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TR-8956
O�� �r Michael J.Domino,President QF soyo. Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski ypQ Telephone(631) 765-1892 Greg Williams �ly`,ou Fax(631) 765-6641 S BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE-OF-COMPLIANCE ���--- # 1487C Date: July 16, 2018 THIS CERTIFIES that the demolition of a portion of the east wing and attachedag_rage to the existing2q ft one-story dwelling,• reconstruct a slightly larger east wing and garage for a combined new footprint of 3 480sq ft• with the condition of the installation of gutters to leaders to drywells to contain roof run-off, At 3689 Pine Neck Road, Southold Suffolk County Tax Map#1000-70-6-24 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 13,2017 pursuant to which Trustees Wetland Permit#8956 Dated February 15,2017,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the demolition of a portion of the east wing and attached garage to the existing 2 668sq.ft. one-story dwelling; reconstruct a slightly larger east wing and garage for a combined new footprint of 3 480sq.ft;with the condition of the installation of gutters to leaders to drywells to contain roof run-off. The certificate is issued to Breese Propei1y Trust owner of the aforesaid property. Authorized Signature Michael J.Domino, President rjf SUUTy� Town Hall Annex John M.Bredemeyer III,Vice-President h0 lQ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Q Telephone(631) 765-1892 Greg Williams 'O� coUFax(631) 765-6641 yNT`1,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: U 61 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed t//Project complete, compliance inspection. INSPECTED BY: 1 COMMENTS' 2,0 1-7 CERTIFICATE OF COMPLIANCE: John M.Bredemeyer III,President *®f SO(/r�o Town Hall Annex 54375 Route 25 Michael J.Domino,Vice-President h_ l0 P.O.Box 1179 Glenn Goldsmith Jac Southold,New York 11971 A. Nicholas Krupski G ® Telephone(631) 765-1892 Charles J.Sanders 'roUN1`1, Fax(631) 765-6641 �y �� 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 4 Y2 constructed ]Z Project complete, compliance inspection 7:. - F.�.. .ti.•i"Ti'y'}.. n.rieti'ir•,. .r�'te> r'i•. '•j91Q•^It'l'e a '•�A!'i•S}t%j�e�. ri{`!94•'�iP/fir. a � �`t�1�4i'tit0i" ,' i1R`49+ Pffl�s• 0, 1016°.. -_` _ ,'i•,YR\11•'IiPJj•... r "i Sl l J•° - ' 4� J ,.....-� ,�•.R r... -�...;—'r-r... e s'" •••--s-'>•-.•R-,.,,,` J„ .. �� J,.. Y..,aY"G r^.. :K- '64 i^`y;'euur.-u..urar ,,,,x4E2L.,e:m;$uRGr+, r-•^3 e.e,L'::cGu�,e'v<y„-` (,v^;`..:.�o.'.�e. "5iS'rL`r'f �� 'u '"-++�xGF;y�r+.� -�1YF. 1.. .r C.) ...xa.. .::F;rcq.+r.�va.:iy:.r :ah'mixnjvtn..5.rrxn-,IrJ,''.':gCSap'n+{:t.�arr:..rn:e�r:r:!4TFi,XJ!A!}:3LS3n•:•p?,i.5'T.µ.Crr7A53.�xn.i.i'.—rrr.5.�.'¢,,•3Yf•4�na:.r. .{rW,{(F,.+6r.:rrnnvm. rar4.."r1,?•;•?\G^?. ` Jt. {-= rA BOAO�t' SO�`1'I'Ii�i�.,I� TOWN TRUSTEES - 4 u`►'y'` SOUTHOLD, NEW YORK s"`a;•,,. 1 3i PERMIT NO. 8956 DATE: FEBRUARY 15. 2017 I41l,RAAO+ k ISSUED TO: BREESE PROPERTY TRUST PROPERTY ADDRESS: 3689 PINE NECK ROAD, SOUTHOLD1.8 SCTM# 1000-70-6-24 _ AUTHORIZATION j "r 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 February 15,2017,and ( ' r in consideration of application fee in the sum of$250.00 paid by Breese Property Trust and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: h� i Wetland Permit to demolish a portion of the east wing and attached garage to the existing i a 2,668sq.ft. one-story dwelling; reconstruct a slightly larger east wing and garage for a -J', .moi it �. ` rrr combined new footprint of 3,480s€l.ft;with the condition of the installation of gutters to leaders to drywells to contain roof run-off; and as depicted on the revised site plan prepared by Breese rJteP A 4 '� '��•°_� j Architects,received on February 27,2017,and stamped approved on February 27,2017. k ( IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, Irm �^ J and these presents to be subscribed by a majority of the said Board as of this date. i 3. �,a \ c£ _ ____ _ _ __ ______________________w..- ,.?-_—__—__/ :. .`i .alb• ;u.O:Xiryr,(g16 a+•li?c�W:ax+c:.xcav».cC•ci•:PxS•.;ear•.5,91(•f•5veii4tiYry'Siia2GxY�'YLitv,uSivv'�i'' .•';. 7°},M,:wl..'Jul'�F,v.viJ:-0\JSuc.a•.•f.FS'•�'Y.v,+.ri,�.•i..w,.v"e%ta.•,v..Vffi'.iv r.Yi.fF.i,L..fif fi,Ir.J}Yrr lS'tli.xe..}ull..Wa1.\.A�z1SN."u{'+aY.{(•e�.p1•�!�'bt:h ♦r}i;i: � i y',:�- r�L'?sc:�..,...,, f��� � ��n^..�.,, '2;"'%^ \;,-^,•,nom ..nmJ"r"'''•� -"�y�' 'r / .�.;.7'"*�.,.s-.R __:! <;;. '' '�S�' f rr ;e• .ySar�T f Ra Jr t,,r:? d+t t R.e.' rr J �AA..�:' _ �t..S; t +OAg,aPr` ...4�:(J iAe.S'_.� :.�ei:,.,i,.'r1.,:- ..•; ...:a+i°` es'^:,i J A ..;.r i, / P 14 ,e' ...y'.6 �.r.. '�•�.:ii+ii�. f0�{je i.)�''' � ��:.w!�R,.1•s •�.2 TERMS AND CONDITIONS The Permittee Breese Property Trust residing at 3689 Pine Neck 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 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. SOF SO(/r�, Michael J.Domino,President ®� ®�® Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders N - Southold,New York 11971 Glenn Goldsmith OQ a Telephone(631) 765-1892 A.Nicholas Krupski l�C®U Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 15, 2017 Peter Breese Breese Architects P.O. Box 1110 Tisbury, MA 02568 RE: BREESE PROPERTY TRUST 3689 PINE NECK ROAD, SOUTHOLD SCTM# 1000-70-6-24 Dear Mr. Breese: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 15, 2017 regarding the-above matter: WHEREAS, Peter Breese on behalf of BREESE PROPERTY TRUST, applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 13, 2017, 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 February 15, 2017, 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 BREESE PROPERTY TRUST to demolish a portion of the east wing and attached garage to the existing 2,668sq.ft. one-story dwelling; reconstruct a slightly larger east wing and garage for a combined new footprint of 3,480sq.ft; with the condition of the installation of gutters to leaders to drywells to contain roof run-off; and as depicted on the revised site plan prepared by Breese Architects , received on February 27, 2017, and stamped approved on February 27, 2017. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: None Very truly yours, a Michael J. Domino President, Board of Trustees MJD/dd Michael J.Domino,President OHO COGS Town Hall Annex John M. Bredemeyer I11,Vice-President 54375 Route 25 Charles J. Sandersy N 4; *. z P.O Box 1179 Glenn Goldsmith ® Southold,NY 11971 A.Nicholas Krupski `9,� �p� Telephone(631)765-1892 0� Fax(631)765-6641 BOARD OF TOWN TRUSTEES 9(&:_1 TOWN OF SOUTHOLD 2,03117 TO: AAI D�� S� RS� �0 r✓ Please be advised that your application dated TA-,V() (3L 2-01-1 has been reviewed by this Board at the regular meeting of FWr Agq IS, ZA7 and your application has been approved pending the completion of the following items checked off below. Revised Plans for ro osed project p p Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/ Constructed ($50.00) XF 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: $ 169-6 BY: Michael J. Domino, President Board of Trustees `v�FFQ1� - Michael J.Domino,Pre;' 1 NQS �� - � Town Hall Annex John M. Bredemeyer III,Vice-tresident �Z� �2� 4 54375 Route 25 Charles J. Sanders P.O.Box 1179 Cn Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski ,�� Cpl Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD i Date/Time: V1 F4 Completed in field by: eL�Lk �, S-q,:v Peter Breese on behalf of BREESE PROPERTY TRUST requests a Wetland Permit to demolish a portion of the east wing and attached garage to the existing 2,668sq.ft. one-story dwelling; reconstruct a. slightly larger'east wing and garage for a combined new footprint of 3,480sq.ft. Located: 3689 Pine Neck Road, Southold. SCTM# 1000-70-6-24 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 B. 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 vl""_ Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment bland 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 _,--�NKrupski Sanders Other Page 1 of 2 Michael J. Domino,Pres1 Town Hall Annex John M. Bredeme er III Vice-President Gy 4 y �, �, � 5 375 Route 25 Charles J. Sanders c P.O.Box 1179 Glenn Goldsmith � Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: - Peter Breese on behalf of BREESE PROPERTY TRUST requests a Wetland Permit to demolish a portion of the east wing and attached garage to the existing 2,668sq.ft. one-story dwelling; reconstruct a slightly larger east wing and garage for a combined new footprint of 3,480sq.ft. Located: 3689 Pine Neck Road, Southold. SCTM# 1000-70-6-24 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 MOO RAMP fWAW W= 'RTOE ftA :, BOAROWAtN g„ 3�' � N 88' 01' 27" N 6 10' 48.52' 6A'' oA� CKY min+£sW��rldp1i►W sWWr APPROX. H, TM15 Is PWARER ANO ON ms opmr m mr rYL nrt£`OW'Wr,COL£RNNprfAL AMW.. W WE ASS C CO Or?W tWypwwa Nsnrtr00M W USIM WOR ra BULXMIEAD OUA4ANIp=$AR£hI,BIANsrI'RA66E fU 0 J' W04W AOGT7WAt s+SlliUndVS OR SVASrOUfNr Orae (� WVAUINWAV ALMRAM 0 Aga pi M ih R sunwr IS A WMA mW Or SECnaw rim Or' Oa£A'£W WOW SWE MICAVM LAW N ' N 1.6J Fv OWWS Or na LAM99K'ffWS YAMS'SfUAP NOOrSC,£t L 20.00' NO?Of COr V4MO M RS A VAUO IAvt L J J' oder. +N NOTE• REAR OF HOUSE 2 LEVELS CWC.BLOCX WALL$ _ 20.6' 2nd LEM wOOb 20'R/W c�Cx AS PER +� 239' 16.3'1 LIBER t STORY WOOD FRAME 11870 PAGE RESIOENC6 524 SLA TE sro� 2.X w w 27• a o' •o' ^ h GARAGE -� { as caL,Lras(�) as WALK -- 2 }-0VY N/F ROSTER ?� i - 1`1 Tn S 2 LL 1 {C O rL k l 7)h"r?014 c N/F BRUER 0 urm o � tl• n ¢ Q OPOLE ' BI Z Lf1 B- ASPHAL r P VEMEN r r. N 06•35' 40' w 184,9J' S 82' 29' 10" W 110;Jd 2 S 82.29' 10* w 2110' -------� R/W 1 N/F MUDD N/F MOUNTAIN rm 1000 � PINE NECK ROAD SURVEYED 20 JUNE, 2000 SURVEY OF ` SCALE 1"=J0' DESCRIBED PROPER TY _- AREA- 24,7J7.90 SF SURVEYED 8Y 0.56BORACRES SOU7HOLD,517V A7F OF SOUTHOLD Ale 1'`/ r V P F o yc & S11FFoi K ra/N TY III Y t=O -/01dl � oT^No v'�1SAKSEN, JR. ;_..,. { C `{ JAN 1 3 2017 �L Southold Town �_Board flus+e°s y_f BOARD WALK TO EXISTING DOCK JOCKEY CREEKG A -70 L 48. 52' WOOD BULKHEkO NON-TURF STRIP EXISTING PLANTINGS TO REMAIN EXISTING PLANTI NG5 TO REMAIN J 03 0 Un EXISTING TERRACE AND P05T5 DRYWELL DRYWELL IN PROPOSED DOWNSPOUT AREAWAY LANDSCAPE I > > I DOWNSPOU 3+_122 3, :12 L5TRUCTURE co ti O Iy Iv o' t 1N ASP'IALT "`CG:P ROOF N N DOWNSPOUT DOWNSPOUT ,�' DOWNSPOUT DOWNSPOUT 4 N A�.t�r.ALT RID,F. RIGHT Of WAY ti s!-i ROO, EXISTING 4 BEDROOM SEPTIC SYSTEM I a � PERMEABLE PARKING j 5U RFACE ASPHALT PAVEMENT To /�6q /4/' 110' JOCKEY ESTATES DRIVE 4�c 1 PROPOSED SITE PLAN scaie: l 1o�-o't APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD .: } iS� i LL r a r— DATE �601,V �7c �10,7 2 _ r FEB 2017 7 breesearchitects.com office@breesearchitects.com JOCKEY CREEK RENOVATION PROPOSED SITE PLAN B R E E S E ARCHITECTS 02'22.17 AO. 1 508 693 8272 SOUTHOLD, NY x=a MARTHA'S VINFYARD SCALE 1"=10'-O" : 7 Raarh Cfraat \linavarri Havan ma n?c;rp K � r , t / k t r Yk � #staaase ss.xxsxsxs{ra�xs+raa .:- )7Y'#ilfys faaaaae{ssFSA xFarsArts{{x<s,.. �;,,...;� 7a1991331FF 7aaraxtais xssrrAxsxx xs+,{x a!7[aa3"y}F xZAexs xElkFrFxSFittaY- fv a!!laa7i7/ sx {Fx xai3tfalA YAY+ • !!!1!a#7I{4 7axA{"?}.T9#aa Ea+14ai4f Rs s+ .. ..� -... - f!■1f A77:`FF x..p x•�a a��sa tax eiFE'xc x+ • - f ltf fi#!#'#1 atii l{i at xxAa#iPF}Ax4x r': ' � - 1a7#[tttll�}i faxa tE ?{{xAE77aAaa�{E sk i xaaxa/F 3x3•At ARax{y It'll Ft' {IEFAxFxF 9qf tia laaFl/ ■7}#atatLafa xxx ! p-. ^ptltfsaaa7a71 �,�. Breese Property Trusts:{aaflaA ,... ,Aal�flss■ H . 3689 Pine Neck Road,Southold _ ■7aaaF+Fs■+ J SCTM#: 1000-70-6-24 ti-- 2/7/17 0 ` Ae - w, e 1 VA,4`* A Y ,,.s ire• tom"",'� .,��y{, � � rbe 4 3 5 232 4 42 _4 SOUTHOW SCHOOL DISTRICT NOS 61. 7 Ilol 8 13 62 113 1. 7.1 103 21 51 .j NO 16 10 NO 14 S- 1911 199 1910 191] 1912 13 III 15 15 1617 '18 755 TOM OF SOLITHOLD 4 SOUTHOLD F� S � — A —24, 97A( MA(1) 25 BAY M(C) 20 G 3., W2 3 6 1 13 TOWN OF souTHow _12 411 3-5 3 410 P D 47A 6 7 FOR 1 0 .Z�N .0 SS 01 281 —6T 3 UNE 8 �G kv A OA(G) MATCH Sounow SECTION NO NOTICE COUNTY OF SUFFOLK SOUTHOLD L Pro919 070 ------ M.TE--0R Real perty Tax Service Agency C...WC. E (21) W,M--d,NY1I9G1 IT MAP N E C 13 11INd) 77, -=77, O�. OFFICE LOCATION: ®f s® MAILING ADDRESS: Town Hall Annex �® �® P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 a� Telephone: 631 765-1938 ® Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: February 10, 2017 Re: LWRP Coastal Consistency Review for BREESE PROPERTY TRUST SCTM# 1000-70-6-24 Peter Breese on behalf of BREESE PROPERTY TRUST requests a Wetland Permit to demolish a portion of the east wing and attached garage to the existing 2,668sq.ft. bne-story dwelling;, reconstruct a slightly larger east wing and garage for a combined new footprint of 3,480sq.ft. Located: 3689 Pine Neck Road, Southold. SCTM# 1000-70-6-24 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 the LWRP provided that: 1. The Board establishes a non-disturbance, vegetated buffer with beneficial plants landward of the wood bulkhead. Pursuant to Chapter 268,-the Board of Trustees shall consider this recommendation in preparing'its written determination regarding the consistency of the proposed action. 1 Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 !► Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., February 8, 2017 the following recommendation was made: Moved by Keith McCamy, seconded by John Stein, it was RESOLVED to SUPPORT the application of JOHN S. BREESE to demolish existing east wing and garage; build similar conditioned space and garage in similar footprint. Located: 3689 Pine Neck Rd., Southold. SCTM#70-6-24 Inspected by: Peter Meeker, John Stein, Keith McCamy Vote of Council: Ayes: All Motion Carried John M Bredemeyer [[l, President Lown Hall Annex Michael J Domino, Vice-Presid ` alp 54375 Main Road ,rte1' P.O. Box 1179 James F. King, Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G 9� Charles J.Sanders,Trustee �� Telephone(631)765-1892 I,YG,oU '� Fax(631) 765-6641 - BOARD OF TOWN TRUSTEES D TOWN Or SOUTHOLD JAN 11 2017 To- Southold-Town Building Department Re: Verification of Building Department Permit Requirements BUILDING D ff 'TOWN OF SOH�OLD SCTMff: 70— &—O1 Property Owner Name: ' Near lk" _rP"�) c/d U b0r Date Sent to Bldg_ Dept.: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Ill the proposed project require a Building Permit? 21,the proposed project require a variance determination from Zoning Board of Appeals? Will any part of this application be considered as Demolition as . described under Town Code? COMMENTS: ------ - ------ -- -- ---- -g ature !Reviewer Date John M.Bredemeyer III,President �I SO Town Hall Annex�� 0� Michael J.'Domino`,`Vice-President – ^- - - --- --- __54375_Route 25 -_ P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® �O� Telephone(631) 765-1892 Charles J. Sanders O��COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application Wetland Permit Application Administrative Permit / _Amendment/Transfer/Extension t Received Application: Received Fee:$ ZS'0,00 _Completed Application --- _Incomplete (Li- E V E _SEQRA Classification: Type I Type II Unlisted ; fes► /E�Coordination-(date sent) `� JAN 1 3 2017 LWRP Consistency Assessment Form CAC Referral Sent: Date of Inspection:—Z+-7,,17 ��M Southold Town _Receipt,of CAC Report: Bold of Trustees A _)Lead Agency Determination: Technical Review: Public Hearing Held: Z Resolution: Name of Property Owner(s) J 6 H 1' �. & !�i5 S0 Address �' J I 1 oL 2�6 9 Phone Number:( ) 71 1325(6$ . Suffolk County Tax Map Number: 1000 - -(07006 ,, 43� Property Location: -' � S Cs f-t� (provide DLCO Pole#, distance to cross streets, and location) AGENT: f T �IZ rt (If applicable) Address: ��� Ser AfzC "llaa-5- ' "P d,:j3 6 yG 1 'H '0 Tt S 15 WO-YY SA '`© Z(Fr6 5 Phone: ") S. cfuj ��1 -3oard of Trustees Applicaa ',n GENERAL DATA---------------- -- -- Land Area(in square feet): 2A-e7 3 AS Area Zoning Previous use of property: Intended use of property: 5 A M1 S Covenants and Restrictions on property? Yes 7t No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes 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?_ Yes No Prior permits/approvals forsiteim rovements: Agency Date l� U ( LD II�Co No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? 1,7S. No Yes If yes,provide explanation-- Project xplanation-Project Description (use attachments if necessary): , Pe M&GA 514 t 1040,LAS I-1 &16 ►�. V-Pn 6 N�1) S.P A-64>, c,,W,- L, A �.�� Of4u�'S! I At t o IZo `=T t Nu,`lq4-r- (F x c 5T`G 2 6 6 P Cz 0 P. ��10 rvortI?P-.c�-I't 7f2 s.-. Tare tHc.r-rrq 3oard of Trustees Applicai; n r IBJ --.----WETUAND%TRUSTEE-LANDS APPLICATION-DATA--- ---" ---- — Purpose of the proposed operations: ' -, No O rEnwrt b S (M WeTLAdJP Pi3101A 514 P O KT I b rte( Or- (+"55, R (,D Y-1 FW t 1( s win t uA-2. u cam' %4 Area of wetlands on lot: < < 7!' f� square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: -/Q ` - ! L( feet Closest distance between nearest proposed structure and upland edge of wetlands: 76 '- O `' feet Does the project involve e,excavation or filling? l� No Yes ' If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: 1 Y tz f 2- Manner 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): Ko e FFEcr 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: Project Location(describe,and attach a location map): 6 9 II'I� k�tCi142C �D� t vi J cb d�_(y (G LVICE(L ��SI t v S Brief Description of Proposed Action: W c ,6 C� ,fin it) Co'A42A to N o'I T7-t)-Ut✓'�j rS fPi�C,� '�N'D�C�'�'YL��E "�t�4 S f'Inn�L%�12` �o o Y p2 �N T . WC,1-V^ $ TOTAL- Ci.F. Name of Applicant or Sponsor: Telephone: E-Mail: ,��'e.t�V@�S�u�-r lr {( r (S, Address: r City/PO: State: Zip Code: 1-1, (_P,Gf116x 1 t I PO 0�2.5"b � 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: M ❑ 3.a.Total acreage of the site of the proposed action? ©.157 acres b.Total acreage to be physically disturbed? _ .0' acres 'c.-Total aereage(project site and any contiguous properties)owned -or controlled by the applicant or project sponsor? .15 acres 4 Check all land uses that occur on,adjoining and near the proposed action. F-1 Urban ❑Rural(non-agriculture) ❑Industrial E]Commercial ,Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 e � 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: � ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? F' YJ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: El 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 0 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ b.is the proposed action located in an archeological sensitive area? ❑ 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? (igg ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or w_aterbody? lul ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban Eq 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? N0 YES 17.Will the proposed action create storm water-discharge,either from point or non-point sources? NO YES If Yes, -- --- ------- (,- - -��' a.Will storm water discharges flow to adjacent properties? ®NO E]YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: NO AYES 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)? - -1f'YE,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: ® ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE 1S TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: ?'ETE I - 5r?-e E SE Date: - 1/ ` 1 -7 Signature:' --,Z �P Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 9 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? 21 ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: El 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, I v El or aesthetic resources? L�I 9. Will the proposed action result in an adverse change to natural resources(e g,wetlands, ® Elwaterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 I` i No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion;flooding or drainage ❑ 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 to 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 impacts Town of Southold-Board of Trustees 0 Name of Lead Agen ate —p— [� J 6-yvt/_A�6 President Print or Type Name of Responsible Off cerin Lead Agency Title of Responsible Officer tAIA� Signature of Responsibl6fOfficer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose o_f this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necess=to avoid same. 2 YOUR NAME: (Last name,first name,.ipiddle initial,unless you are applying in the name of someone else or other entity,such'as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP �- Submitted this 1 day of JAN 200 L7 Signature Print Name / ir Tilt- l� /Z- rIE Form TS 1 �j APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Hart of town officers and employees.The purpose of this form is to provide information which can alert the town of ssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: J O K M g v_E E S (Last name,first name,1piddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal orbeneficial 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 l a day of D" t�-u 20( -) Signature y Print Namek iR C Form TS I Board of Trustees Applicai a AUTHORIZATION (where the applicant is not the owner) I, D Q h VL residing at fo) 1 �� (print name of owner of property) (mailing address) 8�1 p a�1 Saln�1� a 9 A do hereby authorize (Agent) e S`o, to apply for permit(s)from the Southold Board of Town Trustees on my behalf. wner's signa Board of Trustees Applica `a AFFIDAVIT � V1 Pe S e BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND-THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE ,i BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED-BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner SWORN TO BEFORE ME THIS I�j�h DAY OF TGt1 OO)( .520 17 a Notary Public 6=,15Z Jegweoea S3H1dX3 NOISSIWWO0 AW NWON IL 13VH3IW uoAmgseAtIo 0945 311gnd,fan;ax Postal.Service" Postal - m RECEIPT CERTIFIED MAUP -RECEIPT...r Pomestic Mail Only Ln DbMpStiq MW Only ' Q E 43 p^ Cr o SEA;C LI;*F flY�11 71 ,U a I o OAF N r� CTr06 � �? N Certified Mail Fee „N Certified Mail Fee I $ $3m3 0971 f�_$ $3.35 0971 Extra Services&Fees(checkbox,add fee te) 02 Extra Services&Fees(check box,r add tee te) 02 0 ❑Return Receipt(hardcopy) $ QomC3 ❑Return Receipt(hardcopy) $ $0.00_ Y C3 ❑Return Receipt(electronic) $__��_AA_— ® t'6 rtn 0 ❑Return Receipt(electronic) $ C3 E]Certified Mail Restricted Delivery $ -4' Here ty' ! []Certified Mall Restricted Delivery $ Y V■V V— ® Here OP C3 ❑Adult Signature Required $ •44 q1 ® C3 ❑Adult Signature Required $----$O.'-O— AO ; ❑Adult Signature Restricted Delivery$ m ��`� E]Adult Signature Restricted Delivery$ m 0 Postage d� O Postage V C3 $0.49 `t. N Total Postage and Fees O $ e m 49 `�v $ �§D��%O6/20 ,,, Total Postage and Fees fi/201 Q� ofj $ - $6.59 •-�,,eQ/ $ $6.59 •• ' Sent To `� Sent To Sheet and Apt.No., r PO Box No. Street andAp No.,or Pb Box No. N ,Ar f 33 1zA-7-x-o1vD 17, City State,zIP+4_----------------------------------------------- Ciry;State.ZIP+4 '�P�;O'orm3800,�AprII2015PSN7630-02-QQO-9047 See Reverse for Instructiorm-.- ■ ® - - } ■ • MAIV REGEIPT m Elcimestic Mail PnIk m /e • Q, o GA A:7 OH ' Q Certified Mad Fee e►ti certified Mad Fee i I, � $ $3.35 0971 `i $�■,�5 I Q Extra Services&Fees(check box,add fee I le) a® ,p 02 3 $ i I ❑Return Receipt(hardcopy) 'l N Extra Services&Fees(check box,add foe p ta). a `9B�r $ V p ❑Return Receipt(electronic) $ I3 ❑Return Racal P(hardcopy) h ■YM1 ® Postn43lY4'e C3 ❑Certified Mail Restricted Delivery $ I= ❑Return Recei t electronic $ e'� fl ❑Adult Signature Required ' $ Q ❑Certified Mail Restricted Delivery $ �-- �" (0 ❑ Q []Adult Signature Required c�/ Adult Signature Restricted Delivery$ Postage ❑Adult Signature Restricted Delivery$_� t-�v r%. C-3 Postage 0 \ Q a $ $0.49 V N $0 49 Cay I rtj Total Postage and Fees V 7- RA Total Postage and ras A Sent To Sent To-pp ,� --------- ------_� --- IDT - r i $ _/ ter(��-r Z j( 60&_/Q N Street andApt.ll�o. P B ` = +�y �rN Sfieef i5d-AjW No.;of PO BOX 0 �lrr L�vA d�j /LD --------------------1 b J-_- 1— - — ------------------ Crty,State,ZlP+4® Ctty State,ZIP+4® / �►A / ;,, , J l�lir r. ,rr•Q• PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: (2 � Address: STATE OF NEW YORK COUNTY OF SUFFOLK F157z_ — e 11_e�Tf o , residing at d a- (LA313"lrlF A VC-M 1113-ZXS 3(- 0 9 ?0-�AJU_&4 X OA-V ,being duly sworn,deposes and says that on the —&41 day of t:::e�117 , 201-7, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application,directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at 50-u'fR-OLA , that said Notices were mailed to each of said persons by CERTIFIED M . /RETURN RECEIPT. Sworn to before me this 6111 Day of p_UA 20_)3 i Notary Public DIANE DISALVO NOTARY,PUBLIC-STATE OF NEW YORK No. 01D1475593 Quolifled in Suffolk County o My Commission Expires April 30, 20� 0 0t f Michael J.Domino,President 'C'. C® Town Hall Annex John M.Bredemeyer III,Vice-PresidentG�,A 54375 Route 25 Charles J. Sanders P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 -• Cl � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of BREESE PROPERTY TRUST COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SEVEN, DAYS PRIOR TO THE PUBLIC HEARING DATE residing at/dba t IZ45-'SE7A f-Z c-l4 t 1IE3-G 7 S being duly sworn, depose and say: That on the& `day of , 201 , I personally posted the property known as 3& -0 () P f N�-G1c 1L—e�.� r 0v 7-7 4-0 L r-> 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, February 15, 2017. Dated: 2 , / / 7 (signature) Sworn to before me this J 5,Nq day of PiFg 201-7 Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. O l D1475593 Qualified In Suffolk County My Commission Expires April 30, 20�� ,NUTILt: Uim Ht: AKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 (!/lain Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: BREESE PROPERTY TRUST SUBJECT OF PUBLIC HEARING : For a wetland Permit to demolish a portion of the east wing and attached garage to the existing 2,668sq.ft. one-story dwelling; reconstruct a slightly larger east wing and garage for a combined new footprint of 3,480sq.ft. Located: 3689 Pine Neck Road, Southold. SCTM# 1000-70-6-24 TIME & DATE OF PUBLIC HEARING : Wednesday, February 15, 2017 — 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 Town of Southold - - ----- ---------L-WRP-C-ONSIS-T-ENCY ASSESSMEN-T-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- sup]orting 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# PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 11549 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan, subsidy) (c) Permit, approval,license,certification: KA Nature and extent of action: R%M&&*5� w Q'x [STI 146 X., 6UIGD �WtbA-K- SPS A-N-0 CAS&C N scMILA rL, F"Tr {ZtOr r Location of action: 36 $ 7 I'!hf f./ GGC I^LtA-) 6�,J J 0 G(Le-j Cf2.C1EK - ------ Site acreage: 9-7 7 Present land use: 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: e�a NZE t5 e A K-04 4('M C5 F, ®, S O u I i f 0 T 1 S 6U12y MA o?-c-68 (c) Telephone number: Area Code (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No® If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LW" Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No N Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable lV \, Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No Z 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 LCJ' 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. ❑ ❑ Yes No Not AYY;icable y 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 �l Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LVWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YeJ:1 No® Not Applicable Attach additional sheets if necessary t 1 � WORKING COAST POLICIka'" _—._Policy_10._P_r_otect-Southold_s-water--dependent-uses-and-promote-siting-of-new-water--dependent uses-in suitable locations. See LWRP Section III-Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No)nj Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No R1 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III-Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED TITLE_ A -C`�6 DATE /' /� - /7 T