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TR-9120
�pF SO(/l Michael J. Domino,President � yolO 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 ® y@ Telephone(631) 765-1892 A. Nicholas Krupski �'COUNTi Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction '/z constructed Project complete, compliance inspection Mos BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 9120 DATE: NOVEMBER 15, 2017 ISSUED TO: MAUREEN & JOHN HURLEY PROPERTY ADDRESS: 1535 WESTVIEW DRIVE, MATTITUCK SCTM# 1000-107-7-10 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 November 15, 2017, and in consideration of application fee in the sum of$250-00 paid by Maureen&John Hurley 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 construct an 181x73.4' addition (including 121x151 seaward side screened porch)to existing 27.5'x73.4' one-story dwelling; install gutters to leaders to drywells to contain roof runoff,and in accordance with Chapter 236 of the Town Code-Stormwater Runoff; and as depicted on the survey prepared by Peconic Surveyors,P.C.,last dated August 15,2017,and stamped approved on November 15,2017. 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. S%tf FO ti Zk Glenn Goldsmith-Absent JAW[ TERMS AND CONDITIONS The Permittee Maureen&John Hurley, residing at 1535 Westview Drive, Mattituck,New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J.Domino,President ®��OF SO Town 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 G • Telephone (631) 765-1892 A.Nicholas Krupski 'Q Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 15, 2017 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: MAUREEN & JOHN HURLEY 1535 WESTVIEW DRIVE, MATTITUCK SCTM# 1000-107-7-10 Dear Mrs. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 15, 2017 regarding the above matter: WHEREAS, Patricia C. Moore, Esq., on behalf of MAUREEN & JOHN HURLEY 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 September 13, 2017, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the PBoard of Trustees has furthered Policy 6.3 Eof the-Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: waiving of the 100' setback as current requirements are met by the changes in the building; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 15, 2017, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 11 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 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of MAUREEN & JOHN HURLEY to construct an 18'x73.4' addition (including 12'x15' seaward side screened porch) to existing 27.5'x73.4' one-story dwelling; install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Runoff; and as depicted on the survey prepared by Peconic Surveyors, P.C., last dated August 15, 2017, and stamped approved on November 15, 2017. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Ve truly4yo rs, Michael J. Domino President, Board of Trustees _WD/dd Michael J. Domino; PresuG,it Town Hall Annex John M. Bredemeyer, 111, Vice-President =t�o�o c°oy; 54375 Route 25 Charles J. Sanders 0. P.O. Box 1179 Glenn Goldsmiths Southold, NY 11971 A. Nicholas I{rupski �?{may ® o��y Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD its��alT - TO: MAJ+�1�'� �DEffl( fl'✓kC�� � PATi2�C�f�- /�ddOP..� Please be advised that your application datedT � has been reviewed by this Board at the regular meeting of /VA15' Zdtl 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) 1St Day of Construction ($50.00) % 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: AI TOTAL FEES DUE: $ 504#6 l2 0 'rt BY: Michael J. Domino, President Board of Trustees Michael J. Domino, PresicX, ;, ,.,,;.; .,f,; i"-- Town Hall Annex John M. Bredemeyer III,Vice-Pr"&sfdent �� Gym, —" 54375 Route 25 Charles J. Sanders y �'� P.O.Box 1179 Glenn Goldsmith 0 "� Southold,NY 11971 A.Nicholas Krupski y ® p!� Telephone(631)765-1892 ��� �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 1016/1-7 q ",05 Completed in field by: �a .G� �c��j,, A Patricia C. Moore, Esq. on behalf of MAUREEN & JOHN HURLEY request a Wetland Permit to construct an 18'x73.4' addition (including 12'x15' seaward side screened porch) to existing 27.5'x73.4' one-story dwelling; install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Runoff. Located: 1535 Westview Drive, Southold. SCTM# 1000-107-7-10 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1., Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ " Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment _AZWetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: J��ray ah� �vrd✓o,s-�l - ��,✓ Yui ��ko�t��� S�P� S VS Present were: ✓ J. Bredemeyer M. Domino V G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino,Presid O�'�SUFFO4COG j, l Town Hall Annex John M. Bredemeyer III,Vice-Presiaent �� y� 54375 Route 25 Charles J. Sanders y a P.O.Box 1179 Glenn Goldsmith 0 ® Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Patricia C. Moore, Esq. on behalf of MAUREEN & JOHN HURLEY request a Wetland Permit to construct an 18'x73.4' addition (including 12'x15' seaward side screened porch) to existing 27.5'x73.4' one-story dwelling; install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Runoff. Located: 1535 Westview Drive, Southold. SCTM# 1000-107-7-10 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 EILCO DOOR LOCATION TED 26. 08' 46.15 CIS O O I 1 I O ' N z O_ SCREENEDi PORCH a, m I 1 STORY FRAMED HOUSE I _ 5 6.911 8.00, -------------- Lo ______t.______L I � 1 tr f 1 1 1 I � EX/ST/NG HOUSE ENVELOP I _ //f' A N r ' ARAGE 1 ' I I. 3 13 l 8.00, PORCHLl 13.458 ' O 21.815' Y fjD ! 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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 ® a� NV,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD - MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: October 16, 2017 Re: LWRP Coastal Consistency Review for MAUREEN &JOHN HURLEY SCTM# 1000-107-7-10 Patricia C. Moore, Esq. on behalf of MAUREEN & JOHN HURLEY request a Wetland Permit to construct an 18'x73.4' addition (including 12'x15' seaward side screened porch) to existing 27.5'x73.4' one-story dwelling; install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Runoff. Located: 1535 Westview Drive, Southold. SCTM# 1000-107-7-10 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is INCONSISTENT with the below listed Policy Standards and therefore is INCONSISTENT with LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The septic tank requires a minimum setback of 1 00' from the wetland boundary. The setback has not been identified. In the event that the action is approved, the establishment of a vegetated, non-turf buffer to further Policy 6 and protect water quality of Mattituck Creek is recommended. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. t Peter Young,Chairman H Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 1 '1' Fax(631)765-1823 Conservation Advisory Council - Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., October 11, 2017 the following recommendation was made: Moved by Greg Williams, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of MAUREEN HURLEY & JOHN HURLEY for an 18'X 73.4' addition to the existing dwelling with 12'X 15' screen porch and renovations to existing 27.5' X 73.4' house, and the installation of drywells and gutters. Located: 1535 Westview Drive_ , Mattituck. SCTM#107-7-10 Inspected by James Abbott Vote of Council: Ayes: All Motion Carried J:W 5AJ/o ivla,n K030 M,chael J. Domino V+ce-PCCStdent ;, P O Box 1179 K James I' ung. TrUSLCe �p - S gold Nc— York 1197L-0959 Dave Bergen_ Trustee � � Telephone(63 L) 765-1892 Charles J_ Sanders. Trustee flFax(631) 765-6641 CO D FK[E0VC BOARD OF TOWN TRUSTEES D TOWN OF SOUTHOLD SEP 1 4 2017 To: Southold-Town Building Department - - BUILDING DEIN. ' Re- Verification of Building Department Permit Requirements TOwNOFSOUTHOLD 01- 7-10 SCTM#: J Property Owner Mame: ' R�l Date Sent to Bldg- Dept__ The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Departfnent'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? - Will any-part of this application be considered as Demolifion as -described under Town Code? COMMENTS: agnature of Rev-fewer Date ����•S�UT�Yo ti Town Hall Annex John M.Bredemeyer III,President Michael J.Domino,Vice-President 54 Main Road _ ; �, P.O64375..Box 1179 James F.King,TrusteeC/2 . ; Southold,New York 11971-0959 Dave Bergen,Trustee Telephone(631)765-1892 Charles J.Sanders,Trustee � �ouly t�t,� .. Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application IUD Wetland Permit Application S E p 3 201 Administrative Permit /,ReceivApplication- endment/Transfer/xtension d Town Received Fee:$ Z50 a r Completed Application: - 770i-ft Incomplete:_ SEQRA Classific ion: Type I Type II- Unlisted oordination:(date sent): LWRP Consistency Assessment Form: AC Referral Sent. q,27•/� Date of Inspection: 7®•lfS.17 _Receipt of CAC Report: Lead Agency Determination: ZTechnical Review: Public Hearing Held: o .11)5117 Resolution: Name of Applicant: J�rV d�f � �� 1, '�/ d Mailing Address: /5 A� ✓ e S f V' jy, dill�i /l 2— - Phone Number: Suffolk County Tax Map Number: 1000- l(j`� —7 - 10 Property Location: (provide LILCO Pole#,distance to cross streets,and location) AGENT: (If applicable) Address: . (®. aR02A ©� Phone: 71� , Board of Trustees Application GENERAL DATA Land Area(in square feet): 5 7(o Area Zoning: Previous use of property: Intended use of property: � ��S Covenants and Restrictions on property? Yesy1 No 1 If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? V/ Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. / Does this project require a variance from the Zoning Board of Appeals? Yes v No p J q g pP If"Yes",please provide copy of decision. Will this project require y demolition as per Town Code or as determined by the Building Dept.? Yes V No Does the structure(s)on property ertY- ro have a valid Certificate of Occupancy? Yes No 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? No Yes If yes,provide explanation: Project Description(use attachments if necessary):- Board of Trustees Appl.icat:ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: -"-j Agny� M Area of wetlands on lot: y square feet Percent,coverage of lot: O % Closest distance between nearest existing structure and upland edge of wetlands: I�__ _ -' feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involveexcavation or filling? " No ✓/ - Yes �VAd o,h7 If yes,how much material-will be excavated? _ cubic yards How much material will be filled? Depth of which material will be removed or deposited: .- - feet Proposed slope throughout the area of operations: flar Manner in which material will be removed or deposited: !�Mao i 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): a 1nf CAIM Q tnx,� 1 � 6I Z20 Appendix B Short Environmental Assessment Forret Instructions for Comnletine 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 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 haw I-A) Name of Action or Project: - Project Location(describe,and attach ,a location map): Brief Description of Proposed Action-- -7 ction:- - ,� 6� � a§ur—alteiU i Narne of Applicant or Sponsor: Telephone: &L-39/ ' Address: �� n City/PO:' Sta e: Zip Code: 1.Does the proposed action only involve the legislative*adoptiori 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: V a: 3:a.Total'acreage of the site of the proposed action? : a 2. -�_acres b.Total acreage to be physically disturbed? _e 6 _acres c.Total acreage(project site and any contiguous properties)owned i or controlled by the applicant or project sponsor? r acres 4. Check'all land uses that occur on,adjoining and-near the proposed action. ❑Urban ❑Rural(non-agriculture) [:]Industrial ❑Commercial �R/Csidcntial(suburban) ❑Forest OAgriculture E3 Aquatic ❑Other(specify)! _._ _ ❑Parkland Page 1 of 4 5. is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? ❑ ❑ i 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES. landscape? E10- 7. • ,7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify.: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 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 If No,describe method for providing potable water:: &6� _ 11.Will the proposed action connect to existing wastewater utilities? N0. :.Y--ES" If No,describe method for providing wastewater treatment: t �y y� ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? f❑' b.Is the proposed action located in an archeological sensitive area? _ 13.a.Does any portion ofthe 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? .0• " 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.Mgdtify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban I5.Does the site ofthe proposed action contain any species of animal,or associated liabitais,listed NO •"VES by the State or Federal government as threatened or endangered? .❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO ,` YES If Yes, :::❑ a.Will storm water discharges flow to adjacent properties? [(NO ❑YES b.Will storm water discharges be directed to established conveyance systems(runoff andtom m drains)? If Yes,briefly describe: ❑NO MYES ' - r Page 2 of 4 I 8.Does the proposed action include construcition or other activities that result id the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: i a 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO ' -YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or 'NO' YES' completed)for hazardous waste? If Yes,describe: _ _ - YF1 I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name• Date: 7 0- 10-17. - 'Signature:. l0—l7. - '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 -Modciafc . small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? ' 2. Will the proposed action result in a change in the use or intensity of use of land? E 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 affect existing infrastructure for mass transit,biking or walkway? 6. .Will the proposed action cause an increase in the use of energy and it fails to incorporate El 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? MI. EJ 8. Will the proposed action impair the character or quality of important historic,archaeological, EJ 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 impnet impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lend Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined;based on the infoi•md[ion grid 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. E] Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environment[I i p/actts. Town of Southold-Board of Trustees g 6 1 / Name of Lead Agency p President Print or Type Na a of son le Officer in Lead Agency Title of Responsible Officer SiiWafd&6f Respo ib a Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Applica__:)n County of Suffolk State of New York JOHN HURLEY & MAUREEN HULRY,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 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 THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. LIZVL Hurley Maureen Hurley Swornete,before me this day o , 2017 otary Publ' BETSY A.PERKINS Notary public,State of NewYor =:: No.01 PE6130636 Qualified in Suffoik-Cou -_rn� Commission Expires'.lu1Y.. Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) John Hurley and Maureen Hurley, as owners of premises 1535 Westview Drive, Mattituck,NY (sctm: 1000-107-7-10) residing at 1535 Westview Drive, Mattituck,NY do hereby authorize our attorney, Patricia C. Moore,to apply for permit(s) and appear before the Southold Board of Town Trustees on my behalf. a�, Owners signature) ( ' g ) John Hurley (Owner's signature) Maureen Hurley i 1 APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) 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 the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: HURLEY,JOHN&MAUREEN AND MOORE,PATRICIA C. (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company. If so,indicate the other person or company name.) NATURE OF APPLICATION:(Check all that apply.) Tax Grievance Variance Special Exception If"Other", name the activity: Change of Zone Approval of Plat Exemption from Plat or Official Map Other Trustees X 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_X Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself(the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship 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 th' da3 0l Signature: L.� J Hurley Maureen Hurley Ctrrci'a C.Moore NUTIL' 't Uim HI: AKING 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. OWNERS) OF RECORD: MAUREEN & JOHN HURLEY SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct an 18'x73.4' addition (including 12'x15' seaward side screened porch) to existing 27.5'x73.4' one-story dwelling; install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Runoff. Located: 1535 Westview Drive, Mattituck. SCTM# 1000-107-7-10 TIME & DATE OF PUBLIC HEARING : Wednesday, November 15, 2017 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF HURLEY _MAILING Applicant's Land'Identified as 1000-107-7-10 IDIE � � � �� ---------------------------------------------------------------X COUNTY OF SUFFOLK) NOV 1 4 2011 STATE OF NEW YORK) Southold Torn Bozoi Trmtges I, BETSY PERKINS, residing at Mattituck, New York, being duly sworn, depose and say that: On the 6th day of November, 2017, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the persons listed on the attached list at the addresses set below their respective names;,that the addresses set below 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 Southold, New York, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Attached hereto is the white receipt post-marked by the Southold Post Office on said date. LA� BETSY P (RKI Sworn to before me this f 3 day of A10 E-A13Er— 71 (No ary Public) MARGARET C. RUTKOWSKI Notary Public, State of New York No. 4982528 Qualified in Suffolk County Commission Expires June 3, aO/ ti L HURLEY TRUSTEES NEIGHBOR LIST 7015 0640 0001 5424 7828 7015 064010001 5424 7798 Michael J. Confusione Rita Schmidt 1605 Westview Drive 1460 Westview Drive Mattituck NY 11952 Mattituck NY 11952 sctm: 1000-107-7-9 sctm: 1000-107-7-16 7015 064010001 5424 7835 7015 0640 0001 5424 7811 Ingeborg Mueller Brandon Binder 1435 Westview Drive 1400 Westview Drive Mattituck NY 11952 Mattituck NY 11952 sctm: 1000-107-7-11 sctm: 1000-107-7-15 U.S. Postal Servic,674 CERTIFIE © ' e RECEIPT Er Domestic ma4 Only P- ru e. • CO Certfied Mall Fee - C I e �erS e � Ef .Ln 7 $ M Certified Mall Fee Extra SaNlees&Fees(checkbox,add fee as appropriate) I � _ ❑Retum Receipt(hardcopy) $ u7 $ - Extra Services$Fees(checkbox,add fee as appropriate) E ❑Re Receipt(electronic) $ ~-``- / L r Pc mark" ❑Return Receipt(hardcopy) $ r-3 ❑Certified Mail Restricted Delivery $ '-� �, "� C3 ❑Return Receipt(electronic) $ �_� Postma4`k � C3 ❑Adult Signature Required $ L- O ❑Certified Mail Restricted Delivery $ Here \y [I Adult Signature Restricted Delivery$ ��+ sV i O E]Adult Signature Required $ d/4 \\\ 0 Postage I ❑Adult Signature Restricted Delivery$ Nt, o `� �- _ NLy_� ca ry �y) � Postage C3 T� ichael J. Confusion — - - - $ a Toikita Schmidt ''� ser1605 Westview Drive' SSP, �+�PS Ln $1460 Westview Drive SPS o ---Mattituck NY 11952 "' s"` __Mattituck NY 11952 �t Stir -------------- \ —— Ctt �______________ ' :11 o e e eoe•e __ _ ' J ■ 1 TI • Postal CERTIFIED MAILO RECEIPT CERTIFIED MAIL@ RECEIPT ul m Domestic Mail Only Domestic Mail Only -11-11 E tt pi e 'i.. � . � e e �p �• � � {<' It � e � F='�7 qY�� l.`' n t L..,,v 3tt:.3 rU Certified Mail Fee rU Certified Mar Fee V7 $ Extra Services&Fees checkbox,add fee as a ro date F_xtra Services $Fees(checkbox,add fee as appropriate) ( Pp p ) � ❑Return Receipt(hardcopy) $ � ❑Return Receipt(hardcopy) $ C:3 ❑Return Receipt(electronic) $ H�rr -'i al ❑Return Receipt(electronic) $ Postmark Q ❑Certified Mail Restricted Delivery $ Here\ O ❑Certified Mail Restricted Delivery $ Here O E]Adult Signature Required $ e C-3 []Adult Signature Required $ E]Adult Signature Restricted Delivery$ �,i-i []Adult Signature Restricted Delivery$ �E:3 Postage a r-3 Postage __ _ E3 Tot-(ngeborg Mueller V��� � o TatBrandon Binder ��✓ �r Ln Sen 1435 Westview Drive ; a $-1400 Westview Drive o Mattituck NY 11952 �----_-___ i In .-Mattituck NY 11952 , � Strei , [� o 4 ryI I CSI �s� I :e1 t ___ 0e 1 01 eel•1• __ _ . . g11FF0(,� r i., Michael J.Domino,President O�0 COG Town Hall Annex John M.Bredemeyer III,Vice-President �� �J,� 54375 Route 25 Charles J. Sanders o P.O.Box 1179 co Z Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski y,�o dao! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MAUREEN & JOHN HURLEY COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE s , )) 111 \\ I, 1 , residing at/dba l J�wL �"C._� � ' being duly sworn, depose land s That the b day of ()v , 201 , Iperso,��ally po ted the property known as 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,November 15,2017. Dated: ()l m• tom (si (ature) worn to before me this day o ` 20 N ary u 1' BETSY A.PERKINS Notary Public,State of New York No.01 PE6130636 Qualified in Suffolk Cou��� Commission Expires July 18 \ NUTILI: Ul;� HLAKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNERS) OF RECORD : MAUREEN & JOHN HURLEY SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct an 18'x73.4' addition (including 12'x15' seaward side screened porch) to existing 27.5'x73.4' one-story dwelling; install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Runoff. Located: 1535 Westview Drive, Southold. SCTM# 1000-107-7-10 TIME & DATE OF PUBLIC HEARING : Wednesday, October 18, 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 I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination-of consistency. *.Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form.should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its significant berieficial_and'adverseeffects upori�tliecoastal�area'(wluchincludes:allofSoutliold Towri).• 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: botl1:,sa[iinditin',g and-•uo*i 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 SCT1V!# ::� PROJECT NAME /LI The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ BuiIding Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate'response): n (a) Action undertaken directly by Town agency(e.g.capital construction,planning activity,agency regulation,land transaction) El (b) Financial assistance(e.g.grant,loan,subsidy) (c) • Permit,approval,license,certification: 'Q Nature and extent of action: iA Lls . -. i� _. s . Location of action: v AA Site a6reage: Present land use: - /—//)fJ5z Present zoning classification: 00 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: 2--: (c) Telephone number:Area Code O L lrob- (d) Application number,if any: Will the actioWbed* ectly undertaken,require funding,or approval by a state or federal agency? Yes;E : No''--- If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies;Page 2 for evaluation criteria. Yes 0. 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—ZApplicable Pages 3 through 6 for evaluation criteria Ot Yes-n-'No Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—7Not ies Pages 6 through 7 for evaluation criteria Q YesEl No Applicable Attach additional-sheets ifnecessary NATURAL COAST POLICIES Policy 4. Minimize Ioss of life, structures, and-natural resources from flooding and erosion,See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑, Yes E] No fNot Applicable Attacfi additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Bouthold.See LWRP Section IH —Polidies Pages 16 t;NNotApplicable gh 1 for evaluation criteria El Yes 0 No 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. F1 :o K Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes 0,Notot Applicable Attach additional sheets ifnecessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wasiKot es See LVW Section III—Policies; Pages 34 through 38 for evaluation criteria. 0 Yes 0'No 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. Y.D No Not Applicable Attach additional sheets if necessary 0 0 WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in • suitable locations. See WRP Section III -Policies;Pages 47 through 56 for evaluation criteria. 0 Yes n:No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long•Island Sound, the Peconic Estuary and Towit wa rs. See LWRP Section III—Policies;Pages 57 through 62 for evaluation criteria. Yes 0: No Not Applicable Attach additional sheets ifnecessary Policy 12. Protect agricultural lands-in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for eva ation criteria. ' 0 Yes No Not Applicable Attach additional sheets ifnecessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; ges 65 through 68 for evaluation criteria. 0 Yes :0 No Not Applicable PREPARED B ___ _ TITLE DATE