Loading...
HomeMy WebLinkAboutTR-8924 John M. Bredemeyer III,President ��OF SOUlyO Town Hall Annex Michael J.Domino,Vice-President h0 l0 54375 Route 25 P.O.Box 11 Glenn Goldsmith s Southold,New York 11971 A. Nicholas Krupski G _ Telephone(631) 765-1892 Charles J.Sanders Fax(631) 765-6641 NTY,�� 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/silt boom/silt curtain 1 st day of construction % constructed Project complete, compliance inspection TERMS AND CONDITIONS The Permittee David Schab&Ariel Kaminer, residing at 250 Midway Road, Southold, New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said 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 pennittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. John M.Bredemeyer III,President oE soyoTown Hall Annex Michael J.Domino,Vice-President �� l0 54375 Route 25 P.O.Box 11 Glenn Goldsmith [ Southold,New York 11971 A.Nicholas Krupski G Q ® O Telephone(631) 765-1892 Charles J.SandersO Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 16, 2016 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: DAVID SCHAB & ARIEL KAMINER 250 MIDWAY ROAD, SOUTHOLD SCTM# 1000-90-1-9 Dear Mrs. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 16, 2016 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of DAVID SCHAB & ARIEL KAMINER 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, in accordance with Chapter 268, said application was found to be Exempt from 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 and November 16, 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 approve the application of DAVID SCHAB & ARIEL KAMINER to utilize the property as a de-watering site for dredge spoil taken from West Lake; and as depicted on the project plan prepared by David Schab, received on September 16, 2016, and stamped approved on November 16, 2016. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/dd - inn EEV E [DI, APPROVED BY "B®ARD OF TRUSTEES SURVEY OF SEP 1 6 11016 .,TOWN OF SOUTHOU) LOTS 141, 142 & P/0 143 f AfAP OF r S, RPk � CEDAR BEACH PARK Southold Tow ^/ p435p" �p /,Zp FILE No.90 FILED DECEMBER 20, 1927 DATE /VQ� /A�� / ` /,, Mp �+ ^ f i SITUATED ATP_W_tQLhS_te'S BAYVIEW TOWN OF SOUTHOLD .,, •aR SUFFOLK COUNTY, NEW YORK IN !! !/ / _ S.C. TAX No. 1000-90-01-09 /! !! - ./� 231, SCALE 1"=30* Q+ Sc F/ / !•u / ) r ^'".,; c.d fp'0 • NOVEMBER B. 2007 �) 2 .+� / / IO" Ixu T MAY 16.2012 ADDED CROSS SECTION —" y MAY 25,2012 LOCATED WETLANDS [ \°r°A6ePP ! ! y`'`. j I I ,� _ «_.au.on �•'�q ��• /'1 AUGUST 8,2012 SET LATH AT TOP PROP.BERM • ry A/d1 ��^ s �.o O4 AREA = 56,414 sq. ft. _ /)! / 'r.�- 1 r\ 'v\\ \ . •L �„ ef. t•YY— nN� (TO r¢uvcs) 1.295 C. � !$ ! )/ �� "'"4.�\\ \�4 , `.o'er- ®'� � �3:Y•_- H wo ! i�^ k i ,,.1 ��, \ to ��,, k, � � IF;.• ` •'ai,` rv'^ \\ \\ 1` \\ \\ / \\, \\ \ tq. / \ \ !\!\ u♦ \\ J d •,� � PRI FIDELITY NATION AL TITLE INSURANCE COMPANYAl PECONIC ABSTRACT.INCRHENRY KAMINER P `'af< BELLE VIEW.LLC _ H9. ;. ! "<1 } z�T.'=v 3 ' \ \\ .0 \\ I `\ 'S 1 Km �, 48 °I T{ HYDROGRAPHIC MAP WEST LAKE CHANNEL 'oi, ''';V:i`� JAS .N. \ \ \\ ♦� ! ":� .�I.1 E•,[n ,0+ C SURVEYED BY:ROBERT H.FOX NYS PLS/SO197 `�.'4 '-.;^'• 'i fir'-`: § ON JUNE 26.2012 , ' >�A,i,.,"•%l�i " '' m� \\ i �` \ \~\ \\ ��+'D�'„ ue �• ��1y S 1g 3p6 LW 'x,'-'�,_: �..�, y.«.'.'.i a N •�\�` •� � ��,y ! \ �' '(play>�.���: , -�.0 ��La��t 2 ' t• tip:y'?`r,?:'".4 a`{, £ _\6 `ilr,.��y'` ��L.n '�� \x �� 'Yi.'-t;.'`~:, "`\°"'+-.��` I.,J• 7 '�g Ls'.,t '� � ,.a,:;Z.: �,�� -� '.:�� �Vr yy�`4 +1 y^e�°',.iL�'4�` •`v;,`>>; e}e.\.;y , \J j=Fea\-' Ns �. � T \ ,°. _ c!ai dc:.,_:;�?�;v��:•y;Lu�d+;.� O.+ `. .Y a•. ° 4.1j p \ \ pJ _ u:.�.`e `>1 v ` };'a< .'��• `N' BOITI `� _ t \.` 't,�t'�`,_ �,d�:, '.P..ti A , 1 6CVAISTIN ARE A11MIS ARE TO HIGH WATER MARK DA1W l'='2q. •?rq>'''I qg wslsrtti'O CCZ OW LOt 5�A8iosS, "THM- .°`O ,'iY.'17r Fj I / ���, ,L,"f,-�•,�... !p �'n a°`. �L�'°� -_ e e,":,; y °O"' ' 1 ` "�'ef�=.,."„",.�;�„`•; fib - r^ s.;:�, A•�� A a� A � �:�„C, lE l°•u`m��mfmmu9Ci� °r. wet n°» \°moo �P' ,ky k s N, .,�-mr....,�'.,--,•:` ,,. 4 /�� /3p �5p” sAY4 ••�� „ 1 a "`� ♦ ,t'fANE'N/o 3 O b' S v 'v "1'IM1 e •" /���Y S T,L/. 0.RIATEAINO 4iJ24 CHO55:7CHGV ` I'F NJt SGIE F /�~ �`�� .�W/'�'"' D'-• EST LASE APPROV y aDd 32.fk; C l Hk, VV TRUSTEES F; SOUTHOLD ME V F q v v/C 1� R1rc 1{mu D N„L�,L«L.>,•A,<A,�;a, Ci0 M LOVN LOA•,a nR,rnLY LIR'A®.M9 Ox hof M irv:MJ i1DiHw fa 4,M°i w`:O--�f[pNC MI Q41MRY W GIOHIS OP.AY YIO/O,T Att.[xrf OI P[COro.V u1Y,,9 tNOiN AL[,rot N.,411tf6 Nathan Taft Corwin III Land Surveyor 4S�ttAt'Y�� r�• `,��'lh s..�.t°stsb J.mfm a i.s. V � rA.a..r„-smawan-re Pan.- ta.in.lan[oy°w PoICMC(aa0m-1a10 r:"(w9n!-vn Ly '�.1 •T.'Sl DIP=W 310 0 MIM:fl mMI 4 'Ou\9L�'N 6t Jn^"Ot•L Na'M i,Df) Jarc,0.,4 tM•YIM IIW) !-J John M. Bredemeyer III, President ®F S0(/Tyo Town Hall Annex Michael J. Domino,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 C-13 A. Nicholas Krupski . ® Telephone(631) 765-1892 Charles J.Sanders �O Fax(631)765-6641 �y�OUMfY,�� BOARD OF TOWN TRUSTEES w TOWN OF SOUTHOLD TO: PAM) Sc&*- , A-ktEi K4m1AAek �O 'fArK& , C_ 1Yt00a, CZQ - Please be advised that your application dated has been reviewed by this Board at the regular meeting of It.! 4 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: l �Il�d 50`� � TOTAL FEES DUE: $ BY. John M. Bredemeyer III, President Board of Trustees John M. Bredemeyer III, Pr', 'nt. �S FFQr1rr`� �o kco� t j Town Hall Annex Michael J. Domino, Vice-President 4�o Gym 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A Nicholas Krupski o Southold, NY 11971 Charles J. Sanders 4, _ ao� Telephone (631) 765-1892 Fax 631 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: Patricia C. Moore, Esq. on behalf of DAVID SCHAB & ARIEL KAMINER request a Wetland Permit to utilize the property as a de-watering site for dredge spoil taken from West Lake. Located: 250 Midway Road, Southold. SCTM# 1000-90-1-9 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary-leaching pool (cesspool) 100 feet: 4.,Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 John M. Bredemeyer III, Pre nt o�oS�lfFOtK�oG Town Hall Annex Michael J. Domino, Vice-President y� 54375 Route 25 Glenn Goldsmith o ` P.O. Box 1179 A Nicholas Krupski o Southold, NY 11971 Charles J. Sanders y�ja ao�, Telephone (631) 765-1892 1 , 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 SCHAB & ARIEL KAMINER request a Wetland Permit to utilize the property as a de-watering site for dredge spoil taken from West Lake. Located: 250 Midway Road, Southold. SCTM# 1000-90-1-9 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 IR yxy= SURVEY OF ( A LOTS 141, 142 & P/0 143 MAP OF . S N�'N'y/o CEDAR BEACH PARK 0.435p„ RYhNFR FILE No. 90 FILED DECEMBER 20, 1927 �p3 e r 14o SITUATEDAT Mp / TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-90-01-09 23j SCALE 1"=30' 10' NOVEMBER B, 2007 to r T Q� ,C o�yo�0 � � 't mac, - .r-O�e•°'"a _ �'R k206? p 4• uo�m .1 'W L Fo,2 N / �, 4`�' { •$ AREA = 56,414 sq. ft. V1 2 / \ \ �¢ �' a � � •1•1 p � Oy (TO 7E ONES) 1.295 ac. %1� '\ � sms0°'z .4 ct °'rn q,• �'^^-`••. .I$�;o �i CERTIFIED TO: Z.r ,d' `• 1 '! M 1� FIDELITY NATIONAL TITLE INSURANCE COMPANY f Q� •••••:� I A < QPECONIC ABSTRACT, INC. la H HENRY KAMINER LI p BELLE VIEW, LLC ( 117• N E a C. i i / S 23.0 \/ 64• "Z�„ pinto ljo N 'o' 1 1 C LW� Fv zop APPROVED BY CRs"mow 07 N I/ = W BOARD OF TRUSTEES 9„uVO�N�Cn"uOmN Copr 0 TOWN OF SOUTHOLDs Nom' AUS-3 2015 °lmssm seu sN,u Nm 9[ms9o® DA �g use l9,ao I S ro 6c A ruc Twe c® .�.� N Ct1NIr4VN8 MYGIffl NOICG EIWL RIN B s ro M rm�nv.>,w M swwix ^� � '^+-.••r•- t11LL PCO,P��CAI r�NIO - >_ ID.4MW rt61111111R1 ITtD XOIIA1 NC •P (�-/17 MCN RNl�lstG�"cib IMaCryAbiDl.m[. �v THE VaSMCE Of PoOIN9 OF MAT 11ND/OR GSCY[NR 01 PoCCORO,B SYK N01 SNOWN YI[NOT GOARYIR[D T PAPNH9 M/LCJmNKr 111111 M YM1W `qI�E 9Y �`sAN�9 Nathan Taft Corwin III m M u.uc um.ouo.mmm t111R 4�40W�1[L'M Ho'NP'YGRN STI[,/JD DPI�E =N,�Y Land Surveyor A F �Z. rmr sYr,s-s.9e"uo.r-52e Poa1R- tamnlxem teyu.t 1 y ! PHONE(631)727-2090 Fn.(631)747-1727 OiF1Cf5 LOGTW At WPM AO"31 5S3-1 roti 322 R..n Annus PA Bo.1931 NYS.Lc No 50467 Ri ftW.Nem YoM1 11901 IO d.Nn Yoh 11901-0965 „t 7 F _ 3T V r „..„� ,�,rr+'�i"ii � €It`,,.iwP�t 5 ���' '� ` N'�r� 'ti w�,} .(�yf 1//,kjjfy�►V /�t . k,A +�' � } '+� � � td ate: ��r :2` ��t�•� � 'krj� Y t` - 1 .35,x, { ;NA AIMBOWL � ,ter /,�k,; � y _ y '`?!•'4, �w t< ,. .` ..._ ��rr _y " R p• Cdr., �• -/ ..�� r!-, s7r.=�.� ,�I•' _- \ t � `\ �`�' _ � fl. �� � � � .�__ � - - _ 111/�� n� .I. i ,, r `�._� th, � 1:i � \ � If, >� ♦ �� t. -\ ^; xjn � _ l _ ; . , f -' �'v�r _t, •� 'oma •\ - ', �� _ '�I/_',f.'E� \ �� F �`y� �� a� � �•�, 1•.� � - _�j /'l - _ _���� /�.' �.•,, t\�i s a \ ���/��Int i•r r \ r,' y.., -r ''� .,<.. `� i 4 t?•ti . 1• r ANt,y ✓. t- - -•Y - � - � � � ti`s �� ♦' r John M. Bredemeyer III, Presi` "511Ff01q ! - 'Town Hall Annex Michael J. Domino;Vice-PreSaerii y,so� �G� ��.` ` 54375 Route 25 Glenn Goldsmith o P.O. Box 1,179 A. Nicholas Krupski o I'"�y Southold, NY 11971 Charles J. Sanders � ajol ��o� r Telephone (631) 765-1892 Fax (631) 765-6641 xzr.c.z BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: _ Completed in field by: Patricia C. Moore, Esq. on behalf of DAVID SCHAB & ARIEL KAMINER request a Wetland Permit to utilize the property as a de-watering site for dredge spoil taken from West Lake: Located: 250 Midway Road, Southold. SCTM# 1000-90-1-9 CH. 275-3 - SETBACKS .WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet I 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet ; 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. -Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_,5 years: Y/N Wetland Line by: C.-E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 John M. Bredemeyer III, Presi, �pS ./( Town Hall Annex Michael J. Domino, Vice-President �° Gy� 54375 Route 25 Glenn Goldsmith o `� P.O. Box 1179 A. Nicholas Krupski v Southold, NY 11971 Charles J. Sanders ��jol pyo Telephone (631)765-1892 Irl 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 SCHAB & ARIEL KAMINER request a Wetland Permit to utilize the property as a de-watering site for dredge spoil taken from West Lake. Located: 250 Midway Road, Southold. SCTM# 1000-90-1-9 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 SURVEY OF LOTS 141, 142 & P/0 143 MAP OF >o. eNerrO� CEDAR BEACH PARK 4p 435p`f AOT ONsp FILE%.90 FILED DECEMBER 20, 1927 w SITUATED AT _ -- BAYVIEW r j TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK `� �J, S.C. TAX No. 1000-90-01-09 •'S• / /ell / Z•T1,7 SCALE 1••=30• l/ ` torO �' o•Ly NOVEMBER B, 2007 MAY 16,2012 ADDED CROSS SECTION [[��```l' 2'4h°(J W r '�/ `"'`I.1 ��,ya• .comao..o 'l,�y� .. = yi17 :. ,3 i�`. . .9 j. 0 (T EwEs> i 2ss4c.q. (Izts . O ti•"�;� Ali)•. //--�� FIDELITY NATIONAL TITLE INSURANCE COMPANY PECONIC•\� �� 1 1Y�� H HENRY NAMINER INC. o BELLE VIEW,LLC °' — � r '• emw Eq. .\ / \ / 1� o. wa•^sg2 shay a / !3o N>0.43-So. { 1 0 �+ DENAIF VO' s CROSS SE"M NqT p .• O Y•./L BOJ a 1 O/ rya N} 133 15• y ~ SgBWr- Z T L mAkz D �.®,R Nathan Taft Corwin III a �� � RIVE Land Surveyor O 9s®Tacn 9mb.Ab'J �S� /.9a Akan—826+Ldv—SL F4m_Oo,hu9,e Eviw, PHONE(w,)W-= F.(aspen-Ira °,rias,ou�mu .urtws,.muss —� ,,. � ,, o :: a 6 7 �` Ct o �r IA ..- 42 i �'.� i ��. 1 1�•1,_ (._ t A► a�TVA �'7 Y 1 YrY�� ~i 1Poyy i F o "w I 0��. moo y,• � � � * - !ti # i , ! y Y gg N4 Y �11'x' +�-�+[3 + TAl � �.,� a''` +a jAy% ?k +.+. �t.� �.�R k'�t��t.-�" ''�h i' `�' �'11y� ,4t r •! Y �' r - a i 9A(C) It 16 Is =oF 14 N7 13 I Wo 2 z3N0 Q7 5. cm L�Kesl,,E 3 (33) 4 4 5 1 OA ---------------- C&D TOMOF ------------------- AR P0110 I, SO�MD U3 TOMIOFS�00 7 1 IA 14 7 2 OA(,) 11 4 5NI) a 21 26 wad, 25 'A WEST 23 LAKE 9 28 TO�OF SCRYTHow 8 17 1 3A(C) (sit) LAKE mi 25 is 2. 15 21 21 17A(.) 1� 17 Is 19 5 6 91 1,2 3 /yO G BAY NOT[CE K SECT Q COUNTY OF SUFFOLK E SOUTHOLD ION NO Cy Real Property Tax Service Agen y U.-I Y 090 OFFICE LOCATION: �yOF SO(/rg,® MAILING ADDRESS: Town Hall Annex �® �® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 Ola� Fax: 631 765-3136 Cou %� 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 SCHAB &ARIEL KAMINER SCTM# 1000-90-1-9 Patricia C. Moore, Esq. on behalf of DAVID SCHAB &ARIEL KAMINER request a Wetland Permit to utilize the property as a de-watering site for dredge spoil taken from West Lake. Located: 250 Midway Road, Southold. SCTM# 1000-90-1-9 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "G" which states: G. Minor temporary uses of land having negligible or no permanent impact on coastal resources or the environment, Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. t Peter Young,Chairman y 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 Jack McGreevy, seconded by John Stein, to NOT SUPPORT the application of DAVID SCHAB & ARIEL KAMINER to dredge the mouth of the inlet, de-water on 1000- 90-1-9 and removal of sand to upland site. Located: 250 Midway Rd., Southold. SCTM#90-1-9 Inspected by: Peter Young The CAC does Not Support the application because there is no mention of the environmental impacts the Town dredge spoil will have on the wetland area, consistent with the CAC's recommendation of August 15, 2012. Vote of Council: Ayes: All Motion Carried John M.Bredemeyer III,President Q�- , Q�,, Town Hall Annex Michael J.Domino,Vice-President ` e 54375 Main Road ; { P.O.Box 1179 James F.King,Trustee = Southold New York 11971-0959 ._.�.,, > G•. sx. fes... Dave Bergen,Trustee O Telephone(631)765-1592 Charles J.Sanders,Trustee {` 'Qll�l�'1,� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal ErosionPermit Application _Wetland Permit Application _Administrative Permit / _Amendment/Trans r xt nsion Received Application:. !•9`/z - — µ-- - Received Fee:$ Z4c() ( E _Completed Application: `ZC�C —`` Incomplete: _SEQRA Classification: —' SEP 6 2016 Type I Type II�nlisted 4 Coordination:(date sent): , ' VLWRPConsistency Asyy��essmen Form: outhold Town CAC Referral Sent: 2$a 1� �p7,j(® -- Date of Inspection: _10441U 1�- _Receipt of CAC Report: _Lead Agency Determination: Technical Review: tnublic Hearing Held: t _, Resolution: r t , Name of Applicant: Mailing Address:�� (/If f O'erN 00/� Phone Number: ylo a�/- ;7-i17 4 Suffolk County Tax Map Number: 1000-. `0 --_ Property Location:._-_ 5 ® __ r T ��- ��t� il�xy (provide LILCO Pole#,distance io cross streefs, and location) AGENT: ���yl u a 6 1 f l dD r-e- . (If applicable) 9 Address: �i'D 7�: /�G rrn - �da� �p� k J" 50 GL1/141C / - Phone: 101 Board of Trustees Applic - .on GENERAL DATA Land Area(in square feet): o�(p4 L-/ I s� � Area Zoning: 2— Previous use of property: R oy SR Intended use of property: (-'reG C_w 6-V Vq )c--t Covenants and Restrictions: Yes No If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes 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 ­tV No Does the structure(s) on property have a valid Certificate of Occupancy � Yes No Prior permits/approvals for site improvements: Agency Date X 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): 17v�edq� V\AOUA4A cs1 t I-e; c e.-W &C cm 1.O C(?-9 0'-1 — `� YY'.uln r�►Y� �- S►��v► �► `� Board of Trustees Applica' --)n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: acx e-, 64 1 t1 t't Area of wetlands on lot: C 6100 X 10 square feet Percent coverage of lot: ao % 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 C Yes 09V-V--&Cts If yes,how much material will be excavated? 7 -D cubic yards How much material will be filled? No 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): yw.sk �ak-e- 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the,completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification., Complete Part l based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. -Part 1 Project and Sponsor Information - -- - - ---- -- - ---- - Name of Act' n or.Project- <>Mal_ Project-Location(describe,and attach a locatio�Vloac//p): v2S (�vl/ Brief Description of Proposed Action:` dra ode- wcc, [ . gS' CV- -Name `f Applicant or Sponsor: Telephoner _7'11-,PV-74, �� E-Mail: Address VU /a _ City/PO:- - _ - - State: Zip Code: /v'.y. Y. /�/ loolll 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: 31.Total-acreage of the site of the proposed action? .d acres b.Total acreage to be physically disturbed? .__ acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? d 5 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban El Rural(non-agriculture) ❑Industrial ❑Commercial esidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify)! ❑Parkland Pagel of 4 5. Is the proposed action, — - NO YES N/A a.A permitted use under the zoning regulations? ;❑ I� '❑ b.Consistent with the adopted comprehensive plan? ❑ LJ ❑ ' 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES. landscape? E11:Z ; 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 1 YES :� ❑ b.Are public transportation service(s)available at or near the site of the proposed action? / E ❑• c.Are any pedestrian accommodations or bicycle routes available on or near site of the 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: WA 10. Will the proposed action connect to an existing public/private water supply? NQ_ , YES If No,describe method for providing potable water: -_ __ _ /V/.� ❑ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO- YES If No,describe method for providing wastewater treatment: W14 ❑ 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? 13.a.Does any portion-ofthe 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: 0 14. Ideptify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: LI S reline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional Eg'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 —-- - - -- - ILL:Zi i 17.Will the proposed action create storm water discharge,either from point or non-point sources? _NO I -YES I If Yes, a.Will storm water discharges flow to adjacent properties? ['NO DYES in b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: QNO DYES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO `_YES solid waste management facility? If Yes,describe: 1 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,describer I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO TETE BEST OF MY KNOWLEDGE r Applicant/sponsor nam : / u * (u c C 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?" Moderafc small to large impact impact may may occur occur L Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? EZ i 4. Will the proposed action have an impact on the environmental characteristics that caused the a establishment of a Critical Environmental Area(CEA)? S. Will the proposed action result in an adverse change in the existing level of traffic or ,� Elaffect 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 LL�J1 E reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: �� a.public/private water supplies? b.public/private wastewater treatment utilities? , 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, F-1waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 f No,or Moderate j i small to large i impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ;� E problems? 11. Will the proposed action create a hazard to environmental resources or human health? ❑i, 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. I__I Check this boz if you have determined,based on the information and analysis above;and any supporting doctnnentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. F]/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 i pacts. Town of Southold-Board of Trustees �1N me of Lead Age cy Date u A e President Print or Type Namy(69 Responsib icer i Lead Agency Title of Responsible Officer Signator esponsible O Icer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) DAVID SCHAB AND ARIEL KAMINER, as owner of premises 250 Midway Road, Southold NY (sctm: 1000-90-1-9)residing at 256 W 10' Street,New York NY 10014 do hereby authorize our attorney,Patricia C. Moore,to apply for permit(s) and appear before the Southold Board of Town Trustees on our behalf. (\,-- (Owner's signature) David Schab o er's signature) Ariel Kaminer r � Board of Trustees Application County of State of New York DAVID SCHAB AND ARIEL KAMINER 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. David ab el Kaminer Sworn to before me this day of 92016 Notary Public Board of Trustees Application County of State of New York DAVID SCHAB AND ARIEL KAMINER 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. David chab Ariel Kaminer Sworn to beforejme this day o ,2016 otary Pub j-"�� BETSY A.PERKINS Notary Public,State of New York No.01 PE6130636 Qualified in Suffolk Count , Commission Expires July 18, John M. Bredeme`yer` President �OSUfFO(�BOG t - Town Hall Annex Michael J. Domino, Vice-President ��� tit , 54375 Route 25 Glenn Goldsmith t y P.O. Box 1179 A. Nicholas Krupski �y �� Y Southold, NY 11971 Charles J. Sanders ,�0� 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 DAVID SCHAB & ARIEL KAMINER 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 C HI�-A` residin at/dba X20 kc)1 0 V ��_/\ \ ` being duly sworn, depose and say: That on the1\1�day of (�) QY , 201 U,.I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, October 19, 2016. Dated: (signature) 044-�n Lt /1- G HW—k,, Sworn to of re m *this yo '20� � otary Public BETS' A. PERKINS Notary Public, State of New York No.01 PEG 30636 Qualified in Suffolk Coun l Commission Expires July 1 S, I S , BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF SCHAB & KAMINER MAILING Applicant's Land Identified as 1000-90-1-9 ---------------------------------------------------------------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 receip ost-marked by Southold Post Office on said date. A etsy Perkins (Signature) Sworn to before me this �a day of October, 2016 (N tary Pub MA ARET C. RUTKOWSKI Notary PuNbllic,s taatte52f New York Qualified in Suffolk County Commission Expires June 3, p'o/9 PLEASE list, on the back 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. 1 y SCHAB/KAMINER NEIGHBOR LIST SCTM: 1000-90-1-9 HENRY KAMINER DAVID MOORS 95 CHARLES STREET APT. 5 24 CENTRAL PARK S APT 9W NEW YORK NY 10014 NEW YORK NY 10019 SCTM: 1000-90-1-8 SCTM: 1000-90-2-28 ANNE SOWINSKI SARAH HERMAN KMAC REALTY LLC 18 SNEDECOR AVE. LINDENHURST NY 11757 5 ACORN LANE sctm: 1000-90-1-26.1 COMMACK NY 11725 SCTM: 1000-90-2-27 SHARI CAI JING 62-11 ASQUITH CRSS. REGO PARK NY 11375 SCTM: 1000-90-2-4 RECEIPT RECEIPT RECEIPT 14 7901 Booz 8200 0100 09 214 7901 5002 8200 0097 75 r47 EIPT RECEIPT 214 7901 5002 8z00 0097 82 5002 8200 0099 97 214 7901 5002 8200 0098 05 FROM. FROM: FROM.oore Law Otfice � FROM' E schab/kaminer trustees core Law Office core Law Office oore Law Office oore Law Office E schab/kaminer trustees E schab/kaminer trustees E schablkaminer trustees tE schab/kaminer trustees SEND TO: I SEND TO. SE s-shy SEND TO: SEND TO. ENRY�tAMINER ,r� 5 CHAR T APT 5 NNE SOWINSKI HS.N�4< )AVID MOORS AC REALTY LLC ,p� 4 ARAH HERMAN 2 Ql1ITH CR� 4 CENTRAL PARK S APT 9W ACORN LANE EW RK`'<�1�1�QD 8 SNEDECO ® ARKNY i�975,��� EW YORK NY 10019 OMMACK NY 11725 ' Alr INDEN ! F Oi 1 ?' � �7 �� Irl• oJ,�O q�,1i O F �► I F ietFee� 0 sta ;•�a3,r�' ,04 5 ostag 6E �Gt��O ;,Yl�+; 0365 ti 465 Rece.lpt tl,Feef°r !3 00 ertrfied �` 30 1 �r pd'F,ee',%! 30 to e'cei 2 eturn Recei t 70 Ftp P rt ke ei t "�2 iJup etu ke`Ge pt l>�/2 0 i `j d Q % y estncted s eii s e�tw p� i T Lg°�g�$' . 65 T TOTAL $6465 OV $'6 - L V -$•6, POSTMARK-,OR 4DATE POS ATE POSTMARK OR DATE NUTILt: UF 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: DAVID SCHAB & ARIEL KAMINER - SUBJECT OF PUBLIC HEARING : For a Wetland Permit to utilize the property as a de-watering site for dredge spoil taken from West Lake. Located: 250 Midway Road, Southold. SCTM# 1000-90-1-9 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 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 r r Board of Trustees Application County of d" State of New York DAVID SCHAB AND ARIEL KAMINER 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. David Schab Aj Owdw- Ariel Kaminer Swo to befor me this UL day o ,2016 lotary PUN* BETSY A.PERKINS Notary Public,State of New York No.01 PE6130636 Qualified in Suffolk Cou f 7 Commission Expires July 18,� / Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) DAVID SCHAB AND ARIEL KAMINER, as owner of premises 250 Midway Road, Southold NY (sctm: 1000-90-1-9)residing at 256 W 10`h Street,New York NY 10014 do hereby authorize our attorney,Patricia C. Moore,to apply for permit(s) and appear before the Southold Board of Town Trustees on our behalf. (Owner's signature) David Schab (owner's signature) Ariel Kaminer 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: SCHAB,DAVID,KAMINER,ARIEL, AND MOORE,PATRICIA C. (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company. If so,indicate the other person 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 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 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 /2PI� Signature: f ' David Schab Ariel 'ier ricia C.Moore Town of Southold1 \1 LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. , All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town] 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- ' supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and I 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 i local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION q I SCTM# I PROJECT NAME v"d 5rAn c-o k- Anr� -:t � we-A- L.c�k.l�-e c-V v`etMc - - wooie-r in The Application has been submitted to(check appropriate resple): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees I 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(a•g• capital El 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: i Location of action: �� Kca cV Site acreage: - Present land use: k-A5V5e— Present zoning classification: e- VO 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: ,DWS �G�cti� -�� r►� � vtQ.sr (b) Mailing address: cQS-T- , (c) Telephone number:Area Code( ) 04(� f — -R L1 —j (� (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No'® If yes,which state or federal agency? i 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 i 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. , 91Yes ❑ No [] Not Applicable 6- C Ln I i t' i Attach additional sheets if necessary f I 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 11 No II� Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ® Yes ❑ No ❑ Not Applicable L-S - t(�� Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No � Not Applicable 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 i 1,kJrA ir!-,r kJOALAIA - 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. ❑ ❑ f es No Not'- `pl'^ble Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No Not Applicable i i t Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable I i 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. WE] No❑ Not Applicable — A. & h05 cx fir ,�r-A rj- e--P *C3 Ln Ly— I I Attach additional sheets if necessary i WOREING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LVVRP Section III Policies; Pages 47 through 56 for evaluation criteria. EfYes ❑; No ❑ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. J Yes 0: No❑ Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands.in the Town of Southold. See LVVRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑EJ JYes ❑ No® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. 0 Yes .0 No ❑ Not Applicable PREPARED BY-•_ -- �c�c/ [ -`/1%�' _, TIT E DATE s °'�