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HomeMy WebLinkAboutManzi Homes James F. King,President V��O� SDUjy� Town Hall Jill M. Doherty,Vice-President 53095 Route 25 PO. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen CAN John Holzapfel iQ Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: 3 ✓15 Name of Applicant: k4", Name of Agent: Property Location: SCTM# & Street 2- y $C-) L au r Brief Description of proposed action: S' S "' '`5 o 5 P�-h c. Type of area to be impacted: _Saltwater Wetland Freshwater Wetland _Sound Front �ay Front Distance of proposed work to edge of above: Part of Town Code proposed work falls under: _6hapt.97 _Chapt. 37_other Type of Application: '/� Wetland_Coastal Erosion_Amendment_Administrative _Emergency Info needed: to 0- Modifications: �.� �, -� �' �G,l� GSC �� 4 L e-f LA Conditions: Present Were: _J.King _J.Doherty_P.Dickerson D. Bergen_J.Holzapfel Other: Mailed/Faxed to: Date: PROPOSED SEPTIC SYSTEM: \ GRESGENT NAY USE 1000 GAL. SEPTIC, TANK \ AND (1) 8'.DIA.xl2' DEEPS 21-0 LEACHING POOL S 2s2 22o 5 °2 VOO" E 55.�Al I EX5TIN6 HELL , , as • / -!- EXISTING O rt " ` -1 1 I O SEPTIC LAND N/F • N , SYSTEM HERFURTH • Y N a _ SINGLE FAMILY ', / N RE-51 PENCE I LAND WF GUINLAN II I SINGLE FAMILY / i I —PROPOSED DRI2VEHAY / RESIDENCE // • �� H E ,LAND N/F / -ry J MGDONALD / PROV05ED SINGLE \ 51 NGLE FAMILY AMyLY RE5IDENC, 1 \ RESIDENCE RI00 1 \\ J EXSTING O HELL' 1 P OPTED 1 LEADERS AND HELL -6UTTER5 TO BE / EXISTING zz/ PIPED TO � ' ' � � ! � T SEPTIC DRYHELL - SYSTEM PROVIDE'HAYBALE5 AND SILT,FENCE ALONG - O ELEVATION 25 FOR EROSION CONTROL -- - 1 v m V0611,\ - HIGH HATER z� EX5TING HELL O EL.=24.3' BROWN 0 SANDY LOAM El7 ._1"! Lc 6 2t 1 PALE BROWN FINE TO COARSE SAND MRV 1512006 WITH 10% GRAVEL SITE PLAI `L PALE BROWN FINE TO MEDIUM SAND 30 15 ''O 30 60 CIO, 120 150 • GRAPHIC 56ALE I" = 30'-0" NO WATER ENCOUNTERED BY: Mr-DONALD GEOSCIENCE 4/q/02 TE5T HOLE DATA 5/8/06 REMISED PER BOARD OF TRUSTEES AND ,SGDH5Mv 0 SGALE ' SITE PLAN �����T "- -, • :• PROPOSED RESIDENCE JEFFRE GRESGENT NAY MATTITUCK, NY SHO K 5.G.T.M.# 1000-121-04-24 : TEL:: 631.821. F � �! 31.821.7287 COUNTY OF-SUFFOLK TOWN OF SOUTHOLD ESS EL.=29.3' BROWN O SANDY LOAM OL ------ 2' PALE BROWN PINE TO GOAR5E 5AND WITH 10% GRAVEL PALE BROWN FINE TO MEDIUM 5AND 5P NO HATER ENCOUNTERED \� CRESCENT WAY BY: McDONALD 6EO5GIENGE 4/9/02 A6 �i o 252 220 TE5T HOLE DATA NOT TO 5GALE 5 2-7'00'YE EX5TIN& HELL _ �8 / / y�/ / I/ /I / - LAND N/F 0 HERFURTH / / I b EXISTING SINGLE FAMILY / / // N 5EPTIG RESIDENGE I SYSTEM LAND N/F QUINLAN / / / // I SINGLE FAMILY RE51PENGE PROP05ED SEPTIC SYSTEM: ��/ \ USE 1000 GAL. SEPTIC TANK / / ST LAND N/F ry AND (I) 8' DIA xl2' DEEP ^/ I / OLE MGDONALD LEAGHING POOL / • \ I \ \ SINGLE FAMILY loo' �\ RESIDENGE ' J • � � i — � � EXSTING — � � ' / // /,// • F— � � ' � � HELL I EX15TINC SEPT I G /X SYSTEM / OPROkO5ED SI CELE ° FAMIL`Y RE51 NSE / '' / / \ '' ,`°�/ HIGH HATER EXSTING V� HELL O Loo'� q SITE PLAN o Co m y 9�0 rn 315 SGAI"0 30 60 q0 120 = 30'I 6RAPO" NEER '�� SITE PLAN PROP05ED RESIDENGE JEFFREY T. BUTLER, P.E. GRESGENT NAY P.O. BOX 634 MATTITUGK, NY SHOREHAM, NEN YORK S.G.T.M.# 1000-121-04-24 TEL.: 631.821.8850 FAX: 631.821.-7280 COUNTY OF SUFFOLK TOWN OF SOUTHOLD I''i 1 - -- Thomas J.'Gorman ,k ' P.O. Box 1445 ', r Y Mattituck, NY 11952-0989 May 2, 2006 Town of Southold Board of Trustees Town Hall, 53095 Main Road PO Box 1179 Southold,NY 11971 RE: Manzi Homes, Inc.—Proposed single family dwelling (SCTM: 1000-121-4-24) Dear Members of the Board, I am the adjacent homeowner at the northwest side of the applicant's property. I object to the dwelling's proposed location on the site for the following reasons: 1. Too close to the high water mark. Doesn't your agency or the NYSDEC require a 100' setback from the high water mark for new construction? 2. The slope is too steep. Erosion resulting from the foundation excavation will cause runoff to flow into the lake. Siting the dwelling at least fifty feet north of its current location(on the most level portion of the site) will reduce the amount of runoff dramatically. 3. Too much clear cutting. Access required by heavy equipment and the proposed long driveway will cause the loss of many mature trees. This loss will increase the risk of erosion and subsequent runoff flow into the lake. I realize that a house will most likely be built on the site. However, I hope that you require the dwelling be moved away from the lake at least fifty feet from its proposed location to reduce the amount of potential runoff. Laurel Lake is a future Town of Southold aquifer and the Suffolk County Water Authority is already utilizing a few wells nearby. Keeping this water supply pure by preventing any contamination from construction runoff is important and critical for the future of Southold Town. Very trul yours Thomas J. Gorman April 13, 2006 Board of Trustees,Town of Southold PO Box 1179 Southold, NY 11971 Dear Board of Trustees,Town of Southold, I wish to express some concerns regarding a proposed environmental review of an undeveloped parcel located on Laurel Lake SCTM # 1000-121-04-24. I am the owner of an adjacent parcel#121-4-25. I have been living on a full time basis at this dwelling since 1993. My first concern is the relative close proximity of the proposed septic system to my existing well. I'm concerned that the proposed 100 foot distance, along with the sloping grade that flows in the direction of my well, has the potential to contaminate my water supply. It would also seem logical to relocate the proposed septic farther away from the lake and closer to the road than currently proposed. Another concern is the fact that the proposed structure is apparently within 30 feet of the high water mark of the lake. This would indicate to me that a substantial number of trees and other vegetation would need to be removed in very close proximity to the shoreline. This would no doubt have an adverse effect on the slope leading to the lake and therefore have a negative impact on the drainage leading into this very delicate body of water. This will more than likely cause substantial erosion along the shoreline which will ultimately result in the flow of household runoff into the lake itself. I would also like to add that the proposed sightline footprint of the structure would appear to be situated at an angle to the road. I would suggest that the proposed structure be aligned in more of a conventional manner in which the front of the structure would be at zero degree angle to the road as well as adjoining lots. Sincerely, ---- -- t APR 1 4 2006 Michael D. Ryan PO BOX 1686 MATTITUCK NY 11952 April 13, 2006 Town of Southold Board of Trustees PO Box 1179 Southold,NY 11971 Dear Town of Southold Board of Trustees, I wish to express some concerns regarding the proposed development of an undeveloped parcel located on Laurel Lake, SCTM # 1000-121-04-24. I am the owner of an adjacent parcel# 121-4-26 and have been residing in that dwelling since 1991. I'm concerned that the proposed structure is much too close to the shoreline of the lake. Based on the layout, it would appear that most of the well developed trees and other vegetation would need to be removed along the shoreline, resulting in a substantial amount of beach and shorehne erosion. The closeness of the structure to the sboreline would also make it likely that household runoff would easily find its way into the lake and risk long term pollution to the lake's ecosystem. I wish to suggest that the Trustees consider pushing the building envelope closer to the closer to the suggested 100 foot wetlands distance as designated by the DEC. Sincerely, Joan Ryan r '_ APR r 4 2006 Albert J.Krupski,President ��►0 CQG Town Hall James King,Vice-President ti� y� 53095 Route 25 Artie Foster cz y P.O.Box 1179 Ken Poliwoda Z Southold,New York 11971-0959 Peggy A.Dickerson Gyif'Q aTelephone(631) 765-1892 1 Fax(631) 765-+@@&(6b41 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD - Office Use Only Eb Coastal Erosion Permit Application - 6 2006 Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Ateceived Application: 06 4 -- _✓Received Fee:$ --" -- `-" completed Application( _Incomplete _SEQRA Classification: Type I Type II Unlisted —Coordination:(date sent __,GAC Referral Sent: No Date of Inspection: N fi 10fe _Receipt of CAC Repo : _Lead Agency Determination: _Technical Review: public Hearing Held: o� _Repofloutior Name of Applicant c2 Address ® Y Phone Number:( ) t mom\- `I LA4- i�JQ Suffolk County Tax Map Number: 1000 - i Q\® ®14-j L4 Property Location: Laxg\\ ®,u , mc,*I;jx� (provide LILCO Pole#, distance to cross streets, and location) AGENT: e y!',R-e w -T-Gbi��� i �"• t<-- (If applicable) Address c, X Ub Lg SNOUK&1QVY-i ,C�N X1 `6U Phone:U--A-aus-S Board of Trustees Application GENERAL DATA Land Area(in square feet): ;Q �"-��'j ,V-7, Area Zoning: Previous use of property: Nhe(m-)�- Intended use of property: \Ckx- a\ 'Nk,--�e-WnQ Prior permits/approvals for site improvements: Agency Date •a/ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? 3/ No Yes If yes, provide explanation: Project Description (use attachments if necessary):'?' Ir®Qo i' fie. :gamCNy h t)oy�\4ay'U !�3US 1 o"' A 4f1 d 1C'lxlL:(U l A1C\ Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: \e_ �_eji-N&YY - 113 Wd 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? No ✓ Yes If yes, how much material will be excavated? $ cubic yards How much material will be filled? ® cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: At, \xX���le�1Yoo'� Q'Vz8efA r�peY on fi cy) 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity:ce� �\ a �8enc Q Are wetlands present within 100 feet of the proposed activity? No ;0 Yes Does the project involve excavation or filling? No ✓ Yes If Yes, how much material will be excavated?__V$(cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited:!® MC x i&N a -QQ Qp`('C� Ck� ��r 2D'`k, OADn - Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 1--)rQ�ClA- V "fie— \oM V)e A!b PROJECT ID NUMBER 617.20 SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME 3.PROJECT LOCATION: Municipalityeez' CD Lo�a County D` 4.PRECISE LOCATION Street Addess and Road Intersections, Prominent landmarks etc -or provide map CO\t> Cry 5.IS PROPOSED ACTION: z New ❑Expansion ❑Modification/alteration 6.DESCRIBE PROJECT BRIEFLY-__*__�_,qCjaeCJ jay4VC\� �.�`lt ` o\v% IM��V 7.AMOUNT OF LAND AFFECTED- Initially acres Ultimately acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ®Yes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open Space ❑Other (describe) 10 DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGEN Y (Federal, State or Local) • Yes ❑No If yes, list agency name and permit / approval. 11.DOES ANY ASPECT OF THE ACTION HAVE A CUR NTLY VALID PERMIT OR APPROVAL? ElYes EZINo If yes, list agency name and permit / approval* 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑YesNo I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date. Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT(To be completed by Lead Agenc A. DOES ACTION E EED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617 49 If yes,coordinate the review process and use the FULL EAF. Yes o B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617 6? If No,a negative declaration may be superseded by another involved agency Yes 0 No C COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly V4.0 C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly. 1�67 C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly. 1�� 1 C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly. VA() C5 Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly- C6. rieflyC6. Lo__ngggterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly: 1.i� C7 Other impacts(including changes in use of either quantity or type of energy? Explain bnefl D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTA AREA CEA)? If es,ex Iain briefl E] Yes ®No L -- -- I E. IS THERE,OR IS HERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es ex lam: D Yes ffNo PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring; (c)duration;(d)irreversibility;(e) geographic scope; and (f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential impactof the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination Name of Lead Agency Date Print or Type Name of Responsible Officer in ead Agency Title of Respondit&Officer Signature of Responsible Officer in Lead Agency ignature of Preparer(If different from responsible officer) Board of Trustees Application County of Suffolk State of New York BEING DULY SWORN DEPOSES'AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE=HE- USTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO EN R ONTO MY PRO ERTY TO INSPECT THE PREMISES IN CONJUNCTI WITH REVIEW OF S APPLICATION. �CL Signature SWORN TO BEFORE ME THIS r� DAY OF 520 O otary Public N iia `��rrrew rk No.4922202 Olual Pied in Suffolk County Cokpmission Expires February 28,2006 01/26/2606 15:33 6317449092 MANZIHOMESINC PAGE 02 ,den 26 06 02: 12p ( ;met Enterpriseng 64, X134-7527 p.2 01/26/2006 12:44 _.'440032 MANZIMMESINC � PAGE 82 01/2s/2006 15:62 621727E03Z EUTLEP 'iFi"S PAM ea (whore the 6ppliasat in Uat t2w Winer) (� "I 4 lit, mar �,,,� Aa� uti ji to &011 fog vowLt c M' 2 Itho ftutbalA 9aard ®f TWO fi ts" cc my °' t SUFFo(�- Albert J.Krupski,President Off® C� Town'Hall James King,Vice-President =`1` Gym 53095 Route 25 Artie Foster p P.O.Box 1179 Ken Poliwoda W �? Southold,New York 11971-0959 Peggy A.Dickerson Gif�o Telephone(631) 765-1892 j Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD OTHER POSSIBLE AGENCIES YOU MIGHT HAVE TO APPLY TO N.Y.S. Dept. of Environmental Conservation (DEC) , SUNY, Bldg. 40 Stony Brook,NY 11790-2356 (631) 444-0355 Mon., Wed.,Fri., 8:00 AM-3:00 PM Suffolk County Dept. of Health Services County Center Riverhead,NY .11901 852-2100 U.S. Army Corp. of Engineers New York District 26 Federal Plaza New York,NY 10278 212-264-3912 N.Y.S. Dept. of State Coastal Management 162 Washington Ave. Albany,NY 12231 518-474-6000 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 vpWse of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. y YOUR NAME: i� err w (Last name,first name,griddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this dday of 2004 Signatu Print Nam Form TS 1 � � P. E. JEFFREY T. B'UTLERi , PO ' Box 634 ; SHOREHAM NEW YORK 1 1 786 , 63 1 -Z08-8850 ;,, ; ',,LICENSED PROFESSIONAL ENGIN'EER•• t MEMBER NATIONAL SOCIETY OF PROFESSIONAL ENGINEERS Transmittal ' February 3, 2006 FEB, -'6 2006 ' ; Town of Southold Board of Trustees PO Box 1179 , Southold,NY'.11971 RE: Trustees Application Crescent Way, Mattituck,NY ; SCTM# 1000-121-04-24 To Whom It-May Concern: Enclosed please find the original application and site plan along with two copies of _ each for your review. Upon notice of hearing date we.will submit the Notice to Adjacent Property Qwner and mail receipts. If you have any questions,please call the office at the " number above. Thank you for your time. Sincerely, " Jeffrey T. Butler,P.E." Town of Southold J - V 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 signific 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# 1 a I - b q PROJECT NAME r'o�C � \&y--y C_p ro-�\ c 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: 2 Nater extent of action: lsJ 1 � a Location of action' ) pF' Site acreage: Present land use:v1�t-,�k dI n-1 o- - —C `� Present zoning classification=\ 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: (c) Telephone number: Area Code ( ) (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No Er If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section,III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ©"Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Pol- les Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable 1 . _ Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Polic'es Pages 6 through 7 for evaluation criteria F1 Yes ❑ No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pa 8 through 16 for evaluation criteria F] Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 thro 21 for evaluation criteria ❑ Yes 1:1 No 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 evaluatio criteria. ❑ ❑ Yes No Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances andwaste See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye Dn No ZNot Applicable Attach additional sheets if necessary WORKING COAST POT YCIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Se LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. F1Yes [:1No 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 w ers. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. EJYes 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 17 ation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; ages 65 through 68 for evaluation criteria. ❑ Yes ElNo Not Applicable PREPARED BY TIT �, DATE a I JEFFREY T. , .EUTLER, P. E . P,0 Box 634 SHOREHAM', NEW YORK 1 1 786 i� -- , LICENSED PROFESSIONAL ENGINEER MEMBER NATIONAL SOCIETY OF PROFESSIONAL ENGINEERS, Transmittal February 10, 2006 ' Town of 8outhold Board of Trustees PO Box 1179 Southold,'NY 11971 RE: LWRP Application Crescent Way, Mattituck,NY, ; SCTM# 1000=121-04-24 ; To Whom It May Concern: Enclosed please find the requested LWRP Application. If you have any questions, please call the office at(631) 208-8850. If you have any questions,please call the office at (631) 208-8850. Thank you for your time. Sincerely ?effrey T. Butler, P.E. o��gOFFO(,�c Telephone Town Hall (631)765-1892 _ 53095 Route 25 P.O.Box 1179 Southold,New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At'the meeting of the,Southold Town Conservation Advisory Council held Wed., March 15, 2006, the following recommendation was made: MANZI HOMES to construct a single-family dwelling, sanitary system, and driveway. Located: 1805 Laurel Way, Mattituck. SCTM#121-4-24 The CAC did not make an inspection, therefore no recommendation was made. 21 11 A E —7Z- 2 A LATCH lflE ��4 HO SEE uc NO O1i-01 JI LIT 11-7-01923 L. SELLA 12z-o1-aozz o0 -4 Eli,F�-, FOR PCI.w 531 ] 'A 110 soA A 47 s Ll a so 50A 1s &CA TOWN OF 13 f TO C, 3 201 PE—.LAw 1­7 2200.1 mA TOWN OF SO—D 041 110 4 .-I ]Mto LOAIU BSAIU o— Los ^, tvar rldtM 15 2 S—K5910. _-AC —TY OF S FFOLA .m 2CC . Z2 21A ­H=TY 9I O 621A 74 .,A CCMTY OF 06FOLK COUNTY OF —K L9AFOR ICL NO NO 322-02-025 'A 71 I x13e14 1, 47A 2 MIA 26 WATER A.— T21411A i3 2 4A 2t '.IN OF F..PCL N0. 4 SEE SEG NO A 1 Ahl,) LAUREL LAKE FON PCc L NO NO NO 12s NOTICE E F.LL-1 COUNTY OF SUFFOLK E SOUTHOLD SECTION NO --T-S-- Red Pr.perty Tax Service Ag �or P-4N Y 13DI AU E ency y �E 121 B b l000 7 , • c Albert J. Krupski, President 0�. QG Town Hall James King,Vice-President ti� y� 53095 Route 25 Artie Foster y P.O.Box 1179 Ken Poliwoda • Southold, New York 11971-0959 Peggy A.Dickerson y �� Telephone(631) 765-1892 ��l `t►a Fax(631)765-10W(ob4i BOARD OF TOWN TRUSTEES ; TOWN OF SOUTHOLD i! FEB Office Use Only - _Coastal Erosion Permit Application 1, - _Wetland Permit Application Administrative Permit _Amendment/Transfer/Extension _Received Application: _Received Fee:$ _Completed Application _Incomplete _SEQRA Classification: Type I Type II Unlisted _Coordination:(date sent) _CAC Referral Sent: _Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: _Public Hearing Held: Resolution: Name of Applicant Address o'jolt 7007 PLVCXN-A nA-i M 10-1 S Phone Number:( ) t off\- -1 LA4- `CaA Suffolk County Tax Map Number: 1000 - 1 a 1 - p'4-a?t-} Property Location:U31 I��ro,1 au , maA- ;\A . (provide LILCO Pole#, distance to cross streets, and location) AGENT:—M V:�''re 1.4 (If applicable) Address: l951 sy1OY Orann Phone: Board of Trustees Application GENERAL DATA Land Area(in square feet): V T Area Zoning: Previous use of property: Noic(an�r Intended use of property: enkla\ hA-- W nQ Prior permits/approvals for site improvements: Agency Date •/ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? 9/ No Yes If yes, provide explanation: Project Description(use attachments if necessary)'-?-rz 0=9—d ZL k2D and \ d 1(lrX'��C�C�1�� 1 Y�l�l'�'�f �►��cl�'S Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:OjM\vL :kV_�NdtyyQ, 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? Noy' Yes If yes, how much material will be excavated?-cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 1�b C`mexia, �4kN )[XamtNed J-im -n t5\:e_ M-6 L'YW .re - �I38e_A CLs per fie.. CA on . 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: \ '�� 1- c 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? D (,cubic yards) Manner in which material will be removed or deposited:!lV , ma' )e C\&. VMS\ yr c'wt -d �3cr)rn ai k C�nd a -Q C1 a5 oar b w Q\Qn Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) - rcQte_C'� A'g-�o� to\\\ � h dr�xc l aA on(A tn& vw atm e m . PART II- IMPACT ASSESSMENT o be completed by Lead Agency) A. DOES ACTIONE EED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAR Yes No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes 0 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: �l7 E3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: ND C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: N� C5. Grow th,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly C6. Longterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly: 5 C) C7. Other impacts(including chan es in use of either quantityort a of ener ? Explain briefly: lv C) D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTA AREA(CEA)? If es,explain briefly: Yes F No E. IS THERE,OYNO HERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es explain: Yes PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially,large or significant adverse impacts which MAY occur.Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting W determination. Name of Lead Agency Date Print or Type Name of Responsible Officer inLead Agency Title of Responft Officer Signature of Responsible Officer In Lead Agency Oi�gEature of Preparer(If different from responsible officer) ' ' o Board of Trustees Application County of Suffolk State of New York BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE T-HE-TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO EN ONTO MY PR ERTY TO INSPECT THE PREMISES IN CONJUNCTI WITH:REVIEW OF IS APPLICATION. Signature SWORN TO BEFORE ME THIS r� DAY OF rC6 ,20� otary Public W=T't9M6ff'NW6w York 4922202 Olmmed m&"Ceu Cwww4siwE*1ms February 28,2006 Jan 26 66 OZ: 12p Aleet Enterpraseng 631-734-7527 P.2 01126/2006 12:44 6317440032 K4NZIHCMESINC PAGE 02 OL/zS/38td6 MM 6317278033 PuiLE�' S PA(K ex O":3 of T1wtA*a ue"Lan (wkAre the a'pliem,t is got the OWAGM) (print *Mmc • ropornY 1 nQ dm %eteby autbooriZ41— kk JV trcm the IA BaArd of TOM -rn wt"M oft W s A 4 . • - sufFot� Albert J. Krupski,President ��� C� Town Hall James King,Vice-President �`1` G�y� 53095 Route 25 Artie Foster C2 :'� P.O.Box 1179 Ken Poliwoda � Southold,New York 11971-0959 Peggy A.Dickerson �.f.�0 aO�� Telephone(631) 765-1892 j Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD OTHER POSSIBLE AGENCIES YOU MIGHT HAVE TO APPLY TO N.Y.S. Dept. of Environmental Conservation (DEC) SUNY,Bldg. 40 Stony Brook, NY 11790-2356 (631) 444-0355 Mon., Wed., Fri., 8:00 AM-3:00 PM Suffolk County Dept. of Health Services County Center Riverhead, NY 11901 852-2100 U.S. Army Corp. of Engineers New York District 26 Federal Plaza New York,NY 10278 212-264-3912 N.Y.S. Dept. of State Coastal Management 162 Washington Ave. Albany,'NY 12231 518-474-6000 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The pg=se of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is nevem to avoid same. YOUR NAME: -:?Qt,41fty- �P fir u (Last name,first name,griddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee _ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other ,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO _ - If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicont (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 RELATIONS141P Submitte this da of 2006 Signatu Print Na - Form TS 1 e PROJECT ID NUMBER 817'20 SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME 3.PROJECT LOCATION: Municipality Countyi5c.) A_ 4.PRECISE LOCATION, Street Addess and Road Intersections. Promingnt landmarks etc -or provide map �1t> Cr05cQ y4 l � t --I 4_w ��o LU�re-\ tray, CYl 5.IS PROPOSED ACTION: 0 New, ❑Expansion ❑Modification/alteration 6.DESCRIBE PROJECT BRIEFLY d _(b-,CV d�_\1�V'%WAN AGY" Qrd w-NaNed \arch-binV; %onck ckrve_uzia _ 7.AMOUNT OF LAND AFFECTED, Initially acres Ultimately acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? i Yes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open Space ❑Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGEN Y (Federal, State or Local) es ❑No If yes, list agency name and permit / approval: c C 11.DOES ANY ASPECT OF THE ACTION HAVE A CUR NTLY VALID PERMIT OR APPROVAL? ❑Yes r;�No If yes, list agency name and permit / approval: 12. AS A RES LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? as No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: ,.--3-06 Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment