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HomeMy WebLinkAboutTR-9053 � �j� Michael J. Domino, President pE SO � ��lO Town Hall Annex John M. Bredemeyer III,Vice-President � 54375 Route 25 Charles J.Sanders P.O. Box 1179 Southold, New York 11971 Glenn Goldsmith ® �O Telephone(631) 765-1892 A. Nicholas Krupski `+oU 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 Y2 constructed yProject complete, compliance inspection TERMS AND CONDITIONS The Permittee Marijo� Adimey&Veronica Lugris residing at 21515 Soundview Avenue, 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 Pennittee 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 Per nit 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 fee navigation,the said Permittee will be required,upon due notice,to reirove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Pennittee 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. Michael J.Domino,President ��®F SOUrTown Hall Annex John M.Bredemeyer III,Vice-President �� lQ 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold, New York 11971 Glenn Goldsmith Telephone(631) 765-1892 A.Nicholas KrupskiO Fax(631) 765-6641 c0UNr1,� j BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT#9053C Applicant/Agent: Marijo Adimey &Veronica Lugris Permittee: Marijo Adimey &Veronica Lugris SCTM#: 1000-135-1-5 Project Location: 21515 Soundview Avenue, Southold Date of Resolution/Issuance: July 19, 2017 : r Date of Expiration: July 19, 2019 Reviewed by: Board of Trustees DESCRIPTION OF ACTIVITY: Install and re-grade approximately 6 cubic yards;of,cl'earii fill'to- eroded area of bluff; add jute matting and re-vegetate eroded area using native sea grass, ' install three (3) drywells to contain roof run-off on the property; and as depicted on the project plan prepared by Marijo Adimey, received on June 12, 2017, and stamped approved on July 19, 2017. INSPECTIONS: Final Inspection SPECIAL CONDITIONS: None. In accordance with Chapter 111-15 Erosion Protection Structures: N/A A maintenance agreement is attached hereto and is a necessary special condition of this permit. t BY: Michael J. Do o, President Board of Trustees Michael J. Domino,President ��OF S®UTjy® Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l® 54375 Route 25 P.O. Box 1179 Charles J.Sanders jw Southold,,New York 11971 Glenn Goldsmith G ® p@ Telephone(631) 765-1892 A.Nicholas Krupski O y Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 19, 2017 r Marijo Adimey Veronica Lugris 21515 Soundview Avenue Southold, NY i 197 i RE: 21515 SOUNDVIEW AVENUE, SOUTHOLD SCTM#.1000-135-1-5 Dear Ms. Adimey and Ms. Lugris: The Board of Town Trustees took the following action during its regular�meetingheld=on Wednesday, July 19, 2017 regarding the above matter: WHEREAS, MARIJO ADIMEY&VERONICA LUGRIS 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, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas,applid6 i6h dated'June.12, 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 recoimmendation 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 July 19, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, k i 2 _r WHEREAS, the structure complies with the standards set forth in Chapter 275 and Chapter 111 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 MARIJO ADIMEY & VERONICA LUGRIS to install and re-grade approximately 6 cubic yards of clean fill to eroded area of bluff; add jute matting and re-vegetate eroded area using native sea grass; install three (3) drywells to contain roof run-off on the property; and as depicted on the project plan prepared by Marijo Adimey, received on June 12, 2017, and stamped approved on July 19, 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, Michael J. Domino President, Board of Trustees MJD/dd i i j SURVEY OF PROPERTY SITUATE SOUTHOLD LONG ISLAND SO UND I TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK N 88°03'29" E 84.06' S.C. TAX No. 1000-135-01-05 WOOD BULKHEAD SCALE 1"=20' ..AC BULLKS T KHFAD HICH ON AORRIB U6 JANUARY 5, 2011 24 e' FOOD no JANUARY 29, 2011 VERIFY HIGH WATER MARK & TOE OF BLUFF Do STEPS wODD DECK FEBRUARY 18, 2016 UPDATE SURVEY Z I lP SEPTEMBER 22, 2016 CORRECT WEST PROPERTYLINE TOE of BLUFF O AREA = 14,130 sq, ft. m Op. fpsjpl (TO BULKHEAD) 0,324 ac. CERTIFIED TO �e SSTNE �•O MARIJO CAMILLE ADIMEY woaD DECK VERONICA MARIA LUGRIS STPKE� �p1` es' 9 22'2 BUFF FIDELITY NATIONAL TITLE INSURANCE COMPANY `w00000 E ABSTRACTS, INCORPORATED FOUND CONC I MON 0 3'W WOOD coNc� 370 3 COASTAL EROSION y�z Qic 1 "Ta _ COASTAL EROSION HAZARD LINE AS SCALED FROM top rz SLOPE 1 F _ .. _ _ PHOTO No. HAZARD AREA MAP 55-576-83 SHEET IO OF 4S 1 x N 14 1 N SLOPE 229' Im la 1 STORY FRAME HOUSE - 1 Tr1a 15 err \ n ko \ H � 31ROOF 9' w oaf 1\ O N SLATE STEPS coNc N A a \ app � 1 $ 1STAKE v000 Wb kh0 WEI \ % 420. 9a O APPROVE® BY�� c m PpaON v B®ARDaoa` E ` OF 1 RUSTEE& ,a D3' pa E r TOWN NOF SOUTH i � i DATER ` Cn`4 a V-3. p° ,44 0> W 50.00'D 7237 84 FOUN `,�� _�� - 96' • UVAp POST GONG MON REB"AOR OST h RAIL FENCE HCl l l 0� 1 4 i JUN 1 2 2011 anL, �;os ASAPRON • • -- • EDGE OF PAVENENT d •d° Southold TOM Board 0fi mS SOUND VIEW AVENUE I I r THSUR ALTERATION OR ADDITION Nathan Taft Corwin III THISIS SURVEY IS A VIOLATION OF PREPARED IN ACCORDANCE WITH THE MINIMUM SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW STANDARDSAFORY THE LLS TITLE APPROVED AS ESABLISHE COPIES OF THIS SURVEY MAP NOT BEARING FOR SUCH USE BY THE NEW YORK STATE LAND Land Surveyor THE LAND SURVEYOR'S INKED SEAL OR TITLE ASSOCIATION EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To Stanley J Isaksen,Jr LS ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF TO THE Joseph A.Ing¢gn0 L$ TITLE COMPANY,GOVERNMENTAL AGENCY AND Title -e SU s Subdmslons - Site Plans - Construction Layout LENDING INSTITUTION LISTED HEREON,AND Y y TO THE ASSIGNEES OF THE LENDING INSTI- TUTION CERTIFICATIONS ARE NOT TRANSFERABLE PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS ANO/OR EASEMENTS OF RECORD,IF 1586 Main Road P0.Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED NYS 4c No 50467 Jamesport,New York 11947 Jamesport,New York 11947 36-026-1 Michael J. Domino, Pr ~nto�Qc,�FFO(�Co�i �- . ' Town Hall Annex John M. Bredemeyer III,Vice_President �� Z�,, 54375 Route 25 Charles J. Sanders * P.O.Box 1179 Cn Glenn Goldsmith 0 Southold,NY 11971 A.Nicholas Krupski ?� p! ',� Telephone(631)765-1892 HCl - Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOU,THOLD Date/Time: Completed in field by: MARIJO ADIMEY & VERONICA LUGRIS request a Wetland Permit and a Coastal Erosion Permit to install and re-grade approximately 6 cubic yards of clean fill to eroded area of bluff; add jute matting and re-vegetate eroded area using native sea grass; install three (3) drywells to contain roof run-off on the property. Located: 21515 Soundview Avenue, Southold. SCTM# 1000-135-1-5 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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 i Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments%standards: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 i Michael J. Domino, Pr, Jit S�FFO� COG Town Hall Annex John M. Bredemeyer III, Vice-President r.`t' yj,7 54375 Route 25 Charles J. Sanders P.O. Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski � p�` Telephone(631)765-1892 HCl �a J Fax(631)765-6641 ' ''u2zLlXX�; BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: i MARIJO ADIMEY & VERONICA LUGRIS request a Wetland Permit and a Coastal Erosion Permit to install and re-grade approximately 6 cubic yards of clean fill to eroded area of bluff; add jute matting and re-vegetate eroded area using native sea grass; install three (3) drywells to contain roof run-off on the-property. Located: 21515 Soundview Avenue, Southold. SCTM# 1000-135-1-5 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PER 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: i Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 4 I t � � _ T do_� • ,. ��i �, \ � � �/ �, �:< %. ? \« \ . . . � j� » � - 2��° z \�\/ . \%��<� ~ /����\/ . ? ` �\�% � ® ���®� � � . a:�J � < . � � .:� � . \�/ � \ \�f� _ yp\» , � \ \\ �\/ §� � ` ^�� \\\��� � t3 �r� � - � � � � �� \\/� »\\ � �� �� ��\\. y § y . « /� :/� « �� , ® 2 � ��\\ \ � � , \ ».�i � p : . :>�\�::\>��y � �g � \ � - z � . .\� `�\� i\� ' � , , � . - � � : " \ �. �� . . . . 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Main Rd. &Youngs Ave.) vs Southold, NY 11971 ® �Q Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Mike Domino, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: July 14, 2017 Re:' Local Waterfront Revitalization Program Coastal Consistency Review for MARIJO ADIMEY& VERONICA LUGRIS SCTM# 1000-135-1-5 MARIJO ADIMEY &VERONICA LUGRIS request a Wetland Permit and a Coastal Erosion Permit to install and re-grade approximately 6 cubic yards of clean fill to eroded area of bluff; add jute matting and re-vegetate eroded area using native sea grass; install three (3) drywells to contain roof run-off on the property. Located: 21515 Soundview Avenue, Southold. SCTM# 1000-135-1-5 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 the LWRP policies and therefore CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. oPFOt►k�a� Peter Young,Chairman ti 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., July 12, 2017 the following recommendation was made: Moved by Greg Williams, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of MARIJO ADIMEY & VERONICA LUGRIS to repair/replace sea grass on potion of bluff washed out by rain. Install three (3) drywells on property and bring in 6 cy. of fill to level out the steep slope and install matting before re- vegetating the area. Located: 21515 Soundview Ave., Southold. SCTM#135-1-5 Inspected by: Peter Young, John Stein, Peter Meeker, Keith McCamy, James Abbott The CAC Supports the application with the Condition gutters, leaders and drywells are installed to contain stormwater run-off and depicted on an updated survey. Vote of Council: Ayes: All Motion Carried qso Michael J.Domino,President ��� T�'�� `; Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith y Telephone(631) 765-1892 A.Nicholas Krupski � � t Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application _Administrative Permit Amendment/Transfer/Extension Received Application: 6'IZ.l7 Received Fee: $ 500,0® Completed Application: Incomplete: SEQRA Classification: Type I_ Type II Unlisted E C V Lead Agency Determination: 11l` Coordination:(date sent): jj -LWRP Consistency Assessment Form Sent: 7�7 i7 JUN 1 2 211 DO CAC Referral Sent: Date of Inspection: 7� Receipt of CAC Report: Southold Town Technical Review: Board of Trustees V�Jublic Hearing Held: 77 .� Resolution: Legal Name of Property Owner(s): Mailing Address: el�,v /4,n 1,:;1,4 Phone Number: ��� ' �1/ 2 Suffolk County Tax Map Number: 1000- A '- O/ o� Property Location: ✓�� ���v�o�t/ �"P `' � �(� (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): _ Mailing Address: Phone Number: I Board of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions on property? —Yes X No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes X No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? _ Yes —A —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 X No Does the structure(s)on property have a valid Certificate of Occupancy? X Yes---No Prior permits/approvals for site improvements: ��nsf ,, , Date r 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 ifnecessary):&. (-p yA�l ek /-k Xz,4- 'T /X ef 6 p4 Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: /o ���¢� Q- ,�®�/��^� 61�,4- `J 4VdAJ_ 4A-- A41- AAj I-J 5 A-) Area of wetlands on lot: 0 square feet Percent coverage of lot: .- % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? _No X, Yes If yes,how much material will be excavate `t _ _ �uhic_vards How much material will be filled? ;cuwc yaras Depth of which material will be removed or deposited: feet p P - Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: A—A SSI 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): �cf� 1G7W �� c�� . � � �� � yell ���c� "2741 � 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 I based on information currently available. If additional research or investigation would be needed to frilly 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: 4 Project Location(describe,and attach a to atio map): o?6_/.51" GL!t -d,�� cP Brief Description of Proposed Action: / 44 Name o Applicant or Sponsor Telephone: ,D C.e �Z (/�- �� E-Mail:, / 1112i� Address: af�/5__ ✓"' PiJ�cd /�/ City/PO: J (q/U/0 State: Zi�Cde:� 7 1.Docs the proposed action only involve the legislative adoption of a plan,local law,o finance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ 3.a.Total acreage of the site-of the proposed action? acres' fdcr A04.rw l b.Total acreage to be physically disturbed? _ _ acres• �ByJ �� � , c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all Land uses that occur on,adjoining and near the proposed action. E]Urban El Rural(non-agriculture) [-]Industrial ❑Commercial EfResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic [ZOther(specify): ❑Parkland Pagel of 4 i I 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? r-`I Q ,❑ 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? F1 1- 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Areal 'NO YES If Yes,identify: Fe - - 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO _ YES Ta IFT b.Are public transportation service(s)available at or near the site of the proposed action? IR ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 0- ❑ 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: (� E Vill the proposed action connect to existing wastewater utilities? NO, YES If No,describe method for providing wastewater treatment: Z ❑ 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? 2 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO VES. wetlands or other waterbodies regulated by a Federal,state or local agency? ❑ ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? (� ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: _ � ! 14. Ident6the typical habitat types that occur on,or are Iikely to be found on the project site. Check all that apply: 2'Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed'action contain any species of animal,or associated habitats,listed NO ' YES by the State or Federal government as threatened or endangered? ❑ 16.is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? -NO YES If Yes, a.Will storm water discharges flow to adjacent properties? 2NO YES ❑ . b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: [?'NO ❑YES Pagc 2 of 4 i 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: �__ __�idy/ �f .. _.v .____. w�..____ __ _ _ _ ❑ 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: 0 ❑ 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: F] I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor namp: < __ ( Date: Signature:_ Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or (Moderate small to large impact impact may may occur occur 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? 3. Will the proposed action impair the character or quality of the existing community? ® E 4. Will the proposed action have an impact on the environmental characteristics that caused the n establishment of a Critical Environmental Area(CEA)? OL L�l 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 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? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10 Will the proposed action result in an increase in the potential for erosion,flooding or 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 in one or more potentially large or significant adverse impacts and an environmental impact statement is required. F] Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental ' Ipacts Town of Southold-Board of Trustees 7 0 ( , N me o adency Date t(AJ �©INLW President Print or Type Name of Responsi c Officer in Lead Agency Title of Responsible Officer Signature of Respo_ble Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 - Board of Trustees Applicatwn AFFIDAVIT ;BEING DULY SWORN DEPOSES XND AFFIRMS T AT 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. Al2 i of Property Owner Signature of Pr pe Owner SWORN TO BEFORE ME THIS �2 DAY OF J� )20 /-1- OWOtaryyublic row" E i APPLICANT/A.GENT/REPRESENTA,TIVE TRANSACTIONAL DISCLOSURE FORINT The Town of Sobthold's Code,of Ethics prohibits conflicts of interest on"the narrof town officers and ertrplQyees I7�e nurnosc'or this Form is to provide inforination which can alert the town of possible copfhets of interest and allow it to take.whntever action is necessa ,tb avoid same YOUR NAME: (Last n e,first n ,4iiddle initial,unless yo a ying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) i NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee v Change of Zone Coastal Erosion Approval of plat Mooring i Exemption from plat or official map Planning 3 Other (If"Other",name the activity.) r Do you personally(or through your company;spouse,sibling,,parent,or child),have a reiationshilf with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business intere t"me��ns si business, including a parUn rstiip,in'tvhich the town officer or employee has even a parllal ownership of(or'employmdnt by)a corporation i in which flietdwn officer or-employee owns more than 5%0 of the shares. YES NO Fj If you answered"YES",complete the balance of this form and state and sign where indicated. Name of person employed by the Town of Southold Title or position of that person r f)escribe tate relationship-between yourself(the applicant/agent7iepresentative)and the town officer or employee.Either check I 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 applicant (when the applicant is a corporation); B)the legal or beneficial o}vner of any interest in a non-corporate entity(wlidn tate ! applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. i DESCRIPTION OF RELATIONSHIP i Submitted this of 2 Signature Print Name Form TS 1 PROOF OF MAILING OF NOTICE �.3. ATTACH CERTIFIED MAIL RECEIPTS Name: Address: gre'�y8 YA r;1.0 I'S Ay zAarj Ay 5��;� z/--Alf AA Aun A/ -4• ti -11W.-5123 Irm ai' STATE OF NEW YORK COUNTY OF SUFFOLK fdy residing at �/s l�J d " V �Yittobein duly sworn, deposes and says that on the -Fog f ti 206, deponent mailed a true copy of the Notice set forth in the Board oTf rustees Application, directed to each of the above named �r persons at the addresses set opposite there respective names; that the addresses set oppositee the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Sou old; that said Notices were mailed at the United States Post Office at 'f/O .041CIO-4RE X at said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN R19CEIPT. Sworn to before me this Day of 20 l i i Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No, OID1475693 AUdlified In Suffolk County MY Commission Expires April 30, 206 I 171 Ln m Q o d - . . = • I `° LOVU IBLAi GI � lY ,1 49 Ln � ;-o •80UTHOLt�s fiFY"11171n f z ` i ✓ ; � 1 Certified Mail Fee 'L n Certified Mad Fee ru $3.35 9 rru $3.35 4971 I • $ = $ ') 07 Ln Extra Services&Fees(check box,add fee a s p)e) V ` .°fid+ � Lr) Extra Services&Fees(check box,add fee atQgDrgpggte) E3Retum Receipt thardcopy) $ �, ❑Return Receipt(hardcopy) $ LI•UU (q r-1 ❑Return Receipt(electronic) $ $0-00 C� Po�mark Return Receipt(electronic) $ O f-1 Certified Mail Restricted Delivery $ d f-z,4r•,rrc� �� Hilre O ❑Certified Mail Restricted Delivery $ $(),00 Her�:l�� 0 ❑Adult Signature Required $ O []Adult Signature Required $ dir Ar'Y v .ted Delivery �Li+rJV �� []Adult Signature Restricted Delivery E:3 ❑Adult Signature Restrl Postage - Postage �` 1 o $0.49 � o $0.49 $ 7 4711. $ 47/47! 017 —0 Total Postage and Fees � p Total Postage and F e C3 $ $6.59 0 $ W.'99 1 rl Sent To ®G/ j f /� �J � Sent o C O y '( NN y- /� O Si�eei and Apf o or O� o. 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S (ILl1�{ciS v —S ----- ---------- C1 = -------------=T - 0 Sireei and Apt.No.,or PO Box No. O Stree n�ApCo�_o�Pt �gx S -fie �� 7- Cityl E I cue I'W i .r,•r __ _ :m a 7 .e o•,e I -_ _ _ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: t3 3 Ifa .ge Pie se q, A Me- Tor-J/1 /95SC 550T5 ne4 e ( M(1,� Na s Prc) STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , 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 , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. i Sworn to before me this Day of 120 i t Notary Public ,NUTILt: Uim HLAKING 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: MARIJO ADIMEY & VERONICA LUGRIS SUBJECT OF PUBLIC HEARING : For a Wetland Permit and a Coastal Erosion Permit to install and re-grade approximately 6 cubic yards of clean fill to eroded area of bluff; add jute matting and re-vegetate eroded area using native sea grass; install three (3) drywells to contain roof run-off on the property. Located: 21515 Soundview Avenue, Southold. SCTM# 1000-135-1 -5 TIME & DATE OF PUBLIC HEARING : Wednesday, July 19, 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) 765-1692 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. 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 acti'bn will be evaluated as to its si ign fic��nt beneficial and adverse effects upon the coastal area(wliicli 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 ansaver must be 2UIaiaied in detail, listing both supporting and noir 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 ANIS PROPOSED ACTION SCTM# - 61 bS PROJECT NAME �� The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees f� 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 e to action: IAJ4/I l Location of action: ��C�.e''�v Site acreage: . 3� Present land use: o � Present zoning classification: 2VI-O"41 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: (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 LWRP Section III—Policies; Page 2 for evaluation criteria. Yes ❑ No ❑ Not Applicable ,i►ec meWi tip s �c rA- SJ 41 14 1 tr e a 40- Or -011 l - - Attach additional sheets if necegary 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 O/1F? 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 f -- AI. A '40 '40 vl f i AL s G .# l'- lA4 Attach additional sheets if nec s ,5lcoi+iC Cbl-zkevi" NATURAL COAST POLICIES f 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 a u ,Yes,F No ❑ Not App!' ab e , v v _ _ _ � 2�,•-t Z/ /44-, ,�fiai ✓cam �' ry liteS�. Gee ZA" .+ G 41 % � l o now 26 .d � 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 F-1 No ❑Not Applicable ate! 9 •' � �� r S .v , - ope J' V-22rdyT Attach additio 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 Applicable 4 AV 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 Ej No r-1 Not Applicable WAf ,yev/ d.A d4,• _ .4,& �/ i/�/1 S_� l / q 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. ZYes '❑ No ❑ Not Applicable D y rOh/1s'�� Z�ft cit 0146 Glr CIF' 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. u Ye�j No❑ Not Applicable 41 ra '.P I� lyerJ 4149 -rc u -reP 4P, e6,041 Awl l, . Attach additional sheets if necessary i W®RIaNG 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. LYes ❑ No N t Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in bong Island Sound, the Peconic Estuary and 'Town waters. See L,WRP Section III—Policies; Pages 57 through 62 for evaluation criteria. [=1 Yes 0 No❑ Not Applicable d Attach additional sheets if necessary m Policy 12. Protect agricultural lands in the Town of Southold. See L,WRP Section III —Policies; Pages 62 ,t�hhrrough 65 for,evaluation criteria. �r Yes ❑D N ❑ Not Ap Tca e /4,�.r CA --lam le, 'frY✓ Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LVVRP Section III--Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No ❑ Not Applicable Wil• APS —G �' . S �P sr:J s , PREPARED BY TITLE !1d ^AA .S DATE&JL - ✓/� /�. - - _. To: Southold Board of Trustees From: Marijo Adimey and Veronica Lugris. Re: Permit We have hired Gerard from Southside Lanscape to replace some sea grass from the bluff that was damaged in recent rain storm. A photograph is attached of the 10 feet wide area to be repaired. In consulting with him, he has strongly recommended the placement of three (3) drywells throughout the property to help prevent the run off of water from the gutters onto the bluff and contributing to the damaged sea grass. 2 drywells will be placed in the front of the house, and one will be placed in the back on the sound side. In addition, Gerard will install the 6 foot non-turf buffer on the bluff side. I did not know if this constituted a Wetland Permit, or a Wetland-Coastal Erosion Permit. Thank you. Marijo Adimey JUN 12 2017 Southold Town rAMOM of Tr�s ep