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TR-9117
Michael J.Domino,President �QF SUUTTown Hall Annex John M.Bredemeyer III,Vice-President ��� Ol0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 eOUNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1623C Date: September 12,2019 THIS CERTIFIES that the construction of a 633sq ft detached garage(uninsulated and unheated) which will be constructed on a concrete slab at grade with a perimeter foundation to a depth of 3'6"to 4'0"below grade-, install roof leaders to a proposed 100sq ft x 1.5' deep rain garden, remove existing 413 sq ft entry porch and step attached to dwelling and construct new f103sq ft covered entry porch and step on piers in same location,• remove f835sg.ft. of grass and loam and install compressed gravel base and gravel driveway and grade to a proposed 300sq ft x 1.5' deep rain garden for drainage; for the existing 222sg.ft. shed constructed on piers; install a construction entrance and concrete wash-out pit; and to install a continuous line of staked silt fencing which is to be maintained throughout construction; At 1946 Brickyard Road, Fishers Island Suffolk County Tax Map #1000-10-5-2.2 Conforms to the application for a Trustees Permit heretofore filed in this office dated September 29, 2017 pursuant to which Trustees Wetland Permit#9117 Dated November 15, 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 construction of a 633sq ft detached-garage Luninsulated and unheated) which will be constructed on a concrete slab at grade with a perimeter foundation to a depth of 3'6"to 4'0" below grade; install roof leaders to a proposed 100sq ft x 1.5' deep rain garden;remove existing ±413sgft entry porch and step attached to dwelling and construct new f103sg.ft. covered entry porch and step on piers in same location; remove f835sq.ft. of grass and loam and install compressed gravel base and gavel driveway, and grade to a proposed 300sq ft x 1.5' deep rain garden for drainage-, for the existing 222sq ft shed constructed on piers; install a construction entrance and concrete wash-out pit; and to install a continuous line of staked silt fencing which is to be maintained throughout construction. The certificate is issued to Kathryn M. Parsons owner of the aforesaid property. Dii� Authorized Signature rif SO Michael J. Domino, President TjfIO Town Hall Annex John M. Bredemeyer III,Vice-President �� lQ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G Q p Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 A��OUNTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: VOOOO�ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: COMM TS: it CERTIFICATE OF COMPLIANCE: Michael J. Domino, President o� SOUjyOl Town Hall Annex ® 54375 Route 25 John M. Bredemeyer III,Vice-President P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith ® �0 Telephone(631) 765-1892 A.Nicholas Krupski Ol�'00 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 � compliance Project com lete inspection 1 p 4a ,ta z A. 3 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 9117 DATE: NOVEMBER 15, 2017 ISSUED TO: KATHRYN M. PARSONS PROPERTY ADDRESS: 1946 BRICKYARD ROAD, FISHERS ISLAND SCTM# 1000-10-5-2.2 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 Kathryn M. Parsons 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 a 633sq.ft. detached garage(uninsulated and unheated),which will be hj constructed on a concrete slab at grade with a perimeter foundation to a depth of 3'61' to 4'0"below grade; install roof leaders to a proposed 100sq.ft.x 1.5' deep rain garden; remove existing:1:413sq.ft. entry porch and step attached to dwelling and construct new±103sq.ft.covered entry porch and step on t. piers in same location; remove±835sq.ft.of grass and loam and install compressed gravel base and gravel driveway,and grade to a proposed 300sq.ft.x 1.5deep rain garden for drainage; for the existing 222sq.ft.shed constructed on piers; install a construction entrance and concrete wash-out pit; and to install a continuous line of staked silt fencing which is to be maintained throughout construction; and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying& Architecture, PLLC,dated October 23,2017,and stamped approved on November 15,2017. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, i A : '. wy and these presents to be subscribed by a majority of the said Board as of this date. Glenn Goldsmith-Absent —-------------------- MNOV IR" TERMS AND CONDITIONS The Permittee Kathryn M. Parsons, residing at 1946 Brickyard Road, Fishers Island,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. t Michael J. Domino, President ��0f S0(/jyQ Town Hall Annex John M.Bredemeyer III,Vice-President �® 01 0 54375 Route 25 P.O.Box 1179 Charles J. Sanders jp Southold,New York 11971 Glenn Goldsmith G Q Telephone(631) 765-1892 A.Nicholas Krupski 'Q Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 15, 2017 Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959-0447 RE: KATHRYN M. PARSONS 1946 BRICKYARD ROAD, FISHERS ISLAND SCTM# 1000-10-5-2.2 Dear Mr. Just: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 15, 2017 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting Services on behalf of KATHRYN M. PARSONS 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 29, 2017, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, .. ,.. ._ _ _. .. WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on 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, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of KATHRYN M. PARSONS to construct a 633sq.ft. detached garage (uninsulated and unheated), which will be constructed on a concrete slab at grade with a perimeter foundation to a depth of 3'6" to 4'0" below grade; install roof leaders to a proposed 100sq.ft. x 1.5' deep rain garden; remove existing ±413sq.ft. entry porch and step attached to dwelling and construct new ±103sq.ft. covered entry porch and step on piers in same location; remove ±835sq.ft. of grass and loam and install compressed gravel base and gravel driveway, and grade to a proposed 300sq.ft. x 1.5' deep rain garden for drainage; for the existing 222sq.ft. shed constructed on piers; install a construction entrance and concrete wash-out pit; and to install a continuous line of staked silt fencing which is to be maintained throughout construction; and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying &Architecture, PLLC, dated October 23, 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 Very truly yours, Michael J. Domino, President, Board of Trustees MJD/dd Michael J. Domino, PreY1- nt, ; +' -- Town Hall Annex ,� g�FFotk .�} John M. Bredemeyer, III, Vice-President p , c°°y, 54375 Route 25 Charles J. Sanders ,So 1 Th P.O. Box 1179 Glenn Goldsmith y Southold, NY 11971 A. Nicholas Krupski �y ® o`y Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD - /l1 ,11 TO: KA-i" M, k6,015 C/© U_AO f PVtP AIA Please be advised that your application dated SPT ZqI Z011 has been reviewed by this Board at the regular meeting of NDS 1�!4 Z0i7 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: TOTAL FEES DUE: $ BY: Michael J. Domino, President Board of Trustees Michael J. Domino, Presii, o�OSUFFQ(,��oG Town Hall Annex John M. Bredemeyer III,Vice-President �� yam, 54375 Route 25 Charles J. Sanders C3 z P.O.Box 1179 Glenn Goldsmith ® Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 ` r BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 01) pia Date/Time: Completed infield by: J.M.O. Environmental Consulting on behalf of KATHRYN M. PARSONS requests a Wetland Permit to construct a 633sq.ft. detached garage (uninsulated and unheated), which will be constructed on a concrete slab at grade with a perimeter foundation to a depth of 3'6" to 4'0" below grade; install roof leaders to a proposed 100sq.ft. x 1.5' deep rain garden; remove existing ±413sq.ft. entry porch and step attached to dwelling and construct new ±103sq.ft. covered entry porch and step on piers in same location; remove ±835sq.ft. of grass and loam and install compressed gravel base and gravel driveway, and grade to a proposed 300sq.ft. x 1.5' deep rain garden for drainage; for the existing 222sq.ft. shed constructed on piers; install a construction entrance and concrete wash-out pit; and to install a continuous line of staked silt fencing which is to be maintained throughout construction. Located: 1946 Brickyard Road, Fishers Island. SCTM# 1000-10-5-2.2 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 Baring Card Posted:_ Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: . Bredemeyer M. Domino G. Goldsmith N. Krupski __zc. Sanders Other Page 1 of 2 Michael J. Domino, PresicO�pSUFFQ�,�-COG �TM Town Hall Annex John M. Bredemeyer 111,Vice-President �� yJ, 54375 Route 25 Charles J. Sanders y 2 P.O.Box 1179 Glenn Goldsmith ® 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: J.M.O. Environmental Consulting on behalf of KATHRYN M. PARSONS requests a Wetland Permit to construct a 633sq.ft. detached garage (uninsulated and unheated), which will be constructed on a concrete slab at grade with a perimeter foundation to a depth of 3'6" to 4'0" below grade; install roof leaders to a proposed 100sq.ft. x 1.5' deep rain garden; remove existing ±413sq.ft. entry porch and step attached to dwelling and construct new ±103sq.ft. covered entry porch and step on piers in same location; remove ±835sq.ft. of grass and loam and install compressed gravel base and gravel driveway, and grade to a proposed 300sq.ft. x 1.5' deep rain garden for drainage; for the existing 222sq.ft. shed constructed on piers; install a construction entrance and concrete wash=out pit; and to install'a continuous line of staked silt fencing which is to be maintained throughout construction. Located: 1946 Brickyard Road, Fishers Island. SCTM# 1000-10-5-2.2 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 ling Maps-Directions,trip planning,traffic---eras&more https://www.bing.com/maps Notes . fit S . .K v,, t 131 Y. l� � i A { 6 w'�c,ce{ t t d Whet 1 6MAIQUI Co I of 1 9/18/2017, 11:12 AM _ ari ,Yt rj t I I' :r 17, e a Ms��iE -e...+2�S.ykt-'}f' � 4° d'� �."Sa7Yi.�z � ,z• � °". *?£'R / `{ -� •_ .. -� - .!'• � "amu:- _ .'� ,�'"� r i1i %l r'. i .. i J Parsons )s://maii.aol.com/webmaii-std/en-us/PrintMessage From:Richard Strouse<rstrouse@cmeengineenng.com> TO:gjustl0215<gjustl 0215@aol com> Subject:Parsons Date:Thu,Sep 14,2017 1:05 pm 1114--1 All, Dick Strouse Sent from my Whone 1 of 1 9/18/2017. 11:06 AM • • •it oil • ' t� { -4N t +► ! , L 4 1 �1 to b, Ark X 4 —fie • � A_ � ..l a , T n y. r1 , tcoil . •• '64 fat 41a4t, '+tie. �, .. ``ty. '•!�t' 3 •� <.Y �, i,- _ w • • :, .lei` �:- � r•.a i. w . 4 Ilk i a d y.ja NJ `.. YiL r 4 ri ' ' ♦. °•$Y ' .• vs +q r i � * x `IVA, r;,ro.-.,, - .- ` _- _. ,"+ti_•„`= - - gg ',�/tit \ LIMITS OF TIDAL WETLANDS IJ ;,r ss”: ;';H> ; . :• �, i (TOE OF SLOPE) G. JUST. f _ / a,.,ae • ' C7(gy JMO ENVIRONMENTAL. Y �' '� WF W: CONSULTING 03-30-2017 0� - R` ; 20' `J — —r� H t; I, �_ ";, ,, , 7�% FWI 3 - r � OAK 1 '"' 'ri�.���:.'�;, 20 `. - OAK, l ♦L ♦L l�y`/_ l / LAWN �i� � W ,c / GRAVEL ^� I AIGAFItT( '3 +, .+ PROPANE \ S, j !'\ 5 ' ,';,„' :• '�}{ Q tt©t `+ i}''� TANK 60' CI LECTRIC FRNT O . E / UNIT ♦1i � � ,� � 5 3ry�w,;,`:Frr,,,.;>,,.,' x � S A0'�f"ORMER S l � ~ MIX WETLANDS t~ COASTAL EROSION LINE �6'j, \ LIMITS I I / F'1 L1ENUOUS UNE \ \. '„ WETLANDSOA FRE WA MAINTAIN \ S FLAGGED BY DU INO `UMSMC71ON R 7 6 \ GLENN � ` ♦ X JUST CHERRY,-;f CC- - ♦ 7 CO ENVIRONMENTAL �° CONSULTING / ” _ ;?,,„ ;�.,ry :t;: " . - 03-30-2017 + gid•., . .=aFl ` :� �`'` �r� � �.y':;� ',��;"1;F`""=�:. /=M��� ,,.� �`°. i J `. TREE 75" i4.. m. SEPTIC TANK `"' ,. 8° "`i�� .. »' `_ $� -, (EXISTING) -' - `t - .,;. //tel �E`� REMOVE GRASS LOAMa. 1 ^rv`,.',. tj REMOVE EXI (' 4�riK, y; x si \\\\ p (835.* Sf)) PROVIDE 1 PORCH de STEP (413 °:� 4, Q I COMPACi�p GRAVE p � / PROVIQE NEW CO + - '� '�y� AND GRAVEL DRIVEWAY a PORCH AND STEP (101;;, .:« �- y .GRADE TO RAIN GARDEN 11 I (SEE ARCHITECTURAL P ��/ )' y4 DRIVEWAY �V , /� { - OAK ♦% r \ PROVIDE s ',G; - _ ♦ r_ \ CONSTRUCRO ,. ,• ';''�,. \\ r:s _' ab le, ''�'�, ^�' �� 'r � � \ (-r �\ ENTIRANCE ' 3 SING C <;' \ [} '. \ WASH— ---- yc1 R� •'C:.,',y•'� •_#n... - AREA 'yY - "�Fr., 'kL .,,.�.[ Tx•M"'. \ `.Fi, -+ 'i•r.�y4�n—Lx`'Y;f „ OAK BIRCH io UAD, _ V 11 Vn• ..L;u r='Y.,_rNSi7: t,.,.:P+n' ,- !/ _ - y f 'SYA d. L ` ,. - ':k•r•iTAr:.r"w'�^F"E4�`AS%;.7 1.11 - �� ; . 0 1 61.0' o lV'I000NDRON L`CJCICiF; E?ft"i AREA 9` �/ ♦�� 5 .` ,� PROVIDE RAIN GARDEN '\ 61.41 - - 1 \ 3001 SFX 7.5 FT DEEP v I N F -'' N 68'43'`18" ry W _ �.., •':r" - -? i SHAD ! I / r ` ANYTHING FOR THE CHILDREN, LLQ'`;` .? += PROPOSE633'SF CLUMP r 22 " FAMILY RESIDENCE, SEI . y s / OAK SINGLE MUNICIPAL WATER J (SEE ARc l� t) / r PROVtAD�Rg 30 �i �1 3` - x ON SITE SEPTIC SYSTEM .99 == aam OAK o• a1 W PROVIDE RAIN GARDEN 9s. t _ S 72'ti TEST HOLE DATAur" 10O#_' -X 1.5 FT. DEEP i 5' �N - IRRIGATION ;4 1982 SUBDIVISION 1' - __NANO HOLE TWIN R. STROUSE P.E.L.S. �- ( - � BIRCH 0"-12' TOPSOILct 12"-36" SUBSOIL LIMITS OFg - 36"-144" FINE SAND-MED. COMP. (SP) GRADII G iNG' = AN SITE - _ ; 4800* SF I .^ 30'OAK f - :' lG SCALE IN FEET SEE SM No- .1-1 6. 5.5 12� Im 4 ANQ 23A S.7 130A GOOSE VS I,-V 'EN-LFEN Q ISIA MUSEUM IZ26 W: IA(.) 'S.4AAC) 23136 I-SA(C) WEST HARBOR 10 CA (GREAT HARBOR) le 1 40 9 2a 10 I. COX 39A I'z IGA '10 2 Ff 124 17� eT 12. IZ21 HENRY L FERGUSON MUSEUM 42A(C) mm . t. 125 ZSA It SA(c) 4 1�14 12ZIA(c) &7A 40 it 1- 12A(c)21I A 62A zip)) z 2 17,2A(c) I U 1216 1. II�Z17 1211 14 15 SE s ZoN.) 2105 31A Ri w 6 1.2 IgA S. -VI A41 FCRPCLNO m AVE ysI OA&-) SEE SEC NO IC It, QUI .'EFRRY D.Bd C COUNT-�OF SUFFOLK K UTHOLD C --- --Z-- — (21) NOTICE SECTIO G NNO E Real Property Tax Service AgencyY Y I'- m 010 wr Ap12 —0 IN, ON') P -- PROPERTY MAP -a OFFICE LOCATION: ®� ® �®� MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) C00- Southold, NY 11971 ® Y� Telephone: 631 765-1938 Cou Ti LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: November 14, 2017 Re: LWRP Coastal Consistency Review for KATHRYN M. PARSONS SCTM# 1000-10-5-2.2 J.M.O. Environmental Consulting on behalf of KATHRYN M. PARSONS requests a Wetland Permit to construct a 633sq.ft. detached garage (uninsulated and unheated), which will be constructed on a concrete slab at grade with a perimeter foundation to a depth of 3'6" to 4'0" below grade; install roof leaders to a proposed 100sq.ft. x 1.5' deep rain garden; remove existing ±413sq.ft. entry porch and step attached to dwelling and construct new±103sq.ft. covered entry porch and step on piers in same location; remove ±835sq.ft. of grass and loam and install compressed gravel base and gravel driveway, and grade to a proposed 300sq.ft. x 1.5' deep rain garden for drainage; for the existing 222sq.ft. shed constructed on piers; install a construction entrance and concrete wash-out pit; and to install a continuous line of staked silt fencing which is to be maintained throughout construction. Located: 1946 Brickyard Road, Fishers Island. SCTM# 1000-10-5-2.2 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 CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. tgpFFBI ,��a� Peter Young,Chairman y 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., November 8, 2017 the following recommendation was made: KATHRYN M. PARSONS to construct a 633 sf. detached garage on a concrete slab at grade; ,install roof leaders to a proposed 100 sf X 1.5 deep rain garden. Proposed garage located approx. 181' landward of tidal wetlands line,and 89.2' landward of freshwater wetlands line. Remove an existing porch and step (approx. 413 sf.) and construct new covered porch and step on piers. Remove approx.,835 sf. of grass and loam;-install compressed gravel base and gravel driveway and grade to a proposed 300 sf. X 1.5' deep rain garden for drainage. Legalize existing 222 sf. shed constructed on piers by previous owner. Install construction entrance and concrete wash out pit; install a continuous line of staked silt fencing which shall be maintained throughout construction. Located: 1946 Brickyard Rd., Fishers Island. SCTM#10-5-2.2 The CAC did not make an inspection, therefore no recommendation was made. t p ECEIVE October 23,2017 0 C 2 4 2017 CMEBoard of Town Trustees Southold Town Town of Southold Board g Trustees— Town Hall Annex - 54375 Route 25 PO Box 1179 Architecture Southold,NY 11971 Engineering Att: Elizabeth Cantrell Planning Land Surveying Re:Parsons-Brickyard Rd. Environmental Services Dear Elizabeth- Enclosed are 4 copies of our revised site plan showing the proposed improvements at the captioned site. Please contact me with any questions. Yours t Richard H. Strouse, P.E.L.S. Email:rstrouse@cmeengineering.com Cc; Glenn Just- CME Associates Engineering, Land Surveying,&Architecture, PLLC. �. 860 928 7848 ® www cmeengineering com A 33 Wilbur Cross Way,Suite 105 PO Box 535 Mansfield,CT 06268 Commitment, Meaning & Excellence. In All We/ T.- 54J/3 Main Ko3d M.chael J Domino. V,cc-President �� r P.O Sox 1179 James F Feng. Trustee f �` Sc old. New York 11971-0959 cn x Daae Bergen. Trustee <2�, �O Telephone(630 765-1892 Charles J. Sanders.Trusteefly Fax (631) 765-6641 �OUt�f-'l,� - BOARD OF TOWN- TRUSTEES TOWN 0FSOUTHOLD To- Southold.Towri Building Department D DD Re- Verification of Building Department Permit Requirements OCT - 3 2017 SCT(VI#: f0—5" 2122., BEING DM. TOWN®F 30�J'I'�OLD Property Owner Mamep: ' 1�SO�-.rte - Date Sent to Bldg_ Dept-_ /6,3-11 The Office of the Board of Trustees is forwarding the above referenced applicafion for verification of the Building Department's permitting requirements stated below. YES NO Will the proposed-project require a Building Pen-nit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered as Demolition as 'described under Town Code? r COMMENTS: CCeSS6 �(la ' S ) s,�r �,�J sl` cit _ D Signature of rReviewer Date • Lei � --'• "N��(�x.;°`X.�TJ"c�:';"-,.-'.-�.}q„� Y , Michael J.Domino,President e Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President _ P.O.Box 1179 Charles J.Sanders Southold,New York 11971 ell Glenn Goldsmith _ ,r Telephone(631) 765-1892 Fax(631) 765-6641 A.Nicholas Krupski BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only ..... Coastal Erosion Permit Application D E V Wetland Permit Application Administrative Permit SEP 2 9 2017 Amendment/Transfer/Extension Received Application: ''Za-�' Received Fee: $ 2-50 6a ft ,®d Soutl�ol�Town Completed Application: /-� T Incomplete: SEQRA Classification: Type I _ Type 11_ Unlisted Lead Agency Determination: Coordination:(date sent): �, L-WRP Consistency Assessment Form Sent: CAC Referral Sent: IA zs-<7 Date of Inspection: P4,17 l7 Receipt of CAC Report: Technical Review: Public Hearing Held: /5.17 Resolution: Legal Name of Property Owner(s): Kathryn M. Parsons Mailing Address: 4 Palm Trail, Hobe Sound, FL 33455-2200 Phone Number: 401 -524-4181 Suffolk County Tax Map Number: 1000- 10-5-2 .2 1946 Brickyard Road Property Location: Fishers Island (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): JMO Environmental Consulting Mailing Address: P.O.sox 4 4 7 uo ue - Phone Number: 6 3J---6 5 -x-6.0 r IOW V -Board of Trustees Applica in GENERAL DATA Land Area(in square feet): 83,199 .6 Area Zoning: R-12 0 Previous use of property: Existing single family dwelling Intended use of property: Same 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? x 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 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 x No Does the structure (s) on property have a valid Certificate of Occupancy? x Yes No Prior permits_/approvals for site improvements: Unkno an Agency Date 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 Description(use attachments if necessary): Please, see attached Project description Kathryn M. Parsons 1946 Brickyard Road, Fishers Island S.C.T.M.No. 1000-10-5-2.2 Applicant proposes to construct a 633 SF detached garage (uninsulated and unheated); which will be constructed on a concrete slab at grade; with a perimeter foundation to a depth of 3'-6" to 4.0' below grade; install roof leaders to a proposed 100 SF x 1.5' Ft deep rain garden. The proposed garage would be located approximately 181' landward of the tidal wetlands line and 89.2' landward of the freshwater wetlands line. To remove an existing porch and step (approximately 413 SF) and to construct a new covered porch and step on piers ( approximately 103 SF) which would be located within the "footprint" of the porch to be removed, the porch would be located approximately 126' landward of the tidal wetlands line and approximately 97' landward of the freshwater wetlands line. To remove approximately 835 SF of grass and loam; install compressed gravel base and gravel driveway and grade to a proposed 300 SF x 1.5' deep rain garden for drainage. To legalize existing 222 SF shed which was constructed on piers by the previous owner. To install construction entrance and concrete wash out pit; install a continuous line of staked silt fencing which shall be maintained throughout construction. ,;Board of Trustees Applicw )n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Garage,. orch re la legalize existing shed Area of wetlands on lot: cxr p a t p r than square feet 1 ,500 Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands:�feet Tidal Wetlands 75.3 ' Freshwater Wetlands 90 ' Closest distance between nearest proposed structure and upland edge of wetlands: feet Tidal Wetlands Greater than 100 ' Freshwater Wetlands 89 .2 ' Does the project involve excavation or,filling? No x Yes If yes,how much material will be excavated? 5 cubic yards How much material will be filled? 5 cubic yards Depth of which material will be removed or deposited: 1 .5 feet Proposed slope throughout the area of operations: 1 :1 Manner in which material will be removed or deposited: Backhoe/payloader 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): As proposed the project should have no negative impacts upon any wetlands or waters of the Town Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Proposed garage,porch replacement,driveway and legalize existing shed. Project Location(describe,and attach a location map): 1946 Brickyard Road,Fishers Island,location map enclosed Brief Description of Proposed Action: Please see attached Name of Applicant or Sponsor: Telephone: 401-524-4181 Kathryn M.Parsons E-Mail: Address: 4 Palm Trail City/PO: State: Zip Code: Hobe Sound FL 33455-2200 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 ✓1 F] 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: Southold Town Building Department,Southold Town Trustees and N.Y.S.D.E.C. El 71 3.a.Total acreage of the site of the proposed action? 1.91 acres b.Total acreage to be physically disturbed? 0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.91 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 El Other(specify): ❑Parkland Page 1 of 3 Project description Kathryn M. Parsons 1946 Brickyard Road, Fishers Island S.C.T.M.No. 1000-10-5-2.2 Applicant proposes to construct a 633 SF detached garage (uninsulated and unheated); which will be constructed on a concrete slab at grade; with a perimeter foundation to a depth of 3'-6" to 4.0' below grade; install roof leaders to a proposed 100 SF x 1.5' Ft deep rain garden. The proposed garage would be located approximately 181' landward of the tidal wetlands line and 89.2' landward of the freshwater wetlands line. To remove an existing porch and step (approximately 413 SF) and to construct a new covered porch and step on piers ( approximately 103 SF) which would be located within the "footprint" of the porch to be removed, the porch would be'located approximately 126' landward of the tidal wetlands line and approximately 97' landward of the freshwater wetlands line. To remove approximately 835 SF of grass and loam; install compressed gravel base and gravel driveway and grade to a proposed 300 SF x 1.5' deep rain garden for drainage. To legalize existing 222 SF shed which was constructed on piers by the previous owner. To install construction entrance and concrete wash out pit; install a continuous line of staked silt fencing which shall be maintained throughout construction. y � j 1 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑✓ ❑ 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? ❑ ✓❑ 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:Fishers Island Sound ❑ 7 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? 0 ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 17 ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 0 ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES, Places? 5-71 ❑ b.Is the proposed action located in an archeological sensitive area? 0 ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ ❑✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 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 ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 7 ❑ 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 systemsrunoff and storm drains)? If Yes,briefly describe: L]NO []YES Page 2 of 3 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: FV1 ❑ 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: ❑1 ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor m le n E.JVst as JgAt Date: Signature: PRINT FORM Page 3 of 3 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g_retention pond,waste lagoon,dam)? If Yes,explain purpose and size. ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES ._ completed)for hazardous waste? If Yes,describe: ❑ ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: 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 I. Will the proposed action create a material conflict with an adopted land use plan or zoning Er 1:1 E 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 ❑ establishment of a Critical Environmental Area(CEA)? 't 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 Li available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? V1 E� 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 J v No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. -- -- - Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. 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 environmentJal ' pac ./J Town of Southold Board of Trustees /1 I / Name of Lead Agency Date M�� ( Ir )1 0IVL,(1-0 President Print or Type Na e of Resp nsi le Officer in Lead Agency Title of Responsible Officer Signature of RespOnsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 oard '®f. Truste®.a Appliaat' i n AFFIDAVIT J Kathryn M. Parsons- , 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 Y ALIS WORkWILL'BE DONE'INTHE MANNER SET FORTH IN THIS APPLICATION =AND AS'MAYBE APPROVE 'BY THE SOUTHOL' D TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO'HOLD THE TOWN OF SOUTHOLWAND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMSARISINGVNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,!-HEREBY AUTHORIZETHE 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 AUTHORIZETHE 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 T-HE BOARD OF TRUSTEES DURING THETERM OF THE,PERMIT. Signature bf Property Owner- = : Signature of Property Owner 'SWORN TO BEFORE ME THIS DAY OFr2 ,20'_I ,_Noy Publi O)0(o Z2_Z543: ; and ®.f Trustees Applicata AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM# 1000- 10-5-2.2 in the town of Southold (Fishers Island) ,New York,hereby authorizes imo Environmental_. ` Consulting to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. Property ner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS1_�_u�_DAY OF £ , 20 N61)ay Public 4,01tt,6&2,2,z67o3 APP LICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Cods,of Ethics prohibits conflicts of interest on the pari ofiown officers and emalayees.•The'mmose_of .this form is to,prove whaidc infdrination which can alert the town of it_os�Je conflicts of interest and allow it to taktevcractson is necessary-to avoid stupe. ,, A YOURNAME: AV_-,:�C &1 (Last name;fast nam6,giidaie initial,unl ss you are applying to 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 _X Change of Zone Coastal Erosion 'Approval of plat Mooring -Exemption from plat or official map Planning Other Of"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child.)havo a relationship with any officer or employee of the Town of Southold? "Relatiosiship"includes by blood,.alarriage,or busindss interest."Business interest"means a business, includitig a_partnership,in-which the town officer or esuployce has oven a partial ownership of(Or employment by)a corporation in whicb the town officer or employee owns pare than5%of the,shares, YES _ NO 1 / If ydu 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 applic.ant/agctigrepresentative)and the town officer or employee.Either check the appropriate line A)through D)upo/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)We owner of greater than S%of the snares of the corporate stock of the,applicant '(when the applicant-is a corporation); }3)the legal or beneficial owner of tiny interest in a iioti corporate entity(whan the applicant is not a corporation), C)an officer,director,partner;or'employee of the applicastt;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of J - 20 t 5ignattire Print Namead Form TS 1 APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM T e T So daald's Cad f i i its orttlict of i to on the of aw `fP a and em 1 e I h u ' t ` fo t o w i 'Al a wn # 4 c nfi is est ct al o it o take h ve c i n' �ec+wssary to avnid same. YOURNAME: Just, Glenn, F;. (Last name,first name,piddle 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 x 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 thmugh your company,,spausca sibliing,parent,or child)hav+r n relationship with imy officer or employee " of tile Town of Souftld? 41elatioliship"includes by blood;alairiage,or business interest."Busies ss interest','means a business, including'a partnership,in which the town officer or eniotoyce has even a partial ownersltip"of(or employment by)a corporation in which the town officer or emptoyce owns more than vo of tile shares. x 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 - - �-- Dcscribethe relationship behveenyouasdif(the applit'atitlagent/representative)and the town officer or employee.Either check the appropriate,line A)through D)audtor describe in tho space-provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): ).ate owner of greater than 5%of the shams of the corporate stock of the applictint ('when the appiicairtis n corporation}; - 13)the-leo orlbeneficial owner of any interest in anon-corporate entily.(when the applicant=is nota corporation); an officer,director,,partner,or employee of the applicant,or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day 6a,2a.S 3 Signature -- Print Name G 1 nn� Form TS l Michael J. Domino,President S11FFQ(� 0 CSG Town Hall Annex John M.Bredemeyer Ill,Vice-President �� yJ, 54375 Route-25 Charles J.Sanders y ` P.O.Box 1179 Glenn Goldsmith w0 ,•_ "' Southold,NY 11971 A.Nicholas Krupski 'y ® p�� Telephone(631)765-1892 �Ol Fax(631)765-6641 BOARD OP TOWN TRUSTEES TOWN OF SOUTHOLD s BOARD OF TRUSTEES:TOWN OF SOUTHOLD ---------------------------------------------------------------- In the Matter of the Application of KATHRYN M. PARSONS 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 1, /1'1 gas ' //yresiding at ldba Z4-S- being duly sworn, depose and say: , / That on the /3 day of/VRML Z_ ,20171 I personally posted the property known as QCs} rvo I'Vl lrs crl 5 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: 103//7 (signature) Sworn to before me this IY'day ofAbV' 20 /7- Ne41ary P i r, .r w 2 i J.M.0. Environmental Consulting Services October 31, 2017 [FFNOV CE IVMrs. Diane DiSalvoBoard of Town Trustees - 6 2011 Town of Southold Town Hall Annex Southold r�' o 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Application for Kathryn M. Parsons 1946 Brickyard Road, Fishers Island S.C.t.M.No. 1000-10-5-2.2 Dear Mrs. DiSalvo: Enclosed please find is the proof of mailing of the Notice of Public Hearing for this project. VIust Phone (631) 653-0607 - Email Gjustl02l5@aol.com 121 Jessup Ave - 2nd Floor - P.O. Box 447 Quogue, New York 11959-0447 . ' PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: _ Address: Turkey House LLC, c/o Patrucci Associates, POkland,319E 19732sV3`lT Anythingforthechildren, c/o Parsons Capitol Management 10 Weybosset St. , Ste 1000 Providenca, RI 02903 Ferguson H.L. Museum, Inc. , Attn: Pierce Rafferty, Director P.O. Box 554 Fishers Island, NY 06390-0554 STATE OF NEW YORK COUNTY OF SUFFOLK Glenn E. Just , residing at 121 Jessup Avenue Quogue, NY being duly sworn, deposes and says that on the day of 0 c tob e 12Q1 7 , 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 perso*s as shown on the current assessment roll of the Town of Southold; that said Notic s we mailed at the United States Post Office at Quogue, NY — that said Noti ere led to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. i Sworn to before me this 31 6• - Day of 0Ctb SAL..- , 20_Lr CIE 1 ' Notary Public � � • NOV ®�Town GINA A.LOCKS Southold NOTARY PLBUC,STATE OF NEW YORK Boar of Tru_, Registradon No.OIL06057960 �te�s Qualified in Suffolk County Commission Expires Apr.30,20 I-I m LnLa 7 U tr Certified Mall Fee$3.35 0959 'Ln $ ' $2.75 02 I-n Extra Services&Fees(check box,add re"aprj(nate) ❑Return Receipt(hardcopy), $eft--t'r�� Q ❑Return Receipt(electronic) $ p�U,•,r�—tri /,- tmar O ❑Certified Mail Restricted Delivery $ 7t r n U V �� r}ere — ❑Adult Signature RestriE:3 E]Adult Signature cted Delivery$ �•�� O'`+ r_— E] C r3 Postage 91 \ O C $ CI/ �11 OTotal Postage and,FeeS-,1 $ ! V r..• Sent To. erguson H.L r=I4ttru Pierde---Ral- UPTI-ATE:-------- C3 Street and.Apt.No.,or PO Box No r- P.O. Box 554 ----- -------- n ary,srara,�rti+��hers Islad, NY 06390-0554 �� :eo- r to rer•r r _ �.O- �_� a �-• nk �cF - � ® - Ir rq rU CID E3TIMER p r! g{ 5 •`,50 $(4" s Fn I , < All to 3 7 1� y m`.,._x �r� ..) `.:as ,:.-s 3 { '� f( �I l •([.Say ca E- CerUfled Mall Fee $3.35- 0959 •Er Certified Mail Fee Ln Extra Services&Fees(checkbox,add fee$frpate) I•rl Extra Services&Fees(check box,add is b ate) ('CI "E]Return Return Receipt(hardcopy) $-- -1�--r�rrr— ^ ❑Return Receipt(hardcopy) $ ❑ Return Receipt(electronic) $ �u•r��r ��\° oStma Q ❑Ratum Receipt(electronic) $ `� Stmark �' O ❑Certified Mail Restricted Delivery $ 1 /1 nt O ❑Certified Mail Restricted Delivery $ P r r 00 ,� re — 0 ❑Adult Signature Required $ �� Y []Adult Signature Required $ 1.• 1� �- ❑Adult Signature Restricted Delivery$ \�O� G ❑Adult Signature Restricted Delivery$ ` `�. O Postage $0.91 �� � p Postage rr -0 $ 1 o/S�4Y"jC� f � $ Total Postage and�S01 ^� 0 Tota(Postage and Q $ \ SFi t\ $ r.• Sent To y ing or c 1 dren r- tro c1o__Parsons___Capa- a- ___ anagemant____ a urkey House LLC, c/o Parucci As c p S e an pt.IV.,or PO Box No. O S[r an pt ,or PO ----------------------------------------------------- r- ------------------------------------------- r- r6 ey�cis set St. Ste 1000__________________ r- •�- 'iox �'�� :r r ------------ --- - Ci State, rP+4I� --- ------------------ ------------ cr � +dence, RI 02903 `'Roc�Cland DE 1 9719_n 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 : KATHRYN M . PARSONS SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a 633sq.ft. detached garage (uninsulated and unheated), which will be constructed on a concrete slab at grade with a perimeter foundation to a depth of 3'6" to 4'0" below grade; install roof leaders to a proposed 100sq.ft. x 1 .5' deep rain garden; remove existing ±413sq.ft. entry porch and step attached to dwelling and construct new ±103sq.ft. covered entry porch and step on piers in same location; remove ±635sq.ft. of grass and loam and install compressed gravel base and gravel driveway, and grade to a proposed 300sq.ft. x 1.5' deep rain garden for drainage; for the existing 222sq.ft. shed constructed on piers; install a construction entrance and concrete wash-out pit; and to install a continuous line of staked silt fencing which is to be maintained throughout construction. Located: 1946 Brickyard Road, Fishers Island. SCTM## 1000-10-5-2.2 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 B a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CQNSLSTENCY 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 plopoLed action will be evaluated as to .its sigiffleant. beneficial and Averse effects upon the coastal Mq 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 ea+cb.,anmver niu be ex laht6d in detail listing bath sunporting and jLo_n- suollganjiLacts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not.be Madertaken. 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# 10 , 5 2 .2 PROJECT NAME Proposed garage, porch replacement and drive The Application has been submitted to(check appropriate response): x TownBoard El Planning Board❑ Building Dept. F1 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: Please see attached Project description Kathryn M. Parsons 1946 Brickyard Road, Fishers Island S.C.T.M.No. 1000-10-5-2.2 Applicant proposes to construct a 633 SF detached garage (uninsulated and unheated); which will be constructed on a concrete slab at grade; with a perimeter foundation to a depth of 3'-6" to 4.0' below grade; install roof leaders to a proposed 100 SF x 1.5' Ft deep rain garden. The proposed garage would be located approximately 181' landward of the tidal wetlands line and 89.2' landward of the freshwater wetlands line. To remove an existing porch and step (approximately 413 SF) and to construct a new covered porch and step on piers ( approximately 103 SF) which would be located within the "footprint" of the porch to be removed, the porch would be located approximately 126' landward of the tidal wetlands line and approximately 97' landward of the freshwater wetlands line. To remove approximately 835 SF of grass and loam; install compressed gravel base and gravel driveway and grade to a proposed 300 SF x 1.5' deep rain garden for drainage. To legalize existing 222 SF shed which was constructed on piers by the previous owner. To install construction entrance and concrete wash out pit; install a continuous line of staked silt fencing which shall be maintained throughout construction. Location of action: 1946 'Brickyard Road, Fishers Island Site acreage: 1 .9 4 Present land use: Existing single family dwelling R-120 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: Kathryn M. Parsons 4 Palm Trail (b) Mailing address: Hobe Sound, FL 33455-2200 (c) Telephone number: Area Code( ) 4 01 -524-4181 Unknown (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑xN.Y.S.D.E.C. No❑ 'If yes, which state or federal agcnpy? 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. IlrEV1�LOPED,CQrAST 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. LJ Yes ❑ No ❑'Not Applicable The proposed project shall not have any negative impacts upon the character of the community. It is felt that this project is. consistent with this policy. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria 0 Yes ❑ No ❑ Not Applicable The project shall have no impact upon any historic or archaeological resources Tt is felt that this nroje-e is consistent -Ri h thi. Attach additional sheets if necessary i Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LVW Section IR—Policies Pages 6 through 7 for evaluation criteria yes ❑ No ❑ Not Applicable 1, The project will have no im acts u_ �3y�eni � __. nor impact the visual quality Qf the Towm.__ itis felt t hat Attach additional slieets if necessary NATURAL COAST POLICUS � f Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LW Section IR—Policies Pages 8 through 16 for evaluation criteria x Yes lT® E:1 Not Applicable The project -ca 1era ted eroGion of_adj.asenf._. ---•-c--- n�Ari�1=��y—:^7' 1 l nn'- r-t--��-� �n� roc+i-ta+'�?m_,��T`4��t ' Ghal I h � tat an_d— �—�'�--- no loss of publiv recreat?a_na1 re�nt�r_ ? Zt_?s— Q1 t— h� this project is consistent :with this .-Policy i i Attach additional sheets if necessary i Policy 5. Protect and improve water quality and supply is the Town of Southold.See LIV'Section M Policies Pages 1.6 through 21 for evaluation criteria yes n No ❑Not Applicable j s The project will have no negative impacts upon the quality of Or the cruani O po �b� c� 'rat ter Ti i fP11 that t hi �__ profect is consistent with this polio 1 Attach additional sheets if necessary f Policy 6. .Protect and restore the quality and fuuctiota of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LVVRP Section in—Ponciesi Pages 22 ,through 32 for evaluation criteria. Yes No Nast Appficable The project shall have no negative impacts upon the quality or function of any wetlands , eco5ystemE or P-eas, of Signif ican:t ,Coastal Fish and Wildlife Habitats. it is felt that this project is consistent with this policy Attach additional sheets if necessary• PoKey 7. Proteec-and- improve air quaLfty fin Che Tovm of Sou&old. See LWRP Section WIP —Policies Pages 32 through 34 for evaluation criterlo. F1 Not App-11cabie,yes No El The project shall have no impact upon air quality. It is felt that this project is consstentwith this policy Attach additional sheets if necessary FoyAcy 8. Mmmike environmental dem adati-on in ov,,,, of Sonflaold firom. solid -wase and hazardous Substances and T-V"Wes. See LWILP Secifou TH-1, —Policies; Pages 34-fliroagh,3? for evaluaft-OR crbterkt, Yes Not Applkab&-, The project does not involve theuseQf or the disposal of solidwaste or hazardous substances and wastes, it is felt that this project is consistent with this policy -PIWIJC CCOA-9T POLICIER S Pahey 9. Frovide for public access to, and recreF.,LIGnal use ofg coastax waters, puf6lie lands, and pu-bUc resources vZ the Yawn of Southold.' See lwr R- p Seeflon HI'—lie-Mes; Pages 38 through 4,6 I!Or evaluafion Criteria. ExI Y.11 14oll ?,lotApplicable The project will have no impact upon public access to, and recreational use of coastal waters, public lands or the public resources of the Town. it is felt that. this project is cons=istent with this policy Attach additional shsets ifteceRsary W® G COAD'PO;LIC198 Polley 10. Protect Sou olds water-dependent uses d promote sifinj sof new Water-dependelat uses in suitable locations. Bee�.VVRP Section Iff PoUcies, Pages 47 through 56 for evaluation, priteris- ' iI wes ❑ No ❑ Not A.ppiacable The project will have no impact upon Southold' s __ { 3 water-dependent uses of or the $i in2L--Qf_ e. water-dependent uses iii suitable locatxonfi Tt' is felt that this project is consistent with -this policv i. Affach additional sheets if necessary [ polky 11. Promote sustainable Lse of is ; mage resources in Long Island Sonud9 the F eco-nic Estuary and To waters.'See�VkW Seddon TH--Policies;Pages 57 th-rough 62 for evaa-fla-pan erkelia. C. teles ❑ No❑ Not Applicable The project will have no ;maact un��3 fi�P q,313c' a;nah� P 33c P CL living marine resources It ja fe.jt 3- consistent with this policy s. s Attach additional sheets if necessary ` S t Policy 12. Protect agr calf raI lands.in she Town of Souf.hold. See LVVU- &ecfion M. Polick s5 Pages 62 throu&65 for evaluatlen eriteela, ❑yes ❑ Iqo❑ Not Ahicabje 1 pp ' , i The project does not i nvol vri ag_iuL+-uxa-1 1 anr1- T'i- i c fP1 i that this policy. is not applicable to this project i E A tach additional sheets if necessEny . r Policy 13- Promote appropriate use and deveuop en.c of energy and mlueraR resources. See See ton M- PoUeiesg Pages 6 through,63 for evaluation cr1Weria> Yes ❑ No ❑ Not Applicable The nro-i ect does nqt_ involve the use of or developilent of energy or mineral resources. , It is reit that this - po ick - is not applicable to this project