behalf of JOSEPH SCHAFER requests a Wetland Permit to remove existing bulkhead"and replace with 100 linear feet of new vinyl bulkhead in-place and raise the height an additional 18" above existing grade; install 16 linear foot vinyl bulkhead returns on both the east and west side of property; install a 200sq.ft. deck landward of new-bulkhead using untreated decking; install a 4'x4' cantilevered platform with 4'x11' (overall dimensions) seasonal stairs to beach using untreated decking; and install and subsequently maintain a 1.0' wide non-turf buffer along the landward edge of the bulkhead. Located: 1030 West Lake Road, Southold. SCTM# 1000-90-2-3 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: I 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: t 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 f oseph Schafer s, 1030 West Lake Drive,Southold SCTM#: 1000-90-2-3 5/11/16 10 xi1 . ;,,/ qft oseph Schafer 1030 West Lake Drive,Southold CTM#: 1000-90-2-3 /11/16 ,u€ v Z Ir v e � s' Photo 1 � v `T y;`' . Photo 2 Photo 3 Photo 4 I SI A(c) m,"OF 14 83 —4N7 1 3 C) 2 2-wc) 2 PO/ryraf 7' 4 clz 12 ---------16-I------ --------- - TOWN OF --------- 01 C-'DAR HOW - 13 SOUMT 51 POINTI IA Tom OF SGIUINOW t9 nao Ig_ IV %5 4 5A(G) v will 75 2S1p WEST 24 23 LAKE 16 nn R, Is 28 MMI OF lam %I Is °flay 6 131 14f 29 13A(c) OOOR E W LAKE 261 25rm 15 21 m Is I I TA(c) 2o 17 is I 19 20 22 f>J6 91 12P(.) 2 E I IA&T IYOG NECK BAY couNTY OF SUFFOLK I K SECTION NO so—ow 7 n-- M"T --T j- are OFFICE LOCATION: ®� Ol MAILING ADDRESS: Town Hall Annex '` ® P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) us ,e Telephone: 631 765-1938 Southold, NY 11971 � • �® P ®lyc4UN1y,N�' 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 13, 2016 Re: Local Waterfront Revitalization Program Coastal Consistency Review for JOSEPH SCHAFER SCTM# 1000-90-2-3 Jeffrey Patanjo on behalf of JOSEPH SCHAFER requests a Wetland Permit to remove existing bulkhead and replace with 100 linear feet of new vinyl bulkhead in-place and raise the height an additional 18" above existing grade; install 16 linear foot vinyl bulkhead returns on both the east and west side of property; install a 200sq.ft. deck landward of new bulkhead using untreated decking; install a 4'x4' cantilevered platform with 4'x11' (overall dimensions) seasonal stairs to beach using untreated decking; and install and subsequently maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 1030 West Lake Drive, Southold. SCTM# 1000-90-2-3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP provided the following is required for further Policies 5 and 6. 1. Require that the non-turf buffer be planted with native, salt tolerant vegetation. 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 �LggpFFQ�k�oG - Peter Young,Chairman ti Town Hall,53095 Main Rd. Lauren Standish,Secretary coo P.O.Box 1179 Southold,NY 11971 *4 � 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 John Stein, seconded by Peter Young, it was RESOLVED to SUPPORT the application of JOSEPH SCHAFER for the removal of the existing timber bulkhead and replacement with 100 If. of new vinyl bulkhead in same location as existing with a raised height of 18" above existing. Install 16 If. vinyl bulkhead returns on both east and west sides of property. Install 200 sf. deck landward of bulkhead with untreated decking and 4'X 11' (overall dimensions) platform and seasonal stairs to beach with untreated decking. Provide 10' wide non-turf buffer upon completion of bulkhead. , Located: 1030 West Lake Road, Southold. SCTM#90-2-3 Inspected by: Peter Young, John Stein The CAC Supports the application, however, reserves judgement on raising the height of the bulkhead because no need was shown. Vote of Council: Ayes:.All Motion Carried John M.Bredemey6r HI,President Town Hall Annex Michael J.Domino,Vice-President S 54375 Main RoadP.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee Erd Telephone(631)765-1892 Charles J.Sanders,Trustee Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal ErosionPermit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application: �1444P r250 r Received Fee:$ Fr) � Completed Application- Incomplete —SEQRAC[assifiVcat,' n APR 14 2016 Type I_Type 11 Unlisted ry Coordination:(d sent) I se v-" LWRP Consistency Assessment Form V" CAC Referral Sent: Date of inspection: 1_5_,_1 T,—/-u _Receipt of CAC Report: _Lead Agency Determination: Technical Review: V7—Public Hearing Held: %51 19Z9 Resolution: Name of Applicant Mailing Address 8 e.I le- /.,*,I C_ 4A 04 n opet.-I Ite- t. K q Phone Number:( Suffolk County Tax Map Number: 1000- 17 V Property Location: liq3o "..Ies'r 1--&V-C_ 12--as- Svulh-lef (provide LILCO Pole#,distance to cross streets,and location) AGENT: --j; (if applicable) Address: 14 1).e,.,) #4-t- 131 vet Con+,-r AA vricA es phone: (Y X, U Boaa of Trustees Application GENERAL DATA Land Area(in square feet): d - ;25-0-7 Area Zoning: Re S Previous use of property: IZ es�'cPcn fi L Intended use of property: R e S,'d to f i a L Covenants and Restrictions on property? Yes X No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes 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? Yes No Prior permits/approvals for site improvements: Agency Date ?"own wf 5vu4-4g& Trr.sTtes 4F 3-q7 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description(use attachments if necessary): Src- e.-t+&e he Q eQtsccejo+tor 1030 West Lake Road - Southold SCTM No. 1000-90-2-3 PROJECT DESCRIPTION Project includes the removal of the existing timber bulkhead and replacement with 100 LF of new vinyl bulkhead in same location as existing with a raised height of 18" above existing. Install 16 LF vinyl bulkhead returns on both the east and west side of property. Install 200 S.F. deck landward of bulkhead with un-treated decking and 4' x 11' (overall dimensions) platform and seasonal stairs to beach with untreated decking. Provide 10' wide non-turf buffer upon completion of bulkhead. 6 h 1 Hoar. �of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: JA % Closest distance between nearest existing structure and upland edge of wetlands: NIA feet Closest distance between nearest proposed structure and upland edge of wetlands: N,A _feet _ a Does the project involve excavation or filling? X No Yes If yes,how much material will be excavated?_,ULA cubic yards How much material will be filled? N I A cubic yards Depth of which material will be removed or deposited: N A feet Proposed slope throughout the area of operations: o - 2 Z Manner in which material will be removed or deposited: W 1A 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): -T-44--re- w, 11 1PZ no eF�Fce4 Po ,e-We..7Ae or —f1'1XC wa'S`ers - J Short Environmental Assessment Form Part I -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: /D3o t.JCs-r 11-616e- /d-PadQ &✓CJ6(es..1Q '# .5"-4fi.lA Project Location(describe,and attach a location map): SrG coca.-tion m4(2 Brief Description of Proposed Action: L Sit a{-}t�,�.G�t�Q., aQ�St r'r!�'1"oo,i► h Name of Applicant or Sponsor: Telephone: 6 31• s?3 - &8 6 I v5e?h sc 1hA-Fcr- E-Mail: sc/,afer Z-PS3(FJ m411.0 W Address: ea►i�c ani City/PO: State: Zip Code. AAaesp,roolle NY 1 /9y9 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO 7YES 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 If Yes,list agency(s)name and permit or approval: N%1 06G �mwN o� Sov•�11oI� �r��o'1't�s 3 a.Total acreage of the site of the proposed action? v. aSo7 acres b. Total acreage to be physically disturbed? V.v ysq acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? �•�sa7 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban E]Rural(non-agriculture) ❑Industrial ❑Commercial Okesidential(suburban) ❑Forest ❑Agriculture ❑Aquatic []Other(specify): ❑Parkland V Page 1 of 3 5. -Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ © ❑ b. Consistent with the adopted comprehensive plan? ❑ P I ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO I 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:Name:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, El gency: u o county,Date: - 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES 2 ❑ b.Are public transportation service(s)available at or near the site of the proposed action? © ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site,of the proposed action? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ Rr 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: Rr ❑ i 11.Will the proposed action connect to existing wastewater utilities? NO YES = If No,describe method for providing wastewater treatment: © ❑ fi i 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. sTu�rwa.y -�F• btluti — L��file. P•tcontc.- Bn.0 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 OSuburban 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? ❑NO DYES ❑ b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: NO ❑YES Page 2 of 3 L � 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,descnbe: F1 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. Z I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponso '3'o a AS chs Fer Date: ame: Signature: L_ G 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: F] I '20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: 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 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 3 2. Will the proposed action result in a change in the use or intensity of use of land? a I F] 3. Will the proposed action impair the character or quality of the existing community? El E 4. Will the proposed action have an impact on the environmental characteristics that caused theEl ❑ 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 1:1 reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 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? El 1:1 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 eCenvironmental 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 ch f Name of Lead Agen y Date cJ (7�)l) 5il Lelv&V C-' President Print or Ty Name of Responsible Officer in Lead Agency Title of Responsible Officer i ature of Responsible Officer in L d Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of Dq'mesti& Mail Only' , I. i r" • •- - • • - - • " e •- - • • • -• - • • " zmz Er • , LINi� �lHLiRST� i�Y'fY757�€ ij �� r NEW(YORKi NY 0013 � �. 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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 MAEURETURN RECEIPT. s Sworn to before me this Day of , 20 Notary Public PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: G (p2-)I A59 u I Fk C4-es a-e�a pk �y I r3 nloy 10(v mui (Jt" �5F , •4f+- 7 , ny by I ad 13 6bW IVV5V')'l (!e rvlW-+l e'yL A_( csor Q Ai 1 nrAelyl hurs""l OT57 7 7015 1730 0000 1153 9775 7015 1730 0000 1153 9768 j 7015 1730 0000 1153 9751 STATE OF NEW YORK COUNTY OF SUFFOLK -�f -2�1 , residing at _ 10(p W Imo)tt PjI yd GNI ny )AN_ , being duly sworn, deposes and says that on the �_day of , 201(p, 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_ 6�21l' YYI OVICYIO, that said N ces were mail to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of Moi20 (� Atuaw, CiafV C� Notary Public Loriann Patantto� Notary Public State eW York of Qualified in Suffolk County No:01 PA6150861 Commission Expires 08107120 John M. Bredemeyer III, President �ro�� ooG , Town Hall Annex Michael J. Domino, Vice-President p o� y: P �� 54375 Route 25 Glenn Goldsmith N 4 P.O. Box 1179 A Nicholas Krupski �y ��,yY Southold, NY 11971 Charles J Sanders '�4� �'a�;�� 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 SCHAFER COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, c YZLI (� , residing at/dba 1C(D d kLUI ��Vd Car! /UU !iQ 54 being duly sworn, depose and say: That on the ay of M01y , 201La, I personally posted the property known as 10150 IN LOY-16 by 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: (si atur Sworn to before me this -7 day of MAJ 201V Notary Public Loriann Patanio Notary Public State of New Yon: Qualified in Suffolk County No:01PA6150861 Commission Expires 08l07120� May 11, 2016 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 1030!NEST LAKE RD.-SOUTHOLD SCTM No. 1000-90-2-3 AFFIDAVITS Dear Trustees: Attached please find original affidavits for mailing and posting as required for permit applications. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly,yours, effrey Patanjo - 106 Hewitt Blvd. Center Moriches, NY 11934 i10T1c 'Lm. CoF HtAl"111AC3 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. OWNERS) OF RECORD: JOSEPH SCHAFER SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove existing bulkhead and replace with 100 linear feet of new vinyl bulkhead in-place and raise the height an additional 18" above existing grade; install 16 linear foot vinyl bulkhead returns on both the east and west side of property; install a 200sq.ft. deck landward of new bulkhead using untreated decking; install a 4'x4' cantilevered platform with 4'x11' (overall dimensions) seasonal stairs to beach using untreated decking; and install and subsequently maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 1030 West Lake Road, Southold. SCTM# 1000-90-2-3 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 Boazu -Of Trustees Application County of Suffolk State of New York 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 e PREMISES IN CONJUNCTION WITH REVIEW O HIS APPLICATION. E Signature of Property Owner SWORN TO BEFORE ME THIS IO DAY OF ,20 (.O (� IA Notary Public Lonann Patans0 Notary-Public oftew York QualNo 01 PA6150861unty Commission Expires 08107/20—If) Boaz.. if Trustees Application AUTHORIZATION (where the applicant is not the owner) I, -So-SePh Sc-1 &Fef residing at g �tiq�� Lase (print owner of property) (mailing address) ,✓1 a A.C vA c, N`{ 114IL(q do hereby authorize r-FF�e H (Agent) Pa-I'a.7 to apply for permits)from the Southold Board of Town Trustees on my behalf. (Ow�signa"�ie)y A � , � 1 I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM l 4 The Town of Southold's Code of Ethics prohibits conflicts ofinterest on the partof town(iMears and emalovees.The_aumose of this form is to VrovIde information whroh can alert the town of possible•conflicts of interest and allow it to take.w atevetaction is gecessn to avoid same, f YOUR NAME: S c- Fe r, (Last name,fust name,jpiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee ' Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other Of"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 owpgrship-of(or employment by)a corporation i in which the town officer or employee owns more than 5%of the shares. ". YES NO I If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. F The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): f 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 ID Submftted this day 200 Signature Print Name f e r Form TS I y aQgU Town_ of , Southold Erosion, Sedimentation & Storlrn-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.s: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 01, 1 DobD -3 STORM-WATER,GRADING,_DRAINAGE AND EROSION CONTROL PLAN stiTiTcT" e�c&n –U ockc c– Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within ® � 7 5 D i o,q z) Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will include all run-off created by site f b. What is the Total Area of Land Clearing (s F I Acres) clearing and/orconstruction activities as well as all and/or Ground Disturbance for the proposed ® o y S4 2 00 o Site Improvements and the permanent creation of construction activity? (S.F./Acres) Impervious surfaces.) Z Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed) Structures — Drainage Sctures Indicating Size 8 Location?This Item shall Include all Proposed Grade Changes and 5e� a�ae�t6Z eQ¢Sarc(�-1•lost Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion — and sediment control practices that will be used to control site erosion and stone water discharges. This item must be maintained throughout the Entire Construction Period, ti, Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards — °� r of Material within any Parcel? k 5 Will this Application Require Land Disturbing Activities { Encompassing an Area in Excess of Five Thousand f (5,000 S.F.)Square Feet of Ground Surface? ? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction rdlsturbances SWPPP Requirements or within One Hundred(100')feet of a Welland or F] f a SWPPP is required for all Constructlon activities Involving soil Beach? f one(1)or more acres; tncluding disturbances oflase then one acre that7 Will there be Site preparation on Existing Grade Slopesrger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise tostruction activities Involving soil disturbances of less then one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined1hal a SPDES permit Is required for storm water discharges. (SWPPP-a Shat(meet the Minimum Requirements of the SPOES General Permit 8 Will Driveways,Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.GP-0.10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the Not.The NOI shell be Into and/or in the direction of a Town right-of-way? Fi submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where Q Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any ❑ — constructed to reduce the pollutants In storm water discharges and to assure Item Within the Town Right-of-Way or'Road Shoulder compliance with the terms and conditions of this permit.In addition,the SWPPP shall Area?(This Item will NOT Include the Installation or Driveway Aprons.) Identify potential sources of pollution which may reasonably be expected to effect the quality of storm water discharges. NOTE: If Any Answerto Questions One through Nine Is Answered with a Check Mark i 3.All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance Is between 5,000 S.F.81 Acre In area, component shall be prepared by a qualified Design Professional Licensed In New York a storm-water,Grading,Drainage 6 Erosion Control Plan Is Required by the Town of that is knowledgeable In the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE: A Check Mark(#I and/or Answer for each question is Required for a Complete Application) STATE OF NEW YORK, COUNTY OF...........................................SS That I,....J S e.P.. .....ti S ur....e. ........... r •.,•..being duly swum,deposes and says that he/she is the applicant for Permit, .. ..............CC-.. (Name ofindlvidual signing DocdmenQ O w Cr' Andthat he/she is the ................................ .....................................................,................................................................... (Owner,Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed die said work and to i make and file this application;that all statements contained in this application are true to die best of his knowledge and belief;and that the work will be performed in the manner set forth in die application filed herewith. Sworn to before me this; .................10........ ........day, of. - �........ ,20!.� Notary Public: ..... ............................... .... d.fZ.1�112i) t'....�.(Sig FORM - 06170 Lodann Patan o Notary Public o"A York qualified inSauolkk�C�ounty No:01P�.150861 Commission Expires 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 malting a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its significant beneficial and adverse effects upon the coastal-area.which'includes all of Southold Town). 3. If any question in Section C on this form is answered "yes"or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus,.each.answer-must�be-,explained.in._detail, listing both supporting and non- supgorting 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# 9 - a - 3 PROJECT NAME 10 3 o wesr Ge.ve- 2o.�-d� R.. cte-1, ec k The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (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: i - 1 Location of action: /-03o sT t 144C- Qm&I2 , so..4-L%oZ rt Site acreage: y . 2 Yip-7 Present land use: (Ze s,d en+#w L Present zoning classification: R� S 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: J o SO k S e-k a f e (b) Mailing address: 8 Ca a l e Za n c. /A u,?o t t,,11,c. v N cj 1 I a 9-7 (c) Telephone number:Area Code 5 3 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes © No❑ If yes,which state or federal agency. - C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III-Policies;Page 2 for evaluation criteria. OYes ❑ No ❑ Not Applicable /� L �+lT w1'f�I sVfrJuAltI'1 GyM�+u.7L'f Cr14fwG'fC,L e4n&t Trr�GG'7 �S Go7tiS � 7 y ftp14C6�CAS(' r� �15'rj n d 5Tru6 Z�/'C . 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 WNot Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria 0 Yes ❑ No ❑ Not Applicable Prvj,ee+ Provtdcs iur- .0- arc- 06S✓aft!, ling brtlGhcat� 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 G © Yes ❑ No ❑ Not Applicable PtolaG-4 P�o-t-�cts ���L�/+ST Last` ®� er®ptrt•, Ate -ti,.. Pirosto/l of 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 Eiallot Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Zr Yes No Not Applicable 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 ❑ NoX�Not Applicable Attach additional sheets if necessary E 0 Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous u substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No RNot 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. 2 Yei:l No❑ Not Applicable Prsdtc .ProycQti S'CoQ�rwue� 't'o wu'rtLS /L ftcerC.-l*1an Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III-Policies;Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. F-1Yes F-1No9 Not Applicable ` U P k 4 k 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 RNot Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III-Policies;Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BY J • CSA 41.n TITLE A 1,e ri T DATE H-10-1/6 �t 1 fr , t _ April 12, 2016 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 1030 WEST LAKE RD.-SOUTHOLD SCTM No. 1000-90-2-3 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application, check, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 FiA 14 2016 f ;