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HomeMy WebLinkAboutTR-8865 Michael J.Domino,President �'pF SO(/pTown 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 G Telephone(631) 765-1892 Greg Williams O Fax(631) 765-6641 Nvi BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1552C Date:January 16, 2019 THIS CERTIFIES that the construction of a single-family two-story dwelling consisting of a 1 477sq ft basement level with 384sa ft of garage-, first floor area to include 1 864sq.ft. of living space with a 584sq ft seaward deck 174sq ft of landings and 48sq ft of stairways; second floor to include 1 704sq ft of living space,• for the as-built 12'x12' patio area with fire pit,• install a sanitary system landward of proposed dwelling; install a 3 709sq ft driveway, add approximately 488 cubic yards of clean fill to property install two retaining walls totaling 138' in length and a height ranging from 1.0' to 7.5' beginning from sides of dwelling going landward; clear an approximately 14 257sg.ft area; and install gutters to leaders to drywells and in accordance with Ch 236 of the Town code-Stormwater Management;with the condition to establish and perpetually maintain a 100' non-disturbance buffer beginning from the seaward most property line landward and a 4' wide access path to the water; At 122 Hickory Avenue, Southold; Suffolk County Tax Map#1000-78-7-51 Conforms to the,application for a Trustees Permit heretofore filed in this office Dated July 14, 2016, pursuant to which Trustees Wetland Permit#8865 Dated August 17,2016,was issued and Amended on January 16, 2019 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 construction of a single-family two-story dwelling consisting of a 1,477sa.ft. basement level with 384sq_ft of garage; first floor area to include 1 864sq.ft.of living space with a 584sq ft seaward deck 174sq ft of landings and 48sq ft of stairways; second floor to include 1 704sa.ft. of living space-, for the as-built 12'x12' patio area with fire pit; install a sanitary system landward of proposed dwelling,• install a 3 709sq ft driveway' add approximately 488 cubic yards of clean fill to property install two retaining walls totaling 138' in length and a height ranging from 1.0' to 7.5' beginning from sides of dwelling going landward; clear an approximately 14 257sq ft area; and install gutters to leaders to drywells and in accordance with Ch 236 of the Town code-Stormwater Management;with the condition to establish and perpetually maintain a 100' non-disturbance buffer beginning from the seaward most propedy line landward and a 4' wide access path to the water. The certificate is issued to William&Jeanette Ayers owners of the aforesaid property. A.A�� AuthorizA Signature Michael J.Domino,President QF SO�rTown Hall Annex John M.Bredemeyer III,Vice-President ,`O� Ol0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �O �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 16, 2019 William & Jeanette Ayers 147 Park Blvd. Malverne, NY 11565 RE: 122 HICKORY AVENUE, SOUTHOLD SCTM#: 1000-78-7-51 Dear Mr. and Mrs. Ayers: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, January 16, 2019: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8865 for the as-built 12'x12' patio area with fire pit, and as depicted on the project plan prepared by William Ayers, received on November 26, 2018, and stamped approved on January 16, 2019. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, 1�ic�haeJ. Domino President, Board of Trustees MJD:dd Michael J. Domino,President �*oE SO(/jy® Town Hall Annex John M. Bredemeyer III,Vice-President �O lQ 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski A • Q Telephone(631) 765-1892 Greg Williams O Y Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT � 14S DATE5e )� OWNER Z"1/I&rPHONE te ) /6 / MAILING ADDRESS AGENT PHONE ADDRESS PROPERTY LOCATION / 2--Z— TAX TAX MAP NO. —'-? 7 �I I/We W s�I� '�' -/ request an Amendment to Permit# �C) � to i a � y de �9' l f c7 ,��i,� APS Signed By: �' 0` NOV 26 2018 Michael J.Domino, Prey, O�QSVFFU(,�-COG Town Hall Annex John M. Bredemeyer I1I,Vice-President �� y� i 54375 Route 25 Glenn Goldsmith o P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams y p! , Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD i Date/Time: Completed in field by:1V q �4_,L WILLIAM & JEANETTE AYERS requests an Administrative Amendment to Wetland Permit #8865 for the as-built 12'x12' patio area with fire pit. Located: 122 Hickory Avenue, Southold. SCTM# 1000- 78-7-51 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275_,,/ Ch. 111 SEQRA Type: 1 II Unlisted Action - r 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: " 1 I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: 61--Bredemeyer 1--l--M. Domino �G. Goldsmith N. Krupski G. Williams Other Michael J. Domino, President rjf SU!/T�O 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 � � Telephone(631) 765-1892 Greg Williams Ocou Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ° 14 -2,014 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/2 constructed Project complete, compliance inspection. INSPECTED BY: °Yid t COMMENT CERTIFICATE OF COMPLIANCE: J APPROVED BY• (1)UNAUTHORQED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED rO ESTABLISH gy.�� F �(p •Ja7aa . OF THIS SUR YAP NOT BEAR— THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SMALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTTUTION LISTED HEREON.AND TO THE ASSIGNEES M THE LENDING NSTIIUTION CERTIFICATIONS E NOT 7RANSF7� AL RUITIlBIT91�RS (3)THE,OCATON OF WELLS(W).SEPTIC TANKS(ST)h CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTANM FROM OTHERS- TOWN THERSTOWN OF SOUTHOLD j' ^•- —• �. 400 Ostrander Avenue,Riverhead,New York 11901 tal.651.-727.2305 fax.631.-72"1.OI44 odmineyoungenglnaer►ng.com c , DATE z A'wpq 1�, 2vl q- N 41tU� 4 rd / L2 , - Howard W Young,Land Surveyor � AN ��A�^ � `�aI / Thomas G.Wolpert,Professional Engineer �9 ' / Douglas E.Adams,Professional Engineer \ $a ' -3 6 / W Robert G.Tast,Architect m dt 3 / s Ui�o�` ,� c�.10 �� ,4 `+�y 'sw/ SITE DATA ,. 009'►y 7 i,� �' /c S AREA = 33,578 50. FT. o % dt FX5M D IN�Ih F-RATE MAP PANEL NO.3610300166 H � � `eiD SEPT.25,200q. Yui ?� O., c`b''l" \g '• �v\ �j \ ' J • VERTICAL DATUM = NAV.DATUM(1988) i7 _,di�p FIRST. a 9 !` Q�4 1rjE.l \ \ �' ' 68055 FLOOR AREA o '\ o" ^J� h ( •?> \ SECOND FLOOR = 1.864 5Q.FT. - 1664 SQ.FT. DP` 1 g A. Q� \ /C HEALTH DEPARTMENT USE h 4 / 41 A 40P NPa +'13 yA \v �9 P' ''-ti 2 I �' +4.91 �� ; � ` 1 ///@ \ '6 �\ ,/OD ¢` I 1 f i to �, d Yui `r/ e �j ''>c�°e. \ a �7p :tF_ m=1 — r `a�s I \�, � \� ,� /j''�qO4hSc0�.ba^\`�\fy \\� ���� 4�p1�y�XPi ihJ.93 >�'�@,,��•v \�/ YI, I fi` ' � \?\/�c o�r`�,„J�\�9/3ry,��,Oy .p FR I �0 �1I R'S CERTIFICATION +° 0� a2+ OF E vV? U 2018< pQ\ � Civ .be ei+/ ���- '� 9 �� 'Qa l �OL¢-�s T'Q*• �b St i .�i 'i hry �6"yAOy�l'7�`l \ 9�y EE✓� >'� -./ �•` � c� �V � j� � i �//A ,�' ha O 11 �. q� `� /k �� n.2s I h, ° ,_ ^?/N'. i ^___? mid c,Tr•I i_Ste—•—� i ' ' :� a a INAPFRO ' % K >MM'E ^^^III LOOATw”OF POLL ~- a \ /d -'\7 \ 7 a�. foo. \ /a�J J 8`33 TEST HOLE �� 9.90+ oy \(� �` / / HOWARD r►.YouN6,N.Y.S. No. \ °gam ids a 4 3 �f; phi/. / \ �"o � NBY McDONALD 6EOSCIENGE rV `� / \ 33 d°• .�.'�+/ 2 •\ EL-14.0 DATE: 06/14/16 0A' 4c EJ ��� 68, o, ��� ��m / .¢" 5UR\/EY FOR ♦ �� \a �� WILLIAM AYER5 4 / tea' 9 ' �& Qw0` DRAB I NAGE DESIGN CRITERIA I A .1E1�lNETTE DYERS / "'o` 4 GA�LGULA�TION5 o CLAYEY � 4.01 6 ,�`�u V = A R G at Southold, Town of Southold cuYEY SAND x �` ; a �p`t 0 X,p A = AREA OF TRIBUTARY (5.FJ Suffolk Govnty, New York R = RAINFALL (FT) OUILDING PERMIT SURVEY G = COEFFICIENT OF RUNOFF - 112' � t,9'� WATER IN 0/ ��� REQUIRED County Tax Map DIStrict 1000 Sect="18 el°Gk O'I Lot 51 BROW \ i \� PAVEMENT 4 ROOF = Ib0`I SF X 2/12 X 1.0 = 268 GF r CLAYEY ` / &RA55 = 1700 Sr-X 2/12 X 02 = 5-7 GMAP PREPARED F JUNE l5,2016 SAND / ` (50) \ i TOTAL VOLUME REQUIRED = 325 OF i 5'171A.DRYWELL WITH A GAPAGITY OF 4224 GF/VF Racorcl of ReVlslon6 14.0' � 325 OF/4224 GF/VF = "7."1 VF REQUIRED RECORD OF REVISIONS DATE PROVIDED esFnI�uAI AMENDMENT'S SEPT-017 2016 o yLe, IN ADJACENT AREA. LOT GOVER.A&E USE(2)-8'121A.X 8'DEEP DRYWELL = 6-16 GF $ PALE EROM ADJACENT AREA = 15,443 50. FT. L.F. #2 `o y• MEDINE I SAND PROP05ED REQUIRED (5P) PORTION OF 2 STY HOUSE 4 GARAGE = 1,256 50. FT. = 8.1% I PAVEMENT 4 ROOF = 3,562 Sr-X 2/12 X 1.0 = 594 OF m &RA55 o DECK = 5-16 50. FT.' = 3.1% = 1,406 SFX 2/12 X 02 = 4'1 GF So O 25 So 100 �.L I TOTAL VOLUME REQUIRED = 641 OF 0 20.0' 8'DIA.DRYWELL WITH A CAPACITY OF 4224 GF/VF Scale: 1" = 50' IL H16HEST EXPECTED TOTAL = 1,532 50. FT. = 11.5% 641 GF/4224 GF/VF - 152 VF REQUIRED JOB N0.2016-0085 6ROUNDWATER EL-1.0 PROVIDED DNS.2015_0159016_0085—bp OF 4 O = MONUMENT SET 0= MONUMENT FOUND = STAKE SET AL= STAKE FOUND 0= PIPE SET Q= REBAR 4 GAP FOUND = NUMBERED FLA& USE(3)-8'DIA.X 6'DEEP DRYWELL = -160 GF o _ CC# : C18-55569 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 12/19/2018 under Liber D00012993 and Page 597 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 12/19/2018 SUFFOLK COUNTY CLERK JUDITH A.PASCALE SEAL 1 L IIIIIIIIIIIIVIIIVIIIVIIIIIIIIIIIIIVIIIVIIIIIIIIIII 111111 VIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 12/19/2018 Number of Pages : 6 At: 04 :09 :00 PM Receipt Number : 18-0237191 LIBER: D00012993 PAGE : 597 District: Section: Block: Lot: 1000 078 .00 07 ..00 051 . 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30 . 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 $15 . 00 NO RPT $200 . 00 NO Fees Paid $285 . 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County F11 F21 Number of pages h1 RECD�FOED 2016 Dec 19 04E09:00 P 1"i lD I TH A. PASCALE i.LE.E;K OF This document will be public sUr-F OLV CO;I IT record. Please remove all L [700012993 Social Security Numbers P 59'f' 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 Spec./Assit. or EA-52 17 (County) Sub Total Spec./Add. EA-5217 (State) TOT.MTG.TAX �C0 � Dual Town Dual County R.P.T.S.A. ,9 Held for Appointment Comm.of Ed. 5. 00 � • ' Transfer Tax Mansion Tax A 't � 4�' The property covered by this mortgage is Certified Copy 5 or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES _ or NO Other Grand Total o If'NO, see appropriate tax clause on up page# of this ins"m nt. 4 Dist. 3782691 1000 07800 0700 051000 5 Community Preservation Fund Real Proper p T S I IIIIO VIII®III I�I Consideration Amount $ Tax Servic R LPA A Agency 1941)EC-1 CPF Tax Due $ Verificatic --—-- ----- -- Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land Ay�� f TD -1 l�L; �j � 6 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Compan-y 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 je C cj made by: (SPECIFY TYPE OF INSTRUMENT) �1/11A LA� A S The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of In the VILLAGE or HAMLET of 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 1 ' THI'S DECLARATION made this �G7 d y of 10e—C- 20by INS/� '�_ residing at Ao/z &(d ' hereinafter referred to as "DECLARANT (S) " : - W I T N E S S E T H : WHEREAS D LARANT (S) is/are the owner (s) of ertain real property located Y-V A Y Town of Southold, County of Suffolk, State of New York, described in the Su folk County Tax Map as District 1000, Section Block �, Lot 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 NOW, THEREFORE, the DECLARANT (S) do,/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained/eo /I)o"J � fAl ���� u� Al IlAr 0 ~ fir" as defined by Chapter 275 of the Town Code: to wit: A vegetated area, as designated by the Board of Trustees, immediately landward of the wetland boundary, shoreline structure, or other line designated by the Trustees where no operations, maintenance, placement of signs or other activities may take place, except-that man-made debris may be removed from such area by hand without the permission of the Board of Trustees". An application for a wetland permit may be 'submitted for the removal of harDAul, �"inva•sive" or non-native/vegetation; and as depicted on the r r�t�'t'�,J Z61�J 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 2 01 q . Z�) OWNER' SIGNATURE ,//, OWNERSIGNATURE STATE OF NEW YORK ) COUNTY OF Sv ) ss . : On the 11 day of in the year 2019 , before me the undersigned, a Notary Public in and for said State, personally appeared WjLtAarl$jt TEANM kYE4S , 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. Notary Public DIANE DISALVO NOTARY PUBLIC-STATE Of NEW YORK No. OID1475593 Qualified in Suffolk County PAY Commission Expires April 30, 20 312— 2 YB,r P�r,FF,:,n FS"� _-_' i,;_ ��?J.c}'„tf.�r="#'i .y;;y`l +,f•ie,„”^fin::dr.,�v`r.r�s"ri� -_ ___ ,`c{'�s`v`,Nr'3e_-,-si' _ _ ,3:-i't- - .1', .,q. >`,',"4_Y'•^ _ - - X^f.� ., rs;,r-z'r,' rva ,�.,.,.•,t,, .c.`Jf9: # i �':.:�,n- ;-?sr`' ,.t,+;^•,;"` :'fx - _ Ay-, _`''zt's;s;:w�;� ;OO IT lµ y DWSOTn - - - E, - ;'`-'^t' ..4ai}=r e^r-, ci:Ss'°?>St'k$ 7.T1�y■� 'A�TtryTW - :.:Y.'-"`'f'S._ mV' jit � ''19L:•i;�' �191La'. _I �� .: ;"":�'i :�L.• ^} •h' - - �'t:; +P{,.i�:.: J.`?i€�h{l -ir1.q ,�'»ti. f�,"-�:Y<3��.� -}d•„>`ia,-� «�4i'}�u`'- - '!. -;.'•- =,f = U5T17 `PEi l!'lIT-N® Zi865 DATE , 7 .P,`,+ 1'r.2i'a t, "G;',rf•.ikrin,'$ ,,1-7':' ' i3; ” 'ti'_ '[' e;/� _ ,J ati ":as}': - ••_£' ^.Sx '`j� ! -='r.` - >ri"tT's}r'.'- n,r.,.a>•y,¢!�,�, 't " ;a��e=�;�f�`' :a - `;'� �;`*�': �f. r-_ e'`:�<...Ssr3sslt'C,�t,` e;i3•.s: _�tr:� _ .�.-..y., `;;:,, esm -x= 'V: .-`(= i TRO PERTVAD iDR3ESS: 12211�ICI�O1tY AV�l�1'UE,,SOII�TI�OLD';' - ;.,i'ry.' ,z: - -- - '"�," - - Pr�",'t Ei�_k»r.x�- "t','„3?„i:"'k?;,i;':1�. <:,;:a;.�•.}�t*,fy�, '@p �,,,>>µ,c -- .t 1 � _ - -SCTM#,1000". _ .�,^.,,r�. '=,zs.����'3;..�,,;..�,-r.,;.r .�';+='<�-•'` - �'pp " "" �t €a �''Fa�.-, _gi,;:='C-s�:,,;'�,•'�S�,.axet'�`r at z6a�r: - ” r ,FfS£ S sk�x ::tri; ;'q•� F-t `3; _1�: - ?^t'„�`.-^'- <'4.. .._"::_v�F7>•tFs}��'.,-„ } - .¢'fi, WC-1-75 '�[jyT'�. _ •if"'; _ -�' vA `a•`:: _ '1'Ca, -- _s 'it'•` _ - i�.. 'Ea ,.T;. ?y�3; `5�'•,'� S�' �anT'";19•,i=: ""{.t -"' k 'ursuant'toilrovisions of ter;.2 75ofr the,Tvwn� ode`'o ";the.f Toti';,of Soitltold;aind,.iiia:: j4'-'yk P -;n e,�;=:fir. ^y,a;�+:,R='_:,,„t prt',�u;,i.3r,"",<f;1��',,,,G�f;ac:✓.,c_..,{,-„-e,,,-.„4' =rS' ' te.i. ,..guts_..£ .t -.>i n, accordance`with'theesoluton.of theBoa�diof Trustees'aiiopted atftiemeeting field;ori Azigust>>Y7:20'16;and; ., �:-R: - r- ": 'z.=_,� .'a-:c�i,3 ,e,...;,.y.., Wit, e -_ - - ,'i- _'�'F`-,- _ - "'W”6, - '"'la 1,_.€�' r'",''., corisiderationofan'y"�licatioifee-in,the suiiniof"ZSQ:UO`ttaid"bYarold:Reese:Jr>;and sub're'ct`totliefTerms'and'=' � - ap , e,r3 •€,._ _ -- - -°t�: --,:•-'� <�. .�_,.,.� 7 j„,r" ".::'+" }'Coriditi ns°`as.stateii m''.the'=,Re`s`olutiion`<;th_e:=Soiit}ioll:Town`Boaid of Tia`s'feesa:aorizes:and permits ttie- 's ".x.� �Q=” r1' :S "a.t '-� . ' r2�- 1;.fl' -_ _,.x,y _ �'•.'S;,T ( 1k' s *,}�1 s -c�."'•_ §','35i. - _ ff�a " -_ '- ,(j.::Yv F:,* ,-t•3` f�'£:2rFlt - s'l,s4s- - - - E _ - W"'tT'n `Per nit.t®:c®instruct a' Lim'' 'e,`familf"`tvv®`st'o ..dwelIin 'consis, a d _ >`;:�,', z-.„, }” - �` '--�.'.G: _ - ':Y.:.�le ,.; ,F`, ,ia'T.ry� - - :�'t'"^4I"Y3r --- ``l;4T7-k,q/g"ft_li serrient�"lev6lj,,u -3�s(q:ft of aaraQe� 'fii�st4f1®or ria=to;' clade'1864s(p ,9ar.?ls•_,`i -F-tE ...�1 .g<_ lib; `:9 � : - w- -mg ,,?�• _ ,-t-9 wLgrF r __•S'`" `2=';.3G�"s a4r ` _ A - - - ��� "`1"f' ,j,`: : -,`,Fry', =of iv s"'ace={with`a 5�4s .ft4seawa'rd;deckC3Y174s".ft of.landiim"`s':aud_ �s' fte:of, r„ ,- _ -.}t".t-:r '.Y�. .e _ •r :® 'r 1 ' e>'"704x' ft:'-of=liviii `ace•`anstalla-Danita s' stem►' },{ :. :stn - %ays',,'secoacl fl_,o to'iinc fid. ,1;_ q. g�Sp ; � -,« ,,r';�k ,. �_ .. -��� .,NtH,. #- ro:�, s . :'��. ��+ ?<„"•e,"r.-r landward of`' r®” osed=dwellin -•"fit 11-3.709s `:ft:,clriv�wa �ad��'�""ro�umateY'; a , pp :i,� _ -r: ?:;=< - _'-*'.? Fi a__" gjr''.`r ':.- 'z' _ ,`� - t_bbbW, ;a'ra;of elpAlfYfill-to'Y""ropy}, istall two etaim� atl Ubtalin'=E138 -in=flenQ}li' -�;,. 11. ....C, F•{_.,s�:/•-7. r�s-.�«�>. 4r:,*tr r,�3r DA,•_ - ti:?"- ,( : z '?.:.. r.'_;-- - - ;§._-�:��., -' -t. ==a d,akhei"xlit'a°an .tfrom`== °0':t®.7 g:be 'crani `3froira=shies:mftdw"'Hi yon ;:l; 5 L: �.e.&'v. �' .��,i " Yg,�1)6 `5:3 _�+}„v,•. _ - t. Vie'-.12:'"' 'r-1-"'_ L`L4 :r^�rrirw�' , clearan;a r®xiiatel 1457s f�'area�`and=.install'"."'"tters`,t®:leaders dad ellskand } nsa o,,.'ea,..1-,'> M � ,, 1� [5�� r_ �frl-- F' " k. -,,a--_4„'-s-x ,iin,accordaiice_ witli=Ch: 3f df t7 e-T®van.code=SZ®riavvaterlaiana/r�einem•<witli;.tlie' - -�3-=, . "�33 -ti?:": �1ryN✓" ,.`i;t SN_."s -"•'yY�S,�1rf .ge tY_72%gai -!.a --" - .sc,<_ aF:,' _17 - - _ i'Ir-lr"i-,'1`,,�”' 5 �A,. :.comditioiio estaish,;aiicl=`'er e_tiiall ivaim`taaa_a 100."anon-disinrb_ arise=_mbufferr": �k •i�` ,', �+� 1*x-,. F;�".}i�.. -�,•�c:':. :� ';b9'Qbinnin(L��ftoinAM sea©varei m®st Pro" �r}�r''li ey'landva�'a f; �+._. "' -*'Ip,i }� j --Y`- _ s`{'.5.'� „�`3-:t TB:`:-s su�s.9{a _ _ _ - :the`�v'ater� aril=asz:de feted oo �iemsurve�''7 y�renareil'_b Y'jftpr_&Yoianp I'M'dated.®ii, r`irxl5t,..,-+..,, yr-t_ - .�4=',:. .,rp. _`�i^F~g';_ .-t:.'tip - nip£` <�.F'-.s , Se' 'emla'Qrt =2016"ancl'stani eii_a` ]roved,” Se�]tembeg l2 s2Q16'`; - - =' ,p�- a �, „-nl�,_. ,1-Ste+' -=1=r =Sam _ _ „i, .G' - _ - : Ori^_x_ _':t,_',_..e• `+,'.. -'y--:•4"it�' ” IN WITNESS=,;WIiEREOF'the said'Board'of Trusfees_hereby,causes'ifs:CoiporaYe S_ eal,to,'be affixed_, ' and thes`'e greieri6to'be subscribed by,a`majonry of tl e;said Boar' _'s of this'=date: Jr' aq rr '#, _ - axis .rk . _ =`2'} _F.Ytl,+-", - 'a .,s�r _ � _- - tits ®�a�t.`n_,.��a+ � - - . - -- -- •=� - -- - ' v� _ "" -,y�j - _ ')'•-.'y}� moi/ _ +`S'• - - Y 4} __ / Yitl TERMS AND CONDITION - The Permittee Harold Reese Jr. residing at 122 Hickory Avenue, 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. S. 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 rustees,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. Oun1p1urzo iiww+wu n"uvwwt�vi v ixi'ro o�rov re u ra wnsn rs�vanwviIIum X-1 I_msra v�un(m" wsµm'uvax wiMUEvu�iai xm°aus,xwYxxo�inwnwirixors�mu"nwsw w'sesewwrl�owwi(aln¢unnou v xn' is fM uA°`o¢rzls1°�'p a�ww''is�)a� x�w.ec i aimn m wnous°Eiwo oii m�'i'i�o'anf'mmVan�TON 400 Ostrander A—.,Riverhead,New York 11901 W.691727 505 Pax 691.727,0144 ��,� N admin®youngenglnearirg4om � \' %a O O B Howard W Tmo Yiolpsrt,Yo5urvayor 6lglnesr Dou92106 E.Adams,-,t 6 T—t,Englnaer �v6 f 9� Te J 6e�\ O dao 0 Yo Robert c Taal,ArcMleGt e �� 'ri51TE DATA % sAREA-83,5.15 SQ.FT. FLOODSEE 1' LAST DATEDSEPT 25,200q INSURANCE RATE MAP PANEL NO 3610560166 H \ l a),�� O C" �'�fq � •'>j = VERTICAL DATUM a NAV.DATUM(14881 GROSS FLOOR AREA FIRST FLOOR 1,1364 Go Fr. SECOND FLOOR =1,064 SO,FT HEALTH DEPARTMENT U5E ��va ago i� ° \'�. \ \ \\ ?mob;, � �$®P%`0� �3vp�``3° '\)o �1.\ \ o�' d' eApj QT d'IY B +497 be 'q `•hY6-A�t�\ 6 \\ry :APPF VE. ..��-. v!y iA STEM ti;.. A. 05 \s�� g�'syQ�r; F/ % F TRU1:v VEY R5 GERTIFIGATION \ \`\ <,o �„e'0 tc`y�b `A 8 . / Tss�e41�8 y„ '� 161} ` �dr �'i Q� • / �•3a / ..'1i�.�'VtI,�V' F� q C.oAf S1' s' a�) C/o / DAM-:,- "�`-•,- /w j w wy0 / qr e / • v 3 6 0 i "f `.'.?'�9,f°a G)/ ^�--` Ri};dL..,(/(d Ft:fid: , � 990 pi' ( TEST HOLE / �°�,b °fid .�/ D / / HaWARDYLYaUHG.NYS L.NO 4511 ` '' - BY MLDONALD 6E05GIENGE /.l DATE,06/14/16 Z� Q � � 1` EL-14o O,0' '�� 0 4° ay. 6�' bio'rpt `�� / SURVEY FOR DRAINAGE DESIGN CRITERIA WILLIAM AY�RS � �M GLAYe,. ,a ` �D �o,o 4 GALGULATION5 JEANNETTE AYERS SAND p 4.=+ o� Qs° V=A R G at Southold,Town of Southold (sc) 0 \ /'l cO0,F�,as A=AREA OF TRIBUTARY(SF) Suffolk county,Naw York 4. \01i R=RAINFALL(FT)IIs d \`\ ' o" ' cc\Q0`*e LP ul G=COEFFICIENT OF RUNOFF BUILDING PERMIT SURVEY YORO m 4 ' County Tax Map Diew 1000 s..uen 9B mart 09, to 51 BROWN % rX' �D I REQUIRED CLAYEY \ , PAVEMENT C ROOF a 1.60'1 51'X 2/12 X 10=268 GF SANDwp� r1} eµpn a 1,700 SF X 2/12 X 03-57 OF MAP PREPARED JUNE 15,2016 ( ' ``\� ' /' D b C E d E D G�� TOTAL VOLUME REQUIRED.525 OF 14A' DIA DROLL WITH A GAPAGITY OF 4224 CF/VF RBGOrd of ROV(91onS 525 OF/4224 CF/JF-1.1 VP REQUIRED RECORD OF REVISIONS DATE x WAER IN ADJACENT AREA LOT GDVERAGE C PROVIDED ,5F_Nwn�AMMQbdENis _SEPT oT 2016 PALE BROWN SEP 1 2 2016 USE(2)-e'DIA X 8'DEEP DRYWELL =616 OF F1Ne To ADJACENT AREA= ISr443 50.FT i LF.#2 `= MEDIUM SAND PROPOSED I f REQUIRED (sP) PORTION OF 2 STY HOUSE 4 GARAGE = 1,256$0.FT. =5,1% ( S551h41d TownPAVEMENT s ROOF =5562 SP X 2/12 X I,0=544 CP qE DECK =5'16 50 FT 5'I% t Btlard of Trustees 6RAss =1,406 SF X 2/12 X 02 a 47 OF b 20.0' TOTAL VOLUME REQUIRED-641 OF 50 0 E0 100 o. HIGHEST EriPEGTED TOTAL-'1,552 S0.FT = 11.5% W DIA DRYWELL WITH A CAPACITY OF 4224 0- 6ROUNDWATER EL=1 O 641 OF 142.24 GF/JF a 153 VF REQUIRED Gaalo,P 50' PROVIDED JOB NO.2016-0085 0=MONUMENT SET 0-MONUMENT POUND Q.=STAKE SET A-STAKE FOUND 0-PIPE SET Q=KEBAR s CAP FOUND a IdJMBERED FLAG USE(5)-8'DIA X 6'DEEP DRYA2LL a 760 GP DWG.2OI5_01593016_OO65JsP I OF 4 Michael J. Domino, President zf so Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 00 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1552C Date: knuary 16. 2019 TMS CERTIFIES that the constriction of a single-faniilv two-stom dwelling consis!j1W ,ofa 1.477sq.1`t. basei-cent level with 384sq,lftof garage-. 1first floot-area to incIticle I 864sq,ft, of fivings'lLaee with a 584sq.ft. seawarddeck, 174sq.ft. of landin ,s. and 48saft. of stairways;se ond floor to inchide j,7 _�ai-ea with fire pLit,.install a sanit QA��.ft. of�Jivin �space: for the as-bui It 12'x 1 pati area .5y5tein landward.0f DI'Mosed dwelhng- i,nstaill a 3.702,%.11.driveway.,_-Idd anDroximatel 41� c rl�i _yards of clean fill to property, install two retainingw 138,' in leniath and .4,height i-aneina [mm_1W to L_g 7.5'i)e'i11_11Jn dwelling goirig landward. clear anp _from sides of ppr2xir��atel 1..4.2S7sq.ft are:X, and install gutters to IeadeEL1QdtyweL1.&.and in accordance.Ajth Ch. 23k )f the Town c�Qde-$tornnvatg�j: Management-, with the condition to establish and ain a I 00�' non-disturbance buffer set-Dettially maint )q Inning from the seaward most )ro tine landward,, and a 4' wi&_q2�_q ath�tothe water; At 122 Hickoty-Avenue. Southold Suffolk County Tax Map#1000-78-7-5 1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated&tyj4,.?2016 pursuant to which Trustees Wetland Permit#886S Dated ARgrest_11,�0 16,was issued and Amended on Jangary 16 2019 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 construction of a_�Ei1LgIe-fan1iIyjwo-story dwelline consistin fay,q.. zar basenient level with 384s�........St. of... __Agg; _Ezra oor area to inclucLe 1,864sc,fl, of living space with a, 584sq.ft.segw Ltrd_de.c1( 174 Lgfimm of landing ,An 4 8 sq.ftA)f At second floor!o Inchide I�70 .ft. of iving space- for the as-bijilt 12'xl2' patio area with fli-epil --i install a sanita[y system at dwai-d of prop�osed dwelling: installA.3,709sqft. �Ijveway. add apRMroNxhJqi1aattdy 488 ctibic yards of clean fill to pro I two retaining wall�stotafijig_tj _A— Linj lase ht an fi-om Iff to 7.5' r n iiip gning._IT oin landward,, leer 14.257s .ftared install f ggibers t9-leaders to drywi crdance with Cb,236 of the Town code-sStorni water 1v t qgqgientLyverpetualjy iidintaina.100' exon-disttLiLbalicet,)tiffqf ifli flie condition to establisli and p beginnili'l froin the seaward inos yard lylost_ppop idmard and1.4' wide access path to tile water. L _y� The certificate is issued to Wilhain &ieapettq_AyeEowners of the aforesaid property. ')5'U�Authoriz , Signature � �QF SOUPy Michael J.Domino,President Town Hall Annex`� Ol0 John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith �l ® �� Telephone(631) 765-1892 A. Nicholas KrupskiC®UNTI i Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR A TRANSFER OF A WETLAND PERMIT P1 S DATE ✓�N OWNER �i�1 / ` ' J PHONE MAILING ADDRESS / � llj `�-- AGENT PHONE ADDRESS PROPERTY LOCATION TAX MAP NO. ! —2" 57 Net / request a Transfer of Permit# � from F E� ,fir `1�- Signed By: Ct !.� —ice'-- --� l� JUN 2 8 2017 i i i Srndheltl;�srt (�iBoard of 1rtae�s � 4 �.J Board of Trustees Applicat ;i - AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. I i elxl� 6 Signature of Property Ow er Signature of Property Owner SWORN TO BEFORE ME THIS Zft DAY OF 20117 &41ev Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. 01D1475593 ®uollfled in Suffolk County My Commission Expires April 30, 2010 'fjf SO Michael J.Domino,President �o" Ol0 Town Hall Annex John M.. Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders C/, Southold,New York 11971 Glenn Goldsmith ® �a@ Telephone(631) 765-1892 A.Nicholas KrupskiCOU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 19, 2017 William & Jeanette Ayers 147 Park Blvd. Malverne, NY 11565 RE: 122 HICKORY AVENUE, SOUTHOLD SCTM# 1000-78-7-51 Dear Mr. and Mrs. Ayers: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, July 19, 2017: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#8865 from Harold Reese, Jr. to William & Jeanette Ayers, as issued on August 17, 2016. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, 0 gg Michael J. Domino, President Board of Trustees MJD/dd Michael J. Domino, Pres o��S11FFQ��CDG Town Hall Annex John M. Bredemeyer III,Vice-President ��Z y. 54375 Route 25 Charles J. Sanders ro P.O.Box 1179 Glenn Goldsmith "Y Southold,NY 11971 A.Nicholas Krupski � pl� Telephone(631)765-1892 ` Fax(631)765-6641 i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: WILLIAM & JEANETTE AYERS request a Transfer of Wetland Permit#8865 from Harold Reese, Jr. to William & Jeanette Ayers, as issued on August 17, 2016. Located: 122 Hickory Avenue, Southold. SCTM# 1000-78-7-51 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 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 M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 i Michael J. Domino,Pres o�QS�FFf7�,�COG Town Hall Annex John M. Bredemeyer III,Vice-President ti� y54375 Route 25 Charles J. Sanders P.O.Box 1179 Cn Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski d p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: WILLIAM & JEANETTE AYERS request a Transfer of Wetland Permit#8865 from Harold Reese, Jr. to William & Jeanette Ayers, as issued on August 17, 2016. Located: 122 Hickory Avenue, Southold. SCTM# 1000-78-7-51 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 John M Bredemeyer III, President :'o��` �<2 Town Hall Annex Michael J. Domino, Vice-President :`~ - �� 54375 Route 25 Glenn Goldsmith `o �� z •`: P O. Box 1179 A_ Nicholas Krupski � � _ o�-;' Southold, NY 11971 Charles J. Sanders = 01 �as;r 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 -Y2 constructed- - - - - V Project complete, compliance inspection TERMS AND CONDITIONN" The Permittee Harold Reese Jr. residing at 122 Hickory Avenue, 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 Penmittee 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 oE SUUTyOTown Hall Annex Michael J.Domino,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® O Telephone(631) 765-1892 Charles J.Sanders O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 17, 2016 Thomas Wolpert, P.E. Young & Young 400 Ostrander Avenue Riverhead, NY 11901 FSE: HAROLD REESE, JR. 122 HICKORY AVENUE, SOUTHOLD SCTM# 1000-78-7-51 Dear Mr. Wolpert: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 17, 2016 regarding the above matter: WHEREAS, Thomas Wolpert, P.E.,'on behalf-of HAROLD REESE, JR.'applied to the Southold-Town Trustees for-'a pefmit-under the provisions-of Chapter 275 of the-- - Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated July 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 August 17, 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 HAROLD REESE, JR. to construct a single-family two-story dwelling consisting of a 1,477sq.ft. basement level with 384sq.ft. of garage; first floor area to include 1,864sq.ft. of living space with a 584sq.ft. seaward deck, 174sq.ft. of landings, and 48sq.ft. of stairways; second floor to include 1,704sq.ft. of living space; install a sanitary system landward of proposed dwelling; install a 3,709sq.ft. driveway; add approximately 488 cubic yards of clean fill to property; install two retaining walls totaling 138' in length and a height ranging from 1.0' to 7.5' beginning from sides of dwelling going landward; clear an approximately 14,257sq.ft area; and install gutters to leaders to drywelis, and in accordance with Ch. 236 of the Town code-Stormwater Management; with the condition to establish and perpetually maintain a 100' non-disturbance buffer beginning from the seaward most property line landward, and a 4' wide access path to the water; and as depicted on the survey prepared by Young & Young, last dated on September 7, 2016, and stamped approved on September 12, 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, John M. Bredemeyer III President, Board of Trustees JMB/dd (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO E%ISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABUSH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY (4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION USTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W)•SEPTIC TANKS(ST)6 CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. `► 400 Ostrander Avenue,Riverhead,New York 11901 �b/�@///79 tel.631.121.2505 fax.651.127.0144 w, T admin®youngengineering.com ti /y �� V100-< `� �d� ®®� 0 Howard W.Young,Land Surveyor rya , aim' O p ® Thomas G.Wolpert,Professional Engineer /, �{ Douglas E.Adams,Professional Engineer ��`" � ® ® Robert G.Tast,Architect 00, edpy �p� cJ3 i� @^ D 16 rd .n °o Ilk Gjh it ova c ,� \ ® J `r,Eh 511E DATA tb AREA = 55,515 50. FT. S at Ag O @ § � <� SEE FLOOD INSURANCE RATE MAP PANEL NO.3610360166 H �,q �y LAST DATED SEPT.25,2009. CO 1(�\ Ofi ,c ���c9 e` r �> * VERTICAL DATUM = NA.V.DATUM(1988) \01 ®� +2.9 �► f �59 \ ' GROSS FLOOR AREA ^ \ FIRST FLOOR = 1,864 SQ.FT. �y ry o 1 R a;A �'q� 'O \ \ ISIS SECOND FLOOR HEALTH DEPARTMENT = 1,864 SQ.Fr. 8s ®° T� •ems � \ `�' \ C /, o e ® 1 0 \ \ \ �O dw0/ HEALRTMENT USE \ \ ss��}, 01 ®213 �p Q� '6 +4.9'1 Qlt' ®° •• v 11�� I 2+ 4. \, 00 3 Q ► 1 S � ,�w/f� o _ . VED 6Y -Y l q�wo ''� dO�RD F TRU sq'�o� \ < �'�,,, F"7, R'S CERTIFICATION W qQ o e7 n f N 1� , \ </q Sc moi 6 } p 1411' mn � o,(- +�=l' �\ QCO56, 6/ �.I0 e>9 �\` s� 4. l �q�a� .7�gti / \ '6 ��/ k /yam ��y,�0 � y,� -� ��s;� •.•"��.1�®�. O Ks `J `� a / / DATE 01 /40 T , �w '@� O L h P�®� �TM ^ / may.-- q` ®aHPPRG ,£ ryb O s y �s � ® wcAnoN of IhaJ. , ` .9w �f^c /C /J a ,tit -, E \ ISO• / / r0 / r00, .F.•I •1 oR 0.� 00 \ '� /o - - - '' ' t ^ '• 3 1 N TEST HOLE G/z ' � 9 q Q b. 1 a, \o - ass y 7 , / w gi / HOWARD W.YOUNG,N.Y.S: NO.45 N BY McDONALD G � `[E05CIENCE `� ® 333 p�i r`4j 2 ^ DATE: 06/14/16 QQ6. SURVEY FOR c EL=14.0 0.0' N DRAINAGE DE516N CRITERIA WILLIAM AVERS �o�j����°� CALCULATION5 JEANNETTE AYER5 c CLAYEY 5AND Q % ,� 4.09 di ek ��\\ V = A R 0 at Southold, Town of Southold �0'�J;0�'�, A = AREA OF TRIBUTARY (5.F.) Suffolk County, New York R = RAINFALL (FT.) G = COEFFICIENT OF RUNOFF BUILDING PERMIT SURVEY o� WATER IN \ rw / �� REQUIRED County Tax Map Dietnd 1000 Section 78 Block 07 Lot 51 WN BROi �� , PAVEMENT a ROOF = 1,609 5F X 2/12 X 1.0 = 268 OF CLAYEY SAND i ' r GRASS = 1,"100 5F X 2/12 X 02 = 57 OF MAP PREPARED .TUNE 15,2016 (5G) \ / D E ,C E U V E TOTAL VOLUME REQUIRED - 325 OF 14.0' < 8'DIA.DRYWELL WITH A CAPACITY OF 4224 CF/VF Record of Revisions 325 OF/4224 CF/VF = '7.'7 VF REQUIRED RECORD OF REVISIONS DATE IN ADJACENT AREA LOT COVERAGE 1 2 2016 PROVIDED GENERAL AMENDMENTSPr.m,2016 PAKAM LE BROWN SEP USE(2)-8'DIA.X W DEEP DRYWELL = 6'16 OF o FINE TO ADJACENT AREA = 15,445 50. FT. L.F. #2 `o MEDIUM SAND PROPOSED REQUIRED (5P) PORTION OF 2 5TY HOU5E & GARAGE = 1,256 50. FT. = 8.190 Southold Town PAVEMENT a ROOF = 5,562 SF X 2/12 X 1.0 = 5414 OF DO DECK = 576 50. FT. = 5 196 GRASS = 1,406 5F X 2/12 X 02 = 41 OF 50 TOTAL VOLUME REQUIRED = 641 OF O 25 50 100 20.0' 8'DIA.DRYWELL WITH A CAPACITY OF 4224 6F/VF Seale: I° = 50' a HIGHEST EXPECTED TOTAL = 1,832 50. FT. = 11.896 641 OF/4224 GF/VF = 152 VF REQUIRED GROUNDWATER EL=1.0 O = MONUMENT SET ■= MONUMENT FOUND Q= STAKE SET A= STAKE FOUND ®= PIPE SET • - REBAR a GAP FOUND = NUMBERED FLAG PROVIDED Dom.20 5-01541-2016_0085 �p I OF 4 - USE(3) -8'DIA.X 6'DEEP DRYWELL = -160 OF (631 727-2303 YOUNG &YOUNG - � Telephone ) 400 Ostrander Avenue Facsimile (631) 727-0144 Riverhead,New York 11901 admin@youngengineering.com HOWARD W. YOUNG, Land Surveyor THOMAS C.WOLPERT, Professional Engineer DOUGLAS ADAMS,Professional Engineer ROBERT C. TAST,Architect September 8, 2016 Town of Southold Board of Trustees Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 RE: Proposed Residence HAROLD REESE,JR. EC i V E at Southold, T/0 Southold, NY D 0 (16-0085) SCTM No.: 1000-78-7-51 SEP 1 2 2016 d Town Dear Members of the Board: Southold Enclosed are the following items: 1. final inspection fee — William J. Ayers check no. 468 payable to 'Town of Southold' in the amount of Fifty Dollars ($50.00), 2. one (1) copy—Southold Trustees correspondence dated July 14, 2016, and 3. five (5) prints— Building Permit Survey (Sheet 1 Of 4) last dated September 7, 2016 amended to indicate the landward limit of non-disturbance buffer and proposed 4' wide path. We understand that submission of these documents enables you to complete your review of this application. If you have any questions, please contact us. Planning Engineering Land Surveying Page 2 of 2 September 8, 2016 Very truly yours, Thomas C. Wolpert TCW/cw Encl. cc. Mr. William Ayers + encl. r-- 0 �}FFOCK�o��, John M. Bredemeyer i'ii,"President O G�, Town Hall Annex Michael J. Domino, Vice-President =`� - �� 54375 Route 25 Glenn Goldsmith ,z P.O. Box 1179 A. Nicholas Krupski " ® vY Southold, NY 11971 ✓ O Charles J. Sanders Telephone (631) 765-1892 "{n n Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ��L 14, 2ot& has been reviewed by this Board at the regular meeting of AWSW5T 17 201 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) / %Constructed ($50.00) {� Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) 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: $ 50, BY: John M. Bredemeyer III, President Board of Trustees John-M Bredemeyer III, President," �FF01K�o Town Hall Annex Michael J. Domino, Vice-President �oo� 54375 Route 25 Glenn Goldsmith o `� P.O. Box 1179 A. Nicholas Krupski �o Southold, NY 11971 Charles J. Sandersyyj o� Telephone (631) 765-1892 x � ' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: Thomas Wolpert, P.E. on behalf of HAROLD REESE, JR. requests a Wetland Permit to construct a single-family two-story dwelling consisting of a 1,477sq.ft. basement level with 384sq.ft. of garage; first floor area to include 1,864sq.ft. of living space with a 584sq.ft. seaward deck, 174sq.ft. of landings, and 48sq.ft. of stairways; second floor to include 1,704sq.ft. of living space; install a sanitary system landward of proposed dwelling; install a 3,709sq.ft. driveway; add approximately 488 cubic yards of clean fill to property; install two retaining walls totaling 138' in length and a height of 1.0'-7.5' beginning from sides of dwelling going landward;clear an approximately 14,257sq.ft area; and install gutters to leaders to drywells, and in accordance'-with Ch. 236 of the Town code-Stormwater Management. Located: 122 HickoryAvenue, Southold. SCTM# 1000-78-7-51 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway' 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 4 - 09 � V � � Present were: J. Bredemeyer /M Domino r1G. Goldsmith I-IXN. Krupski C. Sanders Other Page 1 of 2 John M. Bredemeyer III, President pS Town Hall Annex o� oGh 54375 Route 25 Michael J. Domino, Vice-President Glenn Goldsmith P.O. Box 1179 A. Nicholas Krupski o A Southold, NY 11971 Charles J. Sanders �?�� ao�, Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Tirne: Completed in Work Session by: Thomas Wolpert, P.E. on behalf of HAROLD REESE, JR. requests.a Wetland Permit to construct a single-family-two-story dwelling consisting of a 1,477sq.ft.'basement level with 384sq.ft. of garage; first floor area to include 1,864sq.ft. of living space with a 584sq.ft,. seaward deck, 174sq.ft. of landings, and'48sq..ft. of stairways; second floor to include 1,704sq.ft. of living space; install a sanitary system landward of proposed dwelling; install a 3,709sq.ft. driveway; add approximately 488 cubic yards of clean fill to property; install two retaining walls totaling 1'38',in length and a height of 1.0'-7.5' beginning from sides of dwelling going landward clear an approximately 14,257sq.ft area; and install gutters to leaders to drywells, and in accordance with Ch. 236 of the Town code-Stormwater Management. Located: 122 Hickory Avenue, Southold. SCTM# 1000-78-7-51 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 th'e 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 IZED THIS CTION 72D9 OF THE NEW YORK STATE ON LAW 2)DISTANCES SHOWN HEREON FROM OPERTY LINES TO ARE FOR A SPECIRC AND ERTY NES FOR ERECTION OF FENCES.(3) IES OF S SURVEY MAP SEAL SHALL NOT BE TO BE A VALID E COPY (tNDCATEDOHEREON SHALLRR N ONLY ADDITION TO THE°PERSONUFO\R WHOM THEVIOLATION SURVEYFIS�PREPARED AND ON HIS BEHALF TO THE TITLE nCOMPANY.(GOVERNMENTAL AGENCY AND LENDING�INSTITUTION LISTED HEREON.AND 70 THEASSIGNEESASSIGNEES F THE LENDING INSTITUTION OARE NOT cER ncAwN5 ARE NOT TRANSFERAABBLEE TOUADDI IO AL INSTITUTIONS OR SUBSEQUENT OWNERS T'(5)THE LOC nA ONNOT OF BEARING WELLS(W),SEPTICLAND TANKS(ST)&INKED CESSPOOLS(CP)SHOWN ARE FROM FIELDO BSERVATIONSTONS AND°R DATA OBTAINED(4)CERTIFICATION OTHERS 400 Ostrander Avenue,Riverhead,New York�f11901'/ic /� tel.631.'12'12303 fax.651.1210144 ,� / ��/y/fh � admin®youngengineering.com ®®� ® Howard W.Young,Land Surveyor ry0.• �\ �i/� ® ® Thomas C. Nblpert,Professional Engineer 0" ® \ / Douglas E.Adams,Professional Engineer V Lf' 0�+ �6<\ 6 ® Robert C.Tast,Architect Ilk � `�� e � � d- s -4'® SITE DATA ,oQ \ 6//c� S ARE 0 SEE FLOOD INSURANCE RATE MAP PANEL NO.36103- H0166 •'��''�j LAST DATED SEPT.25,2009. VERTICAL DATUM = N.A.V.DATUM(1988) DL rw +2A ! &ROSS FLOOR AREA N � ( ® ��{ \ \ `'? \ / SECOND FLOOR = 1,864 SQ.FT. ® >gs ,� 4� \ \ C HEALTH DEPARTMENT USE /�\ , O ® 4� `L�tmwARc utnT or T%v. / i0 "' • Tom Or90UTH"",I" 1:9 ® 1 p a / ® "/ 00 �y //c +215 +4.97 `\ \�� 2+9n6.4,� @�e\1� 6 >/ / 00 SURVEYOR'S CERTIFICATION n.48' O C.d --0 ' q�e� 01 CI .qJ Or. 43 T ®f 1525 y� �m Lid ^p '�6 e. / 1 '�k��'"I ',•..� F STI (5.'L5 ' .0 e Q �` ryb o Syrir Y /' 0Lp. c / + c � 60 \� TEST.HOLE 0 HOWARD W.YOUN&,N.Y.S.L.S.NO.45893 �`Q \ � '��b � Q �% �� ' \� � 3 n BY MaDONALD&EOSCIENCE q-Qc \ 336 2 ® ` / SURVEY FOP, DATE: 06/14/16 °�,��h _ t\Ji ���' � WILL 1,4M AYERS 4 EL=14.0 0.0' `` 40 <, v p - DRAINA&E DESIGN CRITERIA "0 j0`°� °� CALCULATIONS JEA�NNETTE AYER5 a BROWN \�` :' 401 0( p`` V = A R G at Southold, Town of Southold c CLAYEY ry Q� a SAND ®\`\ / ; ii �O�J���,w�` A = AREA OF TRIBUTARY (S.F.) Suffolk County, New York (sc) ® & R = RAINFALL (FT.) c 0 = COEFFICIENT OF RUNOFF BUILDING PERMIT SURVEY p'k �' t`�\� lQt' L.F. #I REOUIRED County Tax Map DI.tri°t 1000 sa°u°R 78 BIOCk O'7 Lot 51 WATER IN Y / \� PAVEMENT 8 ROOF = 2,009 SF X 2/12 X 1.0 = 335 OF BROWN &F2A55 = I,'f00 Sr- 2/12 X 02 = 51 OF h L (� MAP PREPARED JUNE I5,2016 CLAYEY AN •L+� \ / TOTAL VOLUME REQUIRED = 392 OF 8'DIA.DRYWELL WITH A CAPACITY OF 4224 GF/VF Record of Revisions 14.0' Fill, j /� / `\/' 392 OF/4224 GF/VF = 9.3 VF REQUIRED RECORD OF REVISIONS DATE ' J U L a T PROVIDED 2016 d USE(2)-8'DIA.X 8'DEEP DRYWELL = b'ib OF WAER IN PALE BROWN c DIUM SAND pSouthold Town l REQUIRED ME M (SP) �O�fc t T[UStoU_s5� CRASS =a ROOF 3,162 5F X SF X 2/I2 X 2 X 102 = 4-1 OF TOTAL VOLUME REQUIRED = 5-14 OF 0 25 50 loo c 8'DIA.DRYIAELL WITH A CAPACITY OF 4224-FAT- _ , a 20.0' 514 OF/4224 CF/VF - 13.6 VF REQUIRED ScQI®: I„ - 50 PROVIDED JOB NO.2016-0085 EI = MONUMENT SET ■= MONUMENT FOUND A= STAKE SET ®= sTAKE FOUND ® �= PIPE SET • = REBAR d GAP FOUND = NUMBERED FLAG USE(2)-8'DIA.X 8'DEEP DRYWELL 616 OF DW&.2015_0159-2016_0085�p I OF 4 = (1)UNAUTHORIZED ALTERATION DR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTWG STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSDERED TO BE A VALID TRUE COPY (4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION USTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (S)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)&CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. 400 Ostrander Avenue,Riverhead,New York 11901 tel.651.121.2505 fax.(551.129.0144 admin®youngenglnearing.com Howard W.Young,Land Surveyor Thomas G Wolpert,Professional Engineer a 4—O L LL L LL ® d L LL ®— L L1 Douglas E.Adams,Professional Engineer �b-(D 24—O ��✓ Robert G.Test,Architect �I F 51TE DATA -r AREA = 55,5-15 SQ. FT. o _ *SEE FLOOD INSURANCE RATE MAP PANEL NO.3610500166 H LAST DATED SEPT.25,2009. c I « VERTICAL DATUM = NAY.DATUM(19bb) N HEALTH DEPARTMENT USE N of N O FYI N in UI 0 3, � � 15ARA6E � C ;¢ SURVEYOR'S CERTIFICATION a O Sa �4�rfaQ' �' - Y � C- E G HOWARD W.YOUNG,N.Y.S. .NO.45b9 J a WILLIAM AYER5 4 ■ MECHANICAL ROOM cn JEANNETTE AYER5 a — at Southold, Town of Southold - Suffolk County, New York !I �� BUILDING PERMIT SURVEY ,�t slier' r"'9 +x�•'v - "$?�; zY,T :S.}i S' County Tax Map Dietriet 1000 Section"15 Block 01 Lot 51 (t " 1 ra, r,` r q ( MAP PREPARED JUNE 15,2016 Record of Revlslons RECORD of REVISIONS DATE 0 ��I J I IL—oLL 23L—�RL loll oil ''"j UL 14 2016 Ileelf DD L' Soath d Town o IL BASEMENT PLAN Scale: N.T.S. JOS NO.2016-0085 DWG.2015_0159-2016_0085-j7p OF 4 (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY LUTES TO EXISTING STRUCTURES ARE FOR A SPECinc PURPOSE AND ARE NOT TO BE USED TO ESTABUSH PROPERTY LINES OR FOR ERECTION OF FENCES(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY (4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION USTED HEREON,AND 70 THE ASSIGNEES OF 7HE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEOUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)&CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. 400 Ostrander Avenue,Riverhead,New York 11401 tel. 651.9212303 fax.651.121.0144 adminagoungengineering.com Y Howard W.Young,Land Surveyor Thomas G. Wolpert,Professional Engineer Douglas E.Adams,Professional Engineer 4'-O" 18'-6" 24'-O" 13'-6" Robert G.Tost,Architect 0 0 SITE DATA hot to s, AREA = 55, 5'18 SQ. FT. c _ •SE FLOOD INSURANCE RATE MAP PANEL NO.5610560166 H i LAST DATED SEPT.25,2004. o • VERTICAL DATUM = NA.V.DATUM(1458) 0 IFHEALTH DEPARTMENT USE a _ cri FYI KITC+M In Ln n o� w 0 N R O N 3 SURVEYOR'S CERTIFICATION " wre�IPm9 23'X21' <Z�P TAI t ir E &UE5T ROOM �q Gam= \ 4 5 g C-3 J�v HOWARD W.YOUNG,N.Y.S.L.S.NO.45893 To a SURVEY FOR LIN I LL I ASM ArYER5 4 — — — m JEANNETTE ArYERS UTILITY I at Southold, Town of Southold O Suffolk County, New York AP NTRY SUILDIN6 PERMIT SURVEY DINING ROOM ❑ County Tax Map District 1000 seGtloD 78 Block 07 Lot 51 BATH r * IN QOM OLOSET MAP PREPARED JUNE I5,2016 O `` Record of Revisions s �tii 1 RECORD OF REVISIONS DATE H 71 1 17'-0° 2 '-6° Ia'-6° I J U L 1 4 201 o DO DO Southold Town { a FIRST FLOOR PLAN Scale: N.T.S. J05 NO.2016-0085 - DWG.2015_0154-2016_0085-J:p OF 4 (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFlCATIDNS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)k CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. 400 Ostrander Avenue,Riverhead,New York 11901 tel. 651.121.2303 fax. 631.127.0144 r adminopungengineering.com Howard W.Young,Land Surveyor Thomas 0. Wolpert,Professional Engineer Douglas E.Adams,Professional Engineer a Robert C.Toot,Architect m 0 0 I m ry , „ H .1 T TT 1 TT 51TE DATA 01 4-O 18-6 24'-0 13 -(0 _ AREA = 55, 515 SQ. FT. o 0 SEE FLOOD INSURANCE RATE MAP PANEL NO.3610560166 H LAST DATED SEPT.25,200q. o ° VERTICAL DATUM = NA.V.DATUM(1988) 0 441-11 1�11 s HEALTH DEPARTMENT USE N rn aag/p>oy 3 °I N O yq N / IIWIH _ O BEDROOM Q 7 r, MASTER BEDROOM 0 25,X 15' SURVEYOR'S CERTIFICATION 41TO OFFICTO8,X9 LIN HOARD W.YOUNG,N.Y.S. NO.4589 �� , $ WE3 93 J 0 SURVEY FOR FOYER L°W cn W1LLIAM AYER5 4 - BEDROOM MASTER BATH �{ IN JEANNETTE AYr=R5 at Southold, Town of Southold Suffolk County, New York — u � BUILDING PERMIT SURVEY OLOSET County Tax Map Dfstrld 1000 Sectio.'TS Block 0-1 Lot 51 - - - - - -1 .� �� MAP PREPARED JUNE 15,2016 Record of Revisions 1-71-011 23L-6LT 1ST-6HLj ', i` i �j RECORD OF REVISIONS DATE ° ksl JUL 1 4 2016 0 o � m Southold Town SECOND FLOOR PLAN `- 1?r�"j TT'�'n�'�— ---- - - scale: N.T.S. 108 NO.2016-0085 DWS.2015_0159-2016_0085_bp 40F 4 #•. �L_ Sr r � t 3 Tl - ,�`:41+y�l' ,. ��•���s Gy��1��1�+ i.t�. : ,ir� H ��+ �• � � . � 'r t r� i I.��yir�� r \, w� Y �4+ + `ti 4 a PHOTO NO. 1 WILLIAM & JEANNETTE AYERS 122 HICKORY AVENUE AT SOUTHOLD, T/O SOUTHOLD, NY FEBRUARY 19, 2016 2:56 PM ' < i JAE } 71 b6, _ r ..;- .i�`� f �F,. .. �..��j�V __ 1e�'sc++�r •'4r'- �._„tt �-� . ♦ 1 �oY ► z a 41v 1 r iq"Ol 7— ,, -1;,- i� j 1 , �♦ fi�• s arfr". �'�`�•Sif:- � `r� �yA�_ -•1` f �� -„_+�•� bra ,}�,} 4�� ,�_ -,r. � s ,y..-.- � ,-. �� ��4� w�` 717 .��1;, -T .. ,� .. - .!' •+lr:-,irr, - a� j ice' SI• y\ X7.3 R•`R� 'a • t . 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I^ �'. ,'i'`�y r `'- „q! w'.'. r j ► s� iy' S".r+e - j♦ -ti'° �,•�'��" ~��`� ��+�"~ �l�. +"•�+ � '•'.: +'r•{yy�,,�_�y,/'.-�.*t`:t- _ r-��.*V - ��k f"+1"vt..� �! - .�.. #- � ..r+r .iJ a - L s;;'� �I • it �- rf^b.s'4'� srf+� a v=��' �t �' a`�'F. Y�1'�R � h• r! T =y�t-.x•.�.�; ,". } f �' `7�_ �L,ij. �r r T�� ,.N �v • .s,,� { a. •�``I �i?'�i, RJ, F iM "�11 =�' _ 1''+�' R�� ��. `r � �` �.,�•�lfif� i' � >r 1 .1 S{.I �l� 1 •n� � �4 r +.,. }�„ y ♦ 1�1i, IL-- �� # ,! ,�.._tial-..c.na.�ew."1..G.�'rt ...�.4 t.,� ��_it J s:��_ss_ . ,+s �t. le€ _ ;'�_ a ._ .. � � �;„ _ �;.'�lse-�' s Ms'•. - .. . - PHOTO NO. 3 WILLIAM & JEANNETTE AYERS 122 HICKORY AVENUE AT SOUTHOLD, T/O SOUTHOLD, NY FEBRUARY 19, 2016 2:58 PM ttyen 'Y,,l -ov T' w:- F 1012 3 SLEEPY HOLLOW 34 1 106 0 108 1 &3A(c) 477 a IM7 17S -Mc) • 15 10.22 110GA(.) b, HIA -vm- L 2M233 r i02"o TOWN OF SOUTMLD 2 103 11 c 35 79 9NQ 4 G E IN \15 32 3J 34 2 R 6 SEE SEC NO 077 .4 2s 'UNTYOF SUFFOLK 41 MAI.) '3 14 a dill SEE SM NO.070 1 0 zo $? I iA('q 10 b 164 20a 7A(.) 174 V 3iP11 1.A 14 f5o) or_c '16, 03 oy. 7 J9 1 7 40 L se �32 8 •ted 3403 07 U4 2q W 14 45 _S2 121 .c 4 14A(.) l7 183 1g ,h 3 '^I O1 a sn n ra 2s '4)•R R 49 SAM.) v .41a 42 0 SEE SEC NO W L K S CTI E (2-1) NOTICE COUNTY OF SUFFOLK SOLIT"OLD E G ------ '0 rty Tax Service Agency y E —E F N C llR--d.NY119Ql m D nr A p PROPE z OFFICE LOCATION: � S® � MAILING ADDRESS: Town Hall Annex �® �® P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) .4c Telephone: 631 765-1938le Southold, NY 11971 � ® a® TeP MUM, LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: August 10, 2016 Re: Local Waterfront Revitalization Program Coastal Consistency Review for HAROLD REESE, JR SCTM# 1000-78-7-51 Thomas Wolpert, P.E. on behalf of HAROLD REESE, JR. requests a Wetland Permit to construct a single-family two-story dwelling consisting of a 1,477sq.ft. basement level with 384sq.ft. of garage; first floor area to include 1,864sq.ft. of living space with a 584sq.ft. seaward deck, 174sq.ft. of landings, and 48sq.ft. of stairways; second floor to include 1,704sq.ft. of living space; install a sanitary system landward of proposed dwelling; install a 3,709sq.ft. driveway; 'add approximately 488 cubic yards of clean fill to property; install two retaining walls totaling 138' in length and a height, ranging from 1.0' to 7.5' beginning from sides of dwelling going landward; clear an approximately 14,257sq.ft area; and install gutters to leaders to drywells, and in accordance with Ch. 236 of the Town code-Stormwater Management. Located: 122 Hickory Avenue, Southold. SCTM# 1000-78- 7-51 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 furthers the policy to the extent practicable and therefore is CONSISTENT with the LWRP policies provided the following: 1. To further policies 5 and 6; it is recommended that the Board consider requiring the installation of a innovative or alternative sanitary system to reduce total nitrogen in effluent equal to or greater than 60 percent over conventional systems levels (around 19mg/L). 2. Require the establishment of a vegetated, non-turf buffer landward of the wetland line to preserve surface water quality of Goose Creek. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Peter Young,Chairmany Town Hall,53095 Main Rd. Lauren Standish,Secretary 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., August 10, 2016 the following recommendation was made: Moved by Keith McCamy, seconded by John Stein, it was RESOLVED to SUPPORT the application of HAROLD REESE, JR. to construct a single- family dwelling with garage and deck, associated water service connection, sewage disposal system, retaining walls, drywells, driveway and landscaping. Located: 122 Hickory Ave., Southold. SCTM#78-7-51 Inspected by: Peter Young, Keith McCamy The CAC Supports the application with the Condition the retaining wall is depicted on the site plan and questions how the height of the retaining wall was determined. Vote of Council: Ayes: All Motion Carried r f y John M. Bredemeyer III, President ��o� So iyO Town Hall Annex Michael J. Domino, Vice-President �O 1p 54375 Main Road P.O. Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G 2 Charles J.Sanders,Trustee '` Telephone(631) 765-1892 Telephone p leou Fax(631) 765-6641 D E9>7gV7= BOARD OF TOWN TRUSTEES 0 TOWN OF SOUTHOLD JUL 14 Z� To: Southold Town Building Department IBUnDING DEW- Re: Verification of Building Department Permit Requirements TOWN OFSOUTD SCTM#: 79-7-51 Property Owner Name: ` *hip-6iL) koe� -Tl ° Date Sent to Bldg. Dept.: 7,1 (o The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO ]z tW'Ill ll the proposed project require a Building Permit? the proposed project require a variance determination from e Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: S n ' re of he7viewer Date L � l , o11T' Town Hall Annex John M.Bredemeyer III,President d 54375 Main Road Michael J.Domino,Vice-President id P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 ci• --`; '>' 'moi Dave Bergen,Trustee Telephone(631) 765-1892 Charles J.Sanders,Trustee �� �' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD — Off ce Use®nly _Coastal Erosion Permit Application V Wetland Permit Application Administrative Permit _Amendment/Transfer/Extension _ Recei_ved Application: - Received Fee: $_2S&00 ! Completed Application: Incomplete: —SEQRA Classificati n: —-- - - JUL a 4 2016 Type I Type II Unlisted Coordination:(date sent): �LWRP Consistency Assessment Form: �'` •�� Southold Town ! CAC Referral Sent: /(0 � I� Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: Public Hearing Held: r l Resolution: Name of Applicant: - Hgrg1d f_ e'e=CC Mailing Address: -74- W h I T,eA Q t'1 Road 4:?0Ck V Il ae Cen+r;e NY I i S 0 Phone Number: 151& -- Suffolk 1& — Suffolk County Tax Map Number: 1000-_ `78 _7_7a 51_ Property Location: 122- k! Ck D r4Avenue S0UMO/d, N! 119-7/ J W sot tfhwest vir P cstory Avenve_ _120-__' -t- EI0 001 h Ave . (provide LILCO Pole#, distance to cross streets, and lo-c -ation) AGENT: Yo i. no + WO un -/� 1.�Hn : nomas C. Vy_O I P%ef-� P. 5'. (If applicable) n NY Address: ®f7 � rQr)cler I�V'eny-e. R t verhead) Phone: _(,3.1—?:17- 2303 hoard of Trustees Applical n GENERAL DATA Land Area(in square feet): 33, 6 7 8 - Area Zoning: Rle5 idord t a l R_*0. -- - Previous use of property: Intended use of property: �� ?'/Y)/l� r�5%GrCI)C� Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? ✓ Yes 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 t✓ 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: Non e. Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ►✓ No Yes If yes,provide explanation: Project Description(use attachments if necessary): i r July 14, 2016 ATTACHMENT TO BOARD OF TRUSTEES APPLICATION Prepared for Harold Reese, Jr. at Southold, T/O Southold, New York Project Description The project consists of constructing one (1) single family dwelling with garage and deck, together with the associated public water service connection, sewage disposal system, retaining walls, drywells, driveway, and landscaping. The basement level will include 1,477 sf of basement (living, storage & mechanical space) and 384 sf of garage. The first floor area will include 1,864 sf of living space, 584 sf of deck, 174 sf of landings, 48 sf of stairways. The second floor will include 1,704 sf of living space. The sanitary system will occupy approximately 151 sf. The pervious driveway be 3,709 sf. Approximately 488 cy of clean fill will be placed. The proposed area of clearing is 14,257 sf. The proposed retaining walls will have a total length of 138 ft. and a height of 1.0 -7.5 ft. r „ bard of Trustees Applicat a WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: Relirler Area of wetlands on lot: 7� 5®� ¢ square feet Percent coverage of lot: �• �__ Closest distance between nearest existing structure and upland edge of wetlands: N•/4._ feet Closest distance between nearest proposed structure and upland edge of wetlands: ___778.-5 - =feet Does the project involve excavation or filling? No ✓ Yes If yes, how much material will be excavated? 3 __ cubic yards How much material will be filled? _ ____4 6_8 cubic yards Depth of which material will be removed or deposited:, __ 4 _- -,feet Proposed slope throughout the area of operations:y 8_ u76 _m_a x. . Manner in which material will be removed or deposited: An excayorfor Will be- used 4o removes and deposif ►v�arial 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 hoer-c--_will bee no ejrj4egf_on__-4he__=_div efl arnols _ Crnd fictoI wags off' *).c- Town a 5 a t-csulf- off' _ -f h ,e prop o sed o pie- -f-i on s 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I 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: -far-otd Ree_5e._ fir• f Project Location(describe,and atta6 a location map): 122Hickory Avenve� Sa r¢G�ol d -e ue/ y� -111-71- _ _-__ _RJ W o_,F� of i e Ito_ A4. Brief Description of Pro osed Action' R-e r 4o A+tachmen4- 1 -Name of Applicant or Sponsor: Telephone: 616 57 -16 95 -E-Mai]: H orro ld Reeser Sr. rise-_aro Address: %yot h o4o • corn W—h-4eh�cr .nab-------- -- - - - - City/Po. State: Zip Code: ocIn i IJP �e�r �Fr� - -- - -- - NY --- ��- 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? I NO ;i YES If Yes,list agency(s)name and permit or approval: �p T®Wl1 OF SO�olot BiX161l�lg Dpi•" 731 dl/)� ;3-- V4 1Q ,0i 'Sep-k.S -- -Water- Su�,o&4-_Se�.t�c� ��°� _� -_- - - 3-a.Total acreage"of the site of the proposed acti n? �_�l - __-__acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0%-77 acres 4. Check all-land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial [*esidential(suburban) El Forest ❑Agriculture ❑Aquatic [O'other(specify); Vacant _ ❑Parkland i NY5VG C -- Ti dat We+10n015 F'r rmik Or "W-er Dyc Page 1 of 4 NO lruri svt ic'qon r � S. Is the proposed action, NO , YES I N/A a.A permitted use under the zoning regulations? 710 b.Consistent with the adopted comprehensive plan? M L—Kiil 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES i landscape? I2 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 ;0 b. Are public transportation service(s)available at or near the site of the proposed action? ✓ I c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ,I 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the des proposed action will exceed requirements,describe design features and technologies::, _ _ _ _ JEJ :a. .` 10. Will the proposed action connect to an existing public/private water supply? N® I YES' If No,describe method for providing potable water:,_________ _------- ---- ------- . 11.Will the proposed action connect to existing wastewater utilities? NO-_ YES 4 If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ,,i�� r�❑i t b.Is the proposed action located in an archeological sensitive area? 1 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO. 1 '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? 1 J Q 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: FrShoreline ❑Forest r7 Agricultural/grasslands [✓Early mid-successional er Wetland ❑Urban ❑Suburban -15.Doe's the site of the proposed action contain any species of animal,or associated habitats,listed NO j j YES by the State or Federal government as threatened or endangered? .o ,a 16.is the project site located in the 100 year flood plain? 'NO i,; YES TOT 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO J YES If Yes, a. Will storm water discharges flow to adjacent properties? ®NO DYES Z i b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: [:]NO AYES Page 2 of 4 18. Does the proposed action include construction or other activities that result iri the impoundment of NO YES- water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: i19.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? j li If Yes,describe: - - --- - - -- -- -- - - - - --- - !,I! F_ El - -- - 20.Has the site of the proposed action or an adjoining property been the subject cf remediation(ongoing or 1.'NO_ YES he for hazardous waste? If Yes,describe. . I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY �i KNOWLEDGE Young + youn9 Applicant/spon`s�r name:���'!}� - 5 C• �� .Qe4 Date,:, �i�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?" ----=- - -- - — - 1No,-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=plain or zoning ! - ` regulations? = 2. Will the proposed action result in a change in the use or intensity of use of land? _ 1 3. Will the proposed action impair the character or quality of the existing community? EJ f 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? - 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? ` se in the use of energy and it fails to incorporate 6. Will the proposed action cause an increa 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? 8. Will the proposed action impair the character or quality of important historic,archaeological, �r a architectural or aesthetic resources? _- 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, a waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 . \ I No,or Moderate small to]a rge 1,impact impact May may occur occur ge 10. Will the proposed action result in an increase in the potential for erosion,flooding or draina 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. � Chee this[iox if you have determined,based oil the inf6rmAtio_n and dnalysi§-ab&6,_and anis"porting d6ou—inerititioni, C hec icant adverse impacts and an V, th the proposed action may result in one or more potentially large or signif rivironmental impact statement is required. d any supporting documentation, Ch�eck this box if you have determined,based on the information and analysis above, 0 vy;� that the proposed action will not result in any significant adverse environmenta imp Town of Southold-Board of Trustees Name of Lead _-Matie Igency 4fex ,A e President -Agency ----?,tie of Responsible Officer Pi p—C risible Officer) � John M. Bredemeyer III, Frv5sident ' G Town Hall Annex Michael J. Domino, Vice-President 4=� 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A. Nicholas Krupski y o� Southold, NY 11971 Charles J. SandersTelephone (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 HAROLD REESE,JR. 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 I, T'hoMa S C. W Djpelk, Feiqi�t/dba YQUAq being duly sworn, depose and say: That on theittay of AugU6* , 2014, I personally posted the property known as Darold Re Jr. /22 Nikon. Avenwe 5041.1 ,old t NY 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,August 17,2016. 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Orfncr 8765 SK/ 12-OM Vreef Q Edwin F: Tacciv J`?iam j F'L 331740 t� 3 c�nf'F,n5 �4 vcr►�rc. �4 i V�/jtcrd f N Y 11 R O f STATE OF NEW YORK COUNTY OF SUFFOLK C.� being h d W o 1peat lf0 D Died ter' /9ven u� tl R l� l�11 , L ing duly sworn,deposes and says that on the day of u �- , 20J6, deponent mailed a true copy of the Notice set forth in the Board of rustees 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 of ice at R iVerht-ad , A that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. I Tf 1 OM Ct 5 0. wo lro ew�- Sworn to before me this Day of RQJ US 'r 20J DORIS E.SPAHR Notary Public, State Of New York No. 01 S P6069527 n _ qualified In Suffolk County oo OZ 1 S L Commission Expires February 4, 20,(.D r Notary u tic — ----- - ---------- ,-- NOTICE TO ADJACENT PROPERTY OWNER BOARD Of TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Harold Recce, , Jr• SCTM# 1,Q00- -7j6 --7_ 51 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Cons,Fr4c4 oneCr) '5tAc) a -Fain;/y dWe[iin w , 9araeand deck fogef er wif-h .�,� as c�tcrf�al pubitc wa(er Servia�) rani ry sys-i�enn MM wa�IsJ ft? pdi�/eWay *. IOAd scuArnS (rer i�tfaaa�rr�e ) .2. ThaWk � whch is the subject of Environmental Review is located adjacent to your property and is described as follows: I22 Hicirory fivenwe. Soul-hold NY II9-7t rCjne�r -10 Tauildinq 1FerMif 6%Un/cy 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: V DATE: kOn-esdf• y 1 14 uoiu `f 1-7, 2_01 to Gf or- 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: aro de 5 .T . MAILING ADDRESS: -7 i a 'Rood c i NY PHONE #: 151& 519 — !69 5 1115-70 AGENT: O O n I Th oMaS Q. 14101pe&I P. [', MAILING ADDRE S: AV u - R i er _ PHONE #: 31- `72-7- 230 3 it 90 t Enc: Copy of sketch or plan showing proposal for your convenience. C 13W( M5 Perm;f- Survey dc4eaf %Tclne /5/ 201,(0) 1 I` July 14, 2016 ATTACHMENT TO BOARD OF TRUSTEES APPLICATION Prepared for Harold Reese, Jr. at Southold, T/0 Southold, New York Proiect Description The project consists of constructing one (1) single family dwelling with garage and deck, together with the associated public water service connection, sewage disposal system, retaining walls, drywells, driveway, and landscaping. The basement level will include 1,477 sf of basement (living, storage & mechanical space) and 384 sf of garage. The first floor area will include 1,864 sf of living space, 584 sf of deck, 174 sf of landings, 48 sf of stairways. The second floor will include 1,704 sf of living space. The sanitary system will occupy approximately 151 sf. The pervious driveway be 3,709 sf. Approximately 488 cy of clean fill will be placed. The proposed area of clearing is 14,257 sf. The proposed retaining walls will have a total length of 138 ft. and a height of 1.0 -7.5 ft. YOUNG &YOUNG Telephone (631) 727-2303 400 Ostrander Avenue Facsimile (631) 727-0144 Riverhead,New York 11901 admin@youngengineering.com HOWARD W. YOUNG,Land Surveyor THOMAS C.WOLPERT,Professional Engineer DOUGLAS ADAMS, Professional Engineer ROBERT C. TAST,Architect August 12, 2016 Town of Southold Board of Trustees Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 RE: Proposed Residence E C c�Q V E HAROLD REESE, JR. at Southold, T/O Southold, NY AUG 15 2016 (16-0085) SCTM No.: 1000-78-7-51 t�Southold Town oar Dear Members of the Board: Enclosed are the following items: 1. one (1) original - Proof of Mailing of Notice with original Certified Mail Receipts, and 2. one (1) original —Affidavit of Posting. Please note that the locations of all proposed structures were staked by us on August 4, 2016, prior to the Trustees field inspection on Tuesday August 9, 2016. We understand that the public hearing for this application has been scheduled for Wednesday August 17, 2016 at or about 5:30pm. If you have any questions, please contact us. Planning Englneermg Land Surveying Page 2 of 2 August 12, 2016 Very truly yours, 'Oi w' e, Thomas C. Wolpert TCW/cw Encl. cc. Mr. William Ayers + encl. 1AUTILL Uim HL-AKIllu 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: HAROLD REESE, JR. SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a single-family two-story dwelling consisting of a 1,477sq.ft. basement level with 384sq.ft. of garage; first floor area to include 1,864sq.ft. of living space with a 584sq.ft. seaward deck, 174sq.ft. of landings, and 48sq.ft. of stairways; second floor to include 1,704sq.ft. of living space; install a sanitary system landward of proposed dwelling; install a 3,709sq.ft. driveway; add approximately 488 cubic yards of clean fill to property; install two retaining walls totaling 138' in length and a height ranging from 1.0' to 7.5' beginning from sides of dwelling going landward; clear an approximately 14,257sq.ft area; and install gutters to leaders to drywells, and in accordance with Ch. 236 of the Town code- Stormwater Management. Located: 122 Hickory Avenue, Southold. SCTM# 1000-78-7-51 TIME & DATE OF PUBLIC HEARING : Wednesday, August 17, 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 B a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 oard of Trustees Applicat, z AUTHORIZA.'TION (where the applicant is not the owner) residing at q4 U3q tTC;K-A L(, (print name of owner of property) (mailing address) '7a0=V0j(LLQ- OtZtlo` do hereby authorize OUn 4- (Agent) —1";�OMaS 0, W10,�fVj P C, to apply for permit(s) from the Southold Board of Town Trustees on my behalf. %LIZ-��- h- (Owner's signature) oard of Trustees Applicat t AUTHORIZATION (where the applicant is not the owner) residing at (print name of owner of property) (mailing address) S;���Ljg� W �'- do hereby authorize OVn 4- /oao5 (Aged) 144 ( W/)t9m as C , Wo�P�7 j P E. to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) pard of Trust=ees Applicat x AUTHORIZATION (where the applicant is not the owner) 7th KC, UO-1LZ Cl residing at (moi Lz- (print name of owner of property) (mailing address) 7QW3PL .L€ CES ` do hereby authorize Oun -4-To n� (Age A+6; ThOVY1GtS C� �0_ , RE• to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) bard of Trustees Appl.icat AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner SWORN TO BEFORE ME THIS r DAY OF 20 /6 Not AORENSEN Notary Pu lic-State of New York Qualified in Nassau County Reg.No.01804725561 Comm.Expires Sept 30,20 O / C IL ` Board of Trustees Appl.icatT .•ra AFFIDAVIT ®t�acmes 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 SOUTHOLID TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDI'T'ION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. \Z� �VQ5� P &�'�� �- 41 . Signature of Prope4y Owner SWORN TO BEFORE ME THIS DAY OF Aothry Public NANCY SORENSEN Notary Public-State of New York Qualified In Nassau county mExirSptm.Expires 336,20/I 'oard of Trustees Applicat, ;x AFFIDAVIT C tzpht �('kLl� BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTVAND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERIA OF THE PERMIT. Signature of PropertN Ow er SWORN TO BEFORE ME THIS DAY OF ,M /6 N t PubliC NANCY SORENSEN Notary Public-State of New York Qualified in Nassau Courtly Reg.No.01SO4725561 *,comm.Expires Sept 30,20 � t APPLICANT/AGENT/REPRESENTATM TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Codc of Ethics pr&ibits conflicts ofinterest on the Rggpftown ofticm and gaviver The se of 'ibis form is to pnvide information which can alert the tmvn of oo-sible conflicts of interest and allow it to take whatever action is n ry to avoid same. 4�zozYOURNAME: � - (Last name,first name,griddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or-through your company,spouse,sibling:parcrrt,rrr child)have a relationship with any officer or employee of the Town of Southold? "ltelationship-includes by blood,marriage,or business interest"Business interest"means a business, including a parurersbip,in whirls the town of'fimr or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more thtnr 5%of tfie shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner ofgmatcr than 501*of the shams of the corporate stock ofthe apprwW� (whei the applicant is a corporafi+on)q B)the legal or beneficial owner of any intmrst in a non-corporate entity(Wbbn tho applicant is not a corporation); C)an ofnza,,duecior,partner',or employee of the applicam.or D)the actual applicant. DESCRIPTION OF RELATIONSHIP tt Submitted this day of Signature Print Name A• Form TS 1 APPLIC ACTT/AOENT/REIPRESENTATWE TRANSACTIONAL DISCLOSURE FORINT _ The Town of Southold's Code of prohibits conflicts of interest on the part oftown officcrs and cmnioM.The t mMgse of this form is to plgvide inforinatian which can aleft the town or o:stblc conflicts of interea and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name,first name,Viddie initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,name the activity.) Do you personally(or through your company;spouse,sibiing<parent,or child)have a relationship with any officer or employee of the Town of Southold? "RO-itionship-includes by blood,marriage,or business interest`Business interest"means a business, including partnership.in which i}tc ta,;an officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee;owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/repmsentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner ofgreater than.5%ofthe sham of the corporate stock ofthe applicant (when die applicant is corporafiori� D)the legtrl or beneficial owner of any interest in a non-corporate entity(uh&l the applicant is not a corporation); C)an ofFsxr,director,partner;or employ of the applicant.or D)the actual applicant. DESCRIPTION OF RELATIONSHIP - R- Submitted Ois (� da 15r4L91 Uefocl Signature ' * Print Name Fom TS 1 A - APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL]DISCLOSURE FORM The Town of Southold's Code.of Ethics probibits conflicts ofintertst on the aarttrf town officers and cmtrloy ,Tire tairoase of this form its to vide information which can alert the town or o:srhle conflicts Of interesi and allow it to tyska whatever action is negmM to avoid same. YOUR NAME: (Last name,fust name,jriddle 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 compan):spouse,sibling parrtit ni child)have a relationship with any officer or employee of the Town of Southold'? "Relationship'includes by blood,inwTiage,or business interest"Business interest"means a business, including a Tmviershiip,in which the tawii o'ftirer or employec has*veil a partial ownership of(or employment by)a corporation in which the town officer or employce owns mare than 5%of the shares. YES NO �L If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 50%of the shares.af the-corporate stock of the applicant . (when the applicant is a corporafim); B)the legal or beneficial owner of any interest in a non-corporate entity(whesl.lhe 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 -lA. C7 20 Lk Signature Print Name I%. Form TS l Town of Southold ,LWRP CONSISTENCY ASSESSMENT FORINT A. INSTRUCTIONS L 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 lieneficial"acid adverse'efCects upon'the coastal area()cIii'ohlncludes a9--of;Soutliold'T,,q- '. 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, such"answer deft Ilic eXplained ii�,cctiiil,"listin 'b®tip sutitiortin�'g amd non- supporting facts. If an action cannot be certified as consistent with the I"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# 10 C 0 - 7 "7 — 61 PROJECT NAME_ ar r.Old Pee ge, Xr• The Application has been submitted to(check appropriate response): ❑ 1® Town Board ❑ Planning Board❑ Building Dept. Board of Trustees I. 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: Conorre assQc ted rtii= up�t�• C P �t�c w s�wa9'� rsposa� sYsf�,� _ f -- aits_ adrvcW- C ��✓�o r4tfaclin�tr�f- � . v r 122 Hi' chory hventwe- S70 6uM%Old Me 119-71 Location of action—RW QAP 0-ic -141ckoae Avenae,- Site acreage: OrCr Present land use: Vctocrn-� Present zoning classification: Re-.3i'den-kerl- R-4-0 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: ' Hctrotd Reese , Tr. (b) Mailing address: -7-4 -- Whi&-,hall- Road Rkv 00 libe -Ckrnft"e, N ---j 15719 (c) Telephone number: Area Code( 7 (d) Application number, if Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes.,[ R" No'. I " If Yes, which state or federal agency? NY:5DGC - =101cel V.1oflN -- P or- r,7r=;,�--*of) Le ff�erv"rUri 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 LNVRP Section In—Policies; Page 2 for evaluation criteria. QYes !©j No F-1 Not Applicable d�Sl neW 11A on - A;? w- f) --/W/nil- et -�y Cr 0 0 se Q'r--ee-k. locqf-,�!O/ a d I a Cwn I-L 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 R] Not 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 Fel"' Yes ❑; No ❑ Not Applicable Attach additional-sheets if necessary-- - - NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes �' No — Not Applicable Romero Pol c , .-t- csaon see 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 '0 No ❑Not Applicable ,❑ : Re4;rnr 410 -- Po1 PCV- I rep��ons�- Attach additional sheets if necessary -- _ Policy 6. Protect and restore the quality and function Eof 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. .a o EJ 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 n'No®! Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation►criteria. 1E1 Yes EJ No Z Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. Z YeO No El Not Applicable RF'e_r -f-d- po l l'ev 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. VJ Yes No ❑ Not Applicable Pot rcv 1 cnspp—onme- , 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. FlYes El. No 0 Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands,in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 for evaluation criteria. 0"Yes 1 No Z Not Applicable ---------- Atfachadditional sheets ifnecessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section M—Policies; Pages 65 through 68 for evaluation criteria. El Yes '.E] No Not Applicable PREPARED By.3-7 h- -o m- er 5. JPV ' TITLE. A_6! /> jSsf DATE.7-14—/& YOUNG &YOUNG Telephone (631) 727-2303 400 Ostrander Avenue Facsimile (631) 727-0144 Riverhead, NeW York 11901 admin@ijoungengineering.com HOWARD W. YOUNG,Land Surveyor THOMAS C.WOLPERT,Professional Engineer DOUGLAS ADAMS,Professional Engineer ROBERT C. TAST,Architect July 14, 2016 Town of Southold Board of Trustees Town Hall Annex 54375 Main Road .� E V E `r P.O. Box 1179 Southold, New York 11971-0959 l� JUL 14 2016 RE: Proposed Residence Southold Town r HAROLD REESE,JR. �"" Biau t rusts _ J at Southold, T/0 Southold, NY (16-0085) SCTM No.: 1000-78-7-51 Dear Members of the Board: Enclosed are the following items: 1. application fee—c�W,iilllir Ayers check to 'Town of Southold' in the amount ofeHun-Tredllars 0568:00), 2. one (1) original & three (3) copies— Coastal Erosion & Wetland Permit Application and Attachment dated July 14, 2016, 3. one (1) original & three (3) copies—Short Environmental Assessment Form, 4. one (1) original & three (3) copies—Authorization Form, 5. one (1) original & three (3) copies—Affidavit, 6. one (1) original & three (3) copies—Applicant Transactional Disclosure Form, 7. one (1) original & three (3) copies— LWRP Consistency Assessment Form, Planning Engineering Land Surveying Page 2of2 July 14, 2016 8. three (3) color copies— Color Photograph Nos. 1-3, and 9. three (3) prints—Building Permit Survey (Sheets 1-4 of 4) dated June 15, 2016 depicting the existing conditions and proposed improvements. We understand that submission of these documents enables you to commence your review of this application. If you have any questions or require any additional information, please contact US. Very truly yours, Thomas C. Wolpert TCW/cw Encl. cc. Mr. William Ayers + encl. + 1 print 1