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HomeMy WebLinkAboutTR-8878 o��OE SOUj��l Town Hall Annex Michael J.Domino, President John M. Bredemeyer III,Vice-President O 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski • �p� Telephone (631) 765-1892 Greg Williams �l�`,ou Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1480C Date: June 26, 2018 THIS CERTIFIES that the construction of a 16'x32' swimming pool surrounded on three sides by a 4' to 8' wide(448sq.ft.) on-grade masoM patio; and install pool enclosure fencing and expand 4' high pool fencing around the property, approximately 500 linear feet; a pool equipment area, and a pool drill ; At 905 Willis Creek Drive,Mattituck Suffolk County Tax Map#1000-123-10-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 22,2016, pursuant to which Trustees Wetland Permit#8878 Dated September 21, 2016,was issued and Amended on April 18,2018, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for construction of a 16'x32' swimming pool surrounded on three sides by a 4' to 8' wide (448sq.ft.) on-grade masonry patio; and install pool enclosure fencing and expand 4' high pool fencing around the property, approximately 500 linear feet; a pool equipment area, and a pool dry The certificate is issued to Kean&Bridget Driscoll owners of the aforesaid property. Authorized Signature Michael J. Domino, President OF Sig UryO Town Hall Annex John M. Bredemeyer III,Vice-President h0 l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 CA A. Nicholas Krupski • Q Telephone (631) 765-1892 Greg WilliamsyCoU O Fax(631) 765-6641 � 111TY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 1�11�r Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction Y2 constructed compliance ins Project complete, ection.p p INSPECTED BY: 0syll COMMENTS: �x hoc C .� C �����j��CCrS���c� C� v✓.?h C��'�M�T CERTIFICATE OF COMPLIANCE: Michael J.Domino,President O��QF so op Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President h P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski �Q Telephone(631) 765-1892 Greg Williams C4UFax(631) 765-6641 yNT`I,�� -- - ----- ---- - --- - -- -- B0ARD--0FX0WN TRUSTEES- - - - - - - -- ---- - - April 18, 2018 TOWN OF SOUTHOLD North Fork Woodworks 810 Traveler Street Southold, NY 11971 RE: KEAN & BRIDGET DRISCOLL 905 WILLIS CREEK DRIVE, MATTITUCK SCTM#: 1000-123-10-3 Dear Ms. Terry: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, April 18, 2018 RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8878 to expand the proposed 4' high pool fencing around the property, approximately 500 linear feet; and as depicted on the survey prepared by Nathan Taft Corwin III Land Surveyor, dated October 1, 2017, and stamped approved on April 18, 2018. 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, a e - Michael J. Domino President, Board of Trustees MJD/dd , APPROVED BY BOARD OF "i RUSTEES DATE 1.,'AR 20 t1jj r SURVEY 0V LOT I � MAP OP HARB OR VIEW AT MATTITUCKFILE No. 8377 FILED AUGUST 21 , 1987 SIT UA TED _ AT MATTITUCK TOWN OF` SOUTHOLD <� SUFFOLK COUNTY N.s�°Qo• EW YORK S. C . TAX Na , 1000- 123 - 10-03 SCALE 1 =301 MARCH 31 , 2003 MAY 2, 2003 ADDED CONTOUR LINES JANUARY. 6. 2008 UPDATE MAP SEPTEMBER 26, 2012 UPDATE SURVEY MARCH 9, 2014 RE—TOPO WASHOUT AREA MAY 16, 2016 UPDATE SURVEY AUGUST 4. 2016 ADD PROPOSED FENCE JANUARY 24, 2017 ADDED NOTE FOR SCREENED PORCH REPLACEMENT OCTOBER 1. 2017 ADD PROPOSED ZONES AREA '- 48,083 sq: fit. N (TO TIE LINE} 1 .01;R o^. 03 GE ASA . . CER TIFTF. D. TO: DEAN D. DRISCOLL BRIDGET E. DRISCOLL . °�' FIRST AMERICAN TITLE INSURANCE CO 0, 1E �`� CONTOUR MORTGAGE CORPORATION MPANY ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DA m pit' a'�s• . ' ....� EXISTING ELEVATIONS ARE SHOWN THUS.-.0 TUM EXISTING CONTOUR LINES ARE SHOWN THUS: • _ .._ .._ --- --S -- -- -=- ._. r FL — FIRST FLOOR &_FL - CAwAGE FMOR — TOP OF 8ULXfjEAo i ' t *r W. — TOP OF WAIL l4tHFAt? } " W. — BOTTOM OF WALL 2. AREA OF DISTURBANCE IS 2,7503 sq. ft ~' LLS- 3. FLOOD ZONE INFORMATION TAKEN FROM; + � �'.. °°RA FLOOD INSURANCE RATE MAP No. 3603co482 H ZONE AE: BASE FLOOD ELEVATIONS DETERMINED I/ '�.�` _•� f •' Q£��� Lr O 7' ZONE VE: COAST AL FLOOD WITH VELOCITY HAZARD (WAVE ACTION ,4 IJ e i"k `,a,�, • BASE FLOOD ELEVATIONS DETERMINED }� �.�, ZONE X*: AREAS OF 0.2� r c� ANNUAL CHANCE FLOOD: AREAS OF 1% ANNUAL CHANCE FLOOD 8 4 I c'- WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN �¢g s� c�,R� • . `'� 1 c1� 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1 ANNUAL CHANCE FLOOD. ZONE X: AREAS DETERMINED TO 6E OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. A 'A, 4w . � � ��w ,• ' p' B . ; �, EXISTING .L O T CO VERA CE 0 VER row °ck �� d a1 9 d - UPLAND AREA (42, 857 sg. f t. �x� , • ► ,r.� . DESCRIPTION V. , AREA f LOT COVERAGE ': r Q ti� LL EXIST. HOUSE .. :� p4z Qt, -dap 2, 34 sq. ft. 5.0% �""' tr. �' _ a a .C= • •A --ONE. * EXIST. FRONT PORCH 63 sq. ft. w •� 4,a Oj1f,E pip" 0.1 '00 ��G'� EXIST. REAR PORCH 493 sq. ft. 1 .2 .14 o k °'' ©ao TOTAL EXISTING 2,690 sq. ft. 6.3°0 • v PROPOSE D .LOT CO VE.RA GE O VER .. a G -� L NS � ��:� s� �� .- t UPLAND} AREA (42, 857 sq, ft.) LOT18 .F Im. `I _� 1 t�EC; il�_.i.I: N_. _ _ " -AREA - • - - -LOT 'COVERAGE -- " ' ' 'x' :.. i� F�" ��� a• I `fl0 � `�'�}{ tS` ° a '• � ; A 1 �4��p,�, . . ' ��� �� P '` X - EXIST' HOUSE 2,134 sq. ff. 5.0%c>� .0,E °� • + `�� , ,�' op. �, Q � �'� �' EXIST. FRONT PORCH 6 ti o J 3 sq. ft. o /' ,0 ��° pa¢�' any �� � U EXIST. REAR PORCH 493 s ° q. ft. 1 .2/ t C1.,•:;::': �,`Ir �� �a� i y PROPOSED POOL . 512 s ft. 1 +�-�° b X 1b TOTAL EXIST. & PROP. 3,202 sq'. ff. 7.5% 0� / I PATIO AREA: 450 sq. ft. 6 NN. a�- 450 sq. ff. X 4.17 = 76.5 cu.. ft. 8 Y, '`� .`�`� F° �'�/ / / �� �4r o 76.5 cu. ft. / 42.2 = 1�8 vortical ft. of 8' dia. leaching pool required `x f% x ` ,� �,� / / J �p PROVIDE (1) ar dia. X z high STORM DRAIN POOL $". % - 1 / , ./ ,, Df MEN LO I elShall include �'CONTROLS / �� t3' ` but not • 2' � � � .--- ,_,,, ..- � .. �• A well maintained Cabe limited to: ° tri Vire Bac Construction Ent ..� 6-1 oc 11�it1 �, / / .>� �, o i ked Silt` Fencin ranee, C'�,'`�, o��UR t 'ms `s /,� ��" Seeding Of exposed and/or $tahilizat'on & C� ,¢ ap �,,� +pQ '� for inactive sails. ��3 DRAINAGE " c a �, Iz �.z / ,� , 1NSPI�CTI()NS ARE R i E SRM ��, �w° Contact TOS Engineering at UiRED 5 � -- �, '� r o�°� Backfill, OR Provide Engineer`65-35 0 before / - „ 5 that the drama Certification �e has beef installed to Code, L , `,- -- '�. APPROVAL OF STORItWATEk MANAGEM' EN`#' FIAG C NTROL - `€' Co a r236 CDate: tvwCrL4NDS eQu + . FLAGS 84°20116 `. Approved bsy ; CC?NSt/1 TAtNk YAS MEJ4 E2D 58.29 T8 � . VINYL LOW SILL BULKHM PREPARED IN ACCORDANCE WITH THE MINIMUM EEK STANDARDS FOR.S TITLE SURVEYS AS AND �� � 8Y THE L.I.A.L+S. AND APPROVED AND ADOPTED WILL PFOR SUCH USE BY THE Eta„YORK STATE LAND HOLE TITLE ASSOCIATION. E� OR w 0 - _4 • r ! Air �.' •�`w` '�;`+� � '� . �.� `' . ••'-� ;vf��I.Y Lic. No. 50467 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY I5 A VIOLATION OF SECTION7203 OF THE NEW YORKSTATE EDUCATION Nathan Taft Corwin I COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL OR Land Surveyor EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY Successor To: Stonley J. Isoksen, Jr. L.S. IS PREPARED, AND ON HIS BEHALF TO THE Joseph A. Ingegno L.S. TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND Subdivisions s etl Tie Surveys -- -- "Site Pions -- Cons#ructian Layout - - 7O THE ASSIGNEES OF THE LENDING lNSTt-- Y TUttON. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax {0'731}727--1727 THE EXISTENCE OF RIGHTS OF WAY OMCE'S LOCATED AT MAILING ADDRESS .AND/OR EASEMENTS OF RECORD, IF 1586 Moin Rood ANY, NOT SHOWN ARE NOT GUARANTEED. Jarnespart, New York 11947 P.O. "Box 16 . JOmesport, New York 11947 WOODWORKSNOR-rH FORK • • • •• March 19th, 2018 To Whom It May Concern: Re: Southold Town Trustee Permit#8878 This letter is to request amendment for the permit#8878. Kean and Bridget Driscoll would like to place previously approved pool fencing around property as depicted on enclosed survey. Fence to be a minimum of 4' high to meet pool code) cw�'o\�k(Y�A(AA 5om 15 Please review all paperwork submitted and advise if you have any further questions. Thank You in Advance, Rachel Terry Office Manager 1,7 V il..�` MAR 2 0 2018 `- $0!liii(;s Tcvin Board e-`Tnis"Ns _i 810 Traveler Street, Southold NY 11971 * Telephone: 631.298.7900 * Fax: 631.298.7899 * nfwwinc@aol.com. Board of Trustees Application AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABO'D'E 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�^DAY OF CkA(b t\ ,20 1 Notary Public }' yV. i Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) r,jEA,ov residing at (print name of owner of property) (mailing address) y \ ��, _ do hereby authorize �i " i� (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) M i APPLICANT/AGENT/REPRESENTATIVi, TRANSACTIONAL DISCLOSURE FORM TheTown ofSouthold's Code of Ethics Prohibits conflicts or interest on the tmwl(own ofcors find cninloyces,The numose of jlis form Is to I rLovitla inform•ntion which cnn alert Iha lmvn of pnsslblc conflicts of inlurusl find allow it to lake wh•rlevcr action is newssi fy!n avoid same, YOUR NATvIE.��)("(�N1)e (Last name,first namc,4prddle 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 unr through your company,spouse,sibling,parent,or child)have a relutionship with any officer or employee orthc•Town of Southold? "Relationship"includes by blood,marriage,or business interest."llusiness interest"nwAms a business. including n partnership.in which the town oflicer,ur employee has-even n partinl ownership ur(ur employment by)a Corpora,lion in wliich the town officer ur empfnyca�nwaa more th:m 55"%_�hans. 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 applicnnt/agenVrepresentntive)and the town officer or employee.Either chect the appropriate line A)through D)and/or describe in the space provided, t _ 'rhe town officer or employee or his or her spouse,sibling,paren(,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stuck or the applicant (when the applicant is a corporation); 6)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this (day f V'`4 2odY Signature Print Name _�( �,1✓-LIQ ��Otl_ ronn.TS I APPLICAY',TVAG i?,mrm�L�',i,a i�sc�aA,rcvu. TI�L,VPISACTICNNAL WSCLOSURE, FORM this 62rM is IQ.PEAM ILI rrl l- utrn nrp.!r.fhle I it —whi-LI—e—nar—.1 01—m ie !nmsi mhanxa ltv., Vo UK NA N-I 1-.: fit R ia I..up -.lilt:srt::yfjIyin,,Ili flic iiavi,:of &)it ico;%c-Isr.or at)tur us W ty,suil I its%Cm rip R ti)-.I I*,%)),it id ic;tl,-.0h,:oi llcr "cf Sun Collilkirly,5 nallic.) I NAME OP APPLICA,rio,, :!il than apply.) Tax griuvarct: varifulce Chailgl!ofzcme C*askil Erasion -\pproval of plat Mijoriise, —------- 1-:::uirlinint.from pial Imp Plilming, Other (It—officr-.ii-anic Do you I'vi-joll-ally lor lilt Ill It.-It y"Ill c"iltilally, %'i I III III!.,ly.-Ii vill,m III ild I have a whili'llwhip with altv W li"I or Cs11IlIl1y%x- ,.I llh-"I"mi I III,Sooll-hAd" -Ik 4 I'll ims.111il?"ilavladvi,by blu.nl.mm riavx,ur It if-.iiiez interest."ltrr::im 1114-alli a ilic I(Ali np a P.if lilt:r"hip.in%Vl)it:ll the nntnulliucr orel,1111113ct:11:1.,cyvila JI;%r6:jI uv.sic lNljip.jr(t,r,it ipf. nm-n1 in which Illu M%%$I'll I shall Name(.17 lxmii b"sliz: VI;,:•n vi"Soutiluld Describe the rclatic-aship your3ulf(dit: and the twm:ciTwor the apprupriatz fine A)t:rough Di ari&orduscribe in the spakx providt.-d. The town officer or his orh!:r spuusc,sibling,pamic,or-;hill is(check all that apply i. ..---A)the owca ot greater than 5%orthe shaves of the corporitit:sluck oCtiro upplic-.int (m/bC11[lie jr.plic-mll isit Cor-puraliull); the legal or t-ocri6a:owrier of arty intemst in it non-corporait;il.ritity(when(Ito applicant i.,;aota cuipmakion): ---C)nn officer director,pm-tsier,or cmpluy-ax of the applicant:or the actual arpliquil. IMSCRII-TION 01- RELAT(CM11SUIP Submitted tibmil this_ day I' mo Signature AT Print Wine Form TS I t� c it Michael J. Domino, Preside L O�QSUFFOt;,�- Town Hall Annex John M Bredemeyer III, Vice-ProNment �� y� 54375 Route 25 Glenn Goldsmith N = P.O. Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams ?, ® p! Telephone(631)765-1892 ��l �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: tl/161$ $: 3o Completed in field by: G• Goes���� North Fork Woodworks on behalf of KEAN & BRIDGET DRISCOLL requests an Administrative Amendment to Wetland Permit #8878 to expand the proposed 4' high pool fencing around the property, approximately 500 linear feet. Located: 905 Willis Creek Drive, Mattituck. SCTM# 1000- 123-10-3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 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 J 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: Fane lo.c►�y✓ac�► o'c ce.�G���c,a �✓o,» _ I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other Page 1 of 2 Michael J. Domino, Presid O�QSVFFO(�-COG Town Hall Annex John M. Bredemeyer III, Vice-President „� y�� 54375 Route 25 Glenn Goldsmithti i P.O. Box 1179 A.Nicholas Krupski ® Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 ��l Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: North Fork Woodworks on behalf of KEAN & BRIDGET DRISCOLL requests an Administrative Amendment to Wetland Permit #8878 to expand the proposed 4' high pool fencing around the property, approximately 500 linear feet. Located: 905 Willis Creek Drive, Mattituck. SCTM# 1000- 123-10-3 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any,waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. 525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 Michael J.Domino,President o��®F Soft Town Hall Annex John M.Bredemeyer III,Vice-President -W- 54375 Route 25 eP.O.Box 1179 Charles J.Sanders N _hC Southold,New York 11971 Glenn Goldsmith Telephone(631) 765-1892 A.Nicholas Krupski COUNTI Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 22, 2017 Robert Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: KEAN & BRIDGET DRISCOLL 905 WILLIS CREEK DRIVE, MATTITUCK StTM# 1000-123-10-3 Dear Mr. Herrmann: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, March 22, 2017: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#8878,from Gloria A. Scollard Inter Vivos Credit Shelter Trust to Kean & Bridget Driscoll, as issued`on September 21, 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, Michael J. Domino, President Board of Trustees MJD/dd EN-CONSULTANTS PERMIT TRANSFER REQUEST January 25, 2017 Town of Southold _ Board of Trustees � ! �_ Post Office Box 1179 ` L...� LI; L V E Southold,New York 11971 F)l Attn.: Elizabeth Cantrell '` JAN 2 6 2017 Re: Permit#8878 905 Willis Creek Drive, MattituckSouthold Torn P Bogrtl, t ru,teFs _1 SCTM#1000-123-10-3 Dear Board of Trustees: The above referenced permit was issued September 21, 2016 to the Gloria A. Scollard Inter Vivos Credit Shelter Trust to construct a swimming pool, associated patio, fencing, etc. at the above referenced property. Please accept this letter as a request to transfer this permit to the current owners or record, Dears &Bridget Driscoll, whose address is 19 Broadway, Malverne,NY 11565. A copy of the permit is attached for reference along with the transfer fee of$50. Sincerely, Robert E. H rrmann Coastal Management Specialist /khs Enc. R 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting f Fat Michael J. Domino,Presid' f NQS. /(C l Town Hall Annex John M. Bredemeyer III,Vice-President ,.`� ��� 54375 Route 25 Charles J. Sanders h P.O.Box 1179 Glenn Goldsmith v- "� Southold,NY 11971 A.Nicholas Krupski ��b p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: -3/J2,47 -5 0 Completed in field by: C'. C M En-Consultants on behalf of KEAN & BRIDGET DRISCOLL-request a Transfer of Wetland Permit #8878 from Gloria A. Scollard Inter Vivos Credit Shelter Trust to Kean & Bridget Driscoll, as issued on September 21, 2016. Located: 905 Willis Creek Drive, Mattituck. SCTM# 1000-123-10-3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice/of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission _ Administrative Amendment ✓ Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 0, A® t ILOA �a R j Caen �U yep Present were: J. Bredemeyer M. Domino ✓G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino,Presid o��$uf�Ojq�wo r ' Town Hall Annex y. 54375 Route 25 John M. Bredemeyer III,Vice President Charles J. Sanderso P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski ?� p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: En-,Consultants on behalf of KEAN & BRIDGET DRISCOLL request a Transfer of Wetland Permit #8878 from Gloria A. Scollard Inter Vivos Credit Shelter Trust to Kean & Bridget Driscoll, as issued on September 21,"2016. Located: 905 Willis Creek Drive, Mattituck. SCTM# 1000-123-10-3 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B."Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: . G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT • MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: 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 'p�� - �oG Town Hall Annex Michael J Domino, Vice-President c ; t Y� �< 54375 Route 25 Glenn Goldsmith o � '- P.O_ Box 1179 -: A. Nicholas Krupski Southold, NY 11971 Charles J. Sanders ;:dol , �� =' 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 Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK ! PERMIT NO. 8878 DATE: SEPTEMBER 21, 2016 ISSUED TO: GLORIA A. SCOLLARD INTER VIVOS,CRE DIT SHE LTER'TRUST PROPERTY ADDRESS: 905 WILLIS CREEK DRIVE, MATTTITUCK SCTM# 1000-123-10-3 AUTHORIZATION Pursuant,to,the provisions,of.Chapter 275 of the Town Code,of the Tpiq of.Southold and in on-'Sg'pfernbe-v2l, 2016- accordance with the Resolution of the,Board of Trustees adopted at the rneetiiij'held"'' ' I and in cc�nsideration of application`fee in the sum of$2DO-00'paid',Vy Gloria Nnfeilv Vo s Credit Shelter Trust and subject to the Terms and Conditions as stat6d'in'6W Resolulff6if;tli S&ftfi6ld'T0'V"'M,Board of Trustees authorizes and permits the following: Wetland"Pernik tL6 onstrdlk'i16'i32' s 'w�"i'm''ming'�'p'6"'o'l"s'ti-'r'r'o'u'nfd'e'd76iithfeci!sid6§:bya 1i an install 4' to 8' wide (448sq.ft.) on-g r'a' masonry patio; t I pool encl6`su"relincimg, a pool equipment,area, and,a pool dryw p1l. and as,depicted on the survey preparvd by ' ( Nathan Taft Corwin-111 Land Surveyor,last dated'on August 421016'an l,stahiped approved on September 21, 2016. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, andahese Oresefits,td-be!subscribedby am4jqrityof the said Boar&as of this da,, P C2 L TERMS AND CONDITIONS The Permittee Gloria A Scollard Inter Vivos Credit Shelter Trust 905 Willis Creek Drive, Mattituck New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein-authorized,or if,in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. 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. 10. 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 "®f so�rjyo Town Hall Annex Michael J.Domino,Vice-President ,`® lO 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® Telephone(631) 765-1892 Charles J.Sanders O Fax(631) 765-6641 Cou Ti BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 21, 2016 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: GLORIA A. SCOLLARD INTER VIVOS CREDIT SHELTER TRUST 905 WILLIS CREEK DRIVE, MATTITUCK SCTM# 1000-123.-10-3 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 21, 2016 regarding the above matter: WHEREAS, En-Consultants, on behalf of GLORIA A. SCOLLARD INTER VIVOS CREDIT SHELTER TRUST applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated August 22, 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 September 21, 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 GLORIA A. SCOLLARD INTER VIVOS CREDIT SHELTER TRUST to construct a 16'x32' swimming pool surrounded on three sides by a 4' to 8' wide (448sq.ft.) on-grade masonry patio; and install pool enclosure fencing, a pool equipment area, and a pool drywell; and as depicted on the survey prepared by Nathan Taft Corwin, III Land Surveyor, last dated on August 4, 2016 and stamped approved on September 21, 2016. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: None Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/dd SURVEY OF LOT 17 kg '-'a MAP OF HARBOR VIEW AT MATTITUCK ON FILE FILE No. 8377 FILED AUGUST 21 , 1987 ;..04 m SITUATED AT N 0 MATTITUCK yo0 TOWN OF SOUTHOLD � SUFFOLK COUNTY, NEW YORK R� ��s9°oo• S.C. TAX No. 1000- 123- 10-03 �8. SCALE 1 "=30' �I MARCH 31 , 2003 MAY 2, 2003 ADDED CONTOUR LINES JANUARY 6, 2008 UPDATE MAP SEPTEMBER 26, 2012 UPDATE SURVEY MARCH 9, 2014 RE-TOPO WASHOUT AREA MAY 16, 2016 UPDATE SURVEY U) AUGUST 4, 2016 ADD PROPOSED FENCE V 1 AREA = 46,083 sq. ff. (TO TIE LINE) 1 .058 ac, _ CER TIFIED TO: N PATRICK SCOLLARD 00 D0INAGE AREA mono � % NOTES: m� 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM WIDE _ P� EXISTING ELEVATIONS ARE SHOWN THUS:5.0 10 I XWAY / �' n EXISTING CONTOUR LINES ARE SHOWN THUS: — — — — —5 — —— —— J6•S 0 v• F.FL. - FIRST FLOOR z� j - FOONS G.FL. _ GARAGE FLOOR i m / p1PE 0.2 V2 T.B. TOP OF BULKHEAD z B.B. - BOTTOM OF BULKHEAD T.W. - TOP OF WALL �J B.W. - BOTTOM OF WALL X023�" E �1 SO J 2. AREA OF DISTURBANCE IS 2,750 sq. ft. i EXISTING L 0 T CO VERA GE OVER 7i N ;FiG/gy a LOT 17 ` s UPLAND AREA (42,857 sq. ft.) ac V T %/ eF�Gigy (Q�,c�Re \` DESCRIPTION AREA % LOT COVERAGE �1 i 1-11 c&0 '� e Q EXIST. HOUSE 2,134 sq. ft. 5.0% .F°Rim . . r .o EXIST. FRONT PORCH 63 sq. ft. 0.1 Y. qY�d EXIST. REAR PORCH 493 sq. ft. 1.2% rrzs � V2 °. 04* >a o N / Q .,4®°. OgSrcG�e `\" �jW TOTAL EXISTING 2,690 sq. ft. 6.3% C" ''0' mac" } a N arae 001 , n a RS `A. > a O J 6. . d ��o �,� PROPOSED LOT COVERAGE OVER oo o��\e�'`o��� UPLAND AREA (42,857 sq. ft.) �p p G m ° ° �Eoc� Qo�GN o, Q 90 Opp DESCRIPTION AREA % LOT COVERAGE a 44 •.. E.....�G\PN ` S S(FQS �Qr'P G'C EXIST. HOUSE 2,134 sq. ft. 5.0% '",�° •" `�S�P�E o, co j � � pgEp��'(FAN EXIST. FRONT PORCH 63 sq. ft. 0.1% SSE �� •o. � � � / EXIST. REAR PORCH 493 sq. ff. 1.2% O o oy LOT ; pp0 / PROPOSED POOL 512 sq. ft. 1.2% N, 0,. G4- TOTAL EXIST. & PROP. 3,202 sq. ft. 7.5% 4 a° 1 1 / `� Q JRNE�o a, d e o D o°F QOR 6 \13.s �`� a\G\'o 6 �3.9� ��p�� OP O�PO`9. Qj /� —— 6_6x 45 �QP9PyS Ng, O, v / ON 1 Qe 5i.o, 121X14.5 10 ` 1x14.5 1 s \ O / o 0 O p01�i x� i� �. / 5.7 l 14 -19 FOGNG74.s I /// s3> / X 12.2 rx / o x 11.3 / 0 / / '�� r ILOx-9.5 1 x \\ ( 1 10.7 // / / 5.4 mJ T N 77 Lo 6-- �A7 OO , oZoo N GOr((OE,� TB p�3 / \ 8.7 a/ / /4.2 N ,o E�SORG PENMR ; \ .. G P� ELH Ex\5� e 1-0 FLAG 1`Il Pe� Gj �$ FLAG S 84°20 16 VY BY EN-CONSULTANTS, N WCONSU TANTS ETLANDS NNOVEM ER E10,EA1ED 58.29' 2015 re TB. LL BULKHEAD PREPARED IN ACCORDANCE WITH THE MINIMUM VINYL LOW SI STANDARDS FOR TITLE SURVEYS AS ESTABLISHED /tel BY THE L.I.A.L.S. AND APPROVED AND ADOPTED Q N T T�LI S I �� FK FOR SUCH UI!<.BY W YORK STATE LAND �Ep O T �I;-1 O YV/ J/L lJ TITLE Ar�S�O�CtI TIl01N I N.Y.S. Lic. No. 50467 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS VIOLATION OF Nathan Taft Corwin iii SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY Successor To: Stanley J. Isoksen, Jr. L.S. IS PREPARED, AND ON HIS BEHALF TO THE Joseph A. Ingegno L.S. TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND Title Surveys - Subdivisions - Site Plans - Construction Layout TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 FOX (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 ti New York State Department of Environmental Conservation Division of Environmental Permits, Region 1 SUNY @ Stony Brook Aim 50 Circle Road, Stony Brook, NY 11790-3409 aftim Phone: (631)4444-0365 a Fax:{631)444-0360 Website: www.dec.ny gov E-mail:jawielan@_gw.dec.state.ny.us New TIDAL WETLANDS LETTER OF NO-JURISDICTION August 25,2016 Gloria A.Scollard Inter Vivos Credit Shelter Trust Patrick A.Scollard, Co-Trustee 100 Hilton Avenue,Unit 714 Garden City,NY 11530 Re: NYSDEC#1-4738-00266/00016 Scollard Property 905 Willis Creek Drive Southold,NY 11952 SCTM#1000-123-10-3 Dear Mr.Scollard: Based on the pre-lot development 10 foot contour shown on the survey last revised August 4,2016 by Nathan Taft Corwin III,Land Surveyor,the area landward of the pre-lot development 10' contour is beyond NYSDEC Tidal Wetland jurisdiction. The pre-lot development 10 foot contour is interpreted off of a survey dated September 4, 1993 (pre-lot development),prepared by Samuels&Steelman,Architects. Therefore,in accordance with the current Article 25 Tidal Wetlands Land Use Regulations(6 NYCRR Part 661), no permit is required under the Tidal Wetlands Act for any construction landward of the pre-lot development 10 foot contour as shown on the survey last revised August 4,2016 by Nathan Taft Corwin III,Land Surveyor. No construction,sedimentation,or disturbance may take place seaward of the tidal wetlands jurisdictional boundary,as indicted above,without a permit. To ensure against contamination of the wetland seaward of your bulkhead,you may wish to install sediment control measures between the area of project activity and the bulkhead. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other individuals and/or agencies. 3 cry tru :ypurs, _ to ��icl:in�i el uty Permit +�1dinir str tai CC: En-ConsuItants BOH—TW File D EC` C IE Ft SEP' 19 2016 Southold Town Board of Trustees J John M. Bredemeyer III, Preside, ��O4ogUFFO( � Town Hall Annex Michael J. Domino, Vice-President." y� y 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A. Nicholas Krupski o ® �y` Southold, NY 11971 Charles J. Sanders '!,fj oma ' Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 9/ i3VI4 4!40 Completed in field by: GnIVJGMp � En-Consultants on behalf of GLORIA A. SCOLLARD INTER VIVOS CREDIT SHELTER TRUST requests a Wetland Permit to construct a 16'x32' swimming pool surrounded on three sides by a 4' to 8' wide (448sq.ft.) on-grade masonry patio; and install pool enclosure fencing, a pool equipment area, and a pool drywell. Located: 905 Willis Creek Drive, Mattituck. SCTM# 1000-123-10-3 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 r john M. Bredemeyer III, PresidE ��S1SFF0(�-CO J Town Hall Annex Michael J. Domino, Vice-President �o Gy 54375 Route 25 Glenn Goldsmith is �� P.O. Box 1179 A. Nicholas Krupski o ® A Southold, NY 11971 Charles J. Sanders y,� ao� Telephone (631) 765-1892 �17fa� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: En-Consultants on behalf of GLORIA A. SCOLLARD INTER VIVOS CREDIT SHELTER TRUST requests a Wetland Permit to construct a 16'x32' swimming pool surrounded on three sides by a 4' to 8' wide (448sq.ft.) on-grade masonry patio; and install pool enclosure fencing, a pool equipment area, and a pool drywell. Located: 905 Willis Creek Drive, Mattituck. SCTM# 1000-123-10-3 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: 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 Man one was �■ ^/' ��; «r+ Gloria A.Scollard Inter Vivos Credit Shelter - �-�- 905 WillisCreek Drive, attituck _ — 1 SCTM#: 1000-123-10-3 9/13/16 low OF f , re a r -s "r �r r -.c Ips • • • • y yj I te } - AP - r'.;.� t �• �i�M�r..7t �i�� �,n)k+vla t l-0��� r4� � r a�'��X,R;9� V�.>� �. h�`��' _ . i r ,r rr,• i* l'' ' d� ;�, kf`� i t , I �71� �'•: tl )r ,''c2f' r k•'��1 � t^'��t. :" rif, GLORIA A. SCOLLARD INTER VIVOS CREDIT SHELTER TRUST,905 WILLIS CREEK DRIVE,MATTITUCK -"Now 11 ' Figure 1. Looking west over waterside of existing dwelling and location of proposed swimming pool. Figure 2. Looking south from waterside of house over location of proposed swimming pool and toward Willis Creek. GLORIA A. SCOLLARD INTER VIVOS CREDIT SHELTER TRUST,905 WILLIS CREEK DRIVE, MATTITUCK ,f ■ Figure 3. Looking northwest from southeast corner of property and high water line of Willis Creek toward existing dwelling and location of proposed swimming pool. Vw, _!Y r Figure 4. 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J� y ��d DENSE 26 ,9 B L° „`,72• •'° P o° m I< �12A •B x",' ^' g B5 °" r rAll ° � .� r o 6 QD�� 1 , 45 eJ 16 g g 31 d] 49 tla 79 30 • ++AV' 2 16 m • ,Lp+S6.to p'{j`Q BB °.a' i] , �•lA.l 'S � ?B P� w `0'f y O + $ � '•�� ,9 x0� 2fi x� d' ( 6 ]4 413 5 4 2 OW, 6 tw+ A A. +s 25 34A g `'•" '^ m ,0 , ,iPl+TPII. saO +5P\°�. p „n • , '/a/ 2pj4 lx1 g " 9 A 171 36 j1O B t }+� y 1]2 Y c fpV•N GRE1 P 4wo E (21) __-- „,ten„ —_n-- c' f NOTICE9Wt � COUNTY OF SUFFOLK © K of SOUTHOtD SECTION NO �pp Real Property Tax Service Agency r uAOEOF 12$ N ...... n ....�1z.F4al a.lz.A �- —__— ten. --.-- o.e�.--„..-- �,,,� � A ��xF s1R�cr No 1DO. +•ai —___— vw v Rr.rdys a” . .,r °,v" P PROPERTY MAP ,.SuffolkCountyNY.gov/Clerk Domestic Violence Hotline (800)799-7233 OFFICE LOCATION: ®zoF SO �®1 MAILING ADDRESS: Town Hall Annex ® P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Q Telephone: 631 765-1938 Southold, NY 11971 ® ® P ® Fax: 631765-3136 �yCOUNTTY,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees .From: Mark Terry, LWRP Coordinator Date: September 19, 2016 Re: LWRP Coastal Consistency Review for GLORIA A. SCOLLARD INTER VIVOS CREDIT SHELTER TRUST SCTM# 1000-123-10-3' En-Consultants on behalf of GLORIA A. SCOLLARD INTER VIVOS CREDIT SHELTER TRUST requests a Wetland Permit to construct a 16'x32' swimming pool surrounded on three sides by a 4' to 8' wide (448sq.ft.) on-grade masonry patio; and install pool enclosure fencing, a pool equipment area, and a pool drywell. Located: 905 Willis Creek Drive, Mattituck. SCTM# 1000-123-10-3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the below listed Policy Standards and therefore is CONSISTENT with LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Y t%ofF01 Peter Young,Chairman o 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., September 14, 2016 the following recommendation was made: Moved by Peter Meeker, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of GLORIA A. SCOLLARD INTER VIVOS CREDIT SHELTER TRUST to construct a 16'X 32' swimming pool surrounded on three sides by a 4' to 8' wide, 448 sf. on-grade masonry patio; and install pool enclosure fencing, pool equipment, and a pool drywell. Located: 905 Willis Creek Dr., Mattituck. SCTM#123-10-3 The CAC Supports the application with appropriate setbacks. Vote of Council: Ayes: All Motion Carried John M. Bredemeyer 111, Presi6- ,f, ��,�F S�(/J�.O ; Town Hall Annex - O l 54375 Main Road Michael J. Domino, Vice-President _std O P.O. Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G Charles J. Sanders, Trustee p �O Telephone(631) 765-1892 lUN-11I� Fax (631) 765-6641 - BOARD OF O OTEES WN OF D To- Southold Town Building Department �J AUG 2 6 2016 Re: Verification of Building Department Permit Requirements BUI DING DEPT. SCTM#: 4-Deuk SuL W 14\4 C40 I— S({FvwN OF S0UTff0LD Property Owner Name: 1-23 ®✓3 Date Sent to Bldg. Dept.: `It The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Departfnent's permitting requirements stated below: YES NO ,Will the proposed project require a Building Permit? Will 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 � Signature of Reviewer Date John M.Bredemeyer III,President Town Hall Annex Michael J.Domino,Vice-President54375 Main Road G P.O.Box 1179 James F.King,Trustee d Southold,New York 11971-0959 Dave Bergen,Trustee '�O� �+bp� Telephone(631)765-1892 Charles J. Sanders, Trustee Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit _Amendment/Trans er/Ext nsion Received Application: o'�a�1 Received Fee: 2-5'O Z Completed Application e Incomplete Ce" t V _SEQRA Classification: 1...! Type L--Type II Unlisted Coordination: (date sent) q Z.I w I AUG 2 2 2016 n LWRP Cosistency A sessment Form CAC Referral Sent: "3���� _Date of Inspection: '!� F outholtl Town _Receipt of CAC Report: _M -Bgart!of True _Lead Agency Determination: Technical Review: Public Hearing Held: _24 Resolution: Name of Applicant Gloria A. Scollard Inter Vivos Credit Shelter Trust c/o Patrick Scollard,Co-Trustee Address 100 Hilton Avenue,Unit 714,Garden City,NY 11530 Phone Number: (aq 746-0491 Suffolk County Tax Map Number: 1000 - 123-10-3 Property Location: 905 Willis Creek Drive,Mattituck (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) Address: 1319 North Sea Road, Southampton,NY 11968 Phone:631-283-6360 Cop- U- � D1 Board of Trustees App :atiorl GENERAL DATA Land Area(in square feet): 46,083 Area Zoning: R-40 Previous use of property: Residential,single-family dwelling Intended use of property: Same with swimming pool Covenants and Restrictions: Yes No If"Yes", please provide copy. Will this project require a Building Permit as per Town Code? Yes X 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 X No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by Building Dept. Yes X No Does the structure(s)on property have a valid Certificate of Occupancy X Yes No Prior permits/approvals for site improvements: Agency Date Southold Wetlands Permit No.3925 06/07/91,Amended 12/14/93 Southold Wetlands Permit No. 5094 12/17/99 Southold Wetlands Permit No. 5701 01/22/08,Amended 7/23/03 Southold Wetlands Permit No,7954 11/14/12,Amended 4/23/14 NYSDEC Tidal Wetlands#1-4738-00266 01/04/13,Amended 7/11/14 USACOE NAN-2013-00138-EMC 05/24/13 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description(use attachments if necessary): Construct a 16'x 32'swimming pool surrounded on three sides by a 4'to 8'wide,448 sf on-grade masonry patio;and install pool enclosure fencing,pool equipment,and a pool drywell,all as depicted on the site plan prepared by Nathan Taft Corwin III Land Surveyor,last dated August 4,2016. Board of Trustees Applic on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To construct an inground swimming pool and pool patio on waterside of existing dwelling. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 °% Closest distance between nearest existing structure and upland edge of wetlands: +/-75 feet Closest distance between nearest proposed structure and upland edge of wetlands: +1-51 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? +/-150 cubic yards (as needed for excavation of swimming pool) How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: +/-8 feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: Standard construction practices. 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): The proposed swimming pool is proposed at the highest point of the subject property at an elevation of 14 feet above mean sea level and thus will not interfere with the groundwater table. Both the swimming pool and associated pool patio have been designed to remain landward of the tidal wetlands jurisdiction of the New York State Department of Environmental Conservation and exceed the 50'setback from the mean high water line and tidal wetlands associated with Willis Creek,as required by Section 275-3(D)(1)(a)(5)of the Wetlands Law of the Town of Southold. As a result of the proposal,lot coverage as defined by Chapter 280 of the Town Code will increase only by 1.2 percent to 7.5 percent. A temporary project limiting silt fence will be set in place between the work site and Willis Creek to control and contain site disturbance and potential runoff during construction;and a pool drywell will be permanently installed upon completion of construction to capture pool backwash. Therefore,the project will not result in the physical loss,degradation,or functional loss of ecological components or otherwise adversely impact the adjacent tidal wetlands or waters of the Town. 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-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 I-Project and Sponsor Information Name of Action or Project: Scollard Swimming Pool Project Location(describe,and attach a location map): 7940 Indian Neck Lane,Peconic,Town of Southold, Suffolk County,NY, SCTM# 1000-86-7-7.2;property is located on west of Indian Neck Road, +/-361'from southeastern end of road,location map attached. Brief Description of Proposed Action: Construct a 16'x 32'swimming pool surrounded on three sides by a 4'to 8'wide,448 sf on-grade masonry patio; and install pool enclosure fencing,pool equipment,and a pool drywell,all as depicted on the site plan prepared by Nathan Taft Corwin III Land Surveyor,last dated August 4,2016. Name of Applicant or Sponsor: Telephone: 516-746-0491 Gloria A. Scollard Inter Vivos Credit Shelter Trust Patrick Scollard,Co-Trustee E-Mail: pjs905@me.com Address: 100 Hilton Avenue,Unit 714 City/PO: State: Zip Code: Garden City NY 11530 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. X 2.Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: NYS DEC X 3.a.Total acreage of the site of the proposed action? 1.058 acres b.Total acreage to be physically disturbed? +/-2,750 sf acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.058 acres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture ®Aquatic ❑ Other(specify): ❑Parkland Page 1 of 4 5.Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b.Consistent with the adopted comprehensive plan? X 6.Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7.Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: Name Deep Hole Creek,Pecomc Bay&Environs,Reason.Significant coastal fish&wildlife habitat Protect public health,water,vegetation,&scenic beauty,Agency Town of Southold,Suffolk County,Date 3-9-90,7-12-88 X 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: N/A 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: N/A 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: N/A 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b.Is the proposed action located in an archeological sensitive area? X 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? X b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? X 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. ® Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® Wetland ❑Urban ® Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? X 16.Is the project site located in the 100 year flood plain? NO YES X 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO❑YES X b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: X 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: X 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name obert E.Herrmann,Coastal Mgmt. Specialist fie: August 12,2016 Signature: Part 2-Impact Assessment.The Lead Agency is responsible for the completion of Part 2.Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer.When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? f 3.Will the proposed action impair the character or quality of the existing community? / 4. Will the proposed action have an impact on the environmental characteristics that caused the y 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? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11.Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance.The Lead Agency is responsible for the completion of Part 3.For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part I Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts.Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude.Also consider the potential for short-term,long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environment im acts. Name of Le5d Agency Date J�oh r c Print or Type N e of Respons' fficer Lead Agency Title of Responsible Officer Signat e f Responsibl f fi#in Lead Ag ncy Signature of Preparer(if different from Responsible Officer) Page 4 of 4 H At< IN -G NUTICt UF � t NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNERS OF RECORD: GLORIA A. SCOLLARD INTER VIVOS CREDIT SHELTER TRUST SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a 16'x32' swimming pool surrounded on three sides by a 4' to 8' wide (448sq.ft.) on-grade masonry patio; and install pool enclosure fencing, a pool equipment area, and a pool drywell. Located: 905 Willis Creek Drive, Mattituck. SCTM# 1000-123-10-3 TIME & DATE OF PUBLIC HEARING : ' a� Wednesday, September 21, 2016 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Gloria A. Scollard Inter Vivos Credit Shelter Trust SCTM#1000-123-10-3 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Construct a 16'x 32'swimming pool surrounded on three sides by a 4'to 8'wide,448 sf on-grade masonry patio;and install pool enclosure fencing,pool equipment,and a pool drywell,all as depicted on the site plan prepared by Nathan Taft Corwin III Land Surveyor, last dated August 4,2016. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 905 Willis Creek Drive,Mattituck 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Wednesday,September 21,2016 @ 5:30 p.m. 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. Gloria A. Scollard Inter Vivos Credit Shelter Trust c/o Patrick Scollard,Co-Trustee PROPERTY OWNERS NAME: 100 Hilton Avenue,Unit 714 MAILING ADDRESS: Garden City,NY 11530 PHONE #: 516-746-0491 AGENT: En-Consultants MAILING ADDRESS: 1319 North Sea Road,Southampton,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. r PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Nam: Address: Robert&Janet Downing 1280 Bayberry Road Cutchogue,NY 11935 Bayview at Mattituck Homeowner's Association P.O.Box 871 Mattituck,NY 11952 Town of Southold P.O.Box 1179 Southold,NY 11971 Kenneth&Elizabeth LeStrange 111 Farley Road Short Hills,NJ 07078 Stephen&Elaine Sparacino 890 Willis Creek Drive Mattituck,NY 11952 STATE OF NEW YORK COUNTY OF SUFFOLK Robert E.Herrmann doing business at En-Consultants 1319 North Sea Road Southampton,NY 11968 , being duly svwrn, deposes and says that on the 13th day of September ,20 16 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Southampton , that said Notices were ailed to each of said persons by (certified)(pegCs4enet� mail. Robert E.Herrmann Coastal Managment Specialist Sworn to before me this 13th day of September ,20 16 KIM H . STEPHEN S NOTARY PUBLIC /l STATE OF NEW YORK COMMISSION N0 . 5015931 NotarV Public OUALIFIEO IN SUFFOLK COUNTY EXPIRES AUGUST 'Z., 20ll �Y`�11_f 0j� John M. Bredemeyer III, President 0Z0 �o� Town Hall Annex Michael J. Domino, Vice-President ��� y:�c`� 54375 Route 25 Glenn Goldsmith 4 ?,� P.O. Box 1179 A. Nicholas Krupski �y� o� Y Southold, NY 11971 Charles J. Sanders �� �� X Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of GLORIA A. SCOLLARD INTER VIVOS CREDIT SHELTER TRUST 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, Robert E. H ri'mann , residing at/dba Fn-Consultants 1319 North Sea Road, So i bmapton, NY 11 W being duly sworn, depose and say: That on the day of September , 2016 , I personally posted the property known as 905 Willis Creek Drive, Matti ti irk, SCIM #1000-123-10-3 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, September 21,2016. Dated: (signat Sworn to before me this 21stday of Sept. 2016 ary Pu lic {SIM H , STEPHENS NOTARY PUBLIC STATE OF NEW YORK COMMISSION NO . 5015931 QUALIFIED IN SUFFOLK COUNTY Aws T 2_, 20-1-7 Q 0 rn -0 Lj') rn rn LO A L U S 1,-2 Ln 00 F IFF C 11 A L U = Certified mail Fee Mail Fee so $ -0 $ ro Extra Services&Fees(check box,add fee as approprIate) Extra Services&Fe (checkbox,add fee as approprrate) I/ El Return Receipt(hardcopy) $ rn El Return Receipt(haredscopy) $ SO M 0) El Return Receipt(electronic) $ .rk 1 j_3 0 Return Receipt(electronic) $ C0 Postinft El Certified Mail Restricted Delivery $ M El Certified Mail Restricted Delivery $ ft E-3 H" []AdultSignatu (5 'Uj [:3 re Required $ E]Adult Signature Required $ (::p C3 tri (P, [:]Adult Signature Restricted Delivery$ Adult Signature Restricted Delivery$ f4W 0 ID Postage LJ Postage $ C3 Total Poi Total FC3 $ $ Bayview at Ln Sent To Robert&Janet Downing U) Sent T( -------- 1280 Bayberry Road -------- I r-91 Homeowner's Association C3 Street an E3 ---------- Cutchogue,NY 11935 -------- r- P.O. Box 871 City Slal Crry Si Mattituck,NY 11952 .......... ■ 0 0 C3 Cr rn rn ru Ln 00 V 11 i LIV b U 67V-�& Ln 77) -r Certified Mail Fee i -dartified mail Fee $ $ S Extra Services&Fees(check box,add Fee as—appropriate) (ro Po Extra Services&Fees f1checkbox,add fee as appmpnate) El Return Receipt /,/- pt 0-cloopy) $ Return Receipt(hardcopy) C3 rn El Return Receipt(electronic) $ os M $ 11-3 El Return Receipt(electronic) $ C Postmark E-3 M Certified Mail Restricted Delivery $ 1-3 El certified Mail Restricted Delivery $ HP0 -0 E3 []Adult Signature Required $ [I Adult Signature Re E]Adult Signature Restricted Delivery$ quired ❑Adult Signature Restricted Delivery$ r3 Postage M Postage $ $ Total Postag M C3 Total P Ln Sent To Town of Southold Ln Sent Tc Kenneth&Elizabeth LeStrange O Street and r=l -Al C3 �giFiii� ----------- P.O. Box 1179 111 Farley Road ------------- City State,2 Southold,NY 11971 Short HillCity SIs,NJ 07078 ---------- U.S. . ® service' "ey ,CERTIFIED MAILO k:ECEIPT N Domestic0aff Only r3 4=r' A L SUE so& C-3 Postage $ co Certified Fee M 0) Poeftnark 0 Return Receipt Fee cc r3 (Endorsement Required) C3 Restricted Deliver Fee C3 (Endorsement Required) ru r'I Total Postage a ru -r -Sent To Stephen&Elaine Sparacino r-I . C3 UFWX�VllV(5 K .' 890 Willis Creek Drive or POB------ox No. ---------- --- Mattituck, NY 11952 CI�Y State,ZIP+4 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) 1W11 1171 Lke��T Sher Lfiv� % 71-1residing at /Od #Xlleit) �ye, (print owner of property) (mailing address) ,! 9Ww eoi lygo do hereby authorize (Agent) 'r 'RNs 1A107-S to apply for permit(s)from the Southold Board of Town Trustees on my behalf. 4&40C r;r,);6re Liv- TG��-1_�eE? (Owners signat e) C ` S��L� ��; ��rje� Sc©c. �1��.� =�-���eF U(O�' �` 1�e�s Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) KevIAv �� L`v %ass Te- � e�ieT S/tez Ter //2us7 Iorrl* 9, SC,.0`.LW12 - vivax I, residing at 7M APR1ui1L)66/D,— (print owner of property) (mailing address) ?AIW-W-, 6W '16JI { do hereby authorize ��vv (Agent) /1r" (,O/VSGt L—//-hv7:5 to apply for permit(s)from the South ld Board ofown Trustees on my behalf. r (Owner's signature) f(p jljAps'coGL,/}�� �v /�u She/1`��' T/Zusi Board of Trustees Application County of Suffolk State of New York P T ScoGL iQJ7 Glorl# f9 ScoLwo 1V7,Ce Uiar�s C� 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 TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Si&#aiure p4Tlaue- 6/aci4 , S�oLL/91�� Tl-je/^ �i✓4S L' a�T 5'/ze 7fe� SWORN TO BEFORE ME THIS Q DAY OF120A No c LISA BURGGRAF Notary Public, State of New York No. 30-4748612 Qualified in Nassau County Commission Expires. Board of Trustees Application County of Suffolk State of New York l eviN Sc01'-#PzD, 627P-as 7-, o Ni/� � Scoct/32��NTL`k �dc5 L•'2e�r�SN�z%P� ��CS BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER NTO MY P PERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH VIEWO THIS APPLICATION. ,n y _ Signature /CP iA) ScOz�9-�a ev-TIe4 GIORj# ,q. S'cp141V-b .T,uTea- SWORN TO BEFORE ME THIS C9 DAY OF ,20j_�_ Notary Public Anthea MRS Now PUM,Mob County, My Commt Wnn Aug.28,2018 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same.pP/}neice- T SCD LL I3'Q� eD 71-6L&S YOUR NAME: l-1 o 69 A YcoLL j�� .7lvTFP Vtr P-5 L'�e��S1,�17`e r� 72i+s 7 (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person'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,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitte is &/ Iay of -20M{ Signatu Print Namev �� tae edr �/� ll f f Form TS 1 G�®r;� i , SCd c�N �Nter f' APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same., YOURNAME: OLIA /� _JCCi_L-427 /,ry C. Vlyd.r G2i%/2)/7 (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person'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,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO I If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thAN. day o `'�� 00 Signaturea Print Name Go L! eCo —:7-712US7-ElE Form TS 1 (r-/t76Y� A.Scac�/f2� 1�vler!I[vos e -J)tT S'AdteiZ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Herrmann, Rnhart F (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person'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,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person__ Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP w Submitted this Aay of t& 200: Signature Print Name E. Henrin Form TS 1 f I Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for perm its' including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold W aterfront Consistency Review Law . This assessor ent is intended to supplem ent other inform ation used by a Town of Southold agency in m a k in g a d e t e r m in a t i o n o f c o n s is t e n c y. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken: A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 123 - 10 - 3 PROJECT NAME Gloria A. Scollard Inter Vivos Credit Shelter Trust The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 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: Construct a 16'x 32'swimming pool surrounded on three sides by a 4'to 8'wide,448 sf on-grade masonry patio;and install pool enclosure fencing,pool equipment,and a pool drywell,all as depicted on the site plan prepared by Nathan Taft Corwin III Land Surveyor,last dated August 4,2016. Location of action:905 Willis Creek Drive,Mattituck Site acreage: 1.058 acres Present land use: Residential,single family dwelling Present zoning classification: R-40 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: Gloria A.Scollard Inter Vivos Credit Shelter Trust (b)Mailing address: c/o Patrick Scollard,Co-Trustee 100 Hilton Avenue,Unit 714,Garden City,NY 11530 (c) Telephone number: Area Code 516-746-0491 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No ® If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. F]Yes F-1 No M Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria 1:1Yes ❑ No ® 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 ❑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 The proposed swimming pool will be located at the highest point of the subject property(EL. 14'MSL)and separated from Willis Creek both by a primary bulkhead located along the shoreline and by a secondary retaining wall with a top elevation of nearly 10'MSL. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ®Yes ❑ No ❑ Not Applicable The proposed swimming pool is proposed at the highest point of the subject property at an elevation of 14 feet above mean sea level and thus will not interfere with the groundwater table.A temporary project limiting silt fence will be set in place between the work site and Willis Creek to control and contain site disturbance and potential runoff during construction;and a pool drywell will be permanently installed upon completion of construction to capture pool backwash. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ®Yes 0 No ❑ Not Applicable 1 i fi 1� The proposed swimming pool is proposed at the higneit point of the subject property at an elevation of 14 feet above mean sea level and thus will not interfere with the groundwater table Both the swimming pool and associated pool patio have been designed to remain landward of the tidal wetlands jurisdiction of the New York State Department of Environmental Conservation and exceed the 50'setback from the mean high waterline and tidal wetlands associated with Willis Creek,as required by Section 275-3(D)(1)(a)(5)of the Wetlands Law of the Town of Southold As a result of the proposal,lot coverage as defined by Chapter 280 of the Town Code will increase only by 12 percent to 7 5 percent A temporary project limiting silt fence will beset in place between the work site and Willis Creek to control and contain site disturbance and potential runoff during construction,and a pool drywell will be permanently installed upon completion of construction to capture pool backwash Therefore,the project will not result in the physical loss,degradation,or functional loss of ecological components or otherwise adversely impact the adjacent tidal wetlands or waters of the Town and will thus be consistent with Policy 6 Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southol", , water-de endent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No ® Not Applicable PREPARED BY TITLE Coastal Mgmt. specialist DATEAugust 12,2016 Robert ann Amended on 811105 i EN-CONSULTANTS August 12,2016 `� Town of Southold f'.' njD E "LIZE t VE Board of Trustees f 54375 Main Road j Post Office Box 1179 AUG 2 2 2016 Southold,New York 11971 r, Re: Gloria A. Scollard Inter Vivos Credit Shelter Trust f outhold own s 905 Willis Creek Road,Mattituck t__��_.__b9d T s ees _ SCTM#1000-123-10-3 Dear Board of Trustees: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Four(4)Wetland Permit Applications including: a) Short Environmental Assessment Form; b) Authorization Forms; c) Applicant/Agent/Representative Transactional Disclosure Forms 2. Survey prepared by Nathan Taft Corwin III Land Surveyor, last dated August 4,2016. 3. One(1)set of site photographs. 4. Application fee of$250.00. 5. Three(3)LW"Consistency Assessment Forms including: a) Survey(as referenced above). I trust this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sin e ly, Rke Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 1 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting