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HomeMy WebLinkAboutTR-8900 Michael J.Domino,President O�*®F SOUjy�l Town Hall Annex John M.Bredemeyer III,Vice-President ® 54375 Route 25 P.O. Box 1179 Glenn GoldsmithCA Southold,New York 11971 A.Nicholas Krupski ,per Telephone(631) 765-1892 Greg Williams OIyC�U0 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1543C )ecember 4, 2018 V30 � THIS CERTIFIE, wood bulkhead with new C- Loc 9900'Series vin, 1 tiers of 6"x6"timber walers along the seaward face,twc i r vard face, 8"diameter timber pilings installed 6' o/c, all `� �����{ C�" © hl hardware to be hot-dipped galvanized; existingd ecki Bulkhead replacement and to be reconstructed in-place ° R(e mation of underwater lands directlyadjacent to and sea 1 S O� the southerly section that has accumulated there due tc "� n of-4.0' during ALW;the resultant reclaimed fil C p the landward side of the reconstructed bulkhead; wi �e c" `LS k/4 a5 I that will retain all suspended sediments within the immi �� (-cut" lacement of existing cement landscape retaining wall of 104.2 total linear feet starting from 14.3' 1 line;wall height to be !Ipproximately 36"to 42"f and install steps landward of retaining wall for access or __!ally maintain a varying width non-disturbance buffer seaward of the existing silt fencing; At 5785 Vanston Road, Cutchogj!p Suffolk County Tax Map#1000-118-1-1.4 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 16, 2016, pursuant to which Trustees Wetland Permit#8900 Dated October 19,2016,was issued and Amended on August 16, 2017 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 reconstruction of existing f70.0' long wood bulkhead with new C-Loc 9900 Series vinyl sheathing bulkhead in-place and secured by three(3)tiers of 6"x6"timber walers along the seaward face two (2)tiers of 6"x6"timber clamps along the landward face, 8"diameter timber pilings installed 6' o/c all tied in by two(2)helical screws per piling, and all hardware to be hot-dipped galvanized; existing decking landward of bulkhead to be removed prior to bulkhead replacement and to be reconstructed in-place/in-kind using non-treated lumber; perform reclamation of underwater lands directlyadjacent to and seaward of the bulkhead within a 109xl8' area along the southerly section that has accumulated there due to seepage in order to meet an underwater elevation of-4.0' during ALW;the resultant reclaimed fill will be returned 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 for the for the as-built replacement of existing cement landscape retaining wall consisting of a 67.5 linear foot and 36.7 linear foot G04.2 total linear feet) starting from 14 3' from southefly properly line to northerly property line-, wall height to be approximately 36"to 42"from grade adjusted as needed on site conditions; and install steps landward of retaining wall for access on yard,• with the condition to establish and perpetually maintain a varying width non-disturbance buffer seaward of the existing silt fencing. The certificate is issued to DAVID &COLLEEN BOFILL owners of the aforesaid property. _ o Authorized Signature DiSalvo, Diane From: DiSalvo, Diane Sent: Wednesday, December 05, 2018 10:04 AM To: 'pc moo re@ moo reattys.com' Cc: 'Betsy at Moore Law Offices' Subject: Bofill - 5785 Vanston Road Final Inspection was done for Permit#8900 and its Amendment. I will be able to issue the Certificate of Compliance once the C&Rs are recorded for the non-disturbance buffer. D%61ne Di sobvo Southold Tovvii Trustees Town Hall Annex/First Floor 54375 .Route 25 P.U. Box 1179 Southold.NY 11971-0959 (631) 765-1892 Fax: (63 l.) 765-6641 i Michael J. Domino,President �'OF SO(/�yO Town Hall Annex John M.Bredemeyer III,Vice-President l0 54375 Route 25 AO P.O.Box 1179 Glenn Goldsmith Southold, New York 11971 en A.Nicholas Krupski Telephone(631) 765-1892 Greg Williams D Y 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 19t day of construction 1/2 constructed Project complete, compliance inspection. INSPECTED BY: Klv91��� COMMENTS: ` 9 CERTIFICATE OF COMPLIANCE: John M. Bredemeyer III, President '\o� - Com".; Town Hall Annex Michael J Domino, Vice-President _ � z � �� 54375 Route 25 Glenn Goldsmith N ,; z ` P.O_ Box 1179 A. Nicholas Krupski " o ® offSouthold, NY 11971 Charles J Sanders '= �1 , tea;:' 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 �SIL]��o6Wl� 1St day of construction / '/2 constructed y Project complete, compliance inspection M ! BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK ii PERMIT NO. 8900 DATE: OCTOBER 19, 2016 ' ISSUED TO: DAVID & COLLEEN BOFILL ws PROPERTY ADDRESS: 5785 VANSTON ROAD,CUTCHOGUE SCTM# 1000-118-1-1.4 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on October 19, 2016, and in consideration of application fee in the sum of$250.00 paid by David & Colleen Bofill and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to reconstruct existing-±70.0'long wood bulkhead with new C-Loc 9900 Series vinyl sheathing bulkhead in-place and secured by three(3)tiers of 6"x6"timber walers along the seaward face,two(2)tiers of 6"x6"timber clamps along the landward face,81'diameter timber pilings installed 6' o/c,all tied in by two(2)helical screws per piling,and all hardware to be hot-dipped galvanized; existing decking landward of bulkhead to be removed prior to bulkhead replacement and to be reconstructed in- place/in-kind using non-treated lumber;perform reclamation of underwater lands directly adjacent to and seaward of the bulkhead within a 101x18' area along the southerly section that has accumulated there due to seepage in order to meet an underwater elevation of-4.0' during ALW; the resultant reclaimed fill will be returned 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 August 8,2016,and stamped approved on October 19,2016. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Boa as of this date. .............. ...... TERMS AND CONDITIONS The Permittee David&Colleen Bofill, residing at 5785 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. Town Hall Annex SD�ry John M.Bredemeyer III,President ��QF � Michael J.Domino,Vice-President '`� l0 54375 Route 25 P.O.Box 11 Glenn Goldsmith s[ Southold,New York 11971 A.Nicholas Krupski ® Telephone(631)765-1892 Charles J.Sanders , Fax(631)765-6641 I,�CUUNT`1,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 19, 2016 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: DAVID & COLLEEN BOFILL 5785 VANSTON ROAD, CUTCHOGUE SCTM# 1000-118-1-1.4 Dear Mrs. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 19, 2016 regarding the above matter: WHEREAS, Patricia C. Moore, Esq., on behalf of DAVID & COLLEEN BOFILL 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 September 16, 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 October 19, 2016, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of DAVID & COLLEEN BOFILL to reconstruct existing ±70.0' long wood bulkhead with new C-Loc 9900 Series vinyl sheathing bulkhead in-place and secured by three (3) tiers of 6"x6" timber walers along the seaward face, two (2) tiers of 6"x6" timber clamps along the landward face, 8" diameter timber pilings installed 6' o/c, all tied in by two (2) helical screws per piling, and all hardware to be hot-dipped galvanized; existing decking landward of bulkhead to be removed prior to bulkhead replacement and to be reconstructed in-place/in-kind using non-treated lumber; perform reclamation of underwater lands directly adjacent to and seaward of the bulkhead within a 10'x18' area along the southerly section that has accumulated there-due to seepage in order to meet an underwater elevation of-4.0' during ALW; the resultant reclaimed fill will be returned 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 August 8, 2016, and stamped approved on October 19, 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: $100.00 Very truly yours, 67 John M. Bredemeyer III President, Board of Trustees JMB/dd p ECEIVE SEP 1 6 2 S E PLAN .z Southold Town r��iTrust .0"=20.0'± SITE PLAN DETAIL PROPOSED PROPOSED BULKHEAD RECONSTRUCTION TIMBER PILING 1.0"=1.0'± (8" x20'L) w DD 0 Wetlands Boundary, ' o as per Suffolk Environ.Consulting,Inc. (May 28,2015> APPR ED BY \ , r x BOARD 1 RUSTEES \ ' cc TOWN O SOU'tHOLD WUNNEWETA \' \` POND A y DATE oC- IQ 2ql(O , �1 v PROPOSED \\ TIMBER CLAMP v Z U PROPOSED (6"x 6") Z i ' \t `\ RECONSTRUCTED $� ti Z z BULKHEAD y° 0 Z (See Detail) PROPOSED O Z Z � VINYL SHEATHING 1 1� (C-Loc or similar @ 18'L) PRO SED Q6404 O o 9i0'±\ \ PROPOSED TIMBER WALER f:.at ,i ... \\ HELICAL SCREW (6„x 6") ^I c Proposed { \43.0'± Ma Limit of Disturbance 1 s. (variable) AREA of PROJECT_DESCRIPTION: �+ v RECLAMATIONbX O 22.0't (See Detail) Applicant proposes to reconstruct the existing timber-sheathed bulkhead M OOi� ^G, `, � �T#�cistirtg g 0,+ (70.0' ±overall) into a new vinyl-sheathed bulkhead. The existing Deck 'moi `O `QJd �,� ��k located landward of the bulkhead to be removed prior to bulkhead U 5� 41. `0•. replacement, and reconstructed "in-place / in-kind" following bulkhead o w �( 00 �1 5 41.0" � completion with non-treated lumber(i.e.,Mahogany). a�5 Step - � �, o 0 The new Bulkhead will consist of C-Loc 9900 Series Vinyl Sheathing (18' L) secured by three (3) tiers of Timber Walers (6.0" x 6.0") along the � = o seaward face, two (2) tiers of timber Clamps (6.0" x 6.0") along the landward face,Timber Pilings(8.0"�x 20.0'L)installed at 6.0'o/c,all tied L in by two (2) Helical Screws per piling. All hardware to be hot-dipped "' o 0 galvanized. N 3 0 N During the proposed bulkhead reconstruction, applicant proposes to in "n r 0 perform reclamation of underwater lands directly adjacent&seaward of the bulkhead that have accumulated there due to seepage, all along the southerly section of bulkheading,within an area measuring 10'x 18' and to meet an underwater elevation of— 4.0' during ALW. The resultant reclaimed lands will be returned as backfill where needed along the ; ci NOTE: Wetlands Boundary,flagged as per Suffolk Environ.Consulting,Inc.(May 28,2015)and located along seaward face of bulkhead. landward side of the reconstructed bulkhead. A cn A U MSEP EIVE 16 21CROSS-SECTIONAL VIEWPROPOSED outholdTown PR POSED BULKHEAD RECONSTRUCTION s o, BER PILING � 1 1.0 =2.0'± 0 o 22.0' to existing Steps from Northern Bulkhead Terminus c Proposed E g Ste 41.0' to existing s from Southern Bulkhead Terminus EXISTING DECK P � Limit of Disturbance " (variable) (variable in width) ° (to be removed prior to bulkhead reconstruction,and reconstructed"in-place/in-kind") 00 PROPOSED i BER WALERS $ 11111111111 Jill .. N O • U H W Z s rn IV i rr y \ >* Z PROPOSED W a TIMBER CLAMP x z c (6„x 6„) f' 4. 5.5' + o o PROPOSED HELICAL SCREW i� bX U E 14 PROPOSED ` ° y � N VINYL SHEATHING o (C-Loc or similar @ 18'L) r u o A W `4 3 E NOTE: Wetlands Boundary,flagged as per Suffolk Environ.Consulting,Inc.(May 28,2015)and located along seaward face of bulkhead. EXISTING UNDERWATER GRADE EC UVE SEP 1 6 / SITE PLAN DETAIL ou!holdTow CR SS-SECTIONAL VIEW ,`� PROPOSED RECLAMATION Bir ` 1.0"=10.0'± PROPOSED RECLAMATION 1.0"=2.0'± Jf / CROSS-SECTION c �� • 10.0 0 o 18.o' o° i � o ' o U U � C% AREA of `!' Z v RECLAMATION z z z 2 WVNNEWETA ,z o POND 0., a z g pV g „ . w _AHW EL_2.5')— w W o A H W cn o 7, m (along bulkhead) H D 0 • 0 L z NOTE: Wetlands Boundary,flagged as per Suffolk Environ.Consulting,Inc.(May 28,2015)and located along seaward face hc C) of bulkhead. .. U (7 m 10.0' i LIMIT of In p AREA of RECLAMATION o RECLAMATION EXISTING ° > UNDERWATER GRADE C ago rrl ; ti 0 `o Q N 3 n .. ' N O 1 N W U 4.0' Underwater Elevation E j PROPOSED UNDERWATER GRADE c A rn A U c:X:' Town Hall Annex John M Bredemeyer III, President Michael J- Domino, Vice-President :'�� 'z ��; 54375 Route 25 Glenn Goldsmith Y r 7i P O- Box 1179 A. Nicholas Krupski Southold, NY 11971 Charles J. Sanders "_ 01 , ���;' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD )�,� at(� D�v�® e NU4F6_0 �Fl LL- 4® �A-ri�t�c/� &Doi TO: Please be advised that your application dated 1(0t 201(P has been reviewed by this Board at the regular meeting of 020aM , 1 , 001 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project V Pre-Construction �spection Fee ($50.00)Cs�(LT— m) 1 St Day of Construction ($50.00) '/ 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: TOTAL FEES DUE: $ BY- John M. Bredemeyer III, President Board of Trustees John M. Bredemeyer III, President �dodSUFFO�k�o � J' Town Hall Annex Michael J. Domino, Vice-President 543,75 Route 25 Glenn Goldsmith f o ` P.O. Box 1179 A. Nicholas Krupskio Southold, NY 11971 Charles J. Sanders �� o`�r Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 100�f� d3"� Completed in field by: Patricia C. Moore, Esq. on behalf of DAVID & COLLEEN BOFILL requests a Wetland Permit to reconstruct existing ±70.0' long wood"bulkhead with new C-Loc 9900 Series vinyl sheathing bulkhead in-place and secured by three (3) tiers of 6"x6" timber walers along the seaward face, two (2) tiers of 6"x6" timber clamps along the landward face, 8" diameter timber pilings installed 6' o/c, all tied in by two (2) helical screws per piling, and all hardware to be hot-dipped galvanized; existing decking landward of bulkhead to be removed prior to bulkhead replacement and to be reconstructed in- place/in-kind using non-treated lumber; perform reclamation of underwater lands directly adjacent to and seaward of the bulkhead within a 10'x18' area along the southerly section that has accumulated there due to seepage in order to meet an underwater elevation of-4.0' during ALW; the resultant reclaimed fill will be returned as backfill where needed along the landward side of the reconstructed bulkhead. Located: 5785 Vanston Road, Cutchogue. SCTM# 1000-118-1-1.4 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 I Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: �k'�2g sew Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 John'M. Bredemeyer III, President, �;�pS°FFoI Town Hall Annex Michael J. Domino, Vice-President ° �y�q 54375 Route 25 Glenn Goldsmith ti P.O. Box 1179 A. Nicholas Krupskio Southold, NY 11971 Charles J. Sanders 41 o�;ti Telephone (631),765-1892 _ �Q� 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 DAVID & COLLEEN BOFILL requests a Wetland Permit to reconstruct existing ±70.0' long wood bulkhead with,new C-Loc 9900 Series vinyl sheathing bulkhead in-place and secured by three,(3) tiers of 6"x6" timber waters along the seaward face, two (2) tiers of 6"x,6" timber clamps.along the landward face, 8" diameter timber pilings installed 6' o/c, all tied in by tw (2) helical screws per piling, and all hardware to be hot-dipped galvanized; existing decking landward of bulkhead to be removed prior to bulkhead replacement and to be reconstructed in- place/in-kind using non-treated lumber; perform reclamation of underwater lands directly adjacent to and seaward of the bulkhead within a 10'x18' area along the southerly section that has accumulated there due to seepage in order to meet an underwater elevation of-4.0' during ALW; the resultant reclaimed fill will be returned as backfill where needed along the landward side of the reconstructed bulkhead. Located: 5785 Vanston Road, Cutchogue. SCTM# 1000-118-1-1.4 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 �' �• R Rr 40 ) 4 -10 'AV * y x .,qtr �$ 7 •�t �9F Y. y s is a •I 1 .. 3'4� d1`"^{ ,,3 _ f �mp, . - �� R. 4r I i k i'�Yyk:ai:,'_ � -� '•+r.Q. 's xS '' .c S� Y•� #4i ..Yc µ • i r I let �,_� r ,,. _ ;�;"`�a,�,A�,,�„+ � �� -�.• .. .,r,� ,-, 111 _ r- BOFILL Property Situate: 5785 Vanston Road ■ Cutchogue■Town of Southold ■New York SCTM#: 1000— 118—01 —001.004 (Photo taken on July 10,2015 r5 ......,_ Photograph indicating the current conditions within the BOFILL property, including the bulkhead decking. SEESEC Ill MATCH LINE W--f. Pb,,d3 1 TOM OF solJ114ow 0]39 41 ---18'3 A I iAtO 00 -4 1 1 A' 10 61 2 1.) 10- 42 CA(c) 114 1M1 s La _zz A.0 e"j -00 10 L NOTICE COUNTY OF SUFFOLK @ K somom SECTION NO E JE (21) Reac[.�ropefty Tax Servioe AgenCy y 1x IEI A y m 118 -W".4 p OFFICE LOCATION: ®� S®ul�®�® MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 IF Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 �O Telephone: 631 765-1938 ® Fax: 631765-3136 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 DAVID & COLLEEN BOFILL SCTM# 1000-118-1-1.4 Patricia C. Moore, Esq. on behalf of DAVID & COLLEEN BOFILL requests a Wetland Permit to reconstruct existing ±70.0' long wood bulkhead with new C-Loc 9900 Series vinyl sheathing bulkhead in-place and secured by three (3) tiers of 6"x6" timber waters along the seaward face, two (2) tiers of 6"x6" timber clamps along the landward face, 8" diameter timber pilings installed 6' o/c, all tied in by two (2) helical screws per piling, and all hardware to be hot-dipped galvanized; existing decking landward of bulkhead to be removed prior to bulkhead replacement and to be . reconstructed in-place/in-kind using non-treated lumber; perform reclamation of underwater lands directly adjacent to and seaward of the bulkhead within a 10'x18' area along the southerly section that has accumulated there due to seepage in order to meet an underwater elevation of-4.0' during ALW; the resultant reclaimed fill will be returned as backfill where needed along the landward side of the reconstructed bulkhead. Located: 5785 Vanston Road, Cutchogue. SCTM# 1000-118-1-1.4 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. To further Policy 6, require the installation of a silt boom during construction operations. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Peter Young,Chairmanti Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., October 12, 2016 the following recommendation was made: Moved by John Stein, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of DAVID BOFILL & COLLEEN EOFILL to reconstruct the existing timber-sheathed bulkhead 70' overall into a new vinyl sheathed bulkhead. The existing deck located landward of the bulkhead to be removed prior to the bulkhead replacement, and reconstructed inkind/inplace following bulkhead completion with non-treated lumber. Located: 5785 Vanston Rd., Cutchogue. SCTM#118-1-1.4 Inspected by: Keith McCamy, John Stein Vote of Council: Ayes: All Motion Carried John M. Bredemeyer III, President Town Hall Annex Michael J.Domino,Vice-President :' 54375 Main Road P.O.Box 1179 James F. King,Trustee " : ti .' 4 Southold,New York 11971-0959 Dave Bergen,Trustee ` _ t Telephone(631) 765-1892 Charles J.Sanders,Trustee ��� . J Fax(631) 765-6641 Y�xxzr.� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application , E E Wetland Permit Application _Administrative Permit 6, 2016 Amendment/Transfer/Extension SEP 1 Received Application: q�/(�-��d Received Fee: $ Z50,OV. Southold Tov�n Completed Application: Incomplete: _SEQRA Classification: Type I Type II Unlisted Coordination:(date sent): /0. TLWRP Consistency Asse ne t�orm: CAC Referral Sent: TDate of Inspection: �0•/�,/ _Receipt of CAC Report: Lead Agency Determination: ^Technical Review: Public Hearing Held: U Resolution: Name of Applicant: Mailing Address: S%6 Cp c,}A•1-,., vc,A 39, S.,,,c7�'[fl Phone Number: , I 2- !R-3 -- 1- f `l Suffolk County Tax Map Number: 1000- " 1 g O I Property Location: 5 7 V_CA in 5-�0(.) Q,006 (provide LILCO Pole k distance to cross streets, and location) AGENT: -- -- GZ�i'y -(C:-t Ck C- M-00 r-e— _ (If applicable) Address: 5 1_o 2-o tA&i N a o GLJ, Phone: fib, Board of Trustees Appli :ion GENERAL DATA Land Area (in square feet): �, cl F-7 s Area Zoning: 2—_y O Previous use of property: tcQ�.vL ,. 5 Ci Intended use of property: Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes X No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X _No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? .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 1�7fu s k pia Zo I_Lo (t-f Pte( No prior permits/approvals for site improvements. Has any peri-nit/approval ever been revoked or suspended by a governmental agency? No Yes If yes,provide explanation: Project Description(use attachments if necessary):_ Bofill Project Description Applicant proposes to reconstruct the existing timber-sheathed bulkhead (70.0' ±overall) into a new vinyl-sheathed bulkhead. The existing Deck located landward of the bulkhead to be removed prior to bulkhead replacement, and reconstructed"in-place/in-kind"following bulkhead completion with non-treated lumber(i.e., Mahogany). The new Bulkhead will consist of C-Loc 9900 Series Vinyl Sheathing (18' L) secured by three (3)tiers of Timber Walers (6.0"x 6.0") along the seaward face,two (2)tiers of timber Clamps (6.0"x 6.0") along the landward face, Timber Pilings (8.0" x 20.0' L) installed at 6.0' o/c, all tied in by two (2)Helical Screws per piling. All hardware to be hot-dipped galvanized. During the proposed bulkhead reconstruction, applicant proposes to perform reclamation of underwater lands directly adjacent& seaward of the bulkhead that have accumulated there due to seepage, all along the southerly section of bulkheading, within an area measuring 10' x 18' and to meet an underwater elevation of—4.0' during ALW. The resultant reclaimed lands will be returned as backfill where needed along the landward side of the reconstructed bulkhead. Board of Trustees Appli tion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: (Ce, _,"(5T�n Area of wetlands on lot: f r ,Oa a square feet Percent coverage of lot: a D I % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands:, feet Does the project involve excavation or filling? No X Yes �J LLL If yes, how much material will be excavated? m IN cubic yards How much material will be filled? rvl rN cubic yards Depth of which material will be removed or deposited: 0 feet Proposed slope throughout the area of operations: _ Qc& 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): 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to'public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Pro eet: Project Location(describe,and attach a location map): Brief Description of Proposed Action: ` poo -- I � � — �I 1 (�tcee� t�i--�n�tc� Name of Applicant orrnSpo o Telephone: �G�YtU G01 �.1 E-Mail: = Address: Cify/PO: State: Zip Code: l.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. 3 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: iii 5 Dt�-c 3:a.Total acreage of the site of the proposed action? i - acres b.Total acreage to be physically disturbed? CV_ acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? l acres - 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) [-]Industrial ❑Commercial Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page I 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? ❑ ❑ 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: S. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES i ❑ b. Are public transportation service(s)available at or near the site of the proposed action? �('�1 ❑ ❑` c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed actior( ;❑ ❑ 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? NO_ YES If No,describe method for providing potable water; w 14���- ❑ ; ❑ 11.Will the proposed action connect to existing wastewater utilities? NO _YES, If No,describe method for providing wastewater treatment: El EJ 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'? A '� ❑ 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: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: S oreline ❑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? NO- YES If Yes, ff ❑ a. Will storm water discharges flow to adjacent properties? dN 0 []YES b.Will storm water discharges be directed to established conveyance systems(ruilon and storm drains)? If Yes,briefly describe: MNO YES j Page 2 of 4 i 18. Does the proposed action include construction or other activities that result in the impoundinent of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: zr a: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: F 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: -" Er F I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE App licant/spona •rDate: j Signator , r - 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 Pail I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" - No,or Moderate small to large impact impact may may occur occur I., Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? ❑ D 12. Will the proposed action result in a change in the use or intensity of use of land? E' 3. Will the proposed action impair the character or quality of the existing community? l❑� ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the F establishment of a Critical Environmental Area(CFA)? EJ 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? ! FT E❑ 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: o a.public/private water supplies? 0, b.public/private wastewater treatment utilities? ❑`. El 8. Will the proposed action impair the character or quality of important historic,archaeological, D El architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, El I❑ waterbodies,groundwater,air quality,flora and fauna). Page 3 of 4 No,or Moderate i 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 ;a j 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'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. j Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date- -- - - President ate _ - -President j Print or Type Name of Responsible Off icie­r'in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency T Signature of Preparer{if different from Responsible Officer) PRINT ] Page 4 of 4 John M; Bredem �O'Feyer III, President �i� � Town Hail Annex Michael d< Domino, Vice-President , 54375 Route 25 Glenn Goldsmith -1 W- -w; P;O, Box 1179 A. Nicholas Krupski Southold, NY 11971 Charles J. SandersTelephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of DAVID & COLLEEN_BOFILL COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DA YS PRIOR TO THE PUBLIC HEARING DATE I, I-J��► 1 l l residing at/dba `being duly sworn, depose and say:" That on the Stay of CA-z>her,201 �, I personally posted the property known as tj by placing the Board of Trustees official poster w ere it can easily be seen, and that I E4',e 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. October 19,2016. Dated: - Sworn to before me this +(signatur - 5�A' day of 04.20K �I� Notary Publid'" SANDRA L'HOMMEDIEU NOTARY PUBLIC-STATE OF NEW YORK No.OI LH5081255 SUFFOLKQUALIFIED IN MY OMMISSION EXPIR SJUNOEU30, L `7 Yt BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF BOFILL MAILING Applicant's Land Identified as 1000-118-1-1.4 ---------------------------------------------------------------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 6T" day of October 2016 1 personally mailed at the United States Post Office in Southold, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of the attached Legal Notice in prepaid envelopes addressed to the neighbors on the attached list. Attached hereto is the white receipt post-marked by the Southold Post Office on said date. Petsy Per (Signatur Sworn to before me this da of October, 2016 ( otary Public) MARGARET C. RUTKOWSKI Notary Public, State of New York No. 4982528 Qualified in Suffolk county CoqAmis ion Expires June 3, PLEASE list, on the Daci of this Affidavit or on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. l BOFILL NEIGHBOR LIST SCTM:1000-115-1-1.4 PETER&DIANA O'NEILL 3 CLAYDON ROAD GARDEN CITY NY 11530 SCTM: 1000-118-1-1.3 EILEEN KASSCHAU 162 DEMOTT AVENUE ROCKVILLE CENTER NY 11570 SCTM: 1000-118-1-1.2 4345 VANSTON ROAD LLC 5785 VANSTON ROAD CUTCHOGUE NY 11935 SCTM:1000-111-14-1 NORTH FORK KIWI LLC C/O KAREN HAUSER 467 W. 22NDSTRET APT. B NEW YORK NY 10011 SCTM: 1000-111-10-13.1 i RECEIPT RECEIPT 214 7901 5002 8200 0096 83 214 7901 5002 8200 0096 90 RECEIPT RECEIPT FROM: FROM. 214 7901 5002 8200 0097 06 214 7901 5002 8200 009713 � oore Law Office Aoore Law Office FROM FROM: E bofill trustees 1E bofill trustees oore Law Office oore Law Office ! E bofill trustees E bofill trustees SEND TO: SEND TO: ETER&DIANA O'NEILL ILEEN KASSCHAU SEND TO: SEND TO' CLAYDON ROAD 162 DEM017 1345 VANSTON ROAD LLC ORTH FORK KIWI LLC ARDEN 0 IOCKVILL 811 785 VANSTON ROAD 110 '97 UTCHOGUE NY 11935 REN STR ER 1� � �,,�t, cp � 67 W 22ND TRETAPT B EW YORK NY 1FE0 �, t> 5 ost f��,`�',F; � 0465 �<„ =EE �ed Fe ® i3 e3 rt i ea Nr p- 3 30 I o gey.3'O�� 0 I osta ® ' r fled;Fee 3 s r 6 Receibt� le t U Z `� ert Vn d V q",; estnct O P` r r t rt Re'ceipt3 27 s7li a tricted est q d 'Pt 0 2"25 y _46 -,. POST DATE POSTMARK OR DATE :%r-=" i Ol� ATE I POS NOTICE OF __H ,L7;� AR1N _C 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: DAVID & COLLEEN BOFILL SUBJECT OF PUBLIC HEARING: For a Wetland Permit to reconstruct existing ±70.0' long wood bulkhead with new C-Loc 9900 Series vinyl sheathing bulkhead in-place and secured by three (3) tiers of 6"x6" timber waters along the seaward face, two (2) tiers of 6"x6" timber clamps along the landward face, 8" diameter timber pilings installed 6' o/c, all tied in by two (2) helical screws per piling, and all hardware to be hot-dipped galvanized; existing decking landward of bulkhead to be removed prior to bulkhead replacement and to be reconstructed in-place/in-kind using non-treated lumber; perform reclamation of underwater lands directly adjacent to and seaward of the bulkhead within a 10'x18' area along the southerly section that has accumulated there due to seepage in order to meet an underwater elevation of-4.0' during ALW; the resultant reclaimed fill will be returned as backfill where needed along the landward side of the reconstructed bulkhead. Located: 5785 Vanston Road, Cutchogue. SCTM# 1000-118-1-1.4 TIME & DATE OF PUBLIC HEARING: Wednesday, October 19, 2016 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of B a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Board of Trustees -Application County of Suffolk State of New York DAVE R.BOFILL AND COLEEN M.BOFILL 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,HOLO THE TOWN OF SOUTHOLD A14D-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 AGENTS) OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS_APPLICATION. David R:Bo,ii Colleen,M.Bofill Sworn to before.me this day'of SANDRA VHOMMEDIEU ;NOTARY P61-'3LIC._SttTE,OF NEW YORK JO.07LH5081255, QUALIFIED- N SUFFOLKCOUN-T MY CQVtI FISSION E)�PIRES JUNE,30, Notary Public Board of Trustees Applicatioii• AUTHORI ZATI614 (where the applicant iss.not the owner) DAVE R.BOFILL,and COLLEEN M.BOFILL,as owner of premises 5785 Vanston Road, Cutchogue,'(sctm: 1000-118"M A)residingat 5785 Vanston Road; Cutchogue,•do hereby authorize my attorney,Patricia C. Moor"e,to apply for permit(s) and appear before the Southold Board of Town Trustees on,my behalf. (Owner's signature) (Owner's signature) APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'SAGENT) The TOwn'of SouthoId's Code of Ethics prohrbks contlicts,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*hateyer aeon h neeessary to avbidsame. YOUR,NAME: BOFILT DAVID•R ;,COLLEEN M.BOFILL.AND,MOORE,PAnUCIA (Last name,first name,,middle initial,unless you are applyingin the name of someone else or,other entity,such,as'a,company. Ifso;indicate the otherperson or company name.) NATURE OF APPLICATION:(Check all that apply.) Tax Grievance Variance SpecialException If"Other", name the activity: Change of Zone Approval of Plat Exempgon,fiom Plat or OfficialMap Other, Trustees -X ba 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"inclniles'by blood, marriage, or business interest `Business interest':means a business,jacluding a partnership, in which the Town officer.,or:employee has,even a.partial ownership.of;(or employment-by)a,corporation in which the'Town officer;or employee owns more than 5% of the shares. YES NO_X Complete the balance,oftbU form and date and sigrrbelow where'indicated.• Name ofpersoit employed by the Town of Southbld- 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 descnbe le'relationship'in the space p%ovided. The Town officer,or employee or his or her spouse,.sibling,parent,or child is(check all that apply):. A)the-,owner-of greater ihan`5%of the shares of the'corporate stock ofibe 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%tom day of�21Y��2!��Ol� David R.Bofill C Co M. ll a C.Moore / f Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS LAll 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 Lazard Area. 2.-. Before answering the questions in Section C, the preparer of this form.-should review the exempt .minor action fist, 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:ati aduerse efi�ects-u oii the coastal airea Iiuclt=includes 6114,,Southdi own . 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;:ehch°ainsvNci� riiiust'U�c::c Iairiec� $rt,`detnil-l sti "'bo41z-sib 0rtin aii&noxi- 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# C PROJECT NAME The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees , L 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) L (b) Financial assistance(e.g. grant,loan,subsidy) 4' (c) Permit,approval,license,certification: 'Q Nature and extent of action: _ r , a Location of action:- -., 7S 5- V aWOaOJ'19* - o47rAe Site`acreage -� /_7 Present land use: /C dz Present zoning classification: - (� 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 , (b) Mailing address:-- `l I�QUA 44 (c) Telephone number:Area Code d Application number,if an _.. Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes�1 ` No lJ, Ifes,,which state or federal a enc ? Y $ Y C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ZYes 0; No Not Applicable A t S C- 1 / s 71T d Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See UM Section III--Policies Pages 3 through 6 for evaluation criteria I�I" YoEl No U Not Applicable 1 1 Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria 10 Yes No El, Not Applicable 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 Q No ®Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation.criteria. 11 ❑ f Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ,F] Yes ❑No''aNot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and waste. See LV*MP Section III—Policies; Pages 34 through 38 for evaluation criteria. ubn 1_J Yes F] No 0 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. 1-1 YeO No Not Applicable Attach additional sheets if'necessary f WORKING COAST POLMES Policy 10. Protect Southold°s water-dependent uses and promote siting of new water-dependent uses in suitable locationsJN LWRP Section III•—Policies; Pages 47 through 56 for evaluation criteria. 0;Yes �. Noot Applicable Attach additional sheets if necessary -" Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town w ters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. 0.Yes No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LW" Section III— Policies; Pages 62 through 65 foreva ation criteria. Ej 0 Yes , No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; P 'ges 65 through 68 for evaluation criteria. Q Yes No Not Applicable PREPARED BY _ �' TITLE G�� HATE ��