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HomeMy WebLinkAboutTR-8881 Michael J.Domino,President Ok SO(/P�o Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 CA Glenn Goldsmith Q Telephone(631) 765-1892 A.Nicholas Krupski Q 'y Fax(631) 765-6641 11c4UI�`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1396C Date: October 2, 2017 THIS CERTIFIES that the replacement of existing timber bulkhead in-place with a±105 foot long vinyl-sheathed bulkhead consisting of a±59' section a±25' section an±11' section, and a±10' return,• temporarily remove existingdecking along bulkhead and reconstruct in-place/in-kind; and within an area measuring 10'x59' along the 59' northerly section of bulkheading, perform reclamation of underwater lands directly adjacent to and seaward of the bulkhead to meet an underwater elevation of -4.0' during Average Low Water with the resultant reclaimed lands to be used as backfill where needed along the landward side of the reconstructed bulkhead,• with the condition of the installation of a silt boom that will retain all suspended sediments within the immediate project area, At 5875 Vanston Road, Cutchogue Suffolk County Tax Map#1000-118-1-1.3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 27, 2016 pursuant to which Trustees Wetland Permit#8881 Dated September 21,2016,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 replacement of existing timber bulkhead in-place with a±105 foot long vinyl-sheathed bulkhead consisting of a159' section,a±25' section,an±11' section and a±10' return;temporarily remove existing decking along bulkhead and reconstruct in- place/in-kind; and within an area measuring 10'x59' along the 59' northerly section of bulkheading, perform reclamation of underwater lands directly adj acent to and seaward of the bulkhead to meet an underwater elevation of-4.0' during Average Low Water with the resultant reclaimed lands to be used as backfill where needed along the landward side of the reconstructed bulkhead; with the condition of the installation of a silt boom that will retain all suspended sediments within the immediate project area. The certificate is issued to PETER&DIANA O'NEILL owners of the aforesaid property. Authorized Signature � jg, , Michael J.Domino,President pF SOU ®� ®�® Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders co Southold,New York 11971 Glenn Goldsmith f aQ Telephone(631) 765-1892 A. Nicholas Krupski li$'c®U�T1 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD _ DATE OF INSPECTION: �/'tS//-) Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction f Y2 constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: _ CAr CERTIFICATE OF COMPLIANCE: John M Bredemeyer III, President }opo �o�= Town Hall Annex Michael J Domino, Vice-President r �� 54375 Route 25 Glenn Goldsmith =;0 7 'r z ` P.O- Box 1179 A. Nicholas Krupski ,o ® Southold, NY 11971 � � � -� Charles J. Sanders ~°=X01 , moo- ' 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 1' Project complete, compliance inspection R� BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 8881 DATE: SEPTEMBER 21, 2016 ISSUEDTO: PETER& DIANA 09NEILL PROPERTYADDRESS:'5875 VANSTONROAD, CUTCHOGUE SCTM# 1000418-1-1.3 AUTHORIZATION of Southold d Town Code of the Town th an in Pursuant to,the provisions of Chapter 275 of the T accordance with,thq,,Resolution o I f,the Bo,ard of Trustees I adopted I at the meeting held on September 21. 2016, and in c I onsideration of,applicaii of paid 6114`11'andgubiect to the on fee in the sum $250.00 ' by Diana, el I Terms and Conditions as stated in the Resolution,the Southold Town Board b f Trustees duthbhz6g and permits the following: Wetland Permit ke ,to a&existing timber bulkhead in-place witha-i�195 fd6t`l6hgVinyl- e0l. l, i sheathed bulkhead consisting of:i 4�59' section,a±25 'gedidn,�au±l section;and,A-±10 return; temporarily remove existing decking along bulkhead and reconstruct in-place/in-kind; � 11 ; e- remove I �, I - "' ' i the 59' - and within an area measuring 10'YM along e no section .1 ulkhedding,�perform ' 'i-eclamation,of underwater lands directly adjacent to and seaward of the bulkhead t6'meet an underwater elevation of-4.01 during Average Low Water with the resultant reclaimed lands to oil be' used is'backfill Where'needed along the landward side of the reconstructed bulkhead;with the condition of the installation of a silt boom that-wift retain,01suspended sedimentOvdthin the immediate project area; and,as depicted on the site plan prepared by - " ­ , Suffolk' Environmefiialt6n AIfing,Inc.,last dated on appro v6d on Sep ,teiubei2l 2016.' IN WITNESS WHEREOF,the said Board of Trustees hereby causes its CorpdrAte-Seal to beifAxed, and these presents to be subscribed by a majority.of the said Boar s of this da _6oallf F Ca 4 TERMS AND CONDITIONS The Permittee Peter& Diana O'Neill residing at 5875 Vanston Road Cutchogue,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 QF S�Uj�O Town Hall Annex �� Michael J.Domino,Vice-President �� lQ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Charles J.SandersO Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 21, 2016 Patricia C. Moore, Esq. 51020 Main,Road Southold, NY 11971 RE: PETER & DIANA O'NEILL 5875 VANSTON ROAD, CUTCHOGUE SCTM# 1000-118-1-1.3 Dear Mrs. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 21, 2016 regarding the above matter: WHEREAS, Patricia C. Moore, Esq., on behalf of PETER & DIANA O'NEILL 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 May 27, 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, 1. i lei��•\f 2 t , 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 PETER & DIANA ONEILL to replace existing timber bulkhead in-place with a ±105 foot long vinyl- sheathed bulkhead consisting of a ±59' section, a ±25' section, an ±11' section, and a ±10' return; temporarily remove existing decking along bulkhead and reconstruct in- place/in-kind; and within an area measuring 10'x59' along the 59' northerly section of bulkheading, perform reclamation of underwater lands directly adjacent to and seaward of the bulkhead to meet an underwater elevation of-4.0' during Average Low Water with the resultant reclaimed lands to be used as backfill where needed along the landward side of the reconstructed bulkhead; with the condition of the installation of a silt boom that will retain all suspended sediments within the immediate project area; and as depicted on the site plan prepared by Suffolk Environmental Consulting, Inc., last dated on August 8, 2015, 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: $50.00 Very truly yours, U r John M. Bredemeyer III President, Board of Trustees JMB/dd SITE TLAN s --- �-� --�.�,�_�.. - _� -_____�.---•------�=� --—__a__w���t T------_�- PROPOSED f SITE PLAN DETAIL PROPOSED r 1.0" =20.0'± � •' >< _ RECONSTRUCTED 'f ti �`j TIMBER PILING i . .mE BULKHEAD ,1:0" "+_; .. ' ��1� m 9 201 ,� : ,r r .4i WUNNEWEtet$' 4 . • # �,,: '' i .�-^ w-�r.,,,y,,•q .,,„-j'> . :�",, '.,,.;: rte.,:. *.w„ - ; I O �,'..:;�; "•�,n r ` ,i a'ti`ter. d;. °' A? t:_�r„�, 6� '`5,t�A,.. `•'xo ,• � � : •� ..,���• �; •� � POND Southold Town ! , s" >' t ' ` " .`t a 1 I o0 V4 of Trustees tJ.. - .,� ♦ 4� d°.�''�l` k,r�. a3+'`S ,Y - •L „ ,-xa''``SX FPo,. •;.'a'° O ♦♦ � ar`�`.,.�"` .tom J.�;•��`p + 1.,, '59.0� f � ,_ , .„,,," ";,� '.�� .- a�fi._.Y^w s'*a.,b•«ate.' i Q :' Jr PROPOSED°' TIMBER CLAMP YX:6 X ♦ + arY o- e« �Y . r t r. c 5 ♦ '" FI Z ♦- ' }+. al 3 �w fr, , - ,o-'.4`',^�R Fi r+1 Z r� • � ♦ .. ,�i,r� ..z': . .e' -iy,,•� M:°e'y", M=�Y.o;,, Qu 1�, .-y ta'a 1 ♦ l , ♦ - ♦ ' . e f` PROPOSED bn Proposed VINYL k.�.. SHEATHING: Limit of Disturbance PRO SEll s ' • l o AREA of ` `` a(C=Loc''or similar°@ 1$ L) ' (variable) PROPOS.,ED �• TIMBER WA'LER o RECLAMATION : ..ry o i HE=LICAL:SCREV1l ( j.):,.;. `l 4. See Detail d ,;; ;:. ., ,. W o 25.0 �1 ca Iw `� 11.0'±:4:�'' � '� _ - - - _ . _- _ . --'_ • - _ - ,. �_ _ , _ " _..�__ _ � ��.., � PROJECT DESCRIPTION: • 10.0' "�a �.IN Applicant proposes to reconstruct the existing timber-sheathed bulkhead o 1 (105.0' ± overall) into a new vinyl-sheathed bulkhead. The existing Deck located landward of the bulkhead to be removed prior to bulkhead U +. +. reconstruction, and reconstructed "in-place / in-kind" following bulkhead reconstruction completion with non-treated lumber(i.e.,Mahogany). o - $ The new bulkhead will consist of C-Loc 9900 Series Vinyl Sheathing (18' o -� '� L) secured by three (3) tiers of Timber Walers (6.0" x 6.0") along the w " sL seaward face, two (2) tiers of timber Clamps (6.0" x 6.0") along the `4 � landward face,Timber Pilings (8.0" �x 20.0'L)installed at 6.0' o/c,all tied : APPROVED BY, bf in by two (2) Helical Screws per piling. All hardware to be hot-dipped L BOARD OF 1RUSTEE.� " galvanized. y o 0 ` Wetlands Boundary, During the proposed bulkhead reconstruction, applicant proposes to J r o T OF �� CL as per Suffolk Environ.Consulting,Inc. perform reclamation of underwater lands directly adjacent & seaward of rn C v) =o (May 28,2015) the bulkhead that have accumulated there due to seepage, all along the E DATE . 2t, 2o!(v — a 59' northerly section of bulkheading, within an area measuring 10' x 59' and to meet an underwater elevation of—4.0' during ALW. The resultant 3 reclaimed lands will be returned as backfill where needed along the landward side of the reconstructed bulkhead. ' A cn A U 7 4 CR05S,`-SECTIONAL`VIEW , ti` PROPOSED ll ' " , . - - - - ` '"TIMBER PILIN , r °. - . ----_, " (8" � 20' L) - .10" x:11a ' _ 4-4 °: °.. o EXISTING DECK rp,>,. o ,I� ; o (variable in width) r,y_+, c' <, , 11 - Proposed (to be removed prior to bulkhead reconstruction, and reconstructed "in-place/in-kind") :�sX s C > 'b:' Limit of Disturbance : "�s ` >1 .4;1,"� o (variable) � ;s. ��;o ," '1, `'''`�?ROPOSED i ,,,',f:, ,; . 11",'TIMBER WALERS - c �x ,4 ;„ (6" X 6") ii ('"( 4... ..rv:(, ` .,.• . ."` , 1 . T,1 ; TT;T I`I"T:T1 T7'`t i l rl l .t TT.T{1 I T t:E t:T T` ;;T T-1 T I Tt. [I. . t f11�, T tl. t,..fT I , T ` 1 1!°I"TP T`1fl_Tt° T..'T:'t(1.t CTT't ff `t ft7A {_ t,_ ,.1 [ L L ]l,_L .�� 1A 1„ I .. ' .4 .U.�rel CTI°,)� 1, f? 114" - ,:i tl;]-F,"� .P,&.-+�.I,,.: ^'. r .£,.+. ;,.g,.;re w , '3 R'.,,., r2 , ° » rs.. v 1,A.. v ... .F;.Ke:.w•`ti.:n , 'a;h.,: mb' 3"# ,a<.Y,, a's'xr,e ,6 .,,.;, r '•Mp, 5 , ."?";ter "' _,tF:^-,.� f, _ F, f. 'd r r i N;. 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I ry'�n� "� 1­1 7: a� 3 ��t a� f•r A��' ee,. +.r P ,EXI TING= . _ S UNDERWATER GRADE A A i SITE PLAN DETAIL CROSS-SECTIONAL VIEW i` PROPOSED RECLAMATION 1.0" =10.0'± PROPOSED RECLAMATION. 5 9.0 c 1.0 =2.0' CROSS-SECTION ;. = ',. •> WUN EWETA [z '" �'� • . °�'• ��}�':. , POJ D �� z AREA of ECLAMATION Z as � o HW(EL_2.5' a. o f=+ V A .) i „ � �''�r Mp 4 '• ° � " '*• •r' `s' :f -2.1:...,`' AHW d (along bulkhead) Ile 10.0' -z ': ,a NOTE: Wetlands Boundary,flagged as per Suffolk Environ. ° Consulting, Inc. (May 28,2015)and located along seaward face of bulkhead. O —_--------mLWG W G'sGGG—G6G-------------------`—___—___--_.__---------_--__-- � " •} a,• a,. „ , , ' - - - ' � i' ID ; _ o tiL; P aCofLl''IT o' Ln ERECLAMATIONO AREA of o 'Z' o- in RECLAMATION. 70 ':' 4 , •_ ,EXISTING 4 , r,.++.+,, „gip .. • ' N : ' . _ .• • � ` , �. .s , , ;UNDERWATER,GRAIDE • _ , - m . - ; _ .. cz ; _- 1 '' ..� .ah e - +ffi'.`'4:1.. 0` .>dTM • , e x }.J CL L ;.k 4:0,;Un'd.erwater Elevation, PROPOSED — 2016 ! I~ ' A G ai - •UNDER �AT 9 W ER"'GRADE. � 3 Southold Town - ru John M. Bredemeyer III, President ::'o��*— ,�z �G-= Town Hall Annex Michael J. Domino, Vice-President54375 Route 25 Glenn Goldsmith oz z P.O. Box 1179 A. Nicholas Krupskiy ' Southold, NY 11971 Charles J. Sanderson � :` Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES m� TOWN OF SOUTHOLD TO: Please be advised that your application dated �T 27i 2-01to has been reviewed by this Board at the regular meeting of -eP,&Z_ and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: f1411 TOTAL FEES DUE. $ (CD BY: John M. Bredemeyer III, President Board of Trustees fir^ ,CL17Y+„�. - John M. Bredemeyer III, President' �6FFO(K� Town Hall Annex Michael J Domino, Vice-President ' ����b� ��y�v 54375 Route 25 Glenn Goldsmith o `� P.O Box 1179 A. Nicholas Krupski o ® Southold, NY 11971 Charles J. Sanders y�� a�� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD r Date/Time: i`� (� a Completed in field by: Patricia C. Moore, Esq. on behalf of PETER & DIANA O'NEILL request a Wetland Permit to replace existing timber bulkhead in-place with a ±105 foot long vinyl-sheathed bulkhead consisting of a ±59' section, a ±25' section, an ±11' section, and a ±10' return; temporarily remove existing,decking along bulkhead and reconstruct in-place/in-kind; and within an area measuring 10'x59' along the 59' northerly section of bulkheading, perform reclamation of underwater lands directly adjacent to and seaward of the bulkhead to meet an underwater elevation of-4.0' during Average Low Water with the resultant reclaimed, lands to be used as backfill where needed along the landward side of the reconstructed bulkhead. Located: 5875 Vanston Road, Cutchogue. SCTM# 1000-118-1-1.3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet & 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: Present were: J. Bredemeyer / M. Domino /G. Goldsmith N. Krupski V C. Sanders Other Page 1 of 2 John M. Bredemeyer III, President %OFF61 o Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders 4,- ao�ti Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Patricia C. Moore, Esq. on behalf of PETER & DIANA O'NEILL request a Wetland Permit to replace existing timber bulkhead in-place with a ±105 foot long vinyl-sheathed bulkhead consisting of a ±59' section, a ±25' section, an ±11' section, and a ±10' return; temporarily remove existing decking along bulkhead and reconstruct in-place/in-kind; and within an area measuring 10'x59' along the 59' northerly section of bulkheading, perform reclamation of underwater lands directly adjacent to and seaward of the bulkhead to meet an underwater elevation of-4.0' during Average Low Water with the resultant reclaimed lands to be used as backfill where needed along the landward side of the reconstructed bulkhead. Located: 5875 Vanston Road, Cutchogue. SCTM# 1000-118-1-1.3 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 HYDROGRAPHIC SURVEY Wunneweta Pond " Surveyed: 03-30-15 W+ E Town: Southold \ s Suffolk County, NY \ \ o Datum: MLLW \ 30' Lr' cp O LA 'O O N s c3` \ Lp LO ON LA 'rr ' OH0 "11 \0/\ � // 6� \ Lp •� \0 0 'A¢00d 9 / \ cP \ ssi96' o EV E cpra v% OF NiFmy J- nn AUG ` 9 2016 ��®��RT , aft j ROBERT H. FOX Southold Town "� , __ fT s t� , NYS PLS#50197 ® P 0 Box#366 05®� - Aquebogue F� 9Q <� �� NY11931 O 'NEIL Property Situate: 5675 Vanston Road ■Cutchogue■Town of Southold ■New York SCTM#: l000—118 —ol —oolms (Photo taken on July 10, 2015) r c j ■■ r 6 a m —` , -.*. " �.j •rte �♦ s Photograph indicating the current conditions within the O'NEIL property, including the bulkhead decking and accessory building. 0 NEIL Property Situate: 5675 Vanston Road■Cutchogue■Town of Southold■New York SCTM#: 1000—118—01 —001.00s (Photo taken on July 10,2015) e a Photograph indicating the current conditions within the OWEIL property, including the bulkhead decking and accessory building. OFFICE LOCATION: � S®Ur�® MAILING ADDRESS: Town Hall Annex ``® l® P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) ANC Southold, NY 11971 ® ®� Telephone: 631 765-1938 Fax: 631 765-3136 c®U ' 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 PETER & DIANA O'NEILL SCTM# 1000-118-1-1.3 Patricia C. Moore, Esq. on behalf of PETER & DIANA O'NEILL request a Wetland Permit to replace existing timber bulkhead in-place with a ±105 foot long vinyl-sheathed bulkhead consisting of a ±59' section, a ±25' section, an ±11' section, and a ±10' return; temporarily remove existing decking along bulkhead and reconstruct in-place/in-kind; and within an area measuring 10'x59' along the 59' northerly section of bulkheading, perform reclamation of underwater lands directly adjacent to and seaward of the bulkhead to meet an underwater elevation of-4.0' during Average Low Water with the resultant reclaimed lands to be used as backfill where needed along the landward side of the reconstructed bulkhead. Located: 5875 Vanston Road, Cutchogue. SCTM# 1000-118-1-1.3 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 provided: 1. Turbidity controls are required. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. r Peter Young,Chairman H Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 ,�, !► �' ' Southold,NY 11971 fl 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., July 13, 2016 the following recommendation was made: , Moved by Peter Meeker, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of PETER & DIANA O'NEILL for the inkind/inplace replacement of existing 58'X 30'X 30' bulkhead and the 5' return. Located: 5685 Vanston Rd., Cutchogue. SCTM#118-1-1.3 Inspected by: Peter Meeker, Keith McCamy, John Stein The CAC Supports the application and recommends removal of the old bulkhead debris. Vote of Council: Ayes: All Motion Carried Cantrell, Elizabeth From: Betsy <betsy@mooreattys.Com> Sent: Tuesday,August 30, 2016 9:33 AM To: DiSalvo, Diane Cc: Cantrell, Elizabeth Subject: Re: O'Neill Please let this serve as confirmation that you are to use the project description as supplied by Bruce Anderson of Suffolk Environmental Consulting. Thank you. Betsy Perkins LA Moore Law Offices William D. Moore, Esq. 631.765.4663 Patricia C. Moore, Esq. 631.765.4330 mailing & physical address: 51020 Main Road Southold NY 11971 fax number for both 631.765.4643 www.mooreans.com NOTICE: This e-mail and the attachments hereto, if any, may contain legally privileged and/or confidential information. It is intended only for use by the named addressee(s) . If you are not the intended recipient of this e-mail, you are hereby notified that any dissemination, distribution or copying of this e-mail and the attachments hereto, if any, is strictly prohibited. If you have received this transmission in error, please immediately notify the sender by telephone and permanently delete this e-mail and the attachments hereto, if any, and destroy any printout thereof. On Tue, Aug 30, 2016 at 9:17 AM, DiSalvo, Diane <diane.disalvo a,town.southold.n�us>wrote: We need your e mail by today regarding O'Neill—or we cannot place it on our September 21 agenda. D;av„p Di ,SRLVC Southold Town Trustees To,,N-n Hall Annex.4,first Floor i - r-. BOUT , John M.Bredemeyer III, President ` ffi �. Town Hall Annex *. W 54375 Main Road Michael J.Domino,Vice-President ,. •" P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee Charles J.Sanders,Trustee ,f �^,' Telephone(631) 765-1892 . fFax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application Wetland Permit Application Administrative Permit // -Administrative V eceived Application:_ -•�'27_ ���_., V Received Fee: $ 1 ompleted Application: r' Incomplete: _ _ � {� _SEQRA Classificati n: Type I Type II-L Unlisted ordination:(date sent): U Z LWRP Consistency Ass ssment Form: MAY 7 2016 CAC Referral Sent: Date of Ins ection: P Southold Tnvvn i _Receipt of CAC Report: no,rr; _Lead Agency Determination: �� 1 _Technical Review: 1 Public Hearing Held: i Resolution: Name of Applicant: - _- /-C'k:"Y'- ._6-4,P c/ _ j "tea Mailing Address: �3 C(a4- 'o ;n A cod Phone Number: 5 `' 737-- Suffolk Suffolk County Tax Map Number: 1000- - Ile _7 A 3 57-K75 Property Location:.. - 1 J� G'Ce�25-��'J. - acl - P provide LILCO Pole#, distance to cross streets, and location) L AGENT: re (If applicable) Address: . .. J 2 D - Gd -, CSU-Z��W A.` 7 �17/ Phone: V 3 3,o Board of Trustees Applica n GENERAL DATA Land Area(in square feet): . 9�g 7y2__ Area Zoning: ._ __ �1!2 _ Previous use of property: Intended use of property:_ - lQ r_g!!_i ares&&� Covenants and Restrictions on property? Yes x No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes )C 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 '1C No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? .Yes -,.-)C No Does the structure(s)on property have a valid Certificate of Occupancy? YC Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_No Yes If yes,provide explanation: Project Description(use attachments if necessary):_ _ih lGi �� m y /��e L'k k c-� -max•s&W 08 �o 'f ®'� e�cr s�z-n9 'Board of Trustees Applica' in WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: tCi wt. �yZU _ ,t �s -ice dell Area of wetlands on lot: z",9?!2f square feet Percent coverage of lot: / % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No_�, Yes f i les If yes, how much material will be excavated? - cubic yards How much material will be filled? a . , cubic yards Depth of which material will be removed or deposited:, __._ feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited:, 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): o e� 61Z20 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. Ifadditional 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: , Project Location(describe,and attach a location map): Brief Description of Proposed Action: V1 "d Iin P(CXCICrep(q - & cl (al l Name of Applicant or Sponsor: I Telephoe5 j� l _ �� f (/la�,�tat � �.e�/ E-Mail: /f)L' Dd/'P L° Od Gl �• f� Address: - City/PO: State: Zip Code: /W McI ds— 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: ❑ 3.a:Total acreage ofthe-site ofthe pioposed action?. .S acres b.Total acreage to be physically disturbed? a acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? i Ste' acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban []Rural(non-agriculture) [--]Industrial ❑Commercial M15 esidential(suburban) ❑Forest OAgriculture [I Aquatic []Other(specify)! ElParkland Page X 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? 01 M 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES, landscape? ; � j " 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES, If Yes,identify: 8." a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? 11 c.Are any pedestrian accommodations or bicycle routes available on or near site ofthe proposed action. ;� ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies:. ❑_ 10. Will the proposed action connect to an existing public/private water supply? A NO-- YES If No,describe method for providing potable water:. N��" - ❑ 11.Will the proposed action connect to existing wastewater utilities? n 1, NO_ YES If No,describe method for providing wastewater treatment: { ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ b.Is the proposed action located in an archeological sensitive area? 10 ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? _;❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Ale da-b 14. Iden ' the typical habitat types that occur on,or are Iikely to be found on the project site. Check all that apply: horeline ❑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? ❑ 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? NOYES If Yes, a.Will storm water discharges flow to adjacent properties? O ❑YES -- ❑ b.Will storm water discharges be directed to established conveyance systems(runo and storm drains)? If Yes,briefly describe: NO ❑YES Page 2 of 4 i 18.Does the proposed action include construdion 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 i. solid waste management facility? If Yes,describe: - - 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY' KNOWLEDGE •Applicant/sponsor __- LvyYtc ea Ot37t�. Date: Signature- Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" Modekte 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? u 2. Will the proposed action result-in a change in the use or intensity of use of land? F1 3. Will the proposed action impair the character or quality of the existing community? © U 4. Will the proposed action have an impact on the environmental characteristics that caused the ® E] 5. of a Critical Environmental Area(CEA)? - - 5. Will the proposed action result in an adverse change in the existing level of traffic or ,� a 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? a 8. Will the proposed action impair the character or quality of important historic,archaeological, u' architectural or aesthetic resources? LJ 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, F n 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 drainageEl a problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and aiiy 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 llnpa s. Town of Southold-Board of Trustees (`` /�/ / ))Name of Lead A enc-y- Date President Print or Type Name of Responible Offt er in Lead Agency Title of Responsible Officer Sign f Respons le Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 y Y BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x ' In the Matter of the Application of AFFIDAVIT OF PETER&DIANA O'NEILL MAILING Applicant's Land Identified as 1000-118-1-1.3 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, Betsy Perkins,residing at Mattituck,New York, being duly sworn, depose and say that: On the 12'day of September, 2016, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the persons listed on the attached list at the addresses set below their respective names;that the addresses set below 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 Southold,New York, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Attached hereto is the white receipt post arked by the Southo Post Offic7onsaid date. Betsy Perkins (Signature) Sworn to before me this day of �EPT� moo/ otary Public) MARGARET C. RUTKOWSKI Notary Public,State of New York No. 4982528 Qualified in Suffolk County aol9 Commission Expires June 3, John M. Bred emeyei' /President �0 Town Hall Annex Michael J. Domino, Vice-President _ << 54375 Route 25 Glenn Goldsmith N ,� P.O. Box 1179 A. Nicholas Krupski Southold, NY 11971 Charles J. Sanders � 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 PETER& DIANA O'NEILL 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 residing at/dba I being duly sworn, depose and say: Th t on theta day o , 201 LO, I personally po d th property known as � c by placing the Board of Trustees official poster where it can easily be seen, an at 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: signature) worn to before me this day oboylkO Pub olicc C) BETSY A.PERKINS Notary Public,State of New York No.01 PE6130636 Qualified in Suffolk Count Commission Expires July 1 I O'NEILL NEIGHBOR LIST SCTM:1000-118-1-1.3' DAVID& COLEEN BOFILL 3 CLAYDON ROAD GARCENT CITY NY 11530 SCTM: 1000-118-1-1.4 EILEEN KASSCHAU 162 DEMOTT AVENUE ROCKVILLE CENTER NY 11570 SCTM: 1000-118-1-1.2 CHRISTOPHER PIA 332 BLEECKER STREET F48 NEW YORK NY 10014 SCTM: 1000-118-1-2 RECEIPT 14 77901 5002 8200 0095 22 RECEIPT RECEIPT 14 7901 5002 8200 0095 39 14 7901 5002 8200 0095 46 € FROM I FROM: FROM. oore Law Office oore Law Office oore Law Office E o'nedl trustees E o'nedl trustees E o'netll trustees NY TO € TO. �!� SEND ID,NY\ &;COLEEN BOFIL R YDON R06DLl- IL KASSCI-IAW HRIST I EMOTT VENUE: 32 8 EQ R STREET-F w�EfJ��31TY NY 1153 OC ILLS ENTER NY,'' 57 EW NY 10014^ Fr O.D��� FE ;'^, Fes% i FEES. �r ostage 0 465 `R ertrf ed Fee_ 3 30 ostage -0465 ostage - 0 5; erted Fee 3 30 ertified t�e� p etum Receipt y 2 70 cot —U��'�0 estncted etum Receipt 270 i eturn Rece pt estncted testricted -.-' TOTAL $6465 TOTAL $6.465 i TOTAL $6 465 POSTMARK OR DATE € POSTMARK OR DATE POSTMARK OR DATE NUTILI: U- 1 - HtAKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: PETER & DIANA O' NEILL SUBJECT OF PUBLIC HEARING : For a Wetland Permit to replace existing timber bulkhead in-place with a ±105 foot long vinyl-sheathed bulkhead consisting of a ±59' section, a ±25' section, an ±11' section, and a ±10' return; temporarily remove existing decking along bulkhead and reconstruct in-place/in-kind; and within an area measuring 10'x59' along the 59' northerly section of bulkheading, perform reclamation of underwater lands directly adjacent to and seaward of the bulkhead to meet an underwater elevation of -4.0' during Average Low Water with the resultant reclaimed lands to be used as backfill where needed along the landward side of the reconstructed bulkhead. Located: 5875 Vanston Road, Cutchogue. SCTM# 1000-118-1-1.3 TIME & DATE OF PUBLIC HEARING : 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) 765-1692 a ' Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) PETER O'NEILL and DIANA O'NEILL, as owner of premises 5875 Vanston Rd., Cutchogue, (sctm: 1000-118-1-1.3)residing at 3 Claydon Road, Garden City,NY 11530, do hereby authorize my attorney, Patricia C. Moore, to apply for permit(s) and appear before the Southold Board of Town Trustees on our behalf. 1 (Owner's signature) '� (owner's signature) ',_ ;)ard of Trustees Application _ County of Suffolk State of New York PETER O'NEILL AND DIANA O'NEILL BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE.APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Peter O'Neill Diana O'Neill Sworn to before me this day of t'� , 2010 Notary Pu is BETSY A.PERKINS Notary Public,State of New York No.01 PE6130636_ Qualified in Suffolk Co , ol ,>_ Commission Expires July 1 f i APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) 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. YOUR NAME: O'NEILL,PETER&DIANA AND MOORE,PATRICIA (Last name,first name,middle initial,unless you are applying ip the name of someone else or other entity,such as a company. If so,indicate the other person or company name.) NATURE OF APPLICATION:(Check all that apply.) Tax Grievance Variance _ Special Exception If"Other", name the activity: Change of Zone Approval of Plat Exemption from Plat or Official Map Other Trustees X 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 officcr or employee has even a partial ownership of(or employment by) a corporation in which the Town officer or erpployee owns more than 5% of the shares. YES NQ—X Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself(the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship 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 this day of 6 Signature: P er O'Neill nMC.Moore LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C,the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus,the action should be analyzed in more detail and, if necessary,modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION curl }Lj'VI� a"X l n G2 G4 'lC C�•PJ✓ G� r I SCTM#1000- 118-01-1.3 5675 Vanston Road, Cutchogue The Application has been submitted to (check appropriate response): Town Board_Planning Dept._Building Dept. Board of Trustees—X– I 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: Wetland Permit for existing structures Location of action: 5675 Vanston Road, Cutchogue Site acreage: .5 acre In kind and in place replacement of bulkhead 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: Peter&Diana O'Neill (b) Mailing address: 3 Claydon Road, Garden City,NY 11935 (c) Telephone number: Area Code ( 631 )765-4330 (Pat) (d)Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes No X 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 dverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. !' J X Yes No Not Applicable existing structures on property makes beneficial use of waterfront location along Wunnewetta Pond,Nassau Point 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 X 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 X Yes No Not Applicable existing structures developed in conformity with Nassau Point development. Proposed replacement of bulkhead will preserve existing structures. 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 X Yes No Not Applicable the existing bulkhead protects property from flooding and erosion. 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 X Attach additional sheets if necessary 1 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. X No X Not Applicable Existing bulkhead has no impact on fish and wildlife. Attach Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III -Policies Pages 32 through 34 for evaluation criteria. See Section III -Policies Pages; 34 through 38 for evaluation criteria. Yes No X 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 X 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 X Not Applicable lower platform landward of bulkhead Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. Yes No X Not Applicable Existing 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 X 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 X 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 X Not Applicable