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HomeMy WebLinkAboutTR-9068 Michael J.Domino, President �� S0UTyO Town Hall Annex John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold, New York 11971 A. Nicholas Krupski • Q Telephone(631) 765-1892 Greg WilliamsyC0U O Fax(631) 765-6641 � M�1,�� BOARD OF TOWN TRUSTEES - TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1468C Date: May 10, 2018 THIS CERTIFIES that the removal of existing 143sa ft side deck along north easterly side of existing ±28.2'x24.6' one-story dwelling,• construct a 252 ft one-story addition to existing dwelling on pilings in location of removed deck,• construct new 50sq ftentryporch/deck for addition,•remove part of existing±50sq.ft wood walk leading to existing side deck(not to be replaced);remove and replace existing±66sq ft wood walk from existing ±6.17'x7.5' outdoor shower and existing±8.25'x6.17' laundry shed to above wood walk,• existing±40sq.ft. landing and staircase seaward of bulkhead to remain;existingf266sq ft wood deck at bulkhead to be reduced in size to ±198sq ft• existing±82sq ft "L"shaped walkway that attaches to wood deck at bulkhead to remain;remove existing walkway north west of"L"shaped walkway(not to be replaced);existing± q.ft.wood deck with ±39sq ft planter attached to seaward side of existing dwelling to remain;and for the relocated existing 100sq.ft. shed to remain; At 1840 Leeton Drive,Southold Suffolk County Tax Map#1000-58-2-11 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 11,2017 pursuant to which Trustees Wetland Permit#9068 Dated August 16,2017,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal of existing 143sq.ft.side deck along north easterly side of existing±28.2'x24.6' one-story dwelling-,construct a 252sq.ft. one-story addition to existing dwelling on pilings in location of removed deck,• construct new 50sq ft entry porch/deck for addition,•remove part of existing-±50sq ft-wood-walk-leading to existing-side deck-(not-to be-replaced);-remove and-replace-existing- ±66sq ft wood walk from existing±6.17'x7.5' outdoor shower and existing±8.25'x6.17' laundry shed to above wood walk;existing±40sq ftlanding and staircase seaward of bulkhead to remain,•existing±, 266sq.ft.wood deck at bulkhead to be reduced in size to±198sq ft• existing±82sq ft "L"shaped walkway that attaches to wood deck at bulkhead to remain;remove existing walkway north west of"L"shaped walkway(not to be replaced);existing ±257sq ft wood deck with±39sq ft planter attached to seaward side of existing dwelling to remain, and for the relocated existing 100sq_ft. shed to remain. The certificate is issued to Sound Side Cottage,LLC owner of the aforesaid property. Authorized Signature Michael J. Domino, President S�*OE SOUjyo Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President h0 l0 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Q Telephone(631) 765-1892 Greg Williams 'Ol 01 AUNTFax(631) 765-6641 �� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: --,/— Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed complete,lete, compliance inspection. 1 p INSPECTED BY: ¢� COMME TS: CERTIFICATE OF COMPLIANCE: *ZF SO(/j Michael J. Domino, President � y®ll 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 Olif'OMNI 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 1 st day of construction / % constructed {� Project complete, compliance inspection 0 I-, ARD OF SOU""HO" D "OWN "'RUSITES SOUTHOLD, NEW YORK PERMIT NO. 9068 DATE: AUGUST 16, 2017 ISSUED TO: SOUK SIDE COTTAGE, LLC PROPERTY ADDRESS: 1840 LEETON DRIVE, SOUTHOLD a�...pf � I _ 61.1•��;�V SCTM# 1000-58-2-11 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 16, 2017, and in consideration of application fee in the sum of$250.00 paid by Sound Side Cottage, LLC 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 remove existing 143sq.ft. side deck along north easterly side of existing ±28.2'x24.6' one-story dwelling; construct a 252sq.ft. one-story addition to existing dwelling on pilings in location of removed deck; construct new 50sq.ft. entry porch/deck for addition; remove part of existing=L50sq.ft wood walk leading to existing side deck(not to be replaced); remove and replace existing±66sq.ft.wood walk from existing±6.17'x7.5' outdoor shower and iexistino±8.25'x6.17' laundry shei to above wood walk; existing±40sq.ft.landing and staircase seaward of bulkhead to remain; existing±266sq.ft.wood deck at bulkhead to be reduced in size to±198sq.ft.; existing±82sq.ft. "Ll' shaped walkway that attaches to wood deck at bulkhead to remain; remove existing walkway north west of"L"shaped walkway(not to be replaced); existing±257sq.ft.wood deck with±39sq.ft.planter attached to seaward side of existing dwelling to remain; and for the relocated existing 100sq.ft. shed to remain; and as depicted on the site plan prepared by Mark Schwartz& Associates,dated July 7,2017,and stamped approved on August 16,2017. 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. co CIO ............ IN�%(M JAN 5; TERMS AND CONDITIONS The Permittee Sound Side Cottage LLC 1840 Leeton 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 of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Pen-nit 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 Pen-nit 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 impainnent of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. 0 • Michael J. Domino, President *OF SO�j�o Town Hall Annex John M.Bredemeyer I1I,Vice-President 'tom l0 54375 Route 25 P.O.Box 11 Charles J. Sanders S Southold,New York 11971 Glenn Goldsmith G ® Q Telephone(631) 765-1892 A. Nicholas Krupski O Fax(631) 765-6641 �y�4UiVT�I,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 16, 2017 Michael Kimack P.O. Box 1047 Southold, NY 11971 RE: SOUND SIDE COTTAGE, LLC 1840 LEETON DRIVE, SOUTHOLD SCTM# 1000-58-2-11 Dear Mr. Kimack: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 16, 2017 regarding the above matter: WHEREAS, Michael Kimack on behalf of SOUND SIDE COTTAGE, LLC 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 July 11, 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 removal of existing 143sq.ft. side deck along north easterly side of existing ±28.2'x24.6' one-story dwelling; construct a 252sq.ft. one-story addition to existing dwelling on pilings in location of removed deck; construct new 50sq.ft. entry porch/deck for addition; remove part of existing ±50sq.ft wood walk leading to existing side deck (not to be replaced); remove and replace existing ±66sq.ft. wood walk from existing ±6.17'x7.5' outdoor shower and existing ±8.25'x6.17' laundry shed to above wood walk; existing ±40sq.ft. landing and staircase seaward of bulkhead to remain; remove existing walkway north west of"L" shaped walkway (not to be replaced); be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the LWRP Coordinator recommended that the reconstruct/reduce as-built existing, attached wood decks located within the CEHA line be found Inconsistent with the LWRP, and, k 2 WHEREAS, the Board of Trustees has furthered the Local Waterfront Revitalization Program policy 4.1 to the greatest extent possible through the imposition of the following Best Management Practice requirements.- the reduction in size of decks and walkways; and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 16, 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, 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVES the application of SOUND SIDE COTTAGE, LLC remove existing 143sq.ft. side deck along north easterly side of existing ±28.2'x24.6' one-story dwelling; construct a 252sq.ft. one-story addition to existing dwelling on pilings in location of removed deck; construct new 50sq.ft. entry porch/deck for addition; remove part of existing ±50sq.ft wood walk leading to existing side deck (not to be replaced); remove and replace existing ±66sq.ft. wood walk from existing ±6.17'x7.5' outdoor shower and existing ±8.25'x6.17' laundry shed to above wood walk; existing ±40sq.ft. landing and staircase seaward of bulkhead to remain; existing ±266sq.ft. wood deck at bulkhead to be reduced in size to ±198sq.ft.; existing ±82sq.ft. "L" shaped walkway that attaches to wood deck at bulkhead to remain; remove existing walkway north west of"L" shaped walkway (not to be replaced); existing ±257sq.ft. wood deck with ±39sq.ft. planter attached to seaward side of existing dwelling to remain; and for the relocated existing 100sq.ft. shed to remain; and as depicted on the site plan prepared by Mark Schwartz & Associates, dated July 7, 2017, and stamped approved on August 16, 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. 3 Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, nwm'%M'� Michael J. Domino President, Board of Trustees MJD/dd � *pE SO!/P Michael J. Domino, President AoV' ®lo 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 �l ® yQ Telephone(631) 765-1892 A.Nicholas Krupski 17COUM Fax (631) 765-6641 5 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Sla� TO: S Upp S tx- 05MG U-C C/0 thl�{� KtAA£e Please be advised that your application dated Tvt� (d( 2-0t7 has been reviewed by this Board at the regular meeting of 6r Sr (/ l and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 St Day of Construction ($50.00) -Y2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement(complete original form enclosed and submit to Board of Trustees Office) 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: $ 54 60 BY: . Michael J. Domino, President Board of Trustees i REVISIONS: 4-18-16 Site Details 8-26-16 BID set 7-6-17 Rev plot V11 7-7-17 Rev lot la LOT COVERAGE � �—` LOT AREA 12,664.90 DRYWELL CALCULATIONS -� BUILDINGS DRAINAGE FROM ROOF C EXISTING 693.72 14'-0" X 10'-0" X 2 = 280 Sq Ft RO F p 1 280 (.17) X 1.0 = 47.60 CF MHWM PROPOSED 251.95 47.60 / 8.73 = 5.45 O Opp,'/\ LAUNDRY SHED 50.63 J a R .��/,� SHED 100.00 USE (1) 4'-0" 0 X 6'-0" DEEP DRYWE L C_� > S 5.45 FT REQUIRED TOTAL BUILDINGS 1096.30 6.00 FT PROVIDED O.K. . -nE LINEDECKS ALONG / EXISTING 854.26 / MHWM �` PROPOSED 62.31 O / \ BULKHEAD 128.90 TOTAL DECKS 1045.47 FLOOD ZONE LINE TOTAL COVERAGE 2141.77 PROVIDE LIGHT DUTY INLET MA NTENANCEOR �61O ,�h �. \ J 2141.77 / 12664.90 = .169 8 THICK PRECAST � ` \ - 16.9% < 20% ALLOWED OK CONCRETE TRAMC z, / REMOVE EXISTING GRADE BEARING SLAB 0 O DECK AS SHOWN �--a REMOVE EXISTING 00FIX.,':': ' O �k. ,% �. DECK AREAol Ej D] SDR 35 PVC INLET PIPE l H • f; `� j r' FROM ROOF LEADERS v r . 0.0' EL. 6.0' DamBROWN yy SO• ��� . ' \ c SAND MILTY a a PLACE FlLTER FABRIC "U Q , ♦ : .. 0.2 00°0��0o Q, p E`j� , j o oa Q O D d � a � AROUND STONE C>� TOP OF WOOD / y PALE BROWN SDR 35 PVC INLET ct ��odo oo° 0 q BULKHEAD i \ - \ FINE TO 1 PIPE FROM ROOF a °o o�oo � Q-1 Q y �y� EL, 10.7 / �� COARSE CD LEADERS odd°o a°�°� 4 DIAMETER' x 6 DEEP f�'` \ SAND SW \dao PRECAST CONCRETE O O 0 EXISTING SIDE DECK o a o �° LEACHING RING. c� \ \ \ �ti PROPOSED 10' X 24.6' TO BE REMOVED & 3.5, �� A' / '�' `ti \ NOT REPLACED °°�° oa \\ 0 G ONE STORY ADDITION �� 0o 00 o c� 16 L110 / / Q, 1 i �o°°apo oo° Q \ do Qqo do°p.o 0 0000CLEAN A^` y �� �- °oa° GRAVELFILL. & J ' x \ G .cam �\yy� \ �O \ I cc a o 0 ` , ?A �Pe a�a ) �h p N 0 o O poo°oo \ \ GROUND o o/ '`�u�• \ WATER I N WATER IN PALE \ U PROPOSED J \ BROWN FINE TO WATER ENCOUNTERED AT 13'-0" +� ? ENTRY DECK 13.0 COARSE SAND SW 2'-0" Min. 4'—O" Diameter 2'-0" Min. AteTEST HOLE D• ` \ WOOD WALK TO \ M DONALDATA , BE REMOVED & GEOSCIENCE NOT REPLACED ` ��, PROPOSED ' , 04 / 17 / 07 2 TYPICAL SECTION AT LEACHING POOL Grass Swale Detail) Q Z / \ hQ�h�, 5 CANTILEVERED ; ; \. EXIST WOOD WALK cola. NTS O BAY WNDOW � TO BE REMOVED 1• n TEST HOLE o AND REPLACEDL ��'�,.�\\ Scale: NTS • 4 N UNDRY p O ?�oI �0• SHED EXISTING �'/0 APPROVED BY ,.4 0`6 SHED J� \ AREA OF SEP BOARD OF 1 RUSTEES .ct ��e. \ � TOWN OF SOUTHO_LD �h , 6, Q DATE �! srl�� Zot7 10. U p C ++ cl� m Lr) x :E � dCO 18'-0» MAX. C. t0 C. _ a z ° a)!E FLOW _ c� E s 77 GRADE `o = a .0 05 00 \ ��9,Q O '� -'---�-6 MIN. C14 tL PHOT PLANa �-' � A Scale: 1 " = 20'- 011 \ � / SLOPE 4 VERTICAL � �,0 '�9 FACE 'tea \ PERSPECTIVE VIEW w ''�. \ / O BEDDING DETAIL U Q \ 36" MINIMUM 2 � \ ANGLE FIRST STAKE TOWARD ® ''L y� f PREVIOUSLY LAID BALE. �;� FENCE POST Q O ���� f�-r� WOVEN WIRE FENCE lip ` FLOW L �-, fes n (6 x 6 - 10 / 10 WWF z 1- FILTER CLOTH � U_ {U EMBED FILTER CLO RgDE < BOUND HAY BALES PLACED ON CONTOUR MIN. 6" INTO GROUND- 2 ROUN 2 RE-BARS: STEEL PICKETS OR NOTE: 2 x 2 STAKES 1 .5 to 2 IN GROUND. MAXIMUM DRAINAGE AREA. DRIVE STAKES FLUSH WITH TOP OF 1 2 ACRE 100 LINEAR FEET . ` � Z �' r— I / / ' Q. DRAWN: JM/MS HAY BALES. A, ,�. I JUL 1 1 2017 M �o; mer+ SCALE: AS NOTED SECTION DETAIL 4' z' ° 6 JOB#: ANCHORING DETAIL � � +�� 5ou!hold lown O { 4 SILT T NSE FENCE E DETAILS � �� � ;a: �: ��� �� SHEET NUMBER: 8�r�os Y f 3 STRAW BALE DIKE DETAILS Scale: NTS �b,, s<a st 11 Michael J. Domino, Preside —',, %xjfF01 ? Y�cy Town Hall Annex John M. Bredemeyer III,Vice-Presse t j�0 Gym 54375 Route 25 Charles J. Sanders o - P.O.Box 1179 C4 Ze Glenn Goldsmith Y Southold,NY 11971 A.Nicholas Krupski �L �p'D Telephone(631)765-1892 1 f� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD P Date/Time: ( 1 Completed in field by: -sh c(A-,z5 Q- -1 Y,Iev-j Michael Kimack on behalf of SOUND SIDE COTTAGE, LLC requests a Wetland Permit to remove existing 143sq.ft. side deck along north easterly side of existing ±28.2'x24.6' one-story dwelling; construct a 252sq.ft. one-story addition to existing dwelling on pilings in location of removed deck; construct new 50sq.ft. entry porch/deck for addition; remove part of existing ±50sq.ft wood walk leading to existing side deck (not to be replaced), remove and replace existing ±66sq.ft. wood walk from existing ±6.17'x7.5' outdoor shower and existing ±8.25'x6.17' laundry shed to above wood walk; existing ±40sq.ft. landing and staircase seaward of bulkhead to remain; existing ±266sq.ft. wood deck at bulkhead to be reduced in size to ±198sq.ft.; existing ±82sq.ft. "L" shaped walkway that attaches to wood deck at bulkhead to remain; remove existing walkway north west of"L" shaped walkway (not to be replaced); existing ±257sq.ft. wood deck with ±39sq.ft. planter attached to seaward side of existing dwelling to remain; and for the relocated existing 100sq.ft. shed to remain. Located: 1840 Leeton Drive, Southold. SCTM# 1000-58-2-11 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 Public Notice of Hearing Card Pos d: Y / N Ch. 275 �/ Ch. 111 SEQRA Type: 1 II Unlisted Action Yp // Type of Application: Pre-Submission Administrative Amendment L�Wetiand Coastal Erosion Emergency Violation Non-Jurisdiction Surveys 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: q ID o No Ss U Present were: J. B demeyer �M. Domino Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino,Preside S�trFO(,� 0 COG • Town Hall Annex John M. Bredemeyer III,Vice-President �� ��, 54375 Route 25 Charles J. Sanders `O a P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski 4,, Z%- (631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Michael Kimack on behalf of SOUND SIDE COTTAGE, LLC requests a Wetland Permit to remove existing 143sq.ft. side deck along north easterly side of existing ±28.2'x24.6' one-story dwelling; construct a 252sq.ft. one-story addition to existing dwelling on pilings in location of removed deck; construct new 50sq.ft. entry 'porch/deck for addition; remove part of existing ±50sq.ft wood walk leading to existing side deck (not to be replaced); remove and replace existing ±66sq.ft. wood walk from existing ±6.17'x7.5' outdoor shower and existing ±8.25'x6.17' laundry shed to above wood walk; existing ±40sq.ft. landing and staircase seaward of bulkhead to remain; existing ±266sq.ft. wood deck at bulkhead to be reduced in size to ±198sq.ft.; existing ±82sq.ft. "L" shaped walkway that attaches to wood deck at bulkhead to remain; remove existing walkway north west of"L" shaped walkway (not to be replaced); existing ±257sq.ft. wood deck with ±39sq.ft. planter attached to seaward side of existing dwelling to remain; and for the relocated existing 100sq.ft. shed to remain. Located: 1840 Leeton Drive, Southold. SCTM# 1000-58-2-11 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal•waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of,the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 I� SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SOUTHOLD 4 SUFFOLK COUNTY, MY 1000-56-02-11 SCALE: 1=20' AUGUST 19. 1998 JULY 28, 2015 ZONE AUGUST 25, 2005 (TOPO)(PROP. NOOSE) YE eI.16 / / �.�-� 2f SEPT. 2, 2015 o j r1f li�I /� �A. G� 9AI►O .��1 O ify>O�GL Dc� / / F -.J ZONE el is ?R,� VE NIP TEST HOLE DATA 04117107 00.0' BROWN SILTY SAND SAI - Da2' --- �. F \ "fir sr� n E G E V PALE BROWN FlNE TD COARSE SAND SW s' 35 --- ,o `\�,�� "�.�• A P� JUL 1 2017 41) WAM?1N PALE BROWN FlNE TO COARSE SAND SW 0 - Southold Town •� \ �F~ 'Y���1 r fTu RL FEMA FLOOD ZONES FROM FEMA MAP #36103CO184H CONTOUR LINES ARE REFENCED TO NAW 4j �� QJ0 noN �Q �G �Ch� y .Y.S. LIC. NO. 49618 ANY ALTERATION OR ADD1nON TO THIS SURVEY IS A WOLA CONIC SWCYORS, P.C. OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERnRCAnONS 631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF Gko P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRA VELER STREET Q WHOSE SIGNATURE APPEARS HEREON. 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COASTAL kNO•JON HA2PHU AREA CI.ASSiFk ATgNS Frr+v`Aw F+TA[ _. vEw v.q+ •PIf OEAP+T M[+T 0 L-v5_+v Al�Cr. •"' "" linOwirN Lin•q 0l Nalu�.al irOiecBva Fealura Arno EOsgTe�Eg03i0M uege.F er..x gi�v.ae• Struf.......Arca TOWN OF SOUTHOLD 11-01.E LAGS C Sq ATE LIMITS SCALE 12400 •zoo IAPVXCi i f„ SUFFOLK COUNTY ,NEW YORK .__._—_ __ _ _ o A•,..... _ - ,.�w„�, +e,..... °3i;,,�e..' Photo No 56 566 83 SHEET 8 Of ^'O t � 1 A BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 6716 DATE: SEPTEMBER 19,_2007 a ISSUED TO: MISSY DIACK PROPERTY ADDRESS: 1840 LEETON DRIVE, SOUTHOLD SCTM#58-2-11 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 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 September 19,2007,and in consideration of application fee in the sum of$250.00 paid by Missy Diack 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 relocate the existing single-family dwelling-landward and construct an addition (1,295 sq.ft. overall) to be situated 80'+/- from the wetlands boundary; rear decking(622 sq. ft.) situated 64'+/-from the wetlands boundary; rear plat and walkways(411 sq. ft.+/-) situated'5'+/-from the wetlands boundary; retaining wall to surround the proposed sanitary system within the front yard,situated 127'+/- from the wetland boundary; and a gravel driveway (540 sq. ft.)situated 120' from the wetlands boundary; and to maintain the timber bulkhead in-place,with the condition of the installation of gutters and drywells to contain roof runoff, a line of staked hay bales to be installed prior to construction, and the area landward of the bulkhead remains non-turf, and as depicted on the survey prepared by Peconic Surveyors, last dated September 24, 2007, and received on September 28,2007. 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. F044r James ing — Absent �.f Dave Bergen — Absent DEC Cis V E D ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLA TIN OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAY i 8 EXCEPT AS PER SECTION 72G¢SUBDIVISION 2.ALL CERTIFICAYIONS yp IIEREN ARE VALO FOR THS 94F AND COPIES THEREOF ONLY F SA19 KAP OR COPIES BEAR THE BIPRESSED SEAL OF THE SURVEYOR WHDSE SIGMATURF APPEARS HEREOM Southhold Town ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY' Board of Trustees Muir 6f L)Sf0 er AHY AHD ALL 5VflVfrOR5 VTR1zwG A cop r OF ANOTHFJt SL,4V£YOR'S MAP. TERMS SUCH AS 1"LSP£CTED'AND BROUGHT-TO-DATE'ARE NOT W COMPLIANCE WITH THE LAW. LONG ISLAND SOUND NOTE SUBSURFACE SEWAGE DISPOSAL SYSTEM DESIGN BY, JOSEPH FISCHETTI,P.E. —" 7502' —rrL■x — HOBART ROAD N. 49'15'00'E. . SOUTHOLD, N.Y.11971 (631) 765 -2954 rr ut Zwe ✓E` el is nauF WOW SlgCAO Tn.A CrrA FF.QJJ 1•Q 6.S W o o a WJ t/L' Fllo�cYlA6C d s 9 Z otj E A E(BI II, r L A T 4wrrlvl ae. .• BFT. C00.lICJ IF 11.0 ■ Al EFoslo� a res loco oA,. t7ao E r��� �-, {IaZo✓al-/✓Re _ � STPTIC rArx i a wM I e,u,.w WATER —L r CLNTM C.P.U rNr ell\T ` r t6 :_c_OSTere i� PROPOSED SEWAGE DISPOSAL SYSTEM 5 POOLS CLEAN SAND 3'COLLAR 1000 GAL.PRECAST con Lr r11 CRETE SEPTIC TANK BOTTOK OF 3 LEACHING POOLS TO BE 2'ABOVE GROUNDWATER J_ ,o--� ��\ of hl n G CONa•ybc+ ,fcs // CROSS SECTION SEPTIC SYSTEM - 1 I STY. N I I, HSE J. 1q( i i rod W ti f1 (w he r l,a I I a4" i r -- Q , `� l..vra••vr �•rw.ALL Q.eB sJ RMAR AT IB' ou N ; J. IIPwD y 1 d !/. Itse Prop Lu — ; N RC/6La•1`BOi' ( I J9.} —,,0 ws REHAB AT lo-' � ` �A /,0�S.e/l5'I AaLo�N 5 DW °21 4 n ERn J I La 46•IJ oOWEI.•lo" Q,AOE YARFJ LL1 \ — z 4i IJ R 6•EACH WAY H FoorM a i 20 Lp� 7fL / o s B�3 �P• PFO)d W) IOCONCRETE To BE 3000 pst _ Bl ;v 3.ENGWEER To CERTFY THE FW4L CONSTRUtTIN OF P I P. l P aJ/VC It P DEPT£TAM'WG WALL AS REOUP7ED BY THE HEALTH --N- ENGW£ER TO BE CALLED TO INSPECT-THE P I Oi REWF0RCING BEFORE PLACEMENT OF CONCRETE n el � TB5 GN S. 45'3530' W. 75.00' 0 LEETON DRIVEp els APPROVED BY tI m3 (PUBLIC WATER IN STREET) BOARD OF TRUSTEES oCweJ!/ngs (p..bJl� wager) TOWN OF SOUTHOLD SURVEY OF PROPERTY Z DATE lo__9 97 AT SOUTHOLD w TOWN OF SOUTHOLD Y SUFFOLK COUNTY, NY TEST BORING f 1000 - 58 - 02 - 11 By McDONALD GEOSClENCE r OF NE;• SCALE, 1' = 20 o EL 7 SE 117 AUG 19, 1998 BR SILTY SAND SM CT' yl Q PALE OR FINE TO COARSE I AUG25,2005(TOPO)(PROP.DISE) 3.3 SAND sn 7VNE S,Zo07 (PRcP. ADD ITWATERr• ;`•.a" f\ y, 7N BR JULY 11 2007(revisions) FINE 10 COARSE SAND AUG17 2007(COASTAL EROSION HAZASD-NM SA SEPT.�4,20071 DW.6 HAYBALES) \.-:-,,,,,__• 13' FLOOD ZONES FROM FIRM MAP NO. 36103CO154 G 4n7/07 ,«j1 j 0 ' DATED MAY 4, 1998 ELEVATIONS ARE REFERENCED TO NGVD. �jjy�, N.Y.S. LIC. NO. 49618 AREA = 11,690 sq. ft to tie line PEcoNic SURVr YORS, PC. - (63N 765 -5020 FAX 163/1 765 -1797 COASTAL EROSION HAZARD LINE FROM COASTAL P. 0 BOX 909 EROSION HAZARD AREA MAP Pholo #56-566-831230 TRAVELER STREET PROPOSED-2-DRYYEILS WO•7'DEEP SOUTHOLD, N Y 11971 98-254 New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY at Stony Brook,50 Circle Road,Stony Brook,New York 11790-3409 Phone: (631)444-0365 • FAX:(631)444-0360 Website:www.dec.state.ny.us Alexander B.Grannis Commisioner LETTER OF NO JURISDICTION-TIDAL WETLANDS ACT Mildred Diack August 7, 2007 1840 Leeton Drive Southold, NY 11971 Re: Application#1-4738-03736/00001 Diack Property, 1840 Leeton Drive, Southold S.C.T.M.#1000-58-2-11 Dear Ms. Diack: Based on the information you have submitted, the Department of Environmental Conservation (DEC) has determined that: The property landward of the pre-existing (prior to 8/20/77) bulkhead, which is more than 100 feet in length, as shown on the aerial photograph (exposure 70-1968 dated 6 APR 76)obtained from AeroGraphics Corp., is beyond Article 25(Tidal Wetlands Act)jurisdiction. Therefore, in accordance with the current Tidal Wetlands Regulations(6NYCRR Part 661)no permit is required. Be advised, however, that no construction, sedimentation, or disturbance of any kind_ may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e.a 15'to 20'wide construction area)or erecting a temporary fence, barrier, or hale bay berm. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely, /ark Deputy Permit Administrator cc: Suffolk Environmental Consulting, Inc. NYSDEC, Marine Habitat Protection file(kaf) APPEALS BOARD MEMBERS • rg S0(/ ® Mailing Address: Ruth D. Oliva, ti0�� TyQ1Southold Town hall GeraidP.Goehringer , Chairman 53095 Main Road-P.O. Box 1179 Southold,NY 1.1971-0959 James Dinizio,Jr. =s O#lceLocation: Michael A. Simon 0 iQ Town Annex/First Floor,North Fork Bank Leslie Kanes Weisman COU01 54375 Main Road(at Youngs Avenue) Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS RECEIVED TOWN OF SOUTHOLD Tela(631)765-1809-Fax(631)765-9064 WX 1020 FINDINGS, DELIBERATIONS AND DETERMINATIO474 MEETING OF FEBRUARY 7, 2008 Soy old Town Cler$ ZB# 6109—MISSY DIACK Location of Property: 1840 Leeton Drive, Southold CTM 58-2-11 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application has been referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning reply dated December 10, 2007 states that the application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. BASIS OF APPLICATION: Zoning Code Section 280-116A.3, based on the Building Inspector's October 11, 2007 Notice of Disapproval, amended January 17, 2008, concerning a proposed relocation of a dwelling and new additions and alterations adjacent to the Long Island Sound. ZONING CHAPTER 280 OF TOWN CODE (formerly Chapter 100)- Zoning Code Section 280.116 A.2 states that all buildings and structures located on lots adjacent to the sound shall be set back no less than 100 feet from the ordinary high watermark of said sound. LWRP DETERMINATION: The applicant is requesting a variance to relocate an existing single-family dwelling landward and to construct an addition to be located 80' from the wetlands boundary for an as-built porch and deck set back less than 75 feet from the bulkhead. Pursuant to the procedures under Chapter 268, Waterfront Consistency Review of the Town of Southold Code and Local Waterfront Revitalization Program (LWRP) standards, a letter was issued by LWRP on January 9, 2008 with recommendations related to inconsistencies for construction at less than 100 feet from the wetland line. Chapter 275-3 requires a minimum of 100 feet, and compliance with Trustee regulations and recommendations set forth in Trustee Permit Conditions. In addition, a minimum setback requirement of 100 feet measured from the top of the bank adjacent to the Long Island Sound,is required under Chapter 280. Recommendations under LWRP to mitigate these concerns are addressed in a January 25, 2008 letter issued by the Suffolk County Soil and Page 2—February 7, 2008 ZBA#6109—Missy Diack CTM 58-2-11 Water District, part of the record under ZBA#6109 and received by the applicant's agent. Recommendations include proposed non-turf plantings, placement of hay bales during construction, and permanent installation of gutters and downspouts running into storm- water basins. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on January 24, 2008, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: Applicant proposes relocation of an existing one-story 25 ft. by 28 ft. dwelling, 22 feet landward from its current site, removal of a 13' x 14' wood deck currently attached at the seaward side of the dwelling, addition of a 16' by 32' deck, and addition of a 17' x 35' extension eastward of the existing house, as shown on the September 24, 2007 revised site survey prepared by Peconic Surveyors, P.C. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Town Law 4267-b(3)(b)(3)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The result of relocating the house will increase its distance from the wetlands boundary from 53' to 80' for the house and 64 feet for the deck from the same boundary. 2. Town Law §267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. Code requirements would yield a building envelope 20 feet in depth. 3. Town Law §267-b(3)(b)(3). The variance requested herein is not substantial. Granting the relief sought concerning this existing nonconforming house will amount to an increase in the setback from the sound for more conformity. 4. Town Law §267-b(3)(b)(5). The difficulty has not been self created. It is a consequence of zoning restrictions enacted subsequent to establishment of the lot. 5. Town Law 4267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. Grant of the relief requested is the minimum action necessary and adequate to enable the applicant to enjoy the benefits of the above, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. t Page 3—February 7, 2008 ZBA#6109—Missy Diack CTM 58-2-11 RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Weisman, seconded by Member Dinizio, and duly carried, to GRANT the variance as applied for, as shown on Plans prepared by Eileen Santora Residential Designer and certified by Joseph Fischetti, P.E. (pages 1 and 3 dated 12- 6-06, Page 2 dated 3-18-07, Page 4 dated 3-22-07, Page 5 dated 6-2-05), and shown on September 24, 2007 revised site survey prepared by Peconic Surveyors, P.C. Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes: Members Oliva (Vice Chairwoman), Dinizio, and Weisman. Chairman Goehringer and Member Simon were absent. This Resolution was duly adopted (3-0). 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' 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. �l Iames ing — Absent Dave Bergen — Absent 4 APPEALS BOARD MEMBERS rjv Mailing Address: Ruth D. Oliva. O 1 , $U(/TyQ Southold Town Hall 53095 Main Road•P.O. Box 1179 Gerald P.Goehringer , Chairmant Southold,NY 11971-0959 James Dinizio,Jr, u2 ar Mice Location: Michael A. Simon 0 �� Town Annex/First Floor,North Fork Bank Leslie Kanes Weisman l'YCOU 54375 Main Road(at Youngs Avenue) Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS RECEIVED -I- TOWN I-TOWN OF SOUTHOLD Tel.(631)765-1809•Fax (631)765-9064 m j o w FINDINGS, DELIBERATIONS AND DETERMINATIO Q??Af�& MEETING OF FEBRUARY 7, 2008 Soy old Town ClerS ZB# 6109-MISSY DIACK Location of Property: 1840 Leeton Drive, Southold' CTM 58-2-11 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application has been referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning reply dated December 10, 2007 states that the application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. BASIS OF APPLICATION: Zoning Code Section 280-116A.3, based on the Building Inspector's October 11, 2007 Notice of Disapproval, amended January 17, 2008, concerning a proposed relocation of a dwelling and new additions and alterations adjacent to the Long Island Sound. ZONING CHAPTER 280 OF TOWN CODE (formerly Chapter 100 : Zoning Code Section 280.116 A.2 states that all buildings and structures located on lots adjacent to the sound shall be set back no less than 100 feet from the ordinary high watermark of said sound. LWRP DETERMINATION: The applicant is requesting a variance to relocate an existing single-family dwelling landward and to construct an addition to be located 80' from the wetlands boundary for an as-built porch and deck set back less than 75 feet from the bulkhead. Pursuant to the procedures under Chapter 268, Waterfront Consistency Review of the Town of Southold Code and Local Waterfront Revitalization Program (LWRP) standards, a letter was issued by LWRP on January 9, 2008 with recommendations related to inconsistencies for construction at less than 100 feet from the wetland line. Chapter 275-3 requires a minimum of 100 feet, and compliance with Trustee regulations and recommendations set forth in Trustee Permit Conditions. In addition, a minimum setback requirement of 100 feet measured from the top of the bank adjacent to the Long Island Sound is required under Chapter 280. Recommendations under LWRP to mitigate these concerns are addressed in a January 25, 2008 letter issued by the Suffolk County Soil and Page 2—February 7, 2008 ZBA#6109—Missy Diack CTM 58-2-11 Water District, part of the record under ZBA #6109 and received by the applicant's agent. Recommendations include proposed non-turf plantings, placement of hay bales during construction, and permanent installation of gutters and downspouts running into storm- water basins. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on January 24, 2008, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: Applicant proposes relocation of an existing one-story 25 ft. by 28 ft. dwelling, 22 feet landward from its current site, removal of a 13' x 14' wood deck currently attached at the seaward side of the dwelling, addition of a 16' by 32' deck, and addition of a 17' x 35' extension eastward of the existing house, as shown on the September 24, 2007 revised site survey prepared by Peconic Surveyors, P.C. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Town Law 5267-b(3)(b)(3)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The result of relocating the house will increase its distance from the wetlands boundary from 53' to 80' for the house and 64 feet for the deck from the same boundary. 2. _Town Law §267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. Code requirements would yield a building envelope 20 feet in depth. 3. Town Law 5267-b(3)(b)(3). The variance requested herein is not substantial. Granting the relief sought concerning this existing nonconforming house will amount to an increase in the setback from the sound for more conformity. 4. Town Law §267-b(3)(b)(5) The difficulty has not been self created. It is a consequence of zoning restrictions enacted subsequent to establishment of the lot. 5. Town Law 5267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. Grant of the relief requested is the minimum action necessary and adequate to enable the applicant to enjoy the benefits of the above, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. Page 3—February 7, 2008 ZBA#6109—Missy Diack CTM 68-2-11 RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Weisman, seconded by Member Dinizio, and duly carried, to GRANT the variance as applied for, as shown on Plans prepared by Eileen Santora Residential Designer and certified by Joseph Fischetti, P.E. (pages 1 and 3 dated 12- 6-06, Page 2 dated 3-18-07, Page 4 dated 3-22-07, Page 5 dated 6-2-05), and shown on September 24, 2007 revised site survey prepared by Peconic Surveyors, P.C. Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes: Members Oliva (Vice Chairwoman), Dinizio, and Weisman. Chairman Goehringer and Member Simon were absent. This Resolution was duly adopted (3-0). RUTH D. OLIVA, Vice Chairwoman 3/� /08 Approved for Filing New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY at Stony Brook,50 Circle Road,Stony Brook,New York 11790-3409 Phone: (631)444-0365 • FAX: (631)444-0360 gable Website:www.dec.state.ny.us Alexander B.Grannis Commisloner LETTER OF NO JURISDICTION-TIDAL WETLANDS ACT Mildred Diack August 7, 2007 1840 Leeton Drive Southold, NY 11971 Re: Application#1-4738-03736/00001 Diack Property, 1840 Leeton Drive, Southold S.C.T.M.#1000-58-2-11 Dear Ms. Diack: Based on the information you have submitted, the Department of Environmental Conservation (DEC) has determined that: The property landward of the pre-existing (prior to 8/20/77) bulkhead, which is more than 100 feet in length, as shown on the aerial photograph (exposure 70-1968 dated 6 APR 76)obtained from AeroGraphics Corp., is beyond Article 25(Tidal Wetlands Act)jurisdiction. Therefore, in accordance with the current Tidal Wetlands Regulations(6NYCRR Part 661)no permit is required. Be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15'to 20'wide construction area)or erecting a temporary fence, barrier, or hale bay berm. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely, /rk amara Deputy Permit Administrator cc: Suffolk Environmental Consulting, Inc. NYSDEC, Marine Habitat Protection file (kaf) E C E VE - ANY ALTEp RATION OR ADDITION TO THIS SURVEY IS A VIOLATION D OF SECTX7N 7209 OF THE NEW YORK STATE EDUCATION LAW EXCEPT AS PER SECTION 7209-SU9DMSIOH 2.ALL C£RTIFICAyJQNS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY Ir SAO IUP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIANATUR£APPC IRS} E014 Sod Town ADDITIONALLY TO COIrPLY WITH SAID LAY THE TERM AL T£R£D BY' BDard rd of a1 Trustees I1 UST 6E USED pr ANY AND ALL SURVEYORS OTA N6 A COPY OF ANOT?deR SUMEYOMS NAP. TERMS SUCH AS%"LSP£CTEO'AND 6R000HT-TO-OATE'ARE NOT W COMPLIANCE WITH THE LAW, LONG ISLAND SOUND NOTE SUBSURFACE SEWAGE DISPOSAL SYSTEM DESIGN BY, JOSEPH FISCHETTI, P.E. — 75.02' ,—— —YR�x HOBART ROAD — N. 44'/5'00'E. SOUTHOLD, N.Y. 11971 ,MI►x� (631) 765 -2954 rr LmZo.Ie ✓E e is rDGV E:LA[�D 7o+y L,ry wwr FF QJ5 77 d 4* ' I D D D K!J i 193 /IIiRC=DRADC K A! Z Ot`)E A (el R) r c A r *ab,..„p .•yy.n,. Rrr C00.yI(� IE Mo IL t'rOJ/D7 /DOD dAf- E740 E 7J crp-1 NaYc✓O/-(Jne _ EI03 SV.Tr TAM d'0.fN3 rATFR LT \ T8{ ^ EL J5 CGYrE CP or nvr POz-CUSrIR h PROPOSED SEWAGE DISPOSAL SYSTEM 5 POOLS t WITH CLEAN SAND 3'COLLAR 1000 GAL.PRECAST 1,n G CONCRETE SEPTIC TANK BOT prop TOX OF 3 LEACHING POOLS TO BC 2•ABOVE GROUNDWATM 7J' __ / CROSS SECTION SEPTIC � T ra,r I\ l I SYSTEM 1 1 STT F 1 3 2 I I HSE. Ube r �r� -- UI 29 b_ .�—( rm.AGI CLeB L r I!ROLR AT IB• m I t I)G' 3 J• .uan x 1 X to �I' N Re/acof[pL`I ^Prop) lU — n r� (' r9•} -to 1s AR AT lo• ,v fin fPL.el 5'I 5, DW U6 rvmn V� �•0 r 2S � � i .a•t5 Do-a•10' Dnyx v;-S,. +6 F i 2a, � W 05 R e•E1°I rAY M roD TAG a' �P ` 74L /,P- r Fp�• V, N.C TE, TO BE 3000 Psl E y/-Va/ 2 STEEL TO BE 60 Ad . I 3 ENGNEER TO CERTIFY THE FWAL CONSTRUCTION OF P 1 0. IP �!V[ ? THE RETAINNG WALL AS REOMED BY THE HEALTH --N- I - - ( erYloul) _ DEPT. - P ENGWEER TO BE CALLED TO RVSPECT THE V, I E d• h - REWFORCWG BEFORE PLACEMCNT OF CONCRETE V, 1 10 �S 3 2 el TeyD PWdn, (800' G9 S. 45'35'30' W. 75.00' Q LEETON DRIVE " Q 5 APPROVED BY (PUBLIC WATER IN STREET) dwc!/Ings BOARD OF TRUSTEES ip 67/A w°fer) TOWN OF SOUTHOLD SURVEY OF PROPERTY MATE to-a_p7 AT SOUTHOLD w TOWN OF SOUTHOLD Y SUFFOLK COUNTY, N.Y. 1000 - 58 - 02 - 11 TEST BORING / BY wDONALD GEOSCIENCE pF NEV,, SCALE 1'/ = 20 D EL 7 �E r0 AUG 19, 1998 2'_-_ BR SILTY SAND SM HET` h�\ PALE SR FNE TO COARSE C\ AUG.25,2005(TOPO)(PROP.HSE) 3.5 SAND Sw 7UNZ 6 Z007 PRoP ADD Ir) 6 •l a-> r1 WATER IN PALE BR k < JULY 1,12007(revisions) FINE 10 COARSE SAND AUG li 2007(COASTAL EROSION H_Z.+D LINE! SN / a� •,� i SEPT.�4,20071 Dd' a HAYBALES) _. FLOOD ZONES FROM FIRM IfAP NO 3610300154 G4I17/07 4 ¢ DATED MAY 4, 1998 �L'r7 ELEVATIONS ANE REFLRENCLD TO NGVO. N•Y.S. LIC NO. 49618 AREA = 11,690 Sq ft. tO tie line r'V PECONIC SURWYORS, PC - (6311 765 - 5020 FAX(631) 765-1797 COASTAL EROSION HAZARD LINE FROM COASTAL P O. BOX 909 EROSION HAZARD AREA MAP Pholo #56-566-83 1230 TRAVELER STREET PROPOSED-2-DRYWE7.LS 6'1•5'DEEP SOUTHOLD, N Y 11971 98-254 0 S / \ c 0 °\\ oila r/ \ el /' - ••\ Y4�. Q \ / L 0 c �.^9 }Nvsnpm wua,po xa.m� CHITECT `°"a "r uw Diack-Chilton Residence gDDITIONS&ALTERATIONS t F °e .101ur+1s1 v..Uun+mo 1840 Le Drive PROPOSED PLOT PLAN N ofi MARKSQIWAR2&A�CIA7}5 em.a mtw"i�m.gxaaih.m wnsx.mpviw.,wM..® Southold,NY O 11 GN \. / c 0 / A \ j4"' o p - " 1101,11 C �• /" •'\ Q, tip <� �r 0 ^ CHITEO-r I "rnw Diack-ChiltonResidence ADDITIONS&ALTERATIONS 1 y c10, lren.,uiss I..Ia,Vnwi a 1840 Leeton Drive PROPOSED PLOT PLAN N ob MANN KFILVAIfIZ6 ASSOCIAI ES r�I TlvrtAiimi4pWia.n i wnsa nnraimwnwm.a, Southold,NY .t` � yrry+;,"'� �h:���'�+i ���"t 6� �,:�'�s a �.� a-- � Q 1E1`rs.. «z k« �$i ,1� ♦, V �} § A, V. 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Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold,NY 11971 �� Telephone: 631 765-1938 C®U ,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: August 15, 2017 Re: Local Waterfront Revitalization Program Coastal Consistency Review for SOUND SIDE COTTAGE, LLC SCTM# 1000-58-2-11 Michael Kimack on behalf of SOUND SIDE COTTAGE, LLC requests a Wetland Permit to remove existing 143sq.ft. side deck along north easterly side of existing ±28 2'x24.6' one-story dwelling; construct a 252sq.ft. one-story addition to existing dwelling on pilings in location of removed deck; construct new 50sq.ft. entry porch/deck for addition; remove part of existing ±50sq.ft wood walk leading to existing side deck (not to be replaced); remove and replace existing ±66sq.ft. wood walk from existing ±6.17'x7.5' outdoor shower and existing ±8.25'x6.17' laundry shed to above wood walk; existing ±40sq.ft. landing and staircase seaward of bulkhead to remain; existing ±266sq.ft. wood deck at bulkhead to be reduced in size to ±198sq.ft.; existing ±82sq.ft. "L" shaped walkway that attaches to wood deck at bulkhead to remain; remove existing walkway north west of"L" shaped walkway (not to be replaced); existing ±257sq.ft. wood deck with ±39sq.ft. planter attached to seaward side of existing dwelling to remain; and for the relocated existing 100sq.ft. shed to remain. Located: 1840 Leeton Drive, Southold. SCTM# 1000-58-2-11 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 the proposed actions to remove existing 143sq.ft. side deck along north easterly side of existing ±28.2'x24.6' one- story dwelling; construct a 252sq.ft. one-story addition to existing dwelling on pilings in location of removed deck; construct new 50sq.ft. entry porch/deck for addition; remove part of existing ±50sq.ft wood walk leading to existing side deck (not to be replaced); remove and replace existing ±66sq.ft.Wood walk from existing ±6.17'x7.5' outdoor shower and existing ±8.25'x6.17' laundry shed to above wood walk; existing ±40sq.ft. landing, remove existing walkway north west of"L" shaped walkway (not to be replaced); and staircase seaward of bulkhead to remain is CONSISTENT with the LWRP. The Board issued a permit in 1993 for the bulkhead which showed stairway to beach. a- t J The proposed replacement to reconstruct/reduce AS BUILT existing, attached wood decks LOCATED WITHIN THE FEMA VE FOOD ZONE AND SEAWARD OF CEHA LINE is INCONSISTENT with LWRP Policies 4.1 (below) and therefore, INCONSISTENT with the LWRP. 4.1 Minimize losses of human life and structures from flooding and erosion hazards. The following management measures to minimize losses of human life and structures from flooding and erosion hazards are suggested: A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. 00, k e: 1,�30LEEt01A GRA e¢fi YY,"�yaPPjia'i/4„ � � ;�_�Y .4U •_i"_d al .'",$ `.�lf.<`'B ��� v `£ N - - �.€Y♦=ems}e.J„r rof� ,r" t,9�'s''4'fr ,; Mme. 'ytltltl�Miltl.a.; .: '; A s "f•# fyJ d j•3 < .} "yg`}'ga;$y$y "`::�' 2%' � gra r.."t 3�t4"s'�g ''-' p ,3A i =IB�U " FOY tt .e r ,. sem _ gyE .. .- 195¥LE as £✓:�„�, �'�--;d;.:"9 z��§ '��&.;`-'S' i�,d 3- ,�v yt •.� VIA ` `.�l"Ali'yLEfM_TAIC3F� 4 .����� � , iIF ,4 ..`1 7S15 LEETON DR A, IMA OA 2 L EETON DR The structures and entire property are located within the FEMA VE flood zone (Velocity Hazard) and loss of property is highly probable due to storm event wave action. The proposed deck located seaward of the bulkhead is vulnerable and would create a dangerous situation during storm surges as a projectile or floating debris Past aerial photo analysis shows high water frequently at the bulkhead in this section of dynamic and exposed shoreline. 1. Avoid development other than water-dependent uses in coastal hazard areas. Locate new development which is not water-dependent as far away from coastal hazard areas as practical. a. No development is permitted in natural protective feature areas, except as specifically allowed under the relevant portions of 6 NYCRR 505.8. b. Avoid hazards by siting structures to maximize the distance from Coastal Erosion Hazard Areas. The proposed deck seaward of the Coastal Erosion Hazard Area (CEHA) line is on the beach and a diagram showing construction has not been provided. All development is prohibited on a beach pursuant § 111-12 unless specifically provided for by Chapter 111, COASTAL EROSION HAZARD AREAS. Pursuant to § 111-6, allowable activities on a beach may include open timber piles or other similar open work supports with a top surface area of less than 200 square feet. Therefore, the deck, as proposed, is prohibited on the beach pursuant to Chapter 111, COASTAL EROSION HAZARD AREAS. § 111-12. Beach area. D. All development is prohibited on beaches unless specifically provided for by this chapter. § 111-6. Definitions. UNREGULATED ACTIVITY -- Excepted activities which are not regulated by this chapter include but are not limited to elevated walkways or stairways constructed solely for pedestrian use and built by an individual property owner for the limited purposes of providing noncommercial access to the beach; docks, piers, wharves or structures built on floats, columns, open timber piles or other similar open work supports with a top surface area of less than 200 square feet or which are removed in the fall of each year; normal beach grooming or cleanup; maintenance of structures when normal and customary and/or in compliance with an approved maintenance program; planting vegetation and sand fencing so as to stabilize or entrap sand in primary dune and secondary dune areas in order to maintain or increase the height and width of dunes; routine agricultural operations, including cultivation or harvesting; and the implementation of practices recommended in a soil and water conservation plan as defined in § 3, Subsection (12), of the Soil and Water Conservation Districts Law; provided, however, that agricultural operations and implementation of practices will not be construed to include any activity that involves the construction or placement of a structure. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. �g+5EFD(,� Peter Young,Chairman -� Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 �► Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., August 9, 2017 the following recommendation was made: Moved by John Stein, seconded by Peter Meeker, it was RESOLVED to NOT SUPPORT the application of SOUND SIDE COTTAGE, LLC to remove existing side deck along north easterly side of existing dwelling; construct a one- story addition to existing dwelling on pilings in location of removed deck; construct entry porch/deck for addition; remove part of existing wood walk leading to existing deck (not to be replaced). Remove existing wood walk from outdoor shower/laundry shed to above wood walk. Existing landing and staircase seaward of bulkhead to remain. Existing wood deck at bulkhead to be reduced in size to 198 sf. "L" shaped walkway to remain. Remove existing walkway northwest of the "L" shaped walkway (not to be replaced). Existing wood deck with planter attached to seaward side of existing dwelling to remain. Relocated existing shed to remain. Located: 1840 Leeton Drive, Southold. SCTM#58-2-11 Inspected by: Peter Meeker, Keith McCamy, John Stein The CAC does Not Support the application given the history of preserving the dune. The proposed action is an intrusion into the dune grasses, which is a highly sensitive area. Vote of Council: Ayes: All Motion Carried 54:375 Nlatn goad Michael J (Domino, Vice-President .�uo" A P O Boz 1179 a�-^-- James r king. Trustee bSo '.Id, New York i 1971-0959 Dave Bergen-Trustee Telephone (631)765-1892 Charles J-Sandcrs. Trustee Fax(631) 765-6641 BOARD OF TOWN TRUSTEES f D TOWN OF SOUTHOLD D To: Southold.Towrl Building Department JUL 1 1 2017 Re- Verification of Building Department Permit Requirements BUILDING DEPT. TOWN OF SOU OLD SCTM#: 59-2--11 Property Owner(Mame: Date Sent to Bldg_ Dept_: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Deparfinenf's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? A Z Will any part of this application be considered as Demolition as 'described under Town Code? COMMENTS: S a LQ-h'r-e_J\1n - I' e Signature of Reviewer Date `- Irl SOOT Michael J.Domino,President � y®lO Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 Charles J. SandersP.O.Box 1179 V10 Southold,New York 11971 i5iGlenn Goldsmith ® �� Telephone (631) 765-1892 A.Nicholas Krupski �li�COUNT`I 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 7' "(--RM endment/Transfer/Extension-7 Received Application: 7- Received Fee: $ 25-0,OD Completed Application: -7.11-17D u v Incomplete: SEQRA Classification: Type I_ Type II Unlisted Lead Agency Determination: JUL 1 2017 Coordination:(date sent): r q-,17 LWRP Consistency Assessment Form Sent: 1;7,4—CAC Referral Sent: -7•X-1-7 Southold Town,, Date of Inspection: 9li 17 Q0ar f Trustees Receipt of CAC Report: Technical Review: Public Hearing Held: $l •� Resolution: Legal Name of Property Owner(s): Mailing Address: d L' C L , Phone Number: 9/4 -�4 el AoP Suffolk County Tax Map Number: 1000 - //��Z + Y, Property Location: IA;�a L rcW ®R/�,�� D U�W &D 16P!J6 ecT 1rd U ' OF "Al Q5 A'i-A-Ii/LI ZS R64V (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): '"I eAIA5L 4, 44�"Ve Mailing Address: Phone Number: �� - 6-5—?—4616 ���' r Board of Trustees Applica`''•-_)n \ GENERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: _ P/fMlP,6V 7/A4 Intended use of property: P,?5X/VoE'A17-1,4 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 Bui ding 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 -4 CW4P zRw h� 614 q u o/Z o ate- A7-77cAW® No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? J+Y No Yes If yes,provide explanation: Project Description (use attachments if necessary): _ „fZc 144.71]4 C AV SOUNDSIDE COTTAGE LLC PROJECT DESCRIPTION. Remove existing side deck (143 SF) along north easterly side of existing dwelling. Construct a one (1) story addition to existing dwelling (252 SF.) e on pilings in location of removed deck. Construct entry porch/deck for addition (50 SF). Remove part of existing wood walk (50 SF +/-) leading to existing side deck ( not to be replaced). Remove existing wood walk (66 SF +/- ) from-outdoor shower/laundry shed to above wood walk. (to be replaced). Existing landing and staircase (40 SF +/-) seaward of bulkhead to remain. Existing wood deck at bulkhead (266 SF =/-) to be reduced in size to 198 SF +/-. L shaped walkway (82 SF +/_) that attaches to above wood deck at bulkhead to remain. Remove existing walkway north west of above L shaped walkway ( not to be replaced). Existing wood deck (257 SF with planter (39SF+/-), attached to seaward side of existing dwelling to remain. Relocated existing shed (100 SF ) to remain. Board of Trustees Applicz_,—,(,)n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 7-6 V/,—V-& X/2" l✓Dl2 AE�Z/it/C Area of wetlands on lot: ^© — 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? X No Yes If yes, how much material will be excavated? NIA cubic yards 01 How much material will be filled? &M cubic yards Depth of which material will be removed or deposited: /S/,q feet Proposed slope throughout the area of operations: �"G Manner in which material will be removed or deposited: N/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): ZZnnZ oje jiQ Ce5,r�P7_ _'Joard of Trustees Applicaf ' -fin COASTAL EROSION APPLICATION DATA Purposes of proposed activity: CE514 7-125 A Ae alkee— Are wetlands present within 100 feet of the proposed activity? — No Yes Does the project involve excavation or filling? X No Yes If Yes, how much material will be excavated?_ 4Z to (cubic yards) How much material will be filled? MIA (cubic yards) Manner in which material will be removed or deposited: AlloO Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) IA' 7 .20 P 007-44 oe540'1'j W Q/Z -f�qL z�ti, —3 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 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 l based on information currently available. if additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: co &O—c LZ l QN Project Location(describe,and attach a location map): 4D 4A/ I VZ J`D 07 X DG Brief Description of Proposed Action: Name of Applicant or Sponsor: Telephone: j5aPd7 /q 01" E z Address: 0: ROX7 City/PO: State: Zip Code: TO (27-A161P7 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: 29 ❑ la.Total acreage of the site of the proposed action? . acres b.Total acreage to be physically disturbed? a QO 7 acres c.Total acreage(project site and any contiguous properties)owned p or controlled by the applicant or project sponsor? o. zba acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural (non-agriculture) ❑Industrial ❑Commercial WResidential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 i SOUNDSIDE COTTAGE LLC PROJECT DESCRIPTION Remove existing side deck (143 SF) along north easterly side of existing dwelling. Construct a one (1) story addition to existing dwelling (252 SF.) on pilings in location of removed deck. Construct entry porch/deck for addition (50 SF). Remove part of existing wood walk (50 SF +/-) leading to existing side deck ( not to be replaced). Remove existing wood walk (66 SF from-outdoor shower/laundry shed to above wood walk. (to be _ w_ replaced). Existing landing and staircase (40 SF +/-) seaward of bulkhead to remain. Existing wood deck at bulkhead (266 SF =/-) to be reduced in size to 198 SF +/-. L shaped walkway (82 SF +/_) that attaches to above wood deck at bulkhead to remain. Remove existing walkway north west of above L shaped walkway ( not to be replaced). Existing wood deck (257 SF +/_) with planter (39SF+/-), attached to seaward side of existing dwelling to remain. Relocated existing shed (100 SF ) to remain. 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ M ❑ 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? ❑ 9 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: 0 ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 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: d F�� Q0M;2E�f> / ❑ 1 l.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: � F]J157255 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? M ❑ b.Is the proposed action located in an archeological sensitive area? IZ1 ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO I YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: 59, Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland El Urban bdsuburban 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, ❑ 1:1a.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 MYES OAZ J1 Page 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: X ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO j YES solid waste management facility? If Yes,describe: VNJ ❑ 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: K—A ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsorname: L Date: -1 /Q/T_Q/7 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 l and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning Elregulations? 2. Will the proposed action result in a change in the use or intensity of use of land? El ❑ 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 ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or �j ❑ affect existing infrastructure for mass transit,biking or walkway? �J 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? Ll 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 1:1problems? 11. Will the proposed action create a hazard to environmental resources or human health? Ev ❑ 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. ElCheck 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. EICheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental i accts. �f Town of Southold-Board of Trustees F ( It Name of Lead Agency Date A I`A 4 �( J 0 _D p 1 President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer �i� � �_9-?��— ignature of Responsibl fficer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of -.Board of Trustees Applica ' in AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE 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. i Co -46 - Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF T('AZ- , 201—/ Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. OID1475593 Qualified In Suffolk County My Commission Expires April 30, 2019 K J I �73oard of Trustees Applicaf_-' -,n AUTHORIZATION (Where the applicant is not the owner) e I/We IV It A owners of the property identified as SCTM# 1000- "'�' in the town of New York,hereby authorizes B 9 II G�( - to act as my agent ent and handle'all i necessary work involved with the application process for permit(s) from the Southold Town I Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS Z1 DAY OF , 20 7 Ai� �c� Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. OID1475593 QU011119d In Suffolk County �►1 Cammisslon Expires April 30. 20 V � 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert a town of nossible conflicts of interest and allow it to take whatever action is necessarto avoid same �j � C YOUR NAME: ��I' (Last name,first name,.rpiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO Ifyou answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitte 's `�� ay o 2t)j Signature G Print Name 0 ?_6XI Form TS l APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM 7'hc Town of Southold's Code of Ethics ilrothibits conflict~of interest on the part of town iifficcrs and employt es.The purpose of this form is to provide information which can alert the town of nnssible conflicts of intemst and allow it to take whatever action is necessary to avoid same. YOUR NAME: //yid CfG �� i /CL A• . (Last name,first name,Viddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone — Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the't own of Southold? "Relationship"includes by blood, marriage,or business interest.`Business interest"means a business, j including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the.space provided. t The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B}the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporafion), C)an officer,director,partner,or employee of the applicant,or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 41hday of C 20y/ Signature__ 7 Print Name Form TS 1 r 41 Q p ru C3 C3 S I'LL Certified Mall Fee 0971 e Ln Certified Mad Fee 35 0971 r. 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PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: 5�- � - 10 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 , 20 i I Notary Public • qN COMPLEtEo • • VERY ■ Complete items 1,2,and 3. Sig ture ■ Print your name and address on the reverse FB. C3Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, Received b ( rimed Name) ` C. Date of Delivery or on the front if space permits. 69Vs! ® Olin 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No ice 0 Priority Mall II I IIIIII IIII III I II I III I III II I I I III II II II I I III El❑AdueltSsignature 0 ignature eRestdcted De9ivay ❑Registered MaIP Mall ted 9590 9402 2663 6336 2998 16 IIILeertified Mail® Delivery ❑Certified Mail Restricted Delivery fiRetum Receipt for ❑Collect on Delivery Merchandise _2._ArticWlslumber(rransfer from service labeq ( F ❑Collect on Delivery Restricted Delivery. M Signature ConfirmatlonTm q InsUrer�Mail ? 'i i C7 Signature Confirmation Bl-r3 0640 t0'01 5425 •7b32 IQ Insured Mall Restricted Delivery Restricted Delivery (over$500) PS Form 3811,Juty 2015,PSN 7530-02-000-9053 —_ — — Domestic Return Receipt I COMPLETE • • • • . ■ Complete items 1,2,and 3. A. Signature ■ Print your name,and address on the reverse Agent' i so that we can return the card to you. dresses . ■ Attach this card to the back of the mailpiece, B. Received (Printed dame) bTa-ta f Dpl4ry or on the front if space permits, 1. Article Addressed to: D. Is delivery address different-from item 1? s � 1�1 A/� P UL ' If YES,enter delivery address below: ❑No NY /46/ LI-C, a sv�ma s;de 3. II I II I III II I I III I I I I II I I III II I 11111 II I I I I I I III 12 dust Service Type ❑Priority Mall ailTM ss® ❑Adult SlgntUre ❑Registered MadTM ❑� �1dult Signature Restricted Delivery ❑Registered Mall Restricted 9590 9402 2663 6336 2998 09 Ortified Mail® Delivery ❑Certified Mall Restricted Delivery *etum Receipt for Q Collect on Delivery MMerchandise 2._Article Number_Mransfer_frnm sprvirp ran<,n Cl Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM 115 0640 0 0 01 5425 7 0 2 5 l q insured Mali q Signature Confirmation q Insured Mall Restngted Delivery Restricted Delivery over$500) Ps Form 3811;3uly`2016tPSN 7530-02-000-9053 Domestic Return Receipt SoVNP ScO�t PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: "4NIIA.s�,ETi NV . -Z- C"O ZIAI'� U� ,r/10/Cie 6VI CSL /46 /1/G1-1&4 Z� DR- STATE OF NEW YORK COUNTY OF SUFFOLK /f/C&S4& �i4�G , residing at G. R&X 6097, JDUM049 zVY 1,1J9 7/ being duly sworn, deposes and says that on the day ofd , 20J7, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set M_ opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at :J'6U7's.,1e4,,0 , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of -'-%T- , 2-0-17- Pvi A � 1 Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. OID1475593 Qualified In Suffolk County My Commission Expires Apfil 30, 2018 Michael J. Domino, President r���0��FF04C� Town Hall Annex John M. Bredemeyer II1,Vice-President ��$� Gy,a 54375 Route 25 Charles J. Sanders ,, P.O.Box 1179 Glenn Goldsmith �1 Southold,NY 11971 A.Nicholas Krupski �� _ �p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of SOUND SIDE COTTAGE, LLC 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 /L`Jill�elf , residing at/dba 40. gQW /6,5�7 PO 41_�OW AyY ,29'71 being duly sworn, depose and say: That on the .9 day of AV(Y• , 2017, I personally posted the property known as /d¢o z ro v ,o v.r-- by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, August 16,2017. Dated: (signature) Sworn to before me this I`A day of A/6—20 17 �%o A�A� Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. OID1475593 Au011fled In Suffolk County My Commission Expire® April 30. 20!v NOTICE OF HEARING 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: SOUND SIDE COTTAGE, LLC SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove existing 143sq.ft. side deck along north easterly side of existing ±28.2'x24.6' one-story dwelling; construct a 252sq.ft. one-story addition to existing dwelling on pilings in location of removed deck; construct new 50sq.ft. entry porch/deck for addition; remove part of existing ±50sq.ft wood walk leading to existing side deck (not to be replaced); remove and replace existing ±66sq.ft. wood walk from existing ±6.17'x7.5' outdoor shower and existing ±8.25'x6.17' laundry shed to above wood walk; existing ±40sq.ft. landing and staircase seaward of bulkhead to remain; existing ±266sq.ft. wood deck at bulkhead to be reduced in size to ±198sq.ft.; existing ±82sq.ft. "L" shaped walkway that attaches to wood deck at bulkhead to remain; remove existing walkway north west of "L" shaped walkway (not to be replaced); existing ±257sq.ft. wood deck with ±39sq.ft. planter attached to seaward side of existing dwelling to remain; and for the relocated existing 100sq.ft. shed to remain. Located: 1840 Leeton Drive, Southold. SCTM# 1000-58-2-11 TIME & DATE OF PUBLIC HEARING : Wednesday, August 16, 2017 — at or about 5:30P.M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROJECT NAME 1'©U/1/,�J'//�� CC Ll C The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees I. 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: SOUNDSIDE COTTAGE LLC PROJECT DESCRIPTION Remove existing side deck (143 SF) along north easterly side of existing dwelling. Construct a one (1) story addition to existing dwelling (252 SF.) on pilings in location of removed deck. Construct entry porch/deck for addition (50 SF). Remove part of existing wood walk (50 SF +/-) leading to existing side deck ( not to be replaced). Remove existing wood walk (66 SF +/- ) from-outdoor shower/laundry shed to above wood walk. (to be replaced). Existing landing and staircase (40 SF +/-) seaward of bulkhead to remain. Existing wood deck at bulkhead (266 SF =1-) to be reduced in size to 198 SF +/-. L shaped walkway (82 SF +/_) that attaches to above wood deck at bulkhead to remain. Remove existing walkway north west of above L shaped walkway ( not to be replaced). Existing wood deck (257 SF +/_) with planter (39SF+/-), attached to seaward side of existing dwelling to remain. Relocated existing shed (100 SF ) to remain. P Location of action: / d /A5.d!5 ro Al 4R e. Site acreage: /7. ? 6c Present land use: �, 'I,IZ>►/ AL Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: C 0/J/ —UDlE� C'('7ZA&,,T (b) Mailing address: )'PA 11 R-&�ACIV 5Z, 9341P (c) Telephone number: Area Code( ) 9e4— e7opap (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No X 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:Z Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LVW Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No J?>f?N1 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 ® No ❑ Not Applicable F1 Yes /, 44",?" 6 A/ CW4Z . -��/ * P 6V251Z U 1/ Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ® Not Applicable f�J2 D�QJ /�, � C"" J' Vd G 04 ZW Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ZNot Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies, Pages 22 through 32 for evaluation criteria. ❑ ❑ 1CJ Yes No Not A Acable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [] No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable 1P &0 ee d DJC iU f' cc U /(/C 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. ❑ YePfN No 1Z Not Applicable !.1' G C, D wo Attach additional sheets if necessary WORKING COAST POLICI rt ' 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 Z Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes 1:1 No 1� 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 ❑ Nox Not Applicable X/ti ,Q1.oJL4// 7 FVIZ S al, AW?DM Ole- 6oi zVa2 .51M = 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 [H Not Applicable PREPARED BY /Y/LV,4,EL ��Lf,14 QZ TITLE 46,6 r DATE /� 7 John M. Bredemeyer III, President �\\,®F S® y® Town Hall Annex Michael J.Domino'Vice-President �® l® 54375 Main Road P.O. Box 1179 James F. King,Trustee • Southold, New York 11971-0959 Dave Bergen, Trustee Telephone(631) 765-1892 Charles J. Sanders,Trustee ®��C®U Fax(631) 765-6641 BOARD OF TOWN TRUSTEES DD TOWN OF SOUTHOLD To: Southold Town Building Department AUG 9 5 2016 Re: Verification of Building Department Permit Requirements BUILDING DEPT. ®F SOUTH SCTM#: 6S �—1 I TOWN Property Owner Name: Sl e- LLL ch A4,13s-v Dktckl- Date Sent to Bldg. Dept.: 5 h 1, t , The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO /j lq,1-7 !rDK6--7-D AQW 'Dl AC,- AIN-/',moi y TV 1211vs- ill t ?0P770W 0E- CSS A-,5 _70 �rmit? Will t A"t® G,C> 0 1_11- 010-- 61C7 'termination from /he Z( 50 ftoaN6,— -10 GUDC' Z75-g cam) ��tea-�� -� Willa as Demolition as desci �G� COMMENTS: S (� Signature of Reviewer Date 4 John M. Bredemeyer III, President So Town Hall Annex O l 54375 Main Road Michael J. Domino, Vice-President '` O P-O. Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G Charles J. Sanders, Trustee p ® Telephone(631)765-1892 lyG,oU�'�� Fax(631) 765-6641 BOARD OF TOWN TRUSTE � DD TOWN OF SOUTHOLD jUN 15 201 To: Southold Town Building Department Re: Verification of Building Department Permit Requirements BuILDINGDEPT, TOWNOFS® SCTM#: %J0 SII Property Owner Name: ' Date Sent to Bldg. Dept.: The Office of the Board of Trustees is forwarding the above referennn verification of the Building Department's permitting requirements st YES NO ' Will the proposed project require a Building P rd nf Th Will the proposed project require a variance determination from 2 he Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: ignature of Reviewer Date 1 Peter Young,Chairman H -� 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., April 13, 2016 the following recommendation was made: Moved by Keith McCamy, seconded by John Stein, it was RESOLVED to SUPPORT the application of SOUNDSIDE COTTAGE, LLC to remove part of existing deck along the north easterly side of existing dwelling; construct one-story addition to existing dwelling on pilings, in location of removed side deck; and construct entry porch/deck for addition. Located: 1840 Leeton Drive, Southold. SCTM#58-2-11 Inspected by: John Stein, Keith McCamy Vote of Council: Ayes: All Motion Carried I � _Z ' John M. Bredemeyer III, President { ��oF SOUliyp Town Hall Annex Michael J. Domino,Vice-President �O l0 54375 Main Road P.O.Box 1179 James F. King,Trustee IWI, Southold,New York 11971-0959 Dave Bergen,Trustee G Charles J.Sanders,Trustee 'p � �O Telephone(631)765-1892 IyCOU�'�� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES D EEC Rovp= TOWN OF SOUTHOL) D To: Southold Town Building Department MAR 18 2016 Re: Verification of Building Department Permit Requirements BUILDING DEM f TOWN OF SOUTHOLD "�ZWYPSLPO CqTA&6- UC, 4e Property Owner Name: ' Date Sent to Bldg. Dept.: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building_Department's permitting requirements stated below: YES NO Willthe proposed project require a Building Permit? Will the proposed project require a variance determination from 111� Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature of FWiewer Date SOUTHSIDE COTTAGE LLC AMENDED DESCRIPTION Remove part of existing deck (143 sq.ft.) along north easterly side of existing dwelling. Construct one (1) story addition to existing dwelling. (247 sq.ft. ) on pilings in location of removed deck. Construct entry porch/deck for addition (50 sq.ft.) Existing wood deck at bulkhead ( 225 sq.ft.) to remain. Existing wood deck on seaward side of dwelling (249 sq.ft.) to remain. Existing walkway from deck at dwelling to bulkhead ( 88 sq.ft.) to remain. Existing landing (40 sq.ft.) and staircase seaward of bulkhead attend of walkway to remain. Existing walkway from northerly corner of dwelling deck ( 49 sq.ft.) and running N.E.to remain. Existing , planter (39 sq.ft.) off wood deck at dwelling to remain. Remove existing walkway (33 sq.ft.) commencing at end of above walkway to conform to ZBA side yard setback requirement. Wood walk from proposed entry deck to be removed fix, '��• �.:� ,�-�, � JUN - 6 2016 �+ ►, Southc1G Town MAI q- fW A-s P6L Kt& )�as`!'N Town Hall Annex John M. Bredemeyer III, President tlso ''C`. Michael J.Domino,Vice-President54375 Main Road P.O. Box 1179 James F.King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee Telephone (631) 765-1892 Charles J.Sanders,Trustee =x mr'C®� $ ,�� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application t�Wetland Permit Application Administrative Permit �Amendment/Transfer/Extension Received Application: 3'16.1(R Received Fee:$ 2-50 t Completed Application: 'r6���i _ _Incomplete: _SEQRA Classification: Type I Type II Unlisted MAR 16 2016 I' ► Coordination:(date sent): 17LWRP Consistency Assess lent Form: ; I7_CAC Referral Sent: pT ate of Inspection: _Receipt of CAC Report: Lead Agency Detennination: /_Technical Review: V—Public Hearing Heldk Resolution: Name of Applicant: _�0wo�C/,t7� Q��G L L C Mailing Address: 2 C'/,/<L.iy V P 0/w.�_ 1�1 'iSZL '. 7 -57032 Phone Number: Suffolk County Tax Map Number: 1000 - 6-t(3– Property Location: ZAVoe,, T� P/�l�,,E G v�,y aC,_Q XOP-00 P6 0 ZAV W017- (provide LILCO Pole#, distance to cross streets, and location) AGENT: ..._ (If applicable) Address: Phone: Boa" of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: Intended use of property: ?�� j �L 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? _>eyes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date B.O.,e M ACM1 lE S ' 4:71 d 9 f /9o2a 0 7 -AP70c • No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Project Dew ?,' attachments if necessary): �=/ �1/, ,,.- �.�� �L6A/CoY J'ld��' G'& 4,<IJIM vG pGt/Gr�L/iVG. C6/1/J7,eUPT ome lJ ' .GJ /t! ._.�x1�J�/ �' ���it'�i i1�/(� 4 7 no- �T� oN SIG!VG r(ov 0 �'ATLOiI/ Oc W&O 1/�d r�.l,15p!5Cr, c o4l1'Ti�UC!' Boc of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: �O_�X,PQ,/y /✓ X 2 _ tVN,O C/Z,�5•4y6 44 . WAZ5 .o.4n>vG 114, q a p CX1JVA*& Area of wetlands on lot: --O square feet Percent coverage of lot: r' % Closest distance between nearest existing structure and upland edge of wetlands: _.1517 feet Closest distance between nearest proposed structure and upland edge of wetlands: _J-p _feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? N� _cubic yards Depth of which material will be removed or deposited: 'VIA- —feet Proposed slope throughout the area of operations: < 4- 76 _ Manner in which material will be removed or deposited: itlrq 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): __ s�. VlZL .!moo ��_, =. T W r4" s A�� el Boa of Trustees Application COASTAL EROSI®N APPLICA'TI®N DATA NIA Purposes of proposed activity: IAN Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? __;(_No_ _ _ Yes If Yes,how much material will be excavated? � (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) C0A) I - Owe eA/ A1 �=a4<0evII✓6) 617.20 Appendix B Short Environmental Assessment Form Instructions for Coml►letin Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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. Park 1 -Project and Sponsor Information Name of Action or Project: _- Project Location(describe,and attach a location map): Brief Description of Proposed Action: 1,e5W.�O OV,,6� �PXsAfT7�-i®VC�,6DkG1vJ�7-1,V& 0_-qC 0/!�•Z+�C4�J✓s�/ //�/ '4�V/VJ0"v To 6 �J� • l/✓ L a o� Dv o a� ,P !'�o V r.� -r/Ae eT Name of Applicant or Sponsor: Telephone: gg Address: ) City/Po: State: Zip Cade. 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rile,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 Y�;S If Yes, list agency(s)name and permit or approval: 3.a.Total acreage of the site of the proposed action? a acres b.Total acreage to be physically disturbed? µ0r QQ1 acres c,Total acreage(project site and any contiguous properties)owned �r or controlled by the applicant or project sponsor? ®•2��7 ,acres 4. Check all land uses that occur on, adjoining and near the proposed action ❑Urban ❑Rural (non-agriculture) ❑Industrial ❑Commercial Residential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page l of 4 5. Is the proposed action, - - - NO YES_ N/AW a. A permitted use under the zoning regulations? El b. Consistent with the adopted comprehensive plan? 9� H 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES ET _ landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: _.., 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO� (YES L__.I b.Are public transportation service(s)available at or near the site of the proposed action? Z ( �l ] c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? J�1 LI� 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: �— EJ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: �'j�J�/(� 11, Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: jr_-A (�) 12. a.Does the site contain a structure that is listed on either the State or National Register of I listoric IN�OI YES Places? � [:] b. Is the proposed action located in an archeological sensitive area? L_ l 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? �(7I If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply- Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑UrbanSuburban low 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? M NO ��Y''ES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, F 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 O/V/`!yZe QRy GULrGL ,FO e JVD COf4.P /Y/✓G.?7 Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO----..-VES-- water O _� Y_ ES 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 VES completed)for hazardous waste? If Yes,describe: _ (� I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: � _ �. //�f �'fG Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer, When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" 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?„ El 1:1 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? � { 4, Will the proposed action have an impact on the environmental characteristics that caused the (Et_L J establishment of a Critical Environmental Area(CEA)? ! 1:1 5. Will the proposed action result in an adverse change in the existing level of traffic or ( affect existing infrastructure for mass transit, biking of walkway? L 1 0 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? !—J b. public/private wastewater treatment utilities9 __ µ __. FJ E 8. Will the proposed action impair the character or quality of important historic,archaeological, j 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 Mo(lerate small to large impact impact may may occU 11 occur 10. Will the proposed action result in an increase in the potential for erosion,flooding of-drainage problems? F-1 F-1 11. Will the proposed action create a hazard to environmental resources or human health? 0' F I Part 3'Determination oYsignificance. The Lead Agency isresponsible for the completion oXPart l For every question in Part 2 that was answered"moderate to large impact may 000ur`,nrifthere ixuneed toexplain why uporioo\o, element ofthe proposed action may o,will not result inuoignifioantadverse 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 ohort'torm, long-term and cumulative impacts. Check this box if You have determined, based oil the information and analysis above,an(] any supporting-dOCUIllentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact staternent is required Check this box if you have determined,based on tile information and analysis_above,_and any Supporting documentatio , that the pioposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees ' - ----------- - -- -- ' President Printor Type - - o- ,Responsible 0Hfi / ioLead Agency Title ofResponsible Officer - - | SignamoofResponsible Officer�-1 ' Agency Signature of Preparer(if difrom Responsible OyGuo) Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) / ZZ, &AWYAresiding at ,nm (print name,ofo ner fpr ert (mailing address) Ad. do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) l _ Board of Trustees Application AFFIDAVIT e BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALLSVOIIRK 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. Signature of Property Owner SWORN TO BEFORE ME THIS. DAY OF r-ut O%r-ti ,201-4e :atipr p`e�� RISA L.MAt;KO • . Notary Public-State of Fforida ,• • -.c My Comm.Expires Sep 20,2010 "doe CommiSSien N FF 131574 �Z-NotaryPublic ' TRANSACTIONAL DISCLOSURE FORM ' 1hiLform is to provide itiLb-miatio necessary to av!2id same. YOUR NAME: (Last name,first name,Viddle 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 OyAPPLICATION: (Check all that xyylyJ . BuildingT�gd�un� ______ Variance ___'__' Trustee -- Change o[Zone _______ Coastal Erosion Approval oyplat _-___ Moodog Exemption from plat orofficial map Planning Other (if°Othee`,name the emdvity.)Do you ______ personallythrough your company,spouse,sibling,pavent,occhild)have urelationship with any officer or employee of the'l'own of Southo'ld? "Relationship"includes by blood,ularriage,or business interest,"Business interesf'means a business, including a partncrship�in which[lie town officer or employee bas even a partial ownership of(or ernployment by)a corporation in which the town officer,or employee owns more than 5%ofthe shares. YES NO --X- If you answered"YES",complete the balance of this form and date and sign where indicated. -X_____lfyoounuwopod`YES",compiote{huhu(un000[dbivfhnnunddateondmign~,hopuiodiommd. Name v[person employed hythe Town ofSouthold . Title orposition oCthat person Describe the relationship between yourself(the applicant/agQnt/representative)and the town officer or employee.Either check the appropriate line&)through D)and/or describe iuthe space pro�idud. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): tile owner o[greateithan 5Y6nfthe shares o[thvcorporate stock o[ `upy\icout . (when d`eapplicant isu*mmumdu^); ____8)die legal orbeneficial owner uyany interest inxnm+oogmrate entity(when the applicant\mnot uonqpomdon), unoffiovridirector,puunor,uremployee ofthe applicant;or the actual applicant. DESCRIPTION OFRELATIONSHIP ___�_ Submitted this 410day of 20YZ6 Print Name CW ' Porm7Sl Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1, All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si riuf cant beneficial an&adverse,effects upon the coastal gea Lwhich 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 Mlained in detail, listing both suporthig :and non- supporting facts. If an action cannot be certified as consistent with the UAW policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at,the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# � �-_ PROJECT NAME f' UT, fl,/�, � C D 9'T�� � �1 C �1a �VeW 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: Z5110X!5 AAi21,0,62`, &&X ;V N6 D,pe% '4ZOW6 Jr-e,Cy 4 r 1VN /-10 OXIJWAv& RUMS 5 1" Z n CA V oAv 6r5 co N e�- ,9Ivr4Y Po CIVI e>z, r-On ,4,0/.�//'�oAv`�ro s 7 Location of action:^� ZA5 r'ON 4eZV Site acreage:_ 0. 2168 Present land use:. 2�1,���/p"`,9L Present zoning classification: �J�fPN?7A 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: rO UZA J�I�.� 007- 6 LL C (b) Mailing address: CW/L7-41V ,PO 1& A��&, 22C. � sad 2 (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 —1No. 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 IR\11 Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWR,P Section III—Policies Pages 3 through 6 for evaluation criteria 1❑ Yes 1:1 No " 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 Z No ❑ Not Applicable V2711e5 1-1;11—.e O /M (11-1141— AMP e D� GtJ /wC� PAI 41,11407Y 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 V I Not Applicable ,4 Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes ❑ No M Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ 1 11 115 es, Yes No Not Applicabie 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. R Yes [—] No M 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 No ® Not Applicable N !'12 a f'OJ /) ® cc O&M CY 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. Q YeJZ No R Not Applicable Attach additional sheets if necessary WORDING 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 21 Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. F] Yes 1:1 No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No® Not Applicable 0T A6/2/ P0 1L.9 ONZQ�� UI/�S�IN 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'g Not Applicable PREPARED BY /`%/C"4e,Z 4&A ��_____ TITLE A DATE,Z4eA