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TR-9045
� Michael J.Domino,President QW So I/� OlTown Hall Annex o John M. Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders CAP Southold,New York 11971 Glenn Goldsmith -1 Telephone(631) 765-1892 A. Nicholas Krupski colz�COUNTI��, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/z constructed Project complete, compliance inspection B A D C'S 0UAR 'O '_1GIVIV"N 11"R TCT E E S OF 0 "D SOUTHOLD, NEW YORK PERMIT NO. 9045 DATE: JUNE 21, 2017 ISSUED TO: RACHEL &JOHN CASHWELL PROPERTY ADDRESS: 515 HARBOR LIGHTS DRIVE, SOUTHOLD SCTM# 1000-71-2-3 AUTHORIZATION ry 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 June 21, 2017, and in consideration of application fee in the sum of$250.00 paid by Rachel & John Cashwell and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to install a 4'x6l cantilevered platform off bulkhead with a 30'1x16' aluminum ramp, and a 61x20' floating dock situated parallel to the bulkhead; and equip the dock with M water and electricity; with the condition that approval is obtained from the Building Department for the electric and an Underwriter's Certificate is obtained; and as depicted on I A N the revised site plan prepared by Jeffrey Patanjo,dated June 21,2017,and stamped approved on July 6,2017. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. %Ssaf F81 Charles J.Sanders-Abse6t CM A.""cholas Kr -Absent im. ��Y•2M 'sn*•...R�C "�� ` �.":_,:.^.\,.;r�c�`�'.%�' �•"r'v'^�.._7[�^9� � •:2,.t•^^m^"� "�✓"•'� \�':•`^�.vvni^q ��•- 01 _,V_2F_'UP, 10{,rlrn� TERMS AND CONDITIONS The Permittee Rachel &John Cashwell,residi—m�at 515 Harbor Lights Drive, 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 ol�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. �pE SO(/T�, Michael J.Domino,President ��� �l0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders cis Atc Southold,New York 11971 Glenn Goldsmith ® �Q Telephone(631) 765-1892 A. Nicholas Krupski COU Fax Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 21, 2017 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: RACHEL & JOHN CASHWELL 515 HARBOR LIGHTS DRIVE, SOUTHOLD SCTM# 1000-71-2-3 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 21, 2017 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of RACHEL & JOHN CASHWELL, applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 9, 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 June 21, 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 1 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 RACHEL & JOHN CASHWELL to install a 4'x6' cantilevered platform off bulkhead with a 30"x16' aluminum ramp, and a 6'x20' floating dock situated parallel to the bulkhead; and equip the dock with water and electricity; with the condition that approval is obtained from the Building Department for the electric and an Underwriter's Certificate is obtained; and as depicted on the revised site plan prepared by Jeffrey Patanjo, dated June 21, 2017, and stamped approved on July 6, 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: $50.00 Very truly yours, l� Michael J. Domino President, Board of Trustees MJ D/dd 36•• REPRESENTS WATER DEPTH IN INCHES BELOW MEAN LOW WATER Southold Yacht Cl"O —~ PROJECT— \ `. � ;:P 1 sh Dr LOCATION NOTES: PROPOSED 6'X20 FLOATING DOCK 515 Hub.1.10.Mvi•- 1. SITE PLAN PREPARED FROM SURVEY PREPARED BY: 'S 40" PROPOSED 30"x16' ALUMINUM RAMP M/V. -cons . G�`' •,onv .aK' PECONIC LAND SURVEYORS, P.C. 32" 36" PROPOSED 4'x6' FIXED TIMBER PLATFORM 1230 TRAVELER STREET - SOUTHOLD, NY 11971 DATE SURVEYED: JANUARY 11, 2017ss ° F� 1" 7436" MHW & MLW ALONG FACE OF BULKHEAD 00 4 0 FG�F�'/ri EXISTING VINYL BULKHEAD NC ar,c, rn ryOQ% 32" �• engnntrne 80°k� 41 <i is 700 00, •H°Idmp n C°rporaff°n® C7 v1 . oy[ PROPOSED ELEC. &-WATER X.—q.—C°1fa°0 SERVICES TO DOCK ~ ".. ,,APPROVED BY NIRd,x, YBOARD OF ) USTE�S p°""°"° r� 11 On Wars rtil .y rJ ffuhlr'ry RJ TOWN OF SOUTHOLD s PROJECT LOCATI0N MAP D ( �� ��� / °Fc� / N.T.S. PROPOSED 4X4 CCA POSTS P PROPOSED 2X2 TRE)( RAILS AT 4' O.C. SPACING PROPOSED TREX DECKING SURFACE GALVANIZED HARDWARE x - h� ASF PROPOSED 2X10 CCA eh� STRINGERS PROPOSED 3X6 CCA m)awE NH.N.EL 25t \ / / APPI\ PROPOSED 3'X16' ALUMINUM RAMP PROPOSED 6'X20' FLOATING DOCK �(�j APPR0101ATE 61LW D.O.Ot E CE U V J/// ID 1164-0 , 1 U L — 3 2017 4% \ PROJECT COORDINATES ��/��������������� � �A � Southold Town IN 41° 03; _02.17„ t - '00 00� N 72° 24 12.67 TYPICAL SECTION N.T.S. FLOATING DOCK PERMIT PLANS SCALE: 0�,� PROPERTY OWNER: PREPARED BY: "=30' RACHEL & JOHN CASHWELL JEFFREY PATANJO PROPOSED PLAN, SECTION DATE: 129 STRATFORD AVE. 106 HEWITT-BOULEVARD & LOCATION MAP 4-17-17 GARDEN CITY, NY 11530 CENTER MORICHES, NY 11934 6-21-17 631-484-9332 515 HARBOR LIGHTS ROAD \ J PATANJO@OPTONLIN E.NET SOUTHOLD, TOWN OF SOUTHOLD / SUFFOLK COUNTY, NY SHEET: TAX MAP N0. 1000-71-02-03 1 of 1 SURVEY OF PRO ERT Y SEPTIC SYSTEM DETAIL a t SO UTHOLD F.F. EZ. 11.9' NOT 7t7 SCALE i TO � I EL 9.5' f1N/57f�GRADE N OF SD UTHOLD E. FOLK 7.0 T� �' ..`..... 12 p•.. ....::. . ANIiIIIIIIi-,1�1-11Ii� iTIIIJ11'minl-1!II! 1111111111=�iiiiiiir� il COUNT =11111=" -lilTi ?4 1 M/N. -, '-MASONARY CHIMNEY I.E. f'MIN. z'MAX 1000-71--02-03 1/4" PER FOOT 55 18" I.E. MINIMUM PITCH 5.0 MINIMUM PER FOOT � ® ®a 12• SCALE.' 1 �-4Q' " MINIMUM P/TGFI l f. MINA DIA. PIPE ¢� ® r I I MIN4 ora PIPE –t-* — min. . ....... ..�......... ... " . 3' SAND COLLAR 2' min. (B) B'0 POOL MA Y 9, 2016 CLUSTERS fi•3' SAND COLLAR � 1500 CAL PRECAST � � I' 6' SEPTIC TANK 3'UQUlO DEPTH --�- "------- --I- ---GROUND MA Y 25, 2016 (WETLANDS) l p� WATER EL 0.6' YAGGARINO AUGUST 23, 2016 (p.O. ) —J oi-»_so17 ) I SEPT. 08, 2016 (B.O.H. I REMOVE MATERNAL e'/ To OCT. 25, 2016 (REWSED SITE PLAN) I I SAND SAND ( ")SAND (SP) & BACKFlLL W17H NOV.. 08, 2016 (REWSED SITE PLAN) I SAND I I PROPOSED SEPTIC SYSTEM (SP) JANUARY 11, 2017 (REl/ISI NS) (5 BEDROOMS) y [1J 1,500 GALLON PRECAST SEP77C TANK 1010 3' LIQUID DEPTH A�BO,Q �•�� [81 8 FT. D/A.x 2 FT DEEP PRECAST CONCRETE LEACHING RINGS ohs A �•e�� ��'' BACKf7LL WITH 3' SAND COLLAR, 2' ABOVE GROUND WA7FR 40 / 'goo •� o syo. SFR F �P �`�' ry°° � � �T S gssoc, � �0 o� 40p EZi�s � f eta m' of 00• ��nN� TO;pl oie�tsri Ali 4614 1*s4ig RAIN RUNOFF CONTAINMENT Q� p �V PROPOSED NEW HOUSE i ft - Q� Q� �+ ,s�v s2 HOUSE = 2000 sq. . � ' o, ,4„ � 'o 0�, �8 2000 x 1 x 0.17 = 340 cu.ft. 340/42.2 = 8 VF s o OR/VE'WA Y = 900 sq.ft �O� 900 x 0.8 x 017 = 122 cu.ft. 120/42.2 = 3 W4 . St0000. o PROVIDE (3) DRYWELLS 80 x 4' DEEP Z` tri4,•���. h '� OR EQUAL ¢`�D,y .dry �o-/ 5�' // a► �'�'�� . NIS TEST HOLE DATA vr q,� .��'r: .; ' �\ y� V Lot Covereage' McDONALO GEOSGETICE a� �� .(Go G'�y .— ��/ +� ,O p � 20,000 ' � �.. sq ft x 20/o _ 4000 s ft max 09/02/2016 q EL. 5.9yQ N6�bs, Swimming Pool 72 -- 3 MIXED SAND AND LOAM 104 }' 1C* 414 a 868 Rear Deck sf sf BROWN SILTY SAND SM �c �yq ��.d'� wee �� o�y Front Deck 165 sf EL. 0.6 -- 5.3' �A� ��Q S .� 700 Mouse WATER IN Bl�o o N s � •00, 2000 sf _- 70 BROWN SILTY SAND SM �yq� �'`� AFF J �0 Total Building Area 3753 sq ft c� WATER IN BROWN FlNE SAND SP PROPOSED LOT COVERAGE 13.0' 3753120000 = 19% NO TE., WA TER ENCOUNTERED 5.3' BELOW SURFACE 00 ■= MONUMENT B ar�ofTr�s;=e� FLOOD ZONE FROM nRM 36103CO167H ELEVA77ONS & CONTOUR LINES ARE REFERENCED FROM NAM 88 WA TER SERVICE 70 BE RELOCATED 10' MINIMUM FROM SEPTIC SY57EM LOT NUMBERS REFER TO 'MAP OF HARBOR LIGHTS ESTATES SECTION 7yY0" FILED IN THE SUFFOLK COUNTY CLERK'S OMCE ON JJLY 26, 1966 AS RLE N0. 4681. {•- ,rs ANY AL 1ERA710N OR ADD/110N TO INNS SURVEY IS A VIOLATION OF SEC77ON 7209OF THE NEW YORK STATE EDUCATION LAW. F� nf`1 �Y.S� EXCEPT AS PER SECTION 7209—SUBDINS/ON 2. ALL CER17f7CA170NS LIC. NO. 49618AREA � 20�0� SQA �, TO 11E LINE P ,K � S, P.C. HEREON ARE VALID FOR THIS MAP AND COP/ES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR �r 0.459 ACRES TO 11E LINE (631) FAX 631) 765-1797 WHOSE SIGNATURE APPEARS HEREON. P.O. BOX 909 1230 TRA VELER STREE� SOUTHOLD, N. Y. 11971 16-029-029 l Michael J. Domino, President hy�ps 'fCo Town Hall Annex John M. Bredemeyer III, Vice-President �4��0 Gym k 54375 Route 25 Charles J. Sanders N z N P.O. Box 1179 Glenn Goldsmith o ® Southold,NY 11971 A.Nicholas Krupski A,- �p Telephone(631)765-1892 A.44 Fax(631)765-6641 BOARD OF TOWN TRUSTEES y►j, TOWN OF SOUTHOLD 43� TO: JQWtkL� V0 CA StNZL o -TffP FA77W_J_V Please be advised that your application dated MRq q( go!7 has been reviewed by this Board at the regular meeting of TVfiV 24,201-7 and your application has been approved pending the completion of the following items checked off below. 1� 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: TOTAL FEES DUE- $ � 7.��•�� BY- Michael J. Domino, President Board of Trustees Michael J. Domino, Presr'S` SUEFO�� z _ ! TownjI'all Annex John M. Bredemeyer III,Vice-President „fib G�� r 54375 Route 25 Charles J. Sanders M P.O.Box 1179 Glenn Goldsmith o Southold,NY 11971 A.Nicholas Krupski �,y�, �o�` (•_ Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I Date/Time: 1� �c.r►^�. �� Completed in field by: 414L/( l�lc1���I�eAl Jeffrey Patanjo on behalf of RACHEL & JOHN CASHWELL requests a Wetland Permit to install a 4'x6' cantilevered platform off bulkhead with a 30"x16' aluminum ramp, and a 6'x20' floating dock situated parallel to the bulkhead. Located: 515 Harbor Lights Drive, Southold. SCTM# 1000-71-2-3 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 L,-4etland 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: Bredemeyer . Domino G. Goldsmith N._Krupski C. Sanders Other Page 1 of 2 Michael J. Domino, Presi(��� �p CD � Town Hall Annex John M. Bredemeyer III,Vice-President ,��� G�j, 54375 Route 25 Charles J. Sanders N P.O.Box 1179 Glenn Goldsmith 0 ' Southold,NY 11971 A.Nicholas Krupski p! Telephone(631)765-1892 �l Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Jeffrey Patanjo on behalf of RACHEL & JOHN CASHWELL requests a Wetland Permit to install a 4'x6' cantilevered platform off bulkhead with a 30"x16' aluminum ramp, and a 6'x20' floating dock situated parallel to the bulkhead. Located: 515 Harbor Lights Drive, Southold. SCTM# 1000-71-2-3 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters-or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed - activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: G. 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 .a AN 1 - _ all, Rachel • • hn Cashwell Q� •• _ • • - \ 111 MW s = �� '"�_ "'mss+•' � ''� { �•a��ll - Ar . 1t 1 Photo 1 Photo 2 D a9VE 4 M AY - 9 2017 Southold Town T Photo 3 x- a" 1 `- Photo 4 v DD 1 M AY - 9 2017 Southold Town f Tr • i N e m I9 2/O 2] e xaaael ' IN5111TA SOUTHOLD BAY N l O BAY 21 J L a2]A(Q 3 AA(Q 6^$ ak 6a ma ('• y� 6 13 e \ Po 1 4 6 ] g 8 10 71^ /2 /3 _ is I Y m m ® ® •r - 14 a 15 162 a44() - 2AA(ci L \ «, �8 B rt FMWSN • ! r rm �� � \ O � . t,ao a � p a zs• a+ '8 1e / < �ORupr]s 1g w 1�y� gg _ ze t.3n(cl/ w.z vg 23 _ ' '3]' f� 113 O f0 O2m 1)k 4� p � ,m 3e �o RTr1g4.o �• �v +" a"� ,a ,-_3 26 � 4s°� , I S . ,w wtE pR mB sua O M g is ___r•''.`..-F _(--,.i-^Y - -a_ -_- � 4 113 3 �d •(:'f4'""A.s ':tw'•c=. -' SFE0u510ir ro d w "� ��^�^'- •-:..' .�i$'1 �,k,> ��`=�.•�7`•_ __--� — _ _ /_ _ -_ _ - NOTICE mw COUNTY OF SUFFOLK © K to v SOOfHOLD SECTION NO -- -- :----.«� :• -'. '� ,:,. s >>:.-V - •.. :_'.w'` — .. :--- ..�, Y," _ - - - Real Property Tax Se mce Agency v =`—= -- —�: .; :"�°• .,,to, M 071 ♦:`. at ,,.:.d'. r:b,rs S^ _ :,•3'yy.ul"':+Y.: _ _ -y,d•`._ ,.Y.r _ _ _ = atv mAP aJ _.•wx .:.'.��...'d.' .. x -.n r '-:.+5= �- .t.'k. ..iRx �°{ S`";.h: -•F'-.�'�:'.r' _ _ _ - -_"� " _ ,z::.e'J•_ .. -.. i< ,. _ 3e. a._r.•.. : 'C.�� 'S'a,.. m�.�t�3 - - .x�..,,,' �.Peamw_+�r,.�:.oPa'E•.+-n+w..A:,r: 'te ..w�___.,r,_aso......____:�:,..,�e�w��.:._a.:_a.e`_: ��'�_._ _.aa:§..�.'� t_ -' -+-.av_..ri.r..4`:....�..- ..'.L E...-.- _ 4.'•:. ... ,._.a_. .-.. _T'�.. .. June 28, 2017 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 515 HARBOR LIGHTS DRIVE-SOUTHOLD, NY SCTM No. 1000-71-02-03 REVISED PLANS Dear Trustees: Attached please find four (4) copies of revised plans based on comments received during the June 19th public hearing. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, 0 Jerey Patanjo E Q G E N E 106 Hewitt Blvd. R Center Moriches, NY 11934 JUL - 3 2017 Southold Town ! Board ofTu -- f i OFFICE LOCATION: S® MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) ems Southold, NY 11971 ® a®� Telephone: 631765-1938 cou LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: June 14, 2017 Re: LWRP Coastal Consistency Review for RACHEL &JOHN CASHWELL SCTM# 1000-71-2-3 Jeffrey Patanjo on behalf of RACHEL &JOHN CASHWELL requests a Wetland Permit to install a 4'x6' cantilevered platform off bulkhead with a 30"x16' aluminum ramp, and a 6'x20' floating dock situated parallel to the bulkhead. Located: 515 Harbor Lights Drive, Southold. SCTM# 1000-71-2-3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with LWRP Policy 6, specifically 6.3 (below) and therefore, CONSISTENT with the LWRP provided the following is addressed. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 9. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The applicant must demonstrate that the following dock standards pursuant to § 275-11. Construction and operation standards have been met. (d) Review and approval of dock applications. Before issuing a permit for a dock structure, the Trustees shall consider whether the dock will have any of the following harmful effects: [2] Whether the dock will unduly interfere with the public use of waterways for swimming, boating, fishing, shellfishing, waterskiing and other water-dependant activities, ry 4 [5] Whether the dock will cause degradation of surface water quality and natural resources; [11] Whether the cumulative impacts of a residential and commercial dock will change the waterway or the environment and whether alternate design, construction, and location of the dock will minimize cumulative impacts, and [12] Whether adequate facilities are available to boat owners and/or operators for fueling, discharge of waste and rubbish, electrical service and water service. 9.3 Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. A. Limit grants, leases, easements, permits or lesser interest in lands underwater in accordance with an assessment of potential adverse impacts of the proposed use, structure, or facility on public interest in public lands under water. The proposed dock structure is minimized as to not extend into public trust waters resulting in a net decrease or hindrance in public access to public underwater lands or waters. 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%15FF414 Peter Young,Chairman o 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., June 14, 2017 the following recommendation was made: Moved by John Stein, seconded by Greg Williams, it was RESOLVED to SUPPORT the application of RACHEL & JOHN CASHWELL to install a 4'X 6' platform, 30"X 16' aluminum ramp and 6'X 20' floating dock. Located: 515 Harbor Lights Dr., Southold. SCTM#71-2-3 Inspected by: John Stein, Peter Meeker, Keith McCamy The CAC Supports the application with the Condition no treated lumber is used, in accordance with Ch. 275-11. Vote of Council: Ayes: All Motion Carried May 26, 2017 p � I VE WY, 2 6 2017 To:Southold Town Board of Trustees Attention: Elizabeth Cantrell Southold Town Subject:Cashwell Property Dock Permit at 515 Harbor Lights Drive I have reviewed the dock design and discussed it with various property owners.On behalf of the Property Association and with this letter agree and consent to the proposed dock as submitted. I understand there will also be a public hearing for others to provide input. If you have any further questions, I can be contacted at 631-765-9218. Sincerely, Matthew Campbell President Harbor Lights Property Owners Association, Inc. ©t SO(/,� Michael J.Domino,President d� ���/ Town Hall Annex 4. John M.Bredemeyer III,Vice-President 54376 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith .� Telephone(631) 765-1892 A.Nicholas Krupski '�+®u��l� Fax(631) 765-6641 i r BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application !c�' Administrative Permit E Amendment/Transfer/Extension Received Application: 5.q►17 MAY — 2017 Received Fee: $ 250,00 ; Completed Application: -5- [TIT Incomplete: southold.Town SEQRA Classification: Type I_ Type II Unlisted ar T e Lead Agency Determination: Coordination:(date sent): ,+I ; �LWRP Consistency Assessment Form Sent: CAC Referral Sent: 6-31,11_ Date of Inspection: (dam 3+(7- Receipt of CAC Report: Technical Review: Public Hearing Held: 2l•(7 Resolution: Legal Name of Property Owner(s): a c h To s h r,4ser 1 Mailing Address: 1a 1 544 c t FsrcQ Ave. • Gafde�i C►j c, Phone Number: 1 - 5 3$ - )0 4$ _ Suffolk County Tax Map Number: 1000- -71- 0 2- 0 3 Property Location: 1114+S ju - $[G L oG&ti o+, /✓l �►�s c 1.1 ti mt�'�+ v�% tgJ�n J t/ DR i ve (If necessary,provide LILCO Pole#, distance to cross streets,, and location) AGENT(If applicable): Mailing Address: T b6 Pc we-r-r - 91va - Ctm`2'er Mo,nc'4eS ,J4 )1q3 y Phone Number: Board of Trustees ApplicaL -gin GENERAL DATA Land Area(in square feet): 901 d o 0 Area Zoning: R c 5 Previous use of property: des Intended use of property: �e5 Covenants and Restrictions on property? Yes ✓ No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes ✓ 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 for site improvements: Agency Date -Tru s+ces *A 8311 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): Z SN 11 �,1 ��►�n1,M ('krnP aK (,Q !saC�� �l '�til"9 cPo��L . Board of Trustees Applica'.-_—„,Dn WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: %S re.I1 9'x G' P 1 dc+fo r1n, id, Q I VM�W{�rYl IZu1ViP liLhQL �� X �"G '��or.`I'"/i1y 1X.0G1� Area of wetlands on lot: square feet Percent coverage of lot: . % Closest distance between nearest existing structure and upland edge of wetlands: 1 r90 feet Closest distance between nearest proposed structure and upland edge of wetlands: /o feet Does the project involve excavation or filling? ''s No Yes If yes, how much material will be excavated? 4 cubic yards How much material will be filled? /N! A cubic yards Depth of which material will be removed or deposited: /" A feet Proposed slope throughout the area of operations:—,H)A Manner in which material will be removed or deposited: N I A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): Ivo e. JeC,+ on wkttrs -�/L WCtt&n&4 S Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part 1 L 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 515 Harbor Lights Road Dock Name;of Action or Project: Proposed Dock Project Location(describe,and attach a location map): See loc(tion map Brief Description of Proposed Action: Install 4'x6'platform,30"x16'aluminum ramp and 6'x20'floating dock adjacent to existing functional bulkhead Name'f Applicant or Sponsor: Telephone: 917-538-1048 Rachel&John Cashwell E-Mail: rcashwel@optonline.net Address: 129 Stratford Ave City/PO: TNY ate: Zip Code: Garden City 11530 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: El W1NYSDEC/NYSDOS/USACE/Town of Southold Trustees 3.a.Total acreage of the site of the proposed action? 0.459 acres b.Total acreage to be physically disturbed? 0 004 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0 459 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial mResidential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland I Page 1 of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑✓ ❑ b.Consistent with the adopted comprehensive plan? ❑ 7 ❑ 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:Name Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, Agency 6uttolk Uounty,Date,/-1 - ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES V El b.Are public transportation service(s)available at or near the site of the proposed action? V ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? FV] ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: FV1 ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: W1 ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? 7 ❑ 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? ❑ ❑✓ 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: 1.7.9 SF for platform ramp and floating dock 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: m Shoreline El Forest ❑Agricultural/grasslands El Early mid-successional ❑ Wetland ❑Urban m Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ❑ ❑✓ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO ❑YES ❑✓ ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO ❑YES Page 2 of 3 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: ❑ 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: W] ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Rachel Cashwell Date: Signature: PRINT FORM Page 3 of 3 r I i Agency Use Only[If applicable] Project: Date: ShOr t JEnvir omm�entad nssessment Form. Part 2 -Impact Assessment Part 2 is to be completed by the Lead Agency. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? EA 0 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the El of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or 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 ❑ 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? EA 0 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, Elwaterbodies,groundwater,air quality,flora and fauna)? 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? PRINT FORM Pagel oft Agency Use Only[If applicable] Project: Date: Short Environmental Assessment Form Part 3 Determination of Significance 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 mayor 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. F-1Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the pro(p'osedd ja�cti will of result in any ssii ificant adverse environmental i and . ro �llr►vl'�At'a'rp 0 9 Y Gt R l �Na of Lead Agency Date Print or Type Nahne o Resp ns* a icer in Lead Agency Title of Responsible Officer Signature of ResponUibIe Officer in Lead Agency Signature ofPreparer(if different from Responsible Officer) PRINT FORM Page 2 of EAF Mapper Summary Report Monday,April 17, 2017 9:15 PM Disclaimer: The EAF Mapper is a screening tool intended to assist ,4 project sponsors and reviewing agencies in preparing an environmental ` assessment form(EAF) Not all questions asked in the EAF are answered by the EAF Mapper Additional information on any EAF question can be obtained by consulting the EAF Workbooks Although the EAF Mapper provides the most up-to-date digital data available to DEC,you may also need to contact local or other data sources in order to obtain data not provided by the Mapper.Digital data is not a substitute for agency determinations McntrcA Tor'ost tY3 I ' " ,El '• yp_-• ! �`^-.. 9G,�- ., E j 3 �..�.t ] V12oPh'it fi j 1I t't Ci.tralt `Stavb�n ;EsrIj i tf ,E,E L�mid,I-fPcS,P "--,..-..Jnt a P E3J EttsTfF' i p i far,fc?EJJ£.EsriGhira.f '�F3%,lsri. �� it�I YPitburca` Sisrr E' .f. _ _ jzagE 1 t3 (_ s ^-As,Esri;Tfi Iles )-fi�ladrr lxrdta 3. Gtr, £ fiuriitiywi C'=L' f 4 :��R,Int�msp. {3�,enSh�tt}jpp ca tri ut =,an = _�th_61-si M"RvC'00 EN F,ir'R sn.Uzi, a �'• :�"3�•=-ti.t.�� 1Ja'=*-�:•csm, nuniy ��_-.fk��- ��`" .-'}I a i�iru�a� . ,. � � 'tsfiE-i'I,EsiiCf�ins�§•3crg Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /Question 7 [Critical Environmental iName:Peconic Bay and Environs, Reason:Protect public health,water, Area-Identify] _ :vegetation, &scenic beauty,Agency:Suffolk County, Date:7-12-88 Part 1 /Question 12a [National Register of No _ m Historic Places] Part 1 /Question 12b [Archeological Sites] 'Yes Part 1 /Question 13a [Wetlands or Other iYes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] ;waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15[Threatened or Yes Endangered Animal] Part 1 /Question 16 [100 Year Flood Plain] 'Yes Part 1 /Question 20[Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report Board of Trustees Applica;__an AFFIDAVIT 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 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. /404 z6avyi Sign ture of Property Owne Signature of Property Owner SWORN TO BEFORE ME THIS O? DAY OF MC1 K-4 .120 17 XW4U4- Notary Publij Loriann , no NotaPubl'�c Stat ofNew York Qualfied'in Sulk County No:01 Pp.r15086I Commission expires 08f07120�,� Board of Trustees Applica,__ 3n AUTHORIZATION (Where the applicant is not the owner) I/We, 124 c AC I To k h Ck S ke<< owners of the property identified as SCTM# 1000- -71 ' °2 - 3 _ in the town of New York,hereby authorizesJ e f rr e H Ra te, n 1--a to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Prop rty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF MaU 120_ / 7 Notary Public Loriann P. atanl1oo Notary Public State of New`York Qualified in Suffolk County No:01 PA6150861 Commission Expires 08/07120/8 _ I APPLICANT/AGENT/REPRESEN'TATWE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town 6fFc6rs and employees.The num of this form is to provide information which can alert the town of possible conflicts of-mterest'and allow it to take whatever action is necessaa,to avoid same. YOUR NAME: ._ CG+s kwG LI (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 offeer 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 lo,wn off icer 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 applicarht/agent/cepresentative)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 corporote,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 ay of 20j Signature Print Name Form TS 1 • = 1 T .API'LICANTJAGENTlREI'RESEN ATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Cade of Ethics prohibits conflicts of interest on the partoftown officers and emnlavees..The auiv_ose of this form is to provide information which can alert the town df ssible conflicts ofinterestand allow it to take.whatever action is necessarX to avoid same. a Cathwell �o ��. YOUR NAME: (Last name,fust name,griddle initial,unless.you am applying in the name of 3 someone else or other entity,such as a company.If so,indicate the other person's or company's name.) e 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 1 Other (If"Other",name the activity.) _- t 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,inarriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial oNvnership of(oremployment by)a corporatibn 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 f 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 S%of the shares,of the corporate stock of the applicant (when the applicant is a corporation); B)the legal orbeneflcial 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. i DESCRIPTION OF RELATIONSHIP Submitted this_ F day of rn U Signature Print Name O f , 1Z, Form TS 1 { f APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSIRE FORM The Togo of Sonthold's Code of Etfu'cs ter hrZ ibits c�Pflicts of interest on the part of town bffcers and employees.71w pamose of g this forth&to orovideinfnrirmtion whicli can alert"tile town of nvssibte conflicts of interest and allow it to tako:whatever action is necessary to avoid same, YOUR NAME: (Last name,first name,ipi dle initial,unless you 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(orthrough your company,spouse,sibling,parent,or child)have a relationship with any officer oremployee of the Town of Southold? "Relationship"includes by blood,rilarriagc,or business interest.'Tusiness interest"means a business, including a partnership,in which the town officer orcmployee has even a partial ownership of(or employment by)a corporation in which the town officer or employce owns more than 5%ofthe 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 l 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 ofthe appticpnt (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); i C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. i DESCRIPTION OF RELATIONSHIP Submitted this d da ti 011 Signature Print Name ,d,F ars Form TS 1 June 12, 2017 Town of Southold Trustees Town Hall Annex Building D E C E V E 54375 Rte. 25 P.O. Box 1179 in Southold, New York 11971 JUN 1 5 2017 RE: 515 HARBOR LIGHTS DRIVE-SOUTHOLD, NY outhold Town SCTM'No. 1000-71-02-03 RoA of Twstee AFFIDAVITS Dear Trustees: Attached please find original posting and mailing affidavits for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 F PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: _- Parb( r ►..lq � �o(� 7015 1660 0000 0995 0256 UU PC) sok 1b-251 �ou-O 1�►®1 e1 11 11 11 7015 1660 0000 0995 0249 7015 1660 0000 0995 0232 1 ack l 2� 5ar�ale, Gfi Vbce,v 1112 Com- I 1 s1 . �b�►�. 7015 1660 0000 0995 0225 1i5a x Cn A So ld 1191 l bDu l 1, e� 7015 1660 0000 0995 0218 STATE OF NEW YORK COUNTY OF SUFFOLK �.: CT Pa&tnt residing at &yd being duly sworn, deposes and says that on the day of C/Z , 2Q/2, 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 0412AMLICWS , that said Nod were mailed each of said persons y CERTIFIED MAEURETURN RECEIPT. d ; Sworn to before me this Day of CJS 120 /7 - Notary Public Lonann'PatanRi� Notary Public State of�Vawr York Quaff in Suffolk County No:01 PA6150861 Commission Expires 08/07/20 I's Postal CERTIFIED o RECEIPT ru Domestic 114ail Only M ni C3 ROC L�X CENJRt Y 5F c r pLn Certfied MallFee $3.35 0 7 v- $ O Extra Services&Fees(Check box,add fee p�1 .y�latal ❑Return Receipt(hardcopy) $ 7111-V1 ��� r �� C-3 ❑Return Receipt(electronic) $ SO 00 •. ostmark 1 � 0 ��, � O ❑Certified Mail Restricted Delivery, $ s9. aV Here�1� ?' 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Sanders u P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas ICrupski > p@ r Telephone(631)765-1892 �1 $0{ Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of RACHEL & JOHN CASHWELL 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 I,_ � U I() ,residing at/dba f' (y � /) , _)4m men Py jlqjq being duly sworn, depose and say: That on the /) day of 'J LU'_X,,, , 2017, I personally posted the property known as ,515 0YI'Or LI�� Di--1 v_- by placing the Board of Tr&dees 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,June 21, 2017. Dated: 01il"14 fj t+ 17 Sworn to before me this day ofj_020/7 �6 Odin Qlaa(o Notary Public Loriann'Patanl1o�� Notary Public State of New York Qualfied'in Suffolk County No:01 PA&150861 Commission Farces 08/07120/� - - NUTILL U '1 ; HtAKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: RACHEL & JOHN CASHWELL SUBJECT OF PUBLIC HEARING : For a Wetland Permit to install a 4'x6' cantilevered platform off bulkhead with a 30"x16' aluminum ramp, and a 6'x20' floating dock Situated parallel to the bulkhead. Located : 515 Harbor Lights Drive, Southold. SCTM# 1000-71 -2-3 TIME & DATE OF PUBLIC HEARING : Wednesday, June 21, 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 r Town of Southold LWRP CONSISTENCE'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 simificant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 02, _ to 3 PROJECT NAME 5'15- /44(L®r L l,9 4 t S Ret — S oLAk n l d The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: Z,+sTal( e1ut'1'i111v11 3o"X lb' Al-SlKw4-1 ruM4 e4h 4k b `k20 ` f-loe,1k)n1 cQoG,l� . Location of action:_ 5'/S d a r 4 o r L. y h-�s (Lo�� S m + L a iet Site acreage: Q • y 5"q Present land use: -e S;d Ch+1 e4.C. Present zoning classification: 12�S�c!?fs�►fi�w L 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: �Z'K G k C l c TO k n C24 s h we l I (b) Mailing address: 1 a q S}ra-t-fo r dt Ave- a r d tet Cc-61 j � fS3a (c) Telephone number: Area Code( ) 9 i"1 S 3 1 0`18 (d) Application number,if any: I-1 1 A Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes Rr No❑ If yes, which state or federal agency? N i s D 6,C-11-41 t b G c 1 vsgcE C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. F�rYes ❑ No ❑ Not Applicable rojec+ ^aV—es efFicie,,+ ,rye 4ne2 rs G-bsi tcn- ti✓a-t4 1ei!1 , h®a,s . 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 ElYes ❑ No U 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 [�KNot 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 E 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 13'' Yes 1:1ro No UNotApplicable 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. ❑ ❑ E Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Q Yes ❑ No[:?"Not Applicable ' Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes 1:1No I=I Not Applicable PUBLIC COAST POLICIJES 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. RYeO No❑ Not Applicable -- r®lie-- Pry�tie5 e,4,cje/1- 4elee5S -1�® wg,-!'cit-5 by wa,�2 of 2�r M% �2dL �1 oG-p-1 n y cQo cls. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III-Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No ❑ Not Applicable rl iec-t 1po-t+4" Grc!-iLwheS ",-7s e s+e.1-f wi♦li nEijh hmrtne. Cc i d co CCS . 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. 1:1Yes ElNo 2 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 1:1 No I---J 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 ErNot Applicable PREPARED BY TITLE-Alen-t- DATE H-2`I. 17 May 7, 2017 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 D RE: 515 HARBOR LIGHTs DRIVE-SOUTHOLD, NY MAY - g 2017 SCTM No. 1000-71-02-03 , APPLICATION FOR PERMIT Southold Town Tr Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, J re Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934