HomeMy WebLinkAboutTR-8889A Michael J.Domino, President ��F SU(/TTown Hall Annex
John M.Bredemeyer III,Vice-President 54375 Route 25
P.O. Box 1179
Glenn Goldsmith [ Southold,New York 11971
A.Nicholas Krupski G Q Telephone (631) 765-1892
Greg Williams �� Fax(631) 765-6641
'00uff i,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 1566C Date: April 7,2019
THIS CERTIFIES that the removal of the existing deck and construct a new±1,095sq.ft. deck
with±15sq ft deck steps to grade attached to seaward side of dwelling; and add a 149sg.ft.hot
tub on the new deck;
At 2145 Little Peconic Bay Lane, Southold
Suffolk County Tax Map#1000-90-1-15
Conforms to the application for a Trustees Permit heretofore filed in this
office dated September 7, 2016 pursuant to which Trustees Administrative Permit#8889A
Dated October 19, 2016, was issued and conforms to all of the
requirements and conditions of the applicable provisions of law: The project
for which this certificate is being issued is
for the removal of the existing deck and construct a new±1 095sq.ft. deck with±15sq.ft. deck
steps to grade attached to seaward side of dwelling,• and add a±49sq.ft. hot tub on the new deck.
The certificate is issued to Alvin Schein owner of the
aforesaid property.
Authorized Signature
4 T'
Michael J.Domino,President OF SO(/JyO Town Hall Annex
John M.Bredemeyer III,Vice,-President �� l0 54375 Route 25
P.O. Box 1179
Glenn Goldsmith Southold,New York 11971
A.Nicholas Krupski G Q
Telephone(631) 765-1892
Greg Williams O�y00U0, Fax(631) 765-6641'�� `
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DATE OF INSPECTION:
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: � �
COMMENTS:
CERTIFICATE OF COMPLIANCE:
John M. Bredemeyer li "resident :' �<2 Town Hall Annex
Michael J Domino, Vice-President �< 54375 Route 25
Glenn Goldsmith o ,; z ,•`° P.O- Box 1 179
� .:
o ='� Southold, NY 11971
A. Nicholas Krupski r o�
Charles J. Sanders ?l0, �o" 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
Ist day of construction
/ 'h constructed
V Project complete, compliance inspection
John M.Bredemeyer III,President *rif SO!/ly® Town Hall Annex
Michael J.Domino,Vice-President ,`O 01
0 54375 Route 25
P.O.Box 1179
Glenn Goldsmith Southold,New York 11971
A.Nicholas Krupski G
® Telephone (631) 765-1892
Charles J.SandersO a Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 8889A
Date of Receipt of Application: September 7, 2016
Applicant: Alvin Schein
SCTM#: 1000-90-1-15
Project Location: 2145 Little Peconic Bay Lane, Southold
Date of Resolution/Issuance: October 19, 2016
Date of Expiration: October 19, 2018
Reviewed by: Board of Trustees
Project Description: Remove the existing deck and construct a new ±1,095sq.ft.
deck with ±15sq.ft. deck steps to grade attached to seaward side of dwelling; and
add a ±49sq.ft. hot tub on the new deck.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
survey prepared by Nathan Taft Corwin, III, Land Surveyor, last dated July 20,
2016, and stamped approved on October 19, 2016.
Special Conditions: None.
Inspections: Final Inspection.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
John M. Bredemeyer, III
President Board of Trustees
EXISTING LOT COVERAGE PROPOSED LOT COVERAGE
OVER UPLAND AREA = 20,264 sq ft. OVER UPLAND AREA = 20,264 sq. ft. SURVEY OF
DESCRIPTION AREA X LOT COVERAGE DESCRIPTION AREA X LOT COVERAGE LOT 129
= V �9 ►�
HOUSE 1,465 sq. ft. 7.2% HOUSE 1,465 sq. ft. 7.2% MAP OF
FRONT PORCH 105 sq. ft. 0.5% FRONT PORCH 105 sq. ft. 0.5% CEDAR BEACH PARK
7 2016 FILE No. 90 FILED DECEMBER 20, 1927
SEP I �, DECKS 70o sq. ft. 3.5Y. DECKS 1,275 sq. ft. 6.3X SITUATED AT
O �" PORTION OF WOOD DOCK PORTION of WOOD DOCK
IN UPLAND AREA Iso sq. ft. 1.OX IN UPLAND AREA 190 sq. ft. 1.OX BAYVIEW
Southold Town ��, o� TOWN OF SOUTHOLD
g�rdoiTrustees— off^ r� PAVER WALK 330 sq. ft. 1.6% PAVER WALK 330 sq. ft. 1.6%
TOTAL 2,790 sq, ft. 13.t3r. TOTAL 3,366 sq. ft. 16.6X SUFFOLK COUNTY, NEW YORKS.C. TAX No. 1000-90-01-15
SCALE 1"=30'
JUNE 22, 1999
y Op SEPTEMBER 29, 1999 SET STAKES ALONG CLEARING LIMITS LINE
NOVEMBER 23, 1999 REVISED AS PER EN-CONSULTANTS, Inc.
C;W JUNE 22, 2000 REVISED PLOT PLAN
ari_ AUGUST Q� 11, 2000 ADDED PROPOSED WATER SERVICE
SIC AUGUST 22, 2000 REVISED PROPOSED SEPTIC SYSTEM LOCATION
' Q S (s
�a0' x1 8 O�3 6,>. (n Z JANUARY 2, 2001 FOUNDATION LOCATION
V6 SEPTEMBER J SEPTEMBER 4, 2001 FINAL SURVEY
cD S }> OCTOBER 23, 2001 REVISED MEASUREMENTS TO SEPTIC SYSTEM
0 OCTOBER 15, 2013 UPDATE SURVEY
° o x QO APRIL 15, 2016 UPDATE SURVEY
O v f3.8 ° 14,5` j V JULY 20, 2016 ADD PROPOSED DECK
X
Al p 1 T4.0 x1kf �M °� TOTAL LOT AREA = 20,568 sq. ft.
° GRAVEL OR n� ,ACV LD zW (TO TIE LINE) 0.472 ac.
13-5 I x132 AY I °sAc. tel' � ,- 13 3z:-° WETLAND AREA = 304 sq. ft.
14.21 I 12.5E O 3�N UPLAND AREA = 20,264 sq. ft.
Q I x 12.0 Qi Q LU Z N
D T3.6_ �Op 0 QD ^ '_�� NOTES:
Aczt �� ��, m LST A / 140 ��3 �p \ r Ito
to�z 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM
�x �x1g 9 3� �q� / �0� EXISTING ELEVATIONS ARE SHOWN THUS:.0
`y �n o�z EXISTING CONTOUR LINES ARE SHOWN THUS:—— ————5—————
��� WATER SERVIC � �j0 ^ / SRO l 2O�(. W CO o F.FL. - FIRST FLOOR
Q \ W W W U �' m ° � pip �t 2S G.FL. - GARAGE FLOOR
e°
-LLQ Sf 0 CFO F 2 M
_ o V ,ate r x N
yam x �I
14.9 x � / •' \� 14-2 � 324, � \ �°�`'
U I x i''` �� ` > \a� 41�
(, '-4 4 cD x� CERTIFIED TO:
X , III 7 ESSPOOLS 4 S' Q3� 1 szz xy I �x I ALVIN SCHEIN
p 13.7 s �� W 1 . N °R" TO I I d r�, ALL NEW YORK TITLE AGENCY, Inc.
H O I �/ I �,,i �' ONDERA ' EE x \ \ LO STEWART TITLE INSURANCE COMPANY
\ x/x13.2 :`:
John M. Bredemeyer III, Presi „ d�oSUFFQ�k�o� Town Hall Annex
Michael J. Domino, Vice-PresidL4it �o Gy 54375 Route 25
Glenn Goldsmith �y x # P.O. Box 1179
A. Nicholas Krupski a Southold, NY 11971
Charles J Sanders y�j�l �ao�r Telephone (631) 765-1892 .
Fax(631) 765-6641
�'zzx:zsxt�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Date/Time: Completed in field by: R4
Suffolk Environmental Consulting on behalf of ALVIN SCHEIN requests an Administrative Permit to
remove the existing deck and construct a new ±1,095sq.ft. deck with ±15sq.ft. deck steps to grade
attached to seaward side of dwelling; and add a ±49sq.ft. hot tub on the new deck. Located: 2145
Little Peconic Bay Lane, Southold. SCTM# 1000-90-1-15
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:
3
Present were. . Bredemeyer f/M. Domino (/G/. Goldsmith __1-"'/N. Kru pski
C. Sanders Other
Page 1 of 2
John M. Bredemeyer III, Presi!P ni ��gUFFO(�-SO µ Town Hall Annex
Michael J. Domino, Vice-Presiaen� �o Gy�� 54375 Route 25
Glenn Goldsmith o P.O. Box 1179
A. Nicholas Krupski o ® Southold, NY 11971
Charles J. Sanders 'y�j o��r' Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Date/Time: Completed in Work Session by:
Suffolk Environmental Consulting on behalf of ALVIN SCHEIN requests an Administrative Permit to
remove the existing deck and construct a new ±1,095sq.ft. deck with ±15sq.ft. deck steps to grade
attached to seaward side of dwelling; and add a ±49sq.ft. hot tub on the new deck. Located: 2145
Little Peconic Bay Lane, Southold. SCTM# 1000-90-1-15
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
f , op
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Division of Environmental Permits,Region 1
SUNY jai Stony Brook,50 Circle Road,Stony Brook.NY 11790
P (631)444-0365 1 F (631)444-0360
www d ec ny gov
August 12, 2016
Mr. Alvin Schein
570 Lexington Ave FL 14
New York NY 10022-6837
r Re: Permit ID 1-4738-04324/00003
Schein Property
2145 Little Peconic Bay Lane
Southold
SCTM # 1000-90-1-15
Expiration/ Date: 8/11/2021
Dear Permittee.
In conformance with the requirements of the State Uniform Procedures Act (Article
70, ECL) and its implementing regulations (6 NYCRR, Part 621) we are enclosing your
permit. Please carefully read all permit conditions contained in the permit to ensure
compliance during the term of the permit. If you are unable to comply with any conditions,
please contact us at the above address.
Also enclosed is a permit sign which is to be conspicuously posted at the project
site and protected from the weather, and a Notice of Commencement / Completion of
Construction. Please note, the permit sign and Notice of Commencement / Completion
of Construction form are sent to either the permittee or the facility application contact, not
both.
Sincerely,
Matthew R. Penski
Environmental Analyst 1
cc: Suffolk Environmental Consulting, Inc.
Habitat - TW
File
_ NE IYORK Department of
srniroF
ovaoRrur✓irr
Environmental
Conservation
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NEW YORK STATE DEPME\T OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-04324
PERMIT
Under the Environmental Conservation Law ECL
Permittee and Facility Information
Permit Issued To: Facility:
ALVIN SCHEIN SCHEIN PROPERTY
570 LEXINGTON AVE FL 14 2145 LITTLE PECONIC BAY LNISCTM 1000-
90-1-15
NEW YORK,NY 10022-6837 SOUTHOLD, NY 11971
(212) 935-1400
Facility Application Contact:
SUFFOLK ENVIRONMENTAL CONSULTING
INC
PO BOX 2003
BRIDGEHAMPTON, NY 11932-2003
(631) 537-5160
Facility Location: in SOUTHOLD-in SUFFOLK COUNTY
Facility Principal Reference Point: NYTM-E: 718.32 NYTM-N: 4545.466
Latitude: 41°01'52.2" Longitude: 72°24'10.8"
Project Location: 2145 Little Peconic Bay Blvd., Southold, SCTM# 1000-90-1-15
Authorized Activity: Remove a portion of the existing deck and stairs and construct a new deck, steps
and install a hot tub on the deck. The new deck must be located a minimum of 75 feet landward of the
tidal wetland boundary. All work shall be in strict conformance with the attached survey prepared by
Nathan Taft Corwin III last revised on 7/20/16, and stamped "NYSDEC APPROVED" on 8/12/2016.
SAP-1-09-013
Permit Authorizations
Tidal Wetlands - Under Article 25
Permit ID 1-4738-04324/00003
New Permit Effective Date: 8/12/2016 Expiration Date: 8/11/2021
Page 1 of 6
NEW YORK S'rATE DEP"ENT OF ENVIRONMENTAL CONSEVATION
Facility DEC ID 1-4738-04324
NYSDEC Approval
By acceptance of this permit, the permittee agrees that the permit is co ff ec t upon strict
compliance with the ECL, all applicable regulationsKR ns included as part of this
permit. i
Permit Administrator: JOHN WIEL .T , Deputy Redministra or
Address: NY D C Reg' n Headquarter
S Y Sto y rook150 Circle
St o y B ook. 1 T 1179 -3409 !!��
Authorized Signature: Date /,Q �
Distribution List
SUFFOLK ENVIRONMENTAL CONSULTING INC
Habitat- TW
Environmental Permits
Permit Components
NATURAL RESOURCE PERMIT CONDITIONS
GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following
Permits: TIDAL WETLANDS
1. Regulated Activities Authorized By This Permit This permit authorizes only those regulated
activities/ structures identified under the section "Authorized Activity". NYSDEC does not issue after-
the-fact or as-built permits. This permit does not authorize activities, or legitimize the existence of
structures, which would have required a permit but for which no permit or other authorization has been
granted NYSDEC.
2. Conformance With Plans All activities authorized by this permit must be in strict conformance
with the approved plans submitted by the applicant or applicant's agent as part of the permit application.
Such approved plans were prepared by Nathan Taft Corwin III last revised on 7/20/16, and stamped
"NYSDEC APPROVED" on 8/12/2016.
Page 2 of 6
NEW YORK STATE DE", ENT OF ENVIRONMENTAL CONS"ON gamma
Facility DEC ID 1-4738-04324
3. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee
and contractor shall sign and return the top portion of the enclosed notification form certifying that they
are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion
of project, the bottom portion of the form must also be signed and returned, along with photographs of
the completed work.
4. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous
location on the worksite and adequately protected from the weather.
5. Failure to Meet Permit Conditions Failure of the permittee to meet all the conditions of this permit
is a violation of this permit and grounds for an order to immediately cease the permitted activity at the
project site.
6. Accessory Structures Must Be At Least 75 Feet Landward Of The Wetland Boundary This
permit authorizes the construction of new accessory structures located in the adjacent area at the
prescribed minimum setback only. Structures located in tidal wetlands, or structures in the adjacent area
but located less than 75 feet from the wetland boundary, are not authorized.
7. Straw Bales or Other at Tidal Wetland A row of staked straw bales or approvable erosion control
devices shall be placed at the landward edge of the buffer area or 75 linear feet from the tidal wetland
boundary, or as per the NYSDEC-approved plan, prior to commencement of any regulated activities and
remain in place and in good, functional condition until the project is completed and all disturbed areas
are stabilized with vegetation.
S. Storage of Equipment, Materials The storage of construction equipment and materials shall be
confined within the project work area and/or upland areas greater than 75 linear feet from the tidal
wetland boundary.
9. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to
escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete
trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or
waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms.
10. No Hot Tub Discharges to Wetland There shall be no draining of hot tub water directly or
indirectly into wetlands or protected buffer areas.
11. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be temporarily exposed or
stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales /silt
curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the
wetland or protected buffer area. Tarps are authorized to supplement these approved methods.
12. Vegetate All Disturbed Areas The permittee shall revegetate all exposed faces and disturbed areas
to prevent soil erosion prior to the project completion or expiration date of this permit, whichever comes
first.
13. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag, flyash, broken
concrete or demolition debris).
Page 3 of 6
NEW YORK STATE DE"TZ , OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-04324
14. No Changes to Septic System This permit does not authorize any alteration, expansion or
replacement of existing septic systems.
15. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal
wetlands or protected buffer areas as a result of the permitted activities.
16. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from
construction of this project shall be completely removed from the adjacent area (upland) and removed to
an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas.
17. Precautions Against Contamination of Waters All necessary precautions shall be taken to
preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents,
lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials
associated with the project.
18. State May Require Site Restoration If upon the expiration or revocation of this permit, the
project hereby authorized has not been completed, the applicant shall, without expense to the State, and
to such extent and in such time and manner as the Department of Environmental Conservation may
lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its
former condition. No claim shall be made against the State of New York on account of any such
removal or alteration.
19. State May Order Removal or Alteration of Work If future operations by the State of New York
require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the
Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation
of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause
loss or destruction of the natural resources of the State, the owner may be ordered by the Department to
remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State,
and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other
modification of the watercourse hereby authorized shall not be completed, the owners, shall, without
expense to the State, and to such extent and in such time and manner as the Department of
Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill
and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall
be made against the State of New York on account of any such removal or alteration.
20. State Not Liable for Damage The State of New York shall in no case be liable for any damage or
injury to the structure or work herein authorized which may be caused by or result from future operations
undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no
claim or right to compensation shall accrue from any such damage.
Page 4 of 6
NEW YORK STATE DEPAZTGIE\T OF ENVIRO\ME\TAL CONSER ATION
Facility DEC ID 1-4738-04324
GENERAL CONDITIONS - Apply to ALL Authorized Permits:
1. Facility Inspection by The Department The permitted site or facility, including relevant records, is
subject to inspection at reasonable hours and intervals by an authorized representative of the Department
of Environmental Conservation (the Department) to determine whether the permittee is complying with
this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301
and SAPA 401(3).
The permittee shall provide a person to accompany the Department's representative during an inspection
to the permit area when requested by the Department.
A copy of this permit, including all referenced maps, drawings and special conditions, must be available
for inspection by the Department at all times at the project site or facility. Failure to produce a copy of
the permit upon request by a Department representative is a violation of this permit.
2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly
provided for by the Department, issuance of this permit does not modify, supersede or rescind any order
or determination previously issued by the Department or any of the terms, conditions or requirements
contained in such order or determination.
3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a
separate written application to the Department for permit renewal, modification or transfer of this
permit. Such application must include any forms or supplemental information the Department requires.
Any renewal, modification or transfer granted by the Department must be in writing. Submission of
applications for permit renewal, modification or transfer are to be submitted to:
Regional Permit Administrator
NYSDEC Region 1 Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook,NYl 1790 -3409
4. Submission of Renewal Application The permittee must submit a renewal application at least 30
days before permit expiration for the following permit authorizations: Tidal Wetlands.
5. Permit Modifications, Suspensions and Revocations by the Department The Department
reserves the right to exercise all available authority to modify, suspend or revoke this permit. The
grounds for modification, suspension or revocation include:
a. materially false or inaccurate statements in the permit application or supporting papers;
b. failure by the permittee to comply with any terms or conditions of the permit;
c. exceeding the scope of the project as described in the permit application;
d. newly discovered material information or a material change in environmental conditions, relevant
technology or applicable law or regulations since the issuance of the existing permit;
Page 5 of 6
I Aft
NEW YORK STATE DEPArWENT OF ENVIRONMENTAL CONSER TIO\ Imhoff
Facility DEC ID 1-4738-04324
e. noncompliance with previously issued permit conditions, orders of the commissioner, any
provisions of the Environmental Conservation Law or regulations of the Department related to
the permitted activity.
6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or
another permit condition. Applications for permit transfer should be submitted prior to actual transfer of
ownership.
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification
The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the
Department of Environmental Conservation of the State of New York, its representatives, employees,
and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the
permittee's acts or omissions in connection with the permittee's undertaking of activities in connection
with, or operation and maintenance of, the facility or facilities authorized by the permit whether in
compliance or not in compliance with the terms and conditions of the permit. This indemnification does
not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or
intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under
Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision
under federal or state laws.
Item B: Permittee's Contractors to Comply with Permit
The permittee is responsible for informing its independent contractors, employees, agents and assigns of
their responsibility to comply with this permit, including all special conditions while acting as the
permittee's agent with respect to the permitted activities, and such persons shall be subject to the same
sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee.
Item C: Permittee Responsible for Obtaining Other Required Permits
The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-
way that may be required to carry out the activities that are authorized by this permit.
Item D: No Right to Trespass or Interfere with Riparian Rights
This permit does not convey to the peimittee 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.
Page 6 of 6
NOTICE OF COMMENCEMENT OF CO TRUCTION
RETURN THIS FORM TO:COMPLft Or Fax to: 631-444-
Im Aft,
Bureau of Habitat-TW
50 Circle Road Now
r Stony Brook,, NY 11790-3409
"ir
PERMIT NUMBER: 717OL
IFI g -I'mO EXPIRATION DATE:
PERMITTEE NAME& PROJECT ADDRESS:
CONTRACTOR NAME&ADDRESS:
TELEPHONE:
Dear Sir:
Pursuant to the special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on
. We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all
permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the
approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit, permit sign, and approved plans will
be available at the site for inspection in accordance with'General Condition No. 1. (Both signatures required)
PERMITEE: DATE
CONTRACTOR: DATE
THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT
AND/OR ANY ASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND
APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE
AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS.
Cut along this line X X X X X X X
NOTICE OF COMPLETION OF CONSTRUCTION
RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0297
Bureau of Habitat-TW
50 Circle Road
[Stonyy Brook,, NY 11790-3409
Now
PERMIT NUMBER: I- 0 738"®,� g
9� - 000 3 EXPIRATION DATE:
PERMITTEE NAME&PROJECT ADDRESS:
CONTRACTOR NAME&ADDRESS:
TELEPHONE:
Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on
We have fully complied with the terms and conditions of the permit and approved plans. (Both signatures required)
PERMITEE: DATE
CONTRACTOR:' DATE
THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY, AS APPROPRIATE, MUST BE
SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT.
95.20-1 (8187)-9d
New York State
- Department of Environmental Conservation
Mow
NEW
tr
The Department of Environmental Conservation (DEC) has .issued
permit(s) pursuant to the Environmental Conservation Law
for work being conducted at this site. For further information
regarding the nature and extent of work approved and any
Departmental conditions on it, contact the Regional Permit
Administrator listed below. Please refer to the permit number
shown when contacting t DEC.
®®®®31.. 4j173!9*,o- (!N39q Regional Permit Administrator
Permit Number ROGER EVANS
Expiration Date
NOTE: This notice is NOT a permit
EXISTING LOT COVERAGE PROPOSED LOT TWRAGE
OVER UPLAND AREA = 20,264 s . ft. OVER UPLAND AREA = 20,264 sq. ft. SURVEY OF
DESCRIPTION AREA X LOT'COVERAGE DESCRIPTION AREA X LOT COVERAGE LOT 129
HOUSE 1,465 sq. ft. 7.2% HOUSE 1,465 sq. ft. 7.2% MAP OF
FRONT PORCH 105 sq. ft. 0.5X FRONT PORCH tos sq. ft. 0.5% CEDAR BEACH PARK
FILE No. 90 FILED DECEMBER 20, 1927
<c, DECKS 700 sq. ft. 3.5% DECKS 1,275 sq. ft. 6.3% SITUATED AT
A(Z� PORTION OF WOOD DOCK 190 sq. ft. 1.0% PORTION OF WOOD DOCK 190 sq. ft. 1.0% BAYVIEW
IN UPLAND AREA IN UPLAND AREA
PAVER WALK 33o sq. ft. 1.sX PAVER WALK 330 sq. ft. 1.6%
TOWN OF SOUTHOLD
,v 4eSUFFOLK COUNTY, NEW YORK
TOTAL 2,790 sq. ft. 13.8X TOTAL 3,365 sq. ft. 16.6X S.C. TAX NO. 1000-90-01-15
SCALE 1"=30'
? JUNE 22, 1999
SEPTEMBER 29, 1999 SET STAKES ALONG CLEARING LIMITS LINE
/L y J 000 NOVEMBER`(y 23, 1999 REVISED AS PER EN-CONSULTANTS, Inc.JUNE 22, 2000 REVISED PLOT PLAN
lily / AUGUST 11, 2000 ADDED PROPOSED WATER SERVICE
'
Q� // AUGUST 22, 2000 REVISED PROPOSED SEPTIC SYSTEM LOCATION
T JANUARY 2. 2001 FOUNDATION LOCATION
V Ln[,1,1ja0�1s.s Off\ 6�° Q~ N Y S D E C OCTOBER 23, 200TERBER 4 MEASUREMENTS SURVEY EPT1C SYSTEM
APPROVED AS PER TERMS OCTOBER 15, 2MEA UPDATE SURVEY
AND CONDITIONS OF APRIL 15, 2016 UPDATE SURVEY
e 14.5 F ZU JULY 20, 2016 ADD PROPOSED DECK
® f3.8 x sT A7 o-j PERMIT NO /"�`% '0#3, ®gi
14-D x qke m,� C� J TOTAL LOT AREA = 20,568 sq. ft.
° r 0� I PRgVFt DRIV my LO zL? DATE O 9 (TO TIE LINE) 0.472 aC.
Al osNicF T 5z`O WETLAND AREA = 304 sq. ft.
-L15I I x13.7 I )Cz^�e '� ,moo �'O 3�N UPLAND AREA = 20,264 sq. ft.
x
12.5 �Tgke l >
A, w 14.2\ x I t2.o / owN
�o A ,. L0 \ D 13.6 ( 100 0 00 �_-,Of NOTES:
k. V O ^ o Lo= 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM
m I x I 14.4 1�9 / t4.o� �,�03 /P G ' / / / W�� EXISTING ELEVATIONS ARE SHOWN THUS:5A
%§N vqC '�-o\ / In �O Wiz EXISTING CONTOUR LINES ARE SHOWN THUS:-- - ---5- - - --
�,� \ WATER SERVICE �jC I- / / SRO , !�(� m o F.FL. - FIRST FLOOR
e 14.0 W S I W w��� ! U // l to/0�. �c l:Z/ pjpF \ 2S' MN G.FL. - GARAGE FLOOR
44
k \ -a.zX 4u 3a.4• `'� I I \ srgkF t
12.5 I ( ., 4. 1 \ I I / I x� " CERTIFIED T0:
I� I /�. CESSPOOLS 4 S Q3Q� i x x �.t \ \ �3 r ALVIN SCHEIN
!V x O I I1A43/ s �� �. w �NDn, q ' 1O- T�fe42
1 I d ALL NEW YORK TITLE AGENCY, Inc.
`� Y 1 ;,� DeCkR / I 1 "1 STEWART TITLE INSURANCE COMPANY
w \ /x 13.2 :` • i XZ 4U I \ 11 z q
41.5_PORCH N N 4 J� / ' I \ /
7
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-1 s x \I I I F
' HOUSE x x
T3.0 - - 3
n OF OVER x If 2 4. •6
RO7, } 5 fp• I I�,
LO?' °a �YOOiZ BECK 0 / �D D ,,�, '_ A L DEC �, iR / _ S �1 STANDARDS PREPARED I FOR ACCORDANCE
SURVEYS AS ESTABLISHED
72 _ 13.4 "�/ o UyDON� Ck �r>) / m_ w'uK - -/_I� I1.4 [� BY THE LIALS.AND APPROVED AND ADOPTED
rr' / -3 `� FOR SUCH USEj?�. E NEW STATE LAND
6' C, { aD /,o t sx FR o Wq� n d- . `IF` a Q / tt� e� TITLE OTT.-'fi��.
bm m rn xC�1 �3' I / x¢ OD DDCK
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\13 X52 0
In I p/(` 4.A _ / / -- m' CO a�tti c.. o. 50467
= O UNAUTHORIZED ALTERATION OR ADDITION
U ■ TO THIS SURVEY IS A VIOLATION OF
'It SECTION uO �I I I O EDUCATIONZ09 OF LAW THE NEW YORK STATE ■
• • r COPIES OF THIS SURVEY MAP NOT BEARINGTHE LAND Nathan Taft orwin III
4 /
(ff SEAL OR
EMBOSSED SUSF�OH SLINOOTBE CONSIDERED Land Surveyor
l� TO BE A VAUD TRUE COPY.
20� N CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED.AND ON HIS BEHALF TO THES Successor To: Stanley J. Isaksen, Jr. L.S.TIRE COMPANY.GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S.
LENDING INSTITUTION LISTED HEREON,AND
TO THE ASSIGNEES OF THE LENDING INSTI- Title Surveys -Subdivisions - Site Plans - Construction Layout
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
PHONE (631)727-2090 Fax (631)727-1727
THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road P.O. Box 16
Jamesport, New York 11947 Jamesport, New York 11947
1 1 -,TT
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boundary along the eastern shoreline of subject
property and West Lake. Photograph taken
from the eastern property boundary, facing west.
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hotographindicating delifi. • • • wetlands
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SCHEIN Property
Situate: 2145 Little Peconic Bay Lane ■ Southold • New York
SUM #: 1000 -090-01 -015
(Photo taken on July 17, 2016)
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Photograph indicating the current conditions within the central section of subject
property, specifically the existing deck proposed to be removed, reconstructed &
expanded. Photograph taken from the easterly half of the property, facing west.
WW
SCHEIN Property
Situate: 2145 Little Peconic Bay Lane ■ Southold ■ New York
SCTM #: 1000—090—01 —015
(Photo taken on July 17, 2016)
i
R �Y
lore
aMn
Photograph indicating the current conditions within the central section of subj ect
property, specifically the existing deck proposed to be removed, reconstructed &
expanded (see stakes). Photograph taken from the centrally half of the property,
facing southwest.
SCH' EIN Property
Situate: 2145 Little Peconic Bay Lane ■ Southold • New York
SCTM #: 1000—090—01 —015
(Photo taken on July 17, 2016)
�'. T
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. .
r.
,ms 16
loom
s `
Photograph indicating the current conditions within the central section of subject
property, specifically the existing deck proposed to be removed, reconstructed &
expanded (see stake). Photograph taken from the centrally half of the property,
facing west.
WW VW
SCHEIN Property
Situate: 2145 Little Peconic Bay Lane ■ Southold ■ New York
SCTM #: 1000—090—01—015
(Photo taken on July 17, 2016)
� c`•�i4`Y.e Lx W'K*... *ems_. • x,-. .
dM
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wi
Photograph indicating the current conditions within the central section of subject
property, specifically the existing deck proposed to be removed, reconstructed &
expanded (see stakes). Photograph taken from the centrally half of the property,
facing northwest.
SCHEIN Property
Situate: 2145 Little Peconic Bay Lane • Southold • New York
SUM #: 1000-090-01 -015
(Photo taken on Judy 17, 2016)
� -may � R�• � r� ���!~.� .,.
* w
Photograph indicating the Staked out corner of the proposed
reconstructed & expanded deck. Photograph taken from
beneatht the existing deck, facin&east, towards t e . e
d West Lake.
Suffolk Environmental Consulting,
Inc.
SCHEIN Property
Village,Suite E,2322 Main Stree
P.O.Box 2003,Bridgehampton,NY,1193 2145 Little Peconic '
ay Lane, Southold, NY
P:(631)537-5160 F:(631)537-5291 '
West
.�. � PeconicBayLn �4`
r
rf
OFFICE LOCATION: ®'*OF SOy®1 MAILING ADDRESS:
Town Hall Annex ® P.O.Box 1179
54375 State Route 25 Southold, NY 11971
(cor.Main Rd. &Youngs Ave.) cgs
Southold, NY 11971 �p� Telephone: 631 765-1938
® Fax: 631765-3136
COUNT`I,�
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM
To: John Bredemeyer, President
Town of Southold Board of Trustees
From: Mark Terry, LWRP Coordinator
Date: October 12, 2016
Re: LWRP Coastal Consistency Review for ALVIN SCHEIN
SCTM# 1000-90-1-15
Suffolk Environmental Consulting on behalf of ALVIN SCHEIN requests an Administrative Permit to
remove the existing deck and construct a new±1,095sq.ft. deck with ±15sq.ft. deck steps to grade
attached to seaward side of dwelling; and add a ±49sq.ft. hot tub on the new deck. Located: 2145
Little Peconic Bay Lane, Southold. SCTM# 1000-90-1-15
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 provided:
1. Require a vegetated, non-turf buffer be delineated that includes existing vegetation seaward
of the wetland line.
Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its
written determination regarding the consistency of the proposed action.
John M. Bredemeyer III, Presid. *i�� So(/J�Q Town Hall Annex
O l 54375 Main Road
Michael J. Domino, Vice-President O P.O Box 1179
James F. King,Trustee Southold, New York 11971-0959
Dave Bergen, Trustee G 19�
Charles J. Sanders, Trustee 'Q �O Telephone(631)765-1892
Iy�DUIdT`1,� Fax(631) 765-6641
M1
y
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
To- Southold Town Building Department S�� ���
Re- Verification of Building Department Permit Requirements BUMDING DEM
I TOWN OF SOUTHOLD
SCTM#: !®�
Property Owner Name: ' sCHEW AL'Vt#
Date Sent to Bldg. Dept.:
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
Will the proposed project require a Building Permit?
Will the proposed project require a variance determination from
/the Zoning Board of Appeals?
Will any part of this application be considered as Demolition as
described under Town Code?
COMMENTS:
Signature of Reviewer Date
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
Wetland Permit Application Administrative Permit
Amendment/Transfer/ExtensL*on
Received Application:
Received Fee:$
Completed Application: ,7,7&_ �, ��n rt
Incomplete: Dj+
SEQRA Classificatio .
Type I Type II Unlisted
-Coordination:(date sent) SEP ® 7 2016
LWRP Consistency Assessment Form:
CAC Referral Sent: '
Date of Inspection: Southold Town
Receipt of CAC Report: ,.oar of Trustees
Lead Agency Determination
Technical Review:
Public Hearing Held:
Resolution:
Name of Applicant ALVtIN SCHEIN
Address 570 Lexington Avenue • Floor 14 • New York• New York• 10022
Phone Number: ( 212 ) 935 - 1400
Suffolk County Tax Map Number: 1000—090—01 —015
Property Location: 2145 LItte Peconic Bay Lane • Southold ■ New York
(provide LILCO Pole#, distance to cross streets, and location)
AGENT: Matt D. Ivans @ Suffolk Environmental Consulting, Inc.
(If applicable)
Address: P.O. Box 2003;Bridgehampton,NY 11932
Phone: (631) 537—5160
Board of Trustees Application
GENERAL DATA
Land Area`(in square feet): 20, 568 square feet
Area Zoning: R - 40
Previous use of property: Residential
Intended use of property: Residential
Covenants and Restrictions: Yes X No
If "Yes", please provide a copy.
Will this project require a Building Permit as per Town Code? X 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 X
No
If"Yes",please provide-a decision.
Will this project require any demolition as per Town Code or as determined by the Building Dept.?
X Yes No
Does the structure (s) on property have a valid Certificate of Occupancy? X Yes
No
Prior permits/approvals for site improvements:
Agency Date
Trustees Permit No. 8373 February 19, 2014
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):
Applicant proposes to remove the existingDeck 0S20 square feet±) off the east side
of the existing Dwelling, and reconstruct a New Deck(1, 095 square feet±1, and
construct Deck Steps (15 square feet)and a Hot Tub (49 square feet±). All activity o
be located a minimum of 83.0'from the wetlands boundary.
I \
Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purposes of proposed operations: Maintain and expand residential recreational area.
Area of wetlands on lot: 304.0± square feet
Percent coverage of lot: 1.5 ± %
Closest distance between nearest existing structures and upland
edge of wetlands: 0.0± feet(existing dock)
Closest distance between nearest proposed structures and upland
edge of wetlands: 83.0 ± feet (proposed reconstructed deck)
Does the project involve excavation or filling?
X No Yes
If Yes, how much material will be excavated? N/A (cubic yards)
How much material will be filled? N/A (cubic yards)
Depth of which material will be removed or deposited: N/A feet
Proposed slope throughout the area of operations: N/A
Manner in which material will be removed or deposited: N/A
Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by
reason of such proposed operations (use attachments if appropriate):
No impact to the wetlands are anticipated due to the substantial distance
maintained from the activity to the wetlands boundary along the shoreline (i.e.,
minimum of 83.0').
Board of Trustees Application
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: N/A
Are wetlands present within 100 feet of the proposed activity?
No Yes
Does the project involve excavation or filling?
No Yes
If Yes, how much material will be excavated? (cubic yards)
How much material will be filled? (cubic yards)
Manner in which material will be removed or deposited:
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
from implementation of the project as proposed. (Use attachments if necessary)
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 1 based on information currently available. If additional research or investigation would be needed to fully
respond to any item,please answer as thoroughly as possible based on current information.
Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful
to the lead agency;attach additional pages as necessary to supplement any item.
Part 1-Project and Sponsor Information
Name of Action or Project:
Schein Property
Project Location(describe,and attach a location map):
2145 Little Peconic Bay Lane,Southold,NY
Brief Description of Proposed Action:
Applicant proposes to remove the existing Deck(520 square feet t)off the east side of the existing Dwelling,and reconstruct a New Deck
(1,095 square feet t),and construct Deck Steps(15 square feet)and a Hot Tub(49 square feet t) All activity to be located a minimum of
83 0'from the wetlands boundary.
Name of Applicant or Sponsor: Telephone: (631)537-5160
Matt D [vans-Suffolk Environmental Consulting,Inc E-Mail: mdivans@optonline.net
Address:
P O Box 2003
City/PO: State: Zip Code:
Bridgehampton NY 11932
1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES
administrative rule,or regulation?
If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑✓ ❑
may be affected in the municipality and proceed to Part 2. If no,continue to question 2.
2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES
If Yes, list agency(s)name and permit or approval:
New York State Department of Environmental Conservation Tidal Wetlands Permit z
3.a.Total acreage of the site of the proposed action? 0 47 acres
b.Total acreage to be physically disturbed? <0 2 acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 0 47 acres
4. Check all land uses that occur on,adjoining and near the proposed action.
❑Urban ❑Rural(non-agriculture) ❑Industrial [-]Commercial 0Residential(suburban)
❑Forest ❑Agriculture 0Aquatic ❑Other(specify):
❑Parkland
Page 1 of 4
5. Is the proposed action, NO YES N/A
a.A permitted use under the zoning regulations? ❑ ❑✓ ❑
b.Consistent with the adopted comprehensive plan? ❑ wl ❑
6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES
landscape? ❑ ❑✓
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
If Yes,identify: 7 ❑
8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
❑✓ ❑
b.Are public transportation service(s)available at or near the site of the proposed action? ❑✓ ❑
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? Fv/1 ❑
9.Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies: El W1
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water: FV] ❑
Not applicable in that it is for the reconstruction/expansion of an existing structure(Le,deck).
11.Will the proposed action connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment: - ❑
Not applicable in that it is for the reconstruction/expansion of an existing structure(i e,deck)
12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES
Places? FV1 ❑
b.Is the proposed action located in an archeological sensitive area? Z ❑
13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES
wetlands or other waterbodies regulated by a federal,state or local agency? ❑
b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? Z ❑
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 m 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? F7 ❑
16.Is the project site located in the 100 year flood plain? NO YES
17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES
If Yes, � Ela.Will storm water discharges flow to adjacent properties? ❑NO DYES
b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)?
If Yes,briefly describe: ❑NO DYES
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: ❑ ❑
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: Z ❑
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: ❑v F-1
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Applicant/sponsor name: Matt D n - uffolk Environmental Consulting,Inc Date: September 7,2016
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 1 and other materials submitted by the project sponsor or
otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my
responses been reasonable considering the scale and context of the proposed action?"
No,or Moderate
small to large
impact impact
may may
occur occur
1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑
regulations?
2. Will the proposed action result in a change in the use or intensity of use of land?
3. Will the proposed action impair the character or quality of the existing community? ❑
4. Will the proposed action have an impact on the environmental characteristics that caused the El
of a Critical Environmental Area(CEA)?
5. Will the proposed action result in an adverse change in the existing level of traffic or El
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 occur
10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage 1:1problems?
11. Will the proposed action create a hazard to environmental resources or human health? —9 1:1
Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every
question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular
element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.
Part 3 should, in sufficient detail,identify the impact,including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,
duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and
cumulative impacts.
❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required.
Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
r4�)w -TV 4*e--e�/ i
Name of Lead Age y ate
�
Print or Type Nam(177�
icer in Lead Agency Title of Responsible Officer
Signature esponsible is r in Lead Agoncy Signature of Preparer(if different from Responsible Officer)
PRINT Page 4 of 4
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL, RECEIPTS
Name: Address:
STATE OF NEW YORK
COUNTY OF SUFFOLK
Bruce A. Anderson, residing at Suffolk Environmental Consulting, Inc, P. O. Box 2003,
Brid eg hampton, NY 11932,being duly sworn, deposes and says that on the
6th day of November 2015, deponent mailed a true copy of the Notice
set forth in the Board of Trustees Application, directed to each of the above named
persons at the addresses set opposite their respective names; that the addresses set
opposite the names of said persons are the address of said persons as shown on the current
assessment roll of the Town of Southold; that said Notices were mailed at the United States Post
Office at Bridgehampton, that said Notices were mailed to each of said persons by
CERTIFIED MAIL/RETURN RECEIPT.
Sworn to before me this
Day of , 20—
Notary
0_Notary Public
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
ALVIN SCHEIN SCTM# 1000 —090—01 - 015
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a Permit from the Board of
Trustees to conduct regulated activities:
Applicant proposes to remove the existing Deck(520 square feet±) off the
east side of the existing Dwelling, and reconstruct a New Deck(11, 095 square
feet±�, and construct Deck Steps (5 square feet)and a Hot Tub f49 square
feet±). All activity to be located a minimum of 83.0'from the wetlands
boundary.
2. That the property which is the subject of Environmental Review is located
adjacent to your property and is described as follows: 2145 Little Peconic
Bay Lane - Southold - New York
3. That the project which is subject to Environmental Review under Chapters
96, 111 and/or 275 of the Town Code is open to public comment on:
DATE:
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: ALVIN SCHEIN
MAILING ADDRESS: 570 Lexington Ave. - 14th FI. - NY - NY - 10002
PHONE #: 212-935-1400
AGENT: Bruce A. Anderson @ Suffolk Environmental Consulting, Inc.
MAILING ADDRESS: P. O. Box 2003, Bridgehampton, NY 11932
PHONE #: 631-537-5160
Enc: Copy of sketch or plan showing proposal for your convenience.
Board of Trustees Application
County of Suffolk
State of New York
Alvin Schein BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMrr(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 BIRTUE OF SAID PERMIT(S), IF GRANTED. IN
COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,
THEIR AGENT(S) OR REPRESENTATIVES, TO ENTER ONTO MY PROPERTY TO
INSPECT THE PREMISES IN CON I N WITH REVIEW OF THIS
APPLICATION.
Signature
SWORN TO BEFORE ME THIS d— DAY OF
IVAN NUI
NOTARY PUBLIC,STATE OF NEW YORK
NO. 02HU6337211
QUALIFIED IN KINGS COUNTY
MY COMMISSION EXPIRES FEB 22,
- Notary Public
Board of Trustees Application
AUTHORIZATION
(where the applicant is not the owner)
I, Alvin Schein 570 Lexington Avenue New York_NY 10002
(print owner of property) (mailing address)
do hereby authorize Suffolk Environmental Cansultingr Inc.
;to apply for a 't(s)from the Southold Board of Town Trustees on my behalf.
(_Nwrier,' 'signature) .
APPLICANTIAGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the Dart of the town officers and employees. The purpose of
this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
YOUR.NAME: . Alvin Schein
(Last name,first name,middle initial,unless you are applying in the name of
someone else of other entity,such as a company.if so, indicate the other
person's or company's name.)
NATURE OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee X
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other,"name the activity.)
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee
of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,
including a"iartnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation
in which the town officer or employee owns more than 5%of the shares.
YES NO X
If you answered"YES,"complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check
appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse, sibling,parent,or child is(check all that apply):
A) the owner of greater then 5%of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
B) the legal or beneficial owner of any interest in a non-corporate entity(when the
applicant is not a corporation);
C) an officer, director,partner,or employee of the applicant;or
D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submittedthis day of 201
Signature:
�.
Print name A vin Schein
Signature
Print name
Form TS 1
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
1. All applicants for permits*including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
2. Before answering the questions in Section C,the preparer of this form should review the exempt
minor action list,policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will be evaluated as to its significant
beneficial and adverse effects upon the coastal area(which includes all of Southold Town).
3. If any question in Section C on this form is answered"yes" 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# 090 01 - 015.000
The Application has been submitted to (check appropriate response):
Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees
1. Category of Town of Southold agency action (check appropriate response):
(a) Action undertaken directly by Town agency (e.g. capital
construction, planning activity, agency regulation, land transaction) ❑
(b) Financial assistance (e.g. grant, loan, subsidy) ❑
(c) Permit, approval, license, certification:
Nature and extent of action:
Applicant proposes to remove the existing Deck 520 square feet±) off the east side
of the existing Dwelling, and reconstruct a New Deck(1, 095 square feet±), and
construct Deck Steps (15 square feet) and a Hot Tub X49 square feet±). All activity to
be located a minimum of 6.0'from the wetlands boundary.
Location of action: 2145 Little Peconic Bay Lane■ Southold■New York
Site acreage: 0.47
Present land use: Residential
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: Bruce Anderson @ Suffolk Environmental Consulting,Inc.
(b) Mailing address: P.O. Box 2003;Bridgehampton, NY 11932
(c) Telephone number: Area Code( 631 ) 537—5160
(d) Application number, if any: N/A
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes ❑ No N If yes, which state or federal agency?
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and
minimizes adverse effects of development. See LWRP Section III—Policies;Page 2 for evaluation
criteria.
❑ Yes ❑ No N Not Applicable
Not applicable in that it is for the reconstruction/expansion of an existing structure (i.e., deck).
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 N Not Applicable
Not applicable in that it is for the reconstruction/expansion of an existing structure (i.e., deck).
Attach additional sheets if necessary,
`y Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III—Policies Pages 5 through 7 for evaluation criteria
❑ Yes ❑ No N Not Applicable
M Not applicable in that it is for the reconstruction/expansion of an existing structure (i.e., deck).
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
Not applicable in that it is for the reconstruction/expansion of an existing structure (i.e., deck).
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
Not applicable in that it is for the reconstruction/expansion of an existing structure (i.e., deck).
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22
through 32 for evaluation criteria
❑ Yes ❑ No ® Not Applicable
Not applicable in that it is for the reconstruction/expansion of an existing structure (i.e., deck).
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
Not applicable in that it is for the reconstruction/expansion of an existing structure (i.e., deck).
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
Not applicable in that it is for the reconstruction/expansion of an existing structure (i.e., deck).
Attach additional sheets if necessary
PUBLIC COAST POLICIES
Policy 9. Provide for public access to,and recreational use of,coastal waters,public lands, and public
resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation
criteria
❑ Yes ❑ No ® Not Applicable
Not applicable in that it is for the reconstruction/expansion of an existing structure (i.e., deck).
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in
suitable locations. See LWRP Section III—Policies;Pages 47 through 56 for evaluation criteria
❑ Yes ❑ No ® Not Applicable
Not applicable in that it is for the reconstruction/expansion of an existing structure (i.e., deck).
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
Not applicable in that it is for the reconstruction/expansion of an existing structure (i.e., deck).
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
Not applicable in that it is for the reconstruction/expansion of an existing structure (i.e., deck).
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
Not applicable in that it is for the reconstruction/expansion of an existing structure (i.e., deck).
Attach additional sheets if necessary
Created on 5/25/05 11:20 AM
Suffolk Environmental Consulting, Inc.
Newman Village,Suite E,2322 Main Street,P.O.Box 2003,Bridgehampton,New York 11932-2003
(631) 537-5160 Fax: (631) 537-5291
Bruce Anderson,M.S.,President
EES:EP
CI V EHand Delivered 7 7016
uthol own
September 7, 2016 0 of Trustees
Mr.John M. Bredemeyer, III, President
Board of Trustees
Town Hall
P.O. Box 1179
Southold, NY 11971
Re: SCHEIN Property
Situate: 2145 Little Peconic Bay Lane, Southold, NY
SCTM#: 1000—090—01-15
Dear Mr. Bredemeyer,
This Firm represents the owner of the property referenced above, who is seeking
all required regulatory approval to reconstruct & expand decking thereon.
Consequently, approval from your Department is required. Please find enclosed:
(1) Town of Southold Trustees Wetlands Permit Application (original and
three [3] copies);
(2) Town of Southold Local Waterfront Revitalization Program
Application (four [4] sets);
(3) Short Environmental Assessment Form (original and three [3] copies);
(4) Location Map for reference (four [4] copies);
(5) Photographs of the site indicating current conditions thereon (four [4]
sets);
(6) Survey of subject property, prepared by NATHAN TAFT CORWIN, III,
Land Surveyor, dated July 20, 2016, indicating the conditions thereon
(four [4] prints);
(7) Copy of the New York State Department of Environmental
Conservation (NYSDEC) Tidal Wetlands Permit No. 1-4738-
04324/00003, issued August 12, 2016, authorizing for the
reconstruction/expansion of the decking thereon; and
(8) Check made payable to the Town of Southold to cover the requisite
application fee.
Kindly review these items and schedule for the next available Board of Trustees'
meeting at the earliest opportunity.
Please be aware that this application provides for an updated wetlands
boundary, as delineated by this office on January 22, 2016, and confirmed by the
NYSDEC (see the attached NYSDEC Tidal Wetlands Permit).
Should you have any questions regarding this matter, or require additional
information, please feel free to contact this office at any time. Thank you in
advance for your cooperation.
Sincerely,
Matt D. Ivans
attach.
cc: A. Schein