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Campbell, Kathryn
Michael J. Domino,President OF so y0 Town Hall Annex John M.Bredemeyer III,Vice-President h0 l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas KrupskiG Q � �O Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 13, 2017 Eileen Powers, Esq. 456 Griffing Avenue Riverhead, NY 11901 RE: KATHRYN A. CAMPBELL 570 HIPPODROME DRIVE & 500 HIPPODROME DRIVE 10' WIDE R-O-W, SOUTHOLD SCTM# 1000-66-2-12 (Dominant) & 1000-66-2-13 (Servient) Dear Ms. Powers: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 13, 2017 regarding the above matter: WHEREAS, Eileen Powers on behalf of KATHRYN A. CAMPBELL, 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 November 1, 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 December 13, 2017, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the proposed project, as applied for, does not comply with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the application as submitted, will have a detrimental effect upon the health, safety and general welfare of the people of the town, and pursuant to Chapter 275-12 (B) of the Southold Town Code, the proposed operations may substantially cause damage from erosion, turbidity or siltation, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees DENIES WITHOUT PREJUDICE based on no action the application of KATHRYN A. CAMPBELL to rehabilitate and upgrade an existing driveway located within an easement by installing a ±85 linear foot long by 2' high (maximum) retaining wall with a top of wall elevation at 5.20 along the seaward edge of driveway; along landward edge of driveway install 50 linear feet of 8" diameter perforated corrugated polyethylene pipe with an area drain at westerly end, 25 linear feet of 8' diameter perforated corrugated polyethylene pipe with an area drain at easterly end, and an area drain installed in between the two pipes in order to contain storm water runoff along the driveway; and fill and resurface driveway in-kind while providing a minimum 10' drive width throughout using clean gravel; and to install and maintain a line of hay bales and/or silt fencing along the limits of disturbance area during construction; and as depicted on the site plan prepared by VHB Engineering, Surveying & Landscape Architecture, P.C., dated May 14, 2015 and received on November 1, 2017. This is not a determination from any other agency Very truly yours, Michael J. Domi o President, Board of Trustees MJD/dd Michael J. Domino,Pi J ;nt QSUFFQ� `, Town Hall Annex John M. Bredemeyer III,Vice-president ��� G%_ 54375 Route 25 Charles J. Sanders y = P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Kr_upski Telephone(631).765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: T �,V� st✓/ Eileen Powers on behalf of KATHRYN A. CAMPBELL requests a Wetland Permit to,rehabilitate and upgrade an existing driveway located within an easement by installing a ±85 linear foot long by 2' high (maximum) retaining wall with a top of wall elevation at 5.20 along the seaward edge of driveway; along landward edge of driveway install 50 linear feet of 8" diameter perforated corrugated polyethylene pipe with an area drain at westerly end, 25 linear feet of 8" diameter perforated corrugated polyethylene pipe with an area drain at easterly end, and an area drain installed in between the two pipes in order to contain storm water runoff along the driveway; and fill and resurface driveway in-kind while providing a minimum 10' drive width throughout using clean gravel; and to install and maintain a line of hay bales and/or silt fencing along the,limits of °disturbance area during construction. Located: 570 Hippodrome Drive & 500 Hippodrome Drive 10' wide Right of Way, Southold. S.CTM# 1000-66-2-12 (Dominant) & 1000-66-2-13 (Servient) CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� 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. Sanitaryleaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of aring Card Posted: Y / N Ch.,275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment �/ Wetland TYppp 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: I have read & acknowledged the foregoing Trustees,comments: Agent/Owner: Present were: redemeyer . Domino LG. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino,Pr+_ :nt o�OgllfrFULKCOG Town Hall Annex John M. Bredemeyer III,Vice-President �� yam, 54375 Route 25 Charles J. Sanders y z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Eileen Powers on behalf of KATHRYN A. CAMPBELL requests a Wetland Permit to rehabilitate and upgrade an existing driveway located within an easement by installing a ±85 linear foot long by 2' high (maximum) retaining wall with a top of wall elevation at 5.20 along the seaward edge of driveway; along landward edge of driveway install 50 linear feet of 8" diameter perforated corrugated polyethylene pipe with an area drain at westerly end, 25 linear feet of 8" diameter perforated corrugated polyethylene pipe with an area drain at easterly end, and an area drain installed in between the two pipes in order to contain storm water runoff along the driveway; and fill and resurface driveway in-kind while providing a minimum 10' drive'width throughout using clean gravel; and to install and maintain a line of hay bales and/or silt,fencing along the limits of disturbance area during construction. Located: 570 Hippodrome Drive & 500 Hippodrome Drive 10' wide Right of Way, Southold. SCTM# 1000-66-2-12 (Dominant) & 1000-66-2-13 (Servient) 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 P:\28997.00 570 Hippodrome Southold\ProjRecords\Fin al Docs\20150521-Rev 2 Site Plan s\2899700-Site Plan-Rev 2.dwg E O N \ Notes: General 1. THE WORK OUTLINED ON THESE PLANS IS SUBJECT TO THE CONDITIONS OUTLINED IN THE NYS DEC PERMIT. � rbc 4 \ / 2. CONTRACTOR SHALL BE RESPONSIBLE FOR SITE SECURITY AND JOB SAFETY. CONSTRUCTION ACTIVITIES SHALL BE IN ACCORDANCE WITH OSHA STANDARDS AND LOCAL REQUIREMENTS. 3. LAWN AREAS DISTURBED DURING CONSTRUCTION SHALL RECEIVE 4 INCHES LOAM AND SEED. Engineering Surveying & 4. WORK WITHIN THE LOCAL RIGHTS-OF-WAY SHALL CONFORM TO LOCAL MUNICIPAL STANDARDS. WORK Landscape Architecture, PC WITHIN STATE RIGHTS-OF-WAY SHALL CONFORM TO THE LATEST EDITION OF THE STATE HIGHWAY DEPARTMENTS STANDARD SPECIFICATIONS FOR HIGHWAYS AND BRIDGES. 100 Motor Parkway 4%'n" ",� Suite 135 w; n\,B.c U, 5. UPON AWARD OF CONTRACT, CONTRACTOR SHALL MAKE NECES'�ARY CONSTRUCTION NOTIFICATIONS AND APPLY FOR AND OBTAIN NECESSARY PERMITS PAY FEES, AND POST BONDS ASSOCIATED WITH THE Hauppauge, NY 11788 o WORK INDICATED ON THE DRAWINGS, IN THE SPECIFICATIONS, AND IN THE CONTRACT DOCUMENTS. DO / ��� `�'� NOT CLOSE OR OBSTRUCT ROADWAYS, SIDEWALKS, AND FIRE HYDRANTS, WITHOUT APPROPRIATE 631.787.3400 PERMITS. o / 6. AREAS OUTSIDE THE LIMITS OF PROPOSED WORK DISTURBED BY THE CONTRACTOR'S OPERATIONS SHALL BE RESTORED BY THE CONTRACTOR TO THEIR ORIGINAL CONDITION AT THE CONTRACTOR'S EXPENSE. \ � O is,; ,� 4., `,',.. � F,,, <,,• \ 7. CONTRACTOR SHALL PREVENT DUST, SEDIMENT, AND DEBRIS FRO:" EXITING THE SITE AND SHALL BE RESPONSIBLE FOR CLEANUP, REPAIRS AND CORRECTIVE ACTION li SUCH OCCURS. 9 F0 � •d " f � //"' °9 -' / 8. DAMAGE RESULTING FROM CONSTRUCTION LOADS SHALL BE REPAIRED BY THE CONTRACTOR AT NO ,%✓ • ADDITIONAL COST TO OWNER. +'P`,``C' 9. CONTRACTOR SHALL CONTROL STORMWATER RUNOFF DURING CONSTRUCTION TO PREVENT ADVERSE f k', IMPACTS TO OFF SITE AREAS R / 4 f AND SHALL BE RESPONSIBLE TO PAIR RESULTING DAMAGES, IF ANY, �;,, �,� � ''e � /4" a� s �'� ,�. r, -,..-:-'• . r,rAT NO COST TO OWNER. � ,\_- 10. THE CONTRACTOR IS RESPONSIBLE FOR LOCATING AND MARKING ANY UNDERGROUND UTILITIES THAT MAY BE PRESENT PRIOR TO CONSTRUCTION. ANY CONFLICTS FOUND SHALL BE REPORTED TO THE 41 ENGINEER PRIOR TO CONTINUING WITH WORK. {^ "r� \ 5 \ /"f �•y 11. RIM ELEVATIONS FOR AREA DRAINS SHALL BE SET FLUSH WITH GRADE. ~ ° - 12. PROPOSED BOUNDS AND ANY EXISTING PROPERTY LINE MONUMEI41ATION DISTURBED DURING \ ; CONSTRUCTION SHALL BE SET OR RESET BY A PROFESSIONAL LICENSED SURVEYOR. ALL ELEVATIONS AND BENCH MARKS USED FOR CONSTRUCTION SHALL BE SET AND CHECKED BY A LICENSED LAND SURVEYOR. 13. PRIOR TO START OF CONSTRUCTION, CONTRACTOR SHALL VERIFY EXISTING PAVEMENT ELEVATIONS AT INTERFACE WITH PROPOSED PAVEMENTS, AND EXISTING GROUND ELEVATIONS ADJACENT TO DRAINAGE OUTLETS TO ASSURE PROPER TRANSITIONS BETWEEN EXISTING AND PROPOSED FACILITIES. ��'of�� ~` �,, "•� * % �`Q ARE DRAIN 3 \\ 14. SYMBOLS AND LEGENDS OF PROJECT FEATURES ARE GRAPHIC REPRESENTATIONS AND ARE NOT RIM;°5.0 INV. 3.10 w„o e'/ NECESSARILY SCALED TO THEIR ACTUAL DIMENSIONS OR LOCATIONS ON THE DRAWINGS. THE CONTRACTOR SHALL REFER TO THE DETAIL SHEET DIMENSIONS, MANUFACTURERS' LITERATURE, SHOP �1� '' r'("`� DRAWINGS AND FIELD MEASUREMENTS OF SUPPLIED PRODUCTS FOR LAYOUT OF THE PROJECT ° ;>.: . \ 07� FEATURES. •lam w 4� `� _ '� ' °� ;, , �y PERFORATED CPP \ 15. CONTRACTOR SHALL NOT RELY SOLELY ON ELECTRONIC VERSIONS OF S SP � AREA DRAIN 2 PLAN SPECIFICATIONS, AND i 4 \ RIM 5.0 S THAT ARE OBTAINED FROM THE DESIGNERS,\ DATA FILEBUT SHALL VERIFY LOCATION OF PROJECT INV. 3.10 FEATURES IN ACCORDANCE WITH THE PAPER COPIES OF THE PLANS AND SPECIFICATIONS THAT ARE ^'r5G �j/ �/ • \ A/-25 LF 8" PERFORATED CPP `Y SUPPLIED AS PART OF THE CONTRACT DOCUMENTS. (CORRUGTED POLYETHYLENE PIPE) r� fy4F' f85 LF 2' HIGH MAX. 16. CONTRACTOR SHALL DISPOSE OF DEMOLITION DEBRIS IN ACCORDANCE WITH APPLICABLE FEDERAL, RETAINING WALL TOP - STATE AND LOCAL REGULATIONS, ORDINANCES AND STA TUTF F. OF WALL ELEV. 5.20 15' EASEAREA DRAIN 1 po RIM 5.0 o ti� od ! Erosion Control INV. 3.10 1. PRIOR TO STARTING ANY OTHER WORK ON THE SITE, THE CON TRACTOR SHALL NOTIFY APPROPRIATE AGENCIES AND SHALL INSTALL EROSION CONTROL MEASURES AS SHOWN ON THE PLANS AND AS \ `'= IDENTIFIED IN FEDERAL, STATE, AND LOCAL APPROVAL DOCUMENTS PERTAINING TO THIS PROJECT. LIMITS OF CLEARING, GRADING AN °°� 2. CONTRACTOR SHALL INSPECT AND MAINTAIN EROSION CONTROL MEASURES, AND REMOVE SEDIMENT ND 9jo F� h GROUND.,DISTURBANCE; EROSION AND THEREFROM ON A WEEKLY BASIS AND WITHIN TWELVE HOURS AFTER EACH STORM EVENT AND DISPOSE _.._......._m._ SEDIMENT CONTROL CONSISTING OF ;, ° OF SEDIMENTS IN AN UPLAND AREA SUCH THAT THEY DO NOT. ENCUMBER OTHER DRAINAGE STRAWBALES AND/OR SILT FENCING TO j °'\ F �° I STRUCTURES AND PROTECTED AREAS. BE INSTALLED AND MAINTAINED ALONG THE LIMITS OF DISTURBANCE DURING CONSTRUCTION t 3. CONTRACTOR SHALL BE FULLY RESPONSIBLE TO CONTROL CONSTRUCTION SUCH THAT SEDIMENTATION "DwARD eocE SHALL NOT°F no WATER, WIND, FECTIRECT D TO ITREGULATORY PROTECTED AREAS, WHETHER SUCH SEDIMENTATION IS CAUSED BY Wer�9��s 570 Hippodrome Drive 4. CONTRACTOR SHALL PERFORM CONSTRUCTION SEQUENCING SUCH THAT EARTH MATERIALS ARE EXPOSED 1. ALL WORK NOTES: FOR A MINIMUM OF TIME BEFORE THEY ARE COVERED, SEEDED, OR OTHERWISE STABILIZED TO PREVENT Driveway Repair 1. ALL WORK TO REMAIN WITHIN ACCESS EASEMENT AND EROSION. GRAVEL DRIVE WITHIN RIGHT ON OWNER'S PROPERTY. OF WAY TO BE RESURFACED 2. EXISTING WETLANDS VEGETATION WILL BE PRESERVED IN KIND; PROVIDE MINIMUM 10' DRIVE WIDTH TO THE MAXIMUM EXTENT PRACTICABLE AND ANY SUCH 5. UPON COMPLETION OF CONSTRUCTION AND ESTABLISHMENT OF PERMANENT GROUND COVER, VEGETATION REMOVED WILL BE REPLACED (SEE CONTRACTOR SHALL REMOVE AND DISPOSE OF EROSION CONT a THROUGHOUT CONTROL MEASURES AND CLEAN SEDIMENT AND PLANTING SCHEDULE). SOUtIIOId, IVY 3. THERE IS NO INCREASE IN IMPERVIOUS SURFACE DEBRIS FROM ENTIRE DRAINAGE AND SEWER SYSTEMS. PROPOSED. U o. Revision Date Appvd. Existing Conditions Information 1 REVISED PER DEC COMMENTS 3/12/15 AVL a Q IQ c)- Io N 2 SECTION A-A PER DEC'COMMENTS 5/14/15 AVL z .;Q :l Q 1. BASE PLAN: THE EXISTING FEATURES SHOWN WERE DETERMINED BY AN ACTUAL FIELD SURVEY Z) it CONDUCTED BY NATHAN TAFT CORWIN III LAND SURVEYOR LAST DATED DECEMBER 10, 2014. cz F z z� N to E'n �Z N z r.W WD •-'o .-PROPOSED WALL z EXISTING WOOD o SEE CONSTRUCTION 3 0z 'C �i NOTE NUMBER 2 H ItL n . EXISTING GRADE 00oo �u o DRIVEWAY EDGE AT NEIGHBORING TO REMAIN g y Checked F ■ PROPOSED PROPOSED 0 PROPERTY pesi ned b' 0 UNDERDRAIN PIPE GRADE t=o _. CS,... . AVL:.. ..'. N � o �I�z INV. = 3.10 ��zQ N iIssued or Date T 6 _. _ . _._.. .. - - - - - - December 16, 2013 �L zf- r _..__.. .___. ...._. _ ...__.... .,._ ■ M --2.%--SL-OPE-MAX-. - _ _ . .. . . .. . z- Le end Planting c e ���� p :. ...VARIES MIN. Village and DEC Approval ��I�' 4 ■ w 3 ._._.__.- _•__ ..,. ._ .. .. .. _\�.G,�.._•.., . ...I _..._ •_ ..,__.__•_.. . 3 WHERE VEGETATION IS REMOVED, ALL OR SOME OF THE NATIVE SPECIES o w LISTED BELOW (OR SIMILAR NATIVE SPECIES) SHALL BE INSTALLED: 2 ._ . ...__ , � D_ w �\tom__•_____..__..__,.. •._............ _.. _ .... _ 2 _ Q '� .._. . ...............__...._ ..........._........... ....__ .. ....,._�L�.........._ _... . w TVA FRUTTESCENS - MARSH ELDER DSEL BUSH > _. .__ _.__... .. !. ......._.....__ ...___..._••._..__.._ ....__ ..... _ .__. MYRICA PENSYLVANICA J - NORTHERN BAYBERRY O \I� _,._..._.__..._...._•_..•...__ ____....._.......____ CHAMAECYPARISTHY0IDES - ATLANTIC WHITE CEDAR / 0 KNIPERUS VIRGINIANA - EASTERN RED CEDAR VARIES <10'-0" i PRUNUSMARITIMA - BEACH PLUM n EXISTING DRIVEWAY WIDTH --- i N EROSION CONTROL I I SHRUBS TO BE INSTALLED ON SIX-FOOT CENTERS AND TREES TO BE INSTALLED ON FIFTEEN-FOOT CENTERS N Y S D E C To BE INSTALLED 1 APPROVED AS PER TERMS Drawing Number AT LIMIT OF 10'-0" AND CONDITIONS OF N DISTURBANCE AS PROPOSED DRIVEWAY WIDTH NECESSARY o (SEE DETAILS) SOV - Lull RERMITNO.I' 7 -��p N OAT '2 NEW CM1 SECTION A-A of N.T.S � y k` fi 20 40 17 ;dY ? Sheet of *>1�4 � 1 2 GU SCALE IN FEET (n Project Number 28997.00 O u .d SAWCUT 2' BEYOND TRENCH WHERE REQ'D. FOR PAVEMENT ` -i RESTORATION O.D. + 2' MAX. (TYP.) GROUND SURFACE F1'' AL BAC4Fli- UNDISTURBED EARTH PEDESTRIAN - SAFE C.I. k. GRATE 12'" DIA. f-- -� 24" 0 PVC INLINE DRAIN AS Engineering, Surveying & 3" CLEAN SMOOTH GRAVEL %>: MANUFACTURED BY NYOPLAST OR \ 1-2"0 GOOVEN TEXTILE CPP, PVC PIPE ` { INITIAL EQUAL Landscape Architecture, PC FABRIC (AS SHOWN ON PLANS) BACKFILL `(SEE NOTE 4) 12" PVC PIPE TO BE REDUCER (AS REQUIRED) 100 Motor Parkway Suite 135 COMPACTED HAUNCHING, TO CUT AS NECESSARY TO SUBGRADE 'in, SPRINGLINE OF PIPE ACHIEVE PROPOSED GRADE "€ 1 BEDDING MATERIAL — Hauppauge, NY 11788 6" MIN. FOUNDATION 8- PVC TEE OR CAP END OF PIPE WHERE 631.787.3400 Notes: MIN. TRENCH WIDTH AS REQUIRED REQUIRED 1. SUBGRADE IS TO BE FREE FROM DEBRIS AND UNSUITABLE MATERIAL AS DETERMINED BY THE ENGINEER,/INSPECTOR AND SHALL BE COMPACTED TO Notes: 95% MAX. DRY DENSITY. 2. SUBGRADES TO BE VISUALLY INSPECTED AND TESTED PRIOR TO PLACING 1. FOUNDATION: WHERE THE TRENCH BOTTOM IS UNSTABLE, THE CONTRACTOR SHALL GRAVEL SURFACE. EXCAVATE TO A DEPTH REQUIRED BY THE ENGINEER AND REPLACE WITH A N 3. CONTRACTOR TO OBTAIN APPROVAL FROM OWNER/OWNER'S FOUNDATION OF CLASS I OR II MATERIAL AS DEFINED IN ASTM D2321, "STANDARD REPRESENTATIVE FOR MATERIAL USED PRIOR TO CONSTRUCTION. PRACTICE FOR INSTALLATION OF THERMOPLASTIC PIPE FOR SEWERS AND OTHER 6" COMPACTED SAND & GRAVITY-FLOW APPLICATIONS," LATEST EDITION. GRAVEL BEDDING 2. BEDDING SUITABLE MATERIAL SHALL BE CLASS I, II OR III AND INSTALLED AS REQUIRED IN ASTM D2321, LATEST EDITION. 3. HAUNCHING AND INITIAL BACKFILL: SUITABLE MATERIAL SHALL BE CLASS 1, II OR III AND INSTALLED AS REQUIRED IN ASTM D2321, LATEST EDITION. 4. BACKFILL ABOVE SPRING LINE TO BE PLACED IN 12" LIFTS. 5. SOILS IN EXCESS OF 12" BELOW PAVEMENT BASE TO BE COMPACTED TO 90% MAX. DENSITY PER AASHTO T-99. SOILS WITHIN 12" OF PAVEMENT BASE TO BE COMPACTED TO 95% MAX. DENSITY. 6. IF TRENCH DEPTH EXCEEDS 5', THE CONTRACTOR MUST PROVIDE SHEETING & BRACING OR A SHEETING BOX IN ACCORDANCE WITH OSHA REGULATIONS. AS AN ALTERNATE, IF PERMITTED BY THE ENGINEER, THE TRENCH MAY BE CUT BACK TO A 1:1 SLOPE OR THE NATURAL ANGLE OF REPOSE, WHICHEVER IS GREATER. 7. WHERE PIPE IS INSTALLED WITH LESS THAN 2' COVER, ALL BACKFILL TO BE CLASS I MATERIAL Gravel Driveway Section 12/13 Pipe Trench Detail - Plastic Pipe 7/12 Area Drain Detail T 7/12 N.T.S. Source: VHB LD_ N.T.S. Source: VHB LD_ N.T.S. Source: VHB LD_ EXISTING WETLAND BOUNDARY 8" MIN. LOW s PERMEABLE SOIL CAP UNIT a 4' GRAVEL DRIVEWAY 1V x 1X" x 4' WOOD STAKE 1"x 1"x 3' WOOD STAKE, -�1�"„�'.; .,mm(-- � _ OR APPROVED EQUAL -= 1--�- BLOCK WALL UNIT , .. f (2 PER BALE) " ' ! WEEP HOLES x A" _.. �" '? �"•, N a SILT FENCE ' I � 1 10' O.C. (MIN.) ' 3 x FINISHED UNIT DRAINAGE FILL { GRADE - " -#, -:I#� €: _ AREA '``-- (3/4 CRUSHED , WORK ;� -•" ! , .r ;: ROCK OR STONE) APPROXIMATE LIMITS UNREINFORCED CONCRETE OR OF EXCAVATION CRUSHED STONE LEVELING PAD FLOW WORK 1 BALE TWINE TO AREA BE PARALLEL TO GROUND SURFACE � �' r 't ,r..• 4" COMPACTED ; FLOW I ` ,� ! PROTECTED EARTH MOUND II I, # AREA it 1PROTECTED • TOP OF AREA } Notes: GROUND ��\ '�' - � TOP OF GROUND j 1. WALL SHALL BE KEYSTONE GRAVITY BLOCK WALL OR APPROVED EQUAL. '" ..�-- ----"'�"' "-"—'•' _...._.INCIA 2. WALL SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER'SREQUIREMENTS. " M . (MIN)BEDMEN .. ._m_-.....-..,. 3. CONTRACTOR TO MINIMIZE DISTURBANCE OF LAND WHILE INSTALLING WALL. 1' 8 (MIN.) 4. CONTRACTOR TO RECEIVE APPROVAL OF WALL FINISH PRIOR TOi CONSTRUCTION. � PLACE 4" OF FABRIC 1. (MI570 Hippodrome Drive 1 5. CONTRACTOR TO OBTAIN ANY NECESSARY BUILDING PERMITS RELATED TO ALONG TRENCH AWAY N., WALL. FROM PROTECTED AREA STAPLE BACKFILL AND COMPACT Driveway Repair Q) STAPLE Southold, NY o Wood Stake Joint Detail No. Revision Date Appvd. 1 REVISED PER DEC COMMENTS 3/12/15 AVL c 0 2 SECTION A-A PER DEC COMMENTS 5/14/15 AVL Retaining Wall Detail 12/13 Straw Bale Barrier 2/11 Silt Fence Barrier 6/08 g N.T.S. Source: VHB LD_ N.T.S. Source: VHB LD-653 N.T.S. Source: VHB LD-650 D_ N Designed by; Checked by N CS -AVL. o " N Issued for Date N December 16, 2013 • 0 Village and DEC Approval L . L N 0 (L Z Q J J V r- N Y S D E C Drawing Number t'- o � P',OV 1 �ui7 APPROVED AS PER TERMS _ 4 i AND CONDITIONS OF � ,r, # �__�__-___..•- _ j PERMIT NO. —p �vp7c 11 OAT N ofNE 0 1 , C? ;:.,r ':r:+.sh: � Sheet of 2 2 qJf Project Number 28997.00 S 5UR\/EY OF LOT #8, BLOCK 4 ' - "MAP OF BEIADON ESTATES" ' N FILED MARCH 16, Ig46 A5 # 1472 51TUATE: 5OUTHOLD o������o d w E � ¢ TOM: SOLrniOLD s SUFFOLK COUNTY, NY SURVEYED 01-31-01 PROP05M ADDITIONS 03-2q-2001 WETLAND LOCATION 06-I5-2001 c \ 10' VAN TUYL CONTOUR ADDED 08-23-2001 P y PROPOSED Oro-06-2008, 0-7-24-2005,05-2-7-2005 Lo�♦��Q ��.�J�' gaocy SUFFOLK COUNTY TAX \AA2 #1000 - 66 - 2 - 13 CERTIFIED TO: of ORA .JEAN HEATH 0� (J�O�oC PrZOP.2 STORY 11 \l\ 4004 a1 ELLIOT BRUCE HEATH 111 \' P'oa� ADDITION iQ Ot` % �pti� oJ� sroRr BALGO °�•��cp e ed \Pat d SITE DATA: �� A �. _ 5r �5� �� o� �,v¢oa YDErSCRUMON: MWA- L®T D dDd��d'iE: ♦` •♦ y� � ; ` �\" PROPERTY: LANDWARD OF WETLANDS 11, 601 S F �♦` ��♦♦♦` PPo \\�20 \d EXISTING & PROPOSED HOUSE: 1. 414 S.F. 12 19% `♦ �Q`p ♦♦ - `� DW�` '. \; ` PROP.2ld STORY AVvrnow Ova PROPOSED PORCH, STOOP, PATIO 239 S.F 02 06% `♦ to �♦ � ' • °e 2° �RT �it�ice SHEDS 272 S.F 02.34% `♦ 9S� ♦` �'� �� `\ ' 1 s, as PROP.2 5TORY ♦ \♦ (\ \ ooy ADDITION EXISTING & PROPOSED LOT COVERAGE: 1, 980 S.F. 17 06% `♦♦ %,�� ♦` VA1��7 �\ �` �g���� o' - ♦` ` A�Q ` `♦ \� Qv��\\ Ay \\ SPTORY BONY DEC ADJACENT AREA BETWEEN WETLANDS AND `� >' � \` �� �\6 PROP.ENTRY PORCH ♦ �b i'-- VAN TUYL 10' CONTOUR LINE OF 1982 8. 400 S.F AND 5TEP5♦ '� \ \ � V �� k5 ♦ a-• Q S- 2 /��� MASONRY WALK EXISTING IN DEC ADJACENT AREA 5 S.F 0 06% ` \ '- * 4 s !DW; TO BE REMOVED \9 oP=ET ADDITIONS IN DEC ADJACENT AREA 219 5 F 1.95% � V b{c� T ' \� NOTES: �P' MONUMENT FOUND �� off` s �. ;•> ___ _ - PIPE FOUND ' ♦, ` /CCG q �; STAKE FOUND ® � ��,: `� '' ° 4 ; N 0 V 2 7 2017 N77 Map line �,o�•dl cl ood °3$ \- 3 f >' 0 \, g S #� , • \` y ofa icy LOT AREA TO MAP LINE 15,113 5.F. OR 0.35 ACRE ry !\ �y� �� ,, `�` �" o�\d, ° /� �p¢\"o �oarc IUtte ELEVATIONS REFER TO M5L NCGVD '2q 269 __ -_ _ _ ,c� 000 go PARCEL RESIDES IN ZONE R-40 PRE-EXISTING NON-CONFORMINS ->O F „ OF NEt'V ALLOWS S5'FRONT YARD NF„ +,, p�� C• Ey, �p %==Um 7204.Wb 20IO' 1 .weyo-ti 2. i�o SIDE YARD -TOTAL 25 �`" 4F y'� tbw ro eeom 56—u�or L—.• REAR YARD 35' 8„ NO CHANGE IN NUMBER OF BEDROOMS PROPOSED DRAINAGE CALCULATIONS: _ '♦ a1YS0EC9,V w".v!pr-p OG b OCCCr6acl wW IM Irz- ,P � tx,g GaGo a P,ncLYn/or la.a Srveya a0op40 ROOF (DWELLING) ASPER• S DWELLING ROOF AREA 1414 5.F. SND NDiT!®NS OF otl an Id,4Moli to Mo Ytb Canpuy TIDAL WETLAND BOUNDARY AS DELINEATED BY EN-CONSULTANTS, Inc. 1414 X 0.11 X 1.0 = 241 G.F. 'ERMIT NO /— 7 OQ$fjf�/U D Cl)O u,e m,gee,d me bMLy`etdtbn [ertwco- tlwe Qp rot bvWa'able,v o�6tbro1 btlMlwe ON 5-21-2007 AND LOCATED AND SHOY�M HEREON BY SYMBOL 1 241 / 42.244 = 5.6q V.L.F. REQUIRED SATE I�- rSCtJ O q ��-�, FROP05M 10' WIDE +NONTURF BUFFER TO BE PLANTED WITH NATIVE VEGETATION 2 PROVIDE DIA. X 3'-0" DEPTH DRAINAGE POOLS 6 V.L.F. PROVIDED JOHN C. E ER �1�Jl9 SURVEYOR 6 EAST MAIN STREET 369-8288 Fax 369-8287 N.Y.S.LIC.NO.50202 GRAPHIC SCALE I"= 30' ADW; PROPOSED DRYWELL RIVERHEAD,N.Y. 11901 REF.—C:\Documents and Settings\Owner\Desktop\heath\01-247 proposed house.pro SURVEY OF LOT 9 BLOCK 4 MAP OF BEIXEDON ESTATES FILE No. 1472 FILED MARCH 16, 1946 SITUATE SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 66-02- 12 CIS SCALE 1 "=20' FEBRUARY 13, 2001 FEBRUARY 27, 2001 ADDED PROPOSED PORCH MAY 2, 2001 REVISED PROPOSED ADDITION NOVEMBER 3, 2005 ADDED PROPOSED PORCH NOVEMBER 23, 2005 PROPOSED PROPOSED PORCH AUGUST 7, 2012 UPDATE SURVEY DECEMBER 10, 2014 LOCATED WETLANDS 10. AREA = 9,940 sq. ft. �2 128 \ r, (TO TIE LINE 0,228 ac. \ ON 08/07/12) dell \ OoQt �' JP ,o °� ,�.8 \ 6, �s \ n CERTIFIED T0: Q° 'b�\ KATHRYN CAMPBELL C� sr. \ \G F •� S X �{ Q-'�'�'� XNO� G� 2 O mos ��P�� , �riP,. �T G I �P���, �� Q���o; 12.4 o CF <(1 S 7.5 < 'P� � 0 �• G R v 6' , DcO� �4 A>X \ �G �? Q \ N" X-3F°e`Q \ X #'fie �'� TEST HOLE DATA \ �\ R,. cs- �\ \ 7` /� s ° 'o ��+ (TEST HOLE DUG BY McDONALD GEOSCIENCE ON JANUARY 3,. 2001) \ \7 \ 6. �HOOLE rl P S`ST Cs 1 7 4.8 D._ \ \ l / // 2R4" \ O \� K�yO�A<4� EL. 8.7' 0. .� J \ \ DARK BROWN SANDY LOAM OL O e \ Ly dll\ \X \ \ BROWN LOAMY SAND SM d \ 3 GCUST,ot�3, \ \ \ \ \ /6.3 F°OaG YELLOWISH BROWN FINE TO COARSE SAND SW Y 5r� y -6 4.1 \ 5 9 �^��6 a 1 P . \ 9� OEL. 1.4' 7.3' 001,o 0 Q Oo°p0 4L ° \ d WATER IN YELLOWISH BROWN 11 a FINE TO COARSE SAND SW PREPARED IN ACCORDANCE WITH THE MINIMUM ° ° \ BYATHERD I.AFL..S.OR TITLE AND APPROVEDAANDESTABLISHED ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND 2.2 TITLE ASSOCIATION. C OF Mr-pl, •� � III �' r�' I ➢^% WOOD WALL 0 ° < \ ` ° 4 �. .t•' (- ___ --- �( tw `o t•,:,, :fid 4 ° c I _ 'J✓r ` f�j Y Lic. No. 50467 , PNOV 1 �C17 N ' l �+Gorwin 111 F 5S• �G°1 �� UNAUTHORIZED ALTERATION OR ADDITION Nathan T a ° Q ' TO THIS SURVEY IS A VIOLATION OF Q�G°$ aPr^rvtui„1;,t5_,4^ SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. NG Land Surveyor COPIES OF THIS SURVEY MAP NOT y/Cy�9l _ ANDWARD EDCE OF TO EMBOSSED SEAL E LTSH LL NO W� TTHE LAND SURVEYOR'S BEECONSI CONSIDERED 4ANDS CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isoksen, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727 TUTION. CERTIFICATIONS ARE NOT 'TRANSFERABLE. OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHT OF WAYS 1586 Main Road P.O. Box 16 AND/OR EASEMENTS OF RECORD, IF James ort, New York 11947 Jamesport, New York 11947 ANY, NOT SHOWN ARE NOT GUARANTEED. p 20-71'7 A ! Kathryn A.Campbell ' *• _ r 70&500 Hippodrome Drive 10'ROW Southold SCTM#: 1000-66-2-12(Dominant) Y -;*- ••_ 1000-66-2-13(Servien _-- �. y= 12/5/17 17 ri - /4 ( ° �-a• -•'�/ `-,-rte. � ♦' -/ Ar fes �Al Ik . 3 19h ,fes Je. -- -.+s 'z �y\�a�•,�c• 4% ' tVP w IK leg Me - •-'s — +r ` A ..1.� -�•\ 'r �+4 i._� AC ANN L a . '} r':�+•i• Ili'•�„"'-` _ v. TRUSTEE APPLICATION OF KATHRYN A. CAMPBELL County of Suffolk PFA E C" E �j V State of New York NOV — 201 i� 8 7 Sct-11TW--mm Boar 1 of Ti i;stees � EILEEN A. POWERS,under penalty of perjury, affirm as follows: 1. That I am an attorney at law, duly licensed to practice law in the State of New York. I am the attorney for the applicant, Kathryn A. Campbell in connection with this application, and, as such, am fully familiar with the facts hereinafter stated. The statements made in this affirmation are based upon personal knowledge and information and belief, the sources being information contained in the file of this matter, consultation with my client, as well as other apparently reliable sources, and a study of the applicable law. 2. I make this affirmation in support of my client's application for a permit to restore/repair the right of way over the property owned by Ora Heath and Bruce Heath (SCTM# 1000-066.00-02.00-013.000)(hereinafter the"Heath property"). 3. Kathryn A. Campbell took title to her property (SCTM# 1000-066.00-02.00- 012.000) located at 570 Hippodrome Drive, Southold New York by deed dated October 15, 1986, and recorded in the Office of the Suffolk County Clerk on December 3, 1086 under Liber 16182 cp 537. A copy of the deed is annexed hereto. 4. The deed, inter alia, grants a fifteen foot wide right of way across the Heath property for access to and from Hippodrome Drive. That easement area is the subject of the instant application. The Heaths have consented to the application. Everyone who has a right of way across the Heath property has consented to this application. Dated: November 8, 2017 Riverhead,New York Respectfully submitted, PO WE ESQ. PLLC Eileen A. Powers Attorney for Applicant KATHRYN A. CAMPBELL 456 Griffing Avenue Riverhead,New York 11901 (631)727-8250 2 :M3.p 140 :M3 ' IaF6-y"a 11 I)l / II CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOUL®BE USED BY LAWYERS ONLY. � g� I If3 31J THIS INDENTURE, made the 15th day of October ,nineteen hundred and eighty-six BETWEEN ROGER W. ROTH,. residing at 8 Butler Street, CosCob, Connecticut 06607 s 4 party of the fust part,and i KATHRYN A. CAMPBELL, residing at 125 Broad Street, �° New York, New York 10004 n i�B,a party of the second parr, WITNESSETH, that the parry of cite fust part, in consideration of Ten Dollars and other valuable consideration paid by the parry of the second part,does hereby grant and release unto the parry of the second part, the heirs or E'%•' 4'"'i=( ( successors and assigns of the parry of the second pan forever, tC:a%•'- •r+ ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and bein in the Y g g Town of Southold, County of Suffolk, State of New York, shown and designated on a certain map entitled, "Map DISTRICT of Beixedon Estates, Town of Southold, Suffolk County, New York, property of Grace R. Nickles, formerly Grace Rogers 1000 DeBeixedon" made by Otto W. Van Tuyl, Licensed Surveyor, and SECTION filed in the Suffolk County Clerk's Office on March 16, 1946, 066.00 as Map No. 1472, as and by Lot Numbered 9 in Block Numbered 4 on said Map. BLOCK TOGETHER WITH a fifteen foot easement of right-of-way as 02.00 shown on said map, over Lot 8 in said Block 4, for access to and from Hippodrome Drive. LOT RESERVING to her heirs and assigns, a fifteen foot ease- 012.000 ment of right-of-way as shown on said map, over lots 8 and 9 respectively, in said Block 4, for access to and from Hippodrome Drive and to and from Lot 10 on said map. BEING AND INTENDED TO BE the same premises conveyed to the grantor herein by Deed dated December 30, 1970 and- recorded in the Suffolk County Clerk's Office on January 11, 1971 in Liber 6868, page 14. TOGETHER with all right, title and interest, if any, of the paf�of the first part in and to any streets and roads abutting the above described premises to the center hoes thereof;TOGETHER with the appurtenances and all the estate and rights of cite parry of the fust pan in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the parry of the second part, the heirs or successors and assigns of the parry of the second part forever. AND the party of the first parr covenants that the parry of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a ^ti trust fund to be applied fust for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of rhe total of the same for any other purpose. t The word "party"shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the fust part has duly executed this deed the day and year first above written. IN PH01INCE OP: 11, 'g p RO FF W. ROTH RE ` REAL ESTATE DEC Q S 1986 TRANSFER TAX 3290 `,. SUFFOLK sto„dard MY D.T.U.form AUDI.Aa,e"tn o d Sok Dead,with roremnl A o(n,l Gmolor'r a� COUNTY A �+•ti—Iadiddual of cwpwutw. ..�... /` NEW YORK STATE DEP 'MENT OF ENVIRONMENTAL CONSEWY'r`A`ION NOW Facility DEC ID 1-4738-02842 PERMIT -Under the Environmental Conservation Law ECL Permittee and Facility Information Permit Issued To: Facilityc KATHRYN CAMPBELL CAMPBELL PROPERTY 570 HIPPODROME DR 570 HIPPODROME DRISCTM 1000-66-2-12 SOUTHOLD,NY 1.1971 SOUTHOLD,NY 11971 (631) 727-8250 Facility Permit Contact: VHB ENGINEERING SURVEYING AND LANDSCAPE ARCHITECTUR 100 MOTOR PKWY STE 135 HAUPPAUGE,NY 11788 (631) 787-3400 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: SOUTHOLD Facility Principal Reference Point:_ NYTM-E: 717.462NYTM-N:.4549.377 Latitiide: ' 003'59.7" Longitude: 72624'42.5" Authorized Activity: Re'hab'ilitate,and,upgrade an existing driveway located within an existing- easement by installing a retaining wall and,drainage system,placing fill, and resurfacing the drive with clean gravel. All work must be done as shown oriAhe„attached plans prepared by.-Angelo V. Laino, P.E., of VHB Engineering, Surveying& Landscape Architecture;=PC, last revised 5/14/15, stamped "NYSDEC Approved” on 5/28/15. Permit Authorizations Tidal Wetlands -_Under Article•25 - Permit ID 1-4738-'02842/00002 New Pen-nit Effective Date: 5/29/2015 Expiration Date: 5/28/2020 Page 1 of 6 NEW YORK STATE DEltum FMENT OF ENVIRONMENTAL CONSER FION N� Facility DEC ID 1-4738-02842 NYSDEC Approval By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator:ROGER EVA NS; Regional Permit Administrator Address: NYSDEC-' GION 1 HEADQUARTERS SUNY @ STONY BROOK150 CIRCLE RD -STONY BROOK, Y11790-3409 Authorized Signature: Date / /. Distribution List VHB ENGINEERING SURVEYING AND LANDSCAPE ARCHITECTUR Habitat-TW KEVIN A KISPERT Permiomponenis4 NATURALfRESOURCE PERMIT CONDITIONS GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Permii Attachments Site Plan 5/14/2015 NATURAL RESOURCE PERMIT CONDITIONS - Apply to the ]Following Permits: TIDAL WETLANDS 1. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Angelo V. Laino, P.E., of VHB Engineering, Surveying & Landscape Architecture, PC, last revised 5/14/15, stamped "NYSDEC Approved" on 5/28/15. 2. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. Page 2 of 6 ems► NEW YORK STATE DEI'axi'MENT OF ENVIRONMENTAL CONSER. ,.'ION "NEW Facility DEC ID 1-4738-02842 3. Notice of Commencement At least 48 hours prior to commencement of the project, the penmittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 4. Limits of Clearing, Grading and Ground Disturbance No disturbance to trees, the natural vegetation, or topography beyond the'area-labeled "LIMITS OF CLEARING, GRADING AND GROUND DISTURBANCE" on the approved plans is authorized by ihis,permit. 5. No Construction,Debris in Wetland or Adjacent Area Any debris or excess.,material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 6. Storage•,of Equipment,Materials The storage of construction equipment and materials`shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland„boundary. ' 7. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized as per the specifications of the approved plans immediately following project completion'or priorto permit expiration,whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season,then the area shall be stabilized with straw or hay mulch'or jute-�matting�zuntil weather-'weather, -rgermination°:=,,-"'. 8. Clean Fill.Only A1T;fllyshall'consist of clean sand, gravel, or soil (not asphalt, slag, flyash ,brok'en concrete,ior-demolition debris). 9. Backfilling All peripheral berms, cofferdams, rock revetments,,.seawalls, gabions, bulkheads or other approved shoreline stabilization structures shall be completed prior to placement of any fill material behind such structures. 10. S&aw,Bales or Other at Tidal Wetland A row of staked straw bales or approvable erosion control"devices.shall_be placed;at the]andward edge,of,the buffer,,area or,as,per.the;approved plans linear feeffrom the tidal wetland boundary, or as per the NYSDEC_-approved plan,prior to commencement of any regulated activitie`s'and'remain in place and in good,�fiinctional condition until the project is completed and all disturbed areas are stabilized with vegetation. 11. Driveway/Parking Area of Pervious Material Driveway and parking areas shall be constructed of NYSDEC-approved pervious materials. 12. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales /silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. Page 3 of 6 NEW YORK STATE DEI----TMENT OF ENVIRONMENTAL CONSER` ='ION NEW Facility DEC ID 1-4738-02842 13. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of;the watercourse�hereby authorized shall not be completed, the owners, shall,without expense-to the State, and to such extent and in such-time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity-of the watercourse. No claim shall be made against the State of New York on account of any such removal-or alteration. 14. State May Require Site Restoration If upon the expiration or revocation of this permit, the project hereby authorized has not been completed,the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully,require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 15. Precautions Against Contamination of Waters 'All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants' epoxy'boatings, pain''ts,"Int"' et any'other environmentally deleterious materials associated with the project.- 16. roject:16. State Not Liable for Damage The State,of New York shall in no case be liable'for any damage or injury to the structure or work herein authorized which-,may.be caused by,or,result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. GENERAL CONDITIONS =Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department)to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Page 4 of 6 NEW YORK STATE DEF ' - 'MENT OF ENVIRONMENTAL CONSER'V'-A'CION NEW Facility DEC ID 1-4738-02842 2. Relationship of this Permit to Other Department Orders and Determinations Unless,expressly provided for by the Department, issuance of this pen-nit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the tenns, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator` NYSDEC REGION I HEADQUARTERS SUNY @,STONY BROOK150 CIRCLE RD STONVBROOK,NY11790 -3409 4. Submission;of Renewal Application The pennittee must submit a renewal application at least 30 days before pdrmit expiration for the following pen-nit authorizations- Tidal Wetlands. �r. 5. Perm it,'Mod ifications, Suspensions and Revocations by the Department The Department reserves,the right to exercise all available-authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a:,' materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the,scope.::of-the.,project as described in the permit application; =newly discovered material information"or a material change in environmental conditions, relevant technology or applicable law or regulations,since the issuance-of the existing pen-nit; e noncompliance with previously issued permit conditions, orders of the commissioner, any - provisions of the Environmental Conservation Law or regulations of the Department related-to ;_the permitted activity. 6. Perri it••Tfansfer"'Pe'rnits ate transferrable unless,specifically prohibited by-statute, regulation or another pernit-Icondition., Applications-for-permit transfer should be submitted prior-to-actual transfer of ownership. Page 5 of 6 Aft NEW YORK STATE DEI n,.FMENT OF ENVIRONMENTAL CONSERv H f ION w Facility DEC ID 1-4738-02842 NOTIFICATION OF OTHER PERMITTEE OBLIGA'T'IONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State-of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damage's,fo-the�extent attributable to the perrnittee's acts or omissions in-connection with the permittee's undertakingtof activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's-own negligent or intentional acts,or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item BzTermittee's Contractors to Comply with Permit The pennittee is responsible for infonning its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Iterm C: Permittee Responsible for Obtaining Other Required Permits ` The permittee:is responsible for-obtaining any other permits, approvals, lands, easements and rights-of- 1 way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparidn"Rights-- Thig 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., Page 6 of 6 95.20-1 (8187)-9d -New :York -state Department - ,Of En_vironme-'ntdl Conservation - Adak, MUMM OWN The Department of Environmental Conservation (DEC) has _issued permit(s) . pursuant to the, Environmental Conservation Law for work being cond-ucted at this site. For further information regarding the nature- and extent of work approved .and any Departmenta-l= -co nd.itions on -it, contact the Regional , Permit- Administrator .listed- below. ''Please refer to * the permit number shown when contacting the DEC. Regional Permit Administrator Permit Number ROGEREVAN s Expiration Dated NOTE: This-notice is NOT a permit r •r \ t- v"c1.�"�' 4�t �Y�„g�y - r ����. 0.1 � his: �- L� '.;r ��•4� u, _ � r 0 i 1 i� 1" `• � �`�ee -\�r'�a�l�� p � ��'�?��t'�!r Il Ot■LYC - �/ .y ami, r k� ... - r • - f ,' �..�-\ �}6. �� .. •'''�R ���Q r ,R� �;3+! '.'. ��� �Fir _,?.� ��'�C�i •may 's�. • ;��• �`Fy5��4� 'vi � .�.• w �-,��p+- S'a� ; meg^ �t.t `w�"���, 't�.`.t�.+�., Alm Pl. 41 -, `rte' y'.-�� t -'g � -' �ia ter'. ���"i:. 3 a .#`�' .��!� :�• M f _3.� '��, t r'tr �•� 'sL� "tea `�xj �. `•Serif" A o t5_y r _„+tie..' J/ _ b"or ..r;�'['•�:”" < 'a� ae, _ �.:. 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Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) P Southold,NY 11971 Telephone: 631 765-1938 �® ® Fax: 631 765-3136 COUNTi LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: December 7, 2017 Re: LWRP Coastal Consistency Review for KATHRYN A. CAMPBELL SCTM# 1000-66-2-12 (Dominant) & 1000-66-2-13 (Servient) Eileen Powers on behalf of KATHRYN A. CAMPBELL requests a Wetland Permit to rehabilitate and upgrade an existing driveway located within an easement by installing a ±85 linear foot long by 2' high (maximum) retaining wall with a top of wall elevation at 5.20 along the seaward edge of driveway; along landward edge of driveway install 50 linear feet of 8" diameter perforated corrugated polyethylene pipe with an area drain at westerly end, 25 linear feet of 8" diameter perforated corrugated polyethylene pipe with an area drain at easterly end, and an area drain installed in between the two pipes in order to contain storm water runoff along the driveway; and fill and'resurface driveway in-kind while providing a minimum 10' drive width throughout using clean gravel; and to install and maintain a line of hay bales and/or silt fencing along the limits of disturbance area during construction. Located: 570 Hippodrome Drive & 500 Hippodrome Drive 10' wide Right of Way, Southold. SCTM# 1000-66-2-12 (Dominant) & 1000-66-2-13 (Servient) 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. a; Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secreta ti ry � � 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., December 6, 2017 the following recommendation was made: Moved by John Stein, seconded by Keith McCamy, it was RESOLVED to NOT SUPPORT the application of KATHRYN A. CAMPBELL to rehabilitate and upgrade an existing driveway located within an existing easement by installing a retaining wall and drainage system, placing fill and resurfacing the drive with clean gravel. Located: 500 Hippodrome Drive, Southold. SCTM#66-2-12&13 Inspected by: Keith McCamy, John Stein, Peter Meeker The CAC does Not Support the application due the concern with the lack of a detailed plan. The CAC requests a specific plan of the driveway installation, including grading, tree removal and types of materials. Vote of Council: Ayes: John Stein, Keith McCamy, James Abbott, Peter Meeker, Peter Young. NAY-Greg Williams Cantrell, Elizabeth From: Eileen Powers <eapowers@optonline.net> Sent: Monday, December 04, 2017 5:13 PM To: Cantrell, Elizabeth Subject: campbell application Attachments: agent authorization letter--Kathryn to trustees with notary..pdf Please confirm receipt of the annexed and let me know if it is sufficient for Angelo Laino of VHB Engineering to stand up for the project at the public hearing next week. Thanks. Eileen 516-695-7660 Eileen A. Powers,Esq. 456 Griffing Avenue Riverhead,New York 11901 (631)727-8250 (631) 574-8666 (fax) 1 Kathryn A. Campbell December 3,2017 Mr.Michael Domino,President Southold Town Trustees Main Road Southold,New York 11971 Re: Southold Trustee Application for Tidal Wetlands Permit Improvement of Existing Residential Access Drive 570 Hippodrome Drive Southold Town of Southold, Suffolk County Dear Mr.Domino: Please accept his letter as authorization for Angelo Laino and VHB Engineering, Surveying and Landscape Architecture,P.C.with offices at 2150 Joshua's Path, Suite 300,Hauppauge,NY 11788 to speak on my behalf at any meeting,conference or hearing on this matter. You will note,VHB prepared the plans for the project. Your cooperation is greatly appreciated. If you have any questions,please feel free to contact my attorney and agent, Eileen A. Powers at 516-695-7660. Very truly yours, 6, Kathryn A. Campbell Sio to ore me t ' of December 20 7 Notary Public EILEEN A.POWERS Notary,Public,State of New York No.02P05021242 cc: Angelo Laino Qualified inSuffolk County g Eileen A. Powers, Esq. Omission ExWres 141arch 26,20_ to f]• Y r *OF SOOT Michael J.Domino, President Town y®�o Town Hall Annex AZ John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders C, Southold,New York 11971 Glenn Goldsmith ® yo Telephone(631) 765-1892 A.Nicholas Krupski li{'COu Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal ErosionPermit Application Wetland Permit Application Administrative Permit Am endment/Transfer/Extensio Received Application: 17 Received Fee: $ 25"0,00 Completed Application: 11' 4-7 n Incomplete:. V` SEQRA Classification: Type I_ Type II Unlisted ID Lead Agency Determination: NOV - 1 2017 _ -ICoordination:(date sent): -LWRP Consistency Assessment Form Sent: )2-1,17 CAC Referral Sent: 11.ZO-17 Southold Town Date of-Inspection: iZ•5,1rd of Triistee Receipt of CAC Report: Technical Review: R Public Hearing Held: 1 Z J Na Resolution: =' Legal Name of Property Owner(s): Cz;�' Ga-e I Mailing Address: -7 CQ 1 R_ Phone Number:, 5 1 U q 5 -7 k Suffolk County Tax Map Number: 1000 - (D 6 . UU d �1 • ©p �_c � � as ��- C) Co .cn U a- —p 13- 00VI per! `C �..�� Property Location: /�( � ��✓✓ (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): �t \Xz'q ' ("T Ww-�s Mailing Address: - 1 `� ` v��. I ve-tr� � ��O Phone Number: C/0-1( �� aye s Board of Trustees Applic,__ion GENERAL DATA Land Area(in square feet): a� Area Zoning: _ 940 Previous use of property: DRi V►Fw& - �P_,q k� WA`/ Intended use of property: W IJ E W n Z Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes P/"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 No 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 require Does the structure(s)on property have a valid Certificate of Occupancy? VYes No Prior permits/approvals for site improvements: �S'b,CPE Agency �y7 3�56��i la Dated V-M"rt� 16� �►rah�-, k s a� a�, a� 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): I JZ4:k0,hJ uQ !U1S�V'�; &V(,LUa ly 06aWj Jo GL eA hV, V)!;Wl41 CPM 0 LOU, >, lCLS+ qQ o,&5114� �aW Hoard of Trustees Applic _ ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: TO Nl(M e:—� BCW \XekC.U(0,\f S S wok C,Vu S ion a S vick i s A\Q-av\S ci acca e� CIA Area of wetlands on lot: PJ square feet Percent coverage of lot: �% Closest distance between nearest existing structure and upland edge of wetlands: N/A- feet Closest distance between nearest proposed structure and upland edge of wetlands: rJ 16 feet Does the pro' t_ involve excavation or filling? No Yes If yes,how much material will be excavated? cubic yards How much material will be filled? 1 — cubic yards pp Depth of which material will be removed or deposited: `g`� 1Pfeet Proposed slope throughout the area of operations: 91.6 Manner in which material will be removed or deposited 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 apprropriate):: / (s G l C-V.V,0--dn U B I�2 w¢_+l '�C�S 4-1 6,��A rc\, og l v\-� r��zS q,VbS I cM 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification, Complete Part 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, CPSE(,L 1 22) ccw�� I ���� c� � �5���� � U 6& Name of Action or Project: Project Location(describe,and attach a location map): —�f M{i Ipop_wo_ oa_ _ " t oCV0,-n-e TL2.tv-2 s�d�q, Brief Description of Proposed Action:_( ���j t I t & v e q�a�C� (nv1 lop S-�V1 ,4- w-c- [0CGAe t 11J mx k v) O v\ QyFtS�`lYl e0s'e rn e vi't' b� inSJf_1d iii dva%,oa IeloCirx ( av-,d izeS;urf&CM Mf— w cko " a"00on s �C-00,� 6u� 1(N 3 �•. �h�eer�w�� on►2�i� �t �unSCO-1�+i. tt'��-`'t�eC �v�. ,W /CSS ►'2�/t����y Name of Ap licant or Sponsor: Telephone: bl't 93-1050 q0-0_,e_r,J A CQ�lJ3C.�S S F,-Mail: t o 'A44ddress: City/PO: State: Zip Cod 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: JCoco a .c2r,� 5 �, ❑ 3.a.Total acreage of the site of the proposed action? 0 0 3.1 acres b.'Total acreage to be physically disturbed? _ o 59- acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0 X198 _acres d. Check all land uses that occur on,adjoining and near the proposed action. _ ❑Urban Rural(non-agriculture) ❑Industrial ❑Commercial residential(suburban) El Forest ❑Agriculture ❑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? _tt M- 6. Is the proposed action consistent with the predominant character of the existing built or natural NOYES NO ` landscape? �I: 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? NQ YES b.Are public transportation service(s)available at or near the site of the proposed action? KI i 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: - I r 10. Will the proposed action connect to an existing public/private water supply? NO Yh,S If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES El 12. No,describe method for providing wastewater treatment: 12. a.Does the site contain a sti ucture that is listed on either the State or National Registei of Historic NO YES Places? l r J -C IT' b.Is the proposed action located in an archeological sensitive area? El 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO VE 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? i If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: i 14. lden 'fy the typical habitat types that occur on,or are likely to be found on the project.site. Check all that apply: Slioreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional E24,tland ❑Urban ❑Subui ban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO +S by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES n - IT 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, -Z El a.Will storm water discharges flow to adjacent properties? R(NO [_JYES b.Will storm water discharges be directed to established conveyance systems(runoff and stolyti drains)? If Yes,briefly describe: NO 1s Page 2 of 4 �1 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; _ Ef,F]--- -------_.----------___---- -----_-_____ ______ 19. l las 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 AES completed)for hazardous waste? If Yes,describe: �( I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicants sor e: Date: l l --- 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?" i No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land'? _ _._ _- ❑ 3. Will the proposed action impair the character or quality of the existing community? _ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the n 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? ff ❑ 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate El 7. energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: _ a.public/private water supplies? b.public/private wastewater treatment utilities? El 8. Will the proposed action impair the character or quality of important historic,archaeological,_ architectural or aesthetic resources? ~9. Will the proposed action result in an adverse change to natural resources(e.g,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 - — No,or Moderate small to large impact impact may may occur occur 10. W ill the proposed action result in an increase in the potential for erosion,flooding or drainage problems? E4 El 11. Will the proposed action create a hazard to environmental resources or human health? LLJ 17 Part 3-Determination of significance. The Lead Agency is responsible for the completion of fart 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. DCheck 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 environmental in/pacts. Town of Southold-Board of Trustees !!Z Name of Lead icy D to ( 'Q/I President Pr' Type me of Responsible ffcer in Lead Agency Title of Responsible Officer Signature of Resp tble Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) I PRINT Page 4 oi'4 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town ofSouthold's Code..of Ell tic., r hibits conflicts of interest on the part of town officers and can loyces.'I'lte purp lse of this form is to provide infortnmion which can alert the town of possible conflicts ofintetest and allay it to take whatever action is necessary to avoid sulnc. J YOUR NAME: _ /%UJ��/ ,(��Z (Last name,first name rpiddle initial,unless you are applyingin the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building _ Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",nine the activity.)_-_, __ ____ 1)o you personslly(at ihrnut;h,Your company,s{muse,aibltnl;,parent,or child)have a relationship wil6 any nfticer nt emplov;c of Ihe'I'own of Soulhold? "Relationship"includes by blood,njarriaf;e,or business interest "Business intcrost"means a businc�s, including it partnership,in which the town officer or employee hm even a parthd ownership of(ar employment hy)a corporttinn in which the town officer or employee owns more Ilion 5%of the shares. YES — ._ NO _._K�1' _If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantla$ent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greatr.r than 5%or the shotes of the coiliornte stock of the applicant J (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 cotporation); C)an of!icer,director,partner,or employee of the applicant;or D)the actual applicant, DESCRIPTION OF RELATIONSHIP Submitted this /a day of (J 20# Print Name 6GGia:'T f�T.�7~ Farm TS I ' 1 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Sottthold's Code orL•thics nmhibi s conflicts of interest on the Part of town officers and employees.The nurDq,se p (Itis form is to provide information which cin alert the town ofpossible eonflieta or int rest and allow it to(A-c whatever actign is necessary to avoid snipe. YOUR NAME: AA.- (Last name,fir name,jplddle 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 i Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map _ Planning Other (If"Other",narne the activity.)._____ Do you personally(or through your company,spousa,sibling,parent,or child)have a rolationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"moans a business, Including it partnership,in which the town officer or employee has evert a partial ownership of(or employmen(by)a corporrtion in which the town officer or employee owns more than S%o the shares. YES NO 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 br position of that person Describe the relationship between yourself(the applieant/agenVrepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner orgrea(er than 5%of the shares of the corporate stock of the applicant (when the appliewit is a corporation); B)the legal or beneficial owner of any interest iu a non-corpomle entity(when the applicant is not acorporotlon); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this C/ da r f /'V D 1/ 209 Sigrtaturo Print Name oT' Form TS 1 ' APPLICANT/AGENT/REPRESENTATIVE " TRANSACTIONAL DISCLOSURE FORM Thc'Iown ofSiiuthnitt's C'ride r)f 1:llucs' rohibits conflicts of intarest on the pert of town officers and cmployces.The ptirsc o- tliis ft)nii is to provide information%vhich can alert• lie town ofpossible,conflicts of interest end;�Ilaw it to take whatever action is RCL`CSSarV to aV011l C;1inC. ` YOUR NAME: _ C A A-1 P 13CS'LL, - (Last name,first name,jtiddle initial,unless you are applying in the name of someone else or other entity,'such as a company.If so,indicate,the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you pa:rsonally(or tlit ough your company,spouse,sibling„patent,or child)have a relationship with any ofiicer of employee Of the Town of Southold? "RCI.tlionship"includes by blood,marringe,or business interest."Business interest"means a business, iticluding a pal tnunhip,in which 111 town 01cer or cinplvyce has even a partial ownership of(or employment hy)a c irpoialinu in which the town ollicer or cinployee owns more than S%of the shares. YES NO if y_oli answered"YES",complete the balance of this form and date and sign where indicated. Name of pci'son'employed by-the Town'of Southold Title or position of that person Describe the relationship between yourself(the applicant/aggnt/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space proJided. ' The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner ol'gienter than 5%ortheshares ofthe cor-1)oratc stock ofthe nppfictinl (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when die applicant is not a con)orntion); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant, DESCRIPTION OF RELATIONSHIP Submftted this day of & �1`200 ' S f�'n itillre_ �j Print Name�C jt„/ /4. Form TSI AP PLTCANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town ofSol)thold's Code of Ethics pn)liibits conflicts of interest on the part of town officers and ctrlplayecs,77�e purpgsc qj Utis fonn is to provide informalian which can alert the town ofpossihle conflicts of interest and allow itto tal..ic whatever action is neccssaLy to avoid salytc. YOUR NAME: /,�2f -/-' �/e� _ -07 (Last name,fust name,.rplddle 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 i Variance Trustee " Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",narne.the activity.) Do you personally(ar through your company,spouse,sibling,parent,or child)have a relationship with any officer cer or employeo Of the Town of SUL111101d? "Relationship"includes by blood,nlarringe,or business interest."Business interest"means a business, including it partneeship,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 S X a'the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner ofgteater than 5%or the shares ofthe corporate stock of the applicant (when the applicmit is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when Uto applicant is not a cod)oration); C)an officer,director,partner,or employee of the applicant,or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 6-J da f N O 206 -t Signature Print Name = /' Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORDS The Toivtl ofSouthn►(l's Code of.litlticti prtrhibits conflicts ofinterest nn file Hart of town ofl`tccrs,ani.l ett111h1yccs.'Iltt pure+?,c t}F this fano is.to provide irrtitrni- which can alert Site lawn of Dos5t11le,Cnllfiiets gl'lll[GteSt olid allow it to take whatever action is nccessary-io avoid YOUR NAME: _/�'/✓��Z���_ � (Last name,first name,-gi-gild-die 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 �C Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring _ Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you persnaally(m thmagh your Company,Spouse,sibling,parent,or child)have a relationship with•any o ieer oar employee of the Town,(1f SouthOld? "Relationship"includes by blood,rttarriage,or business interest."Business interest"means it business, including a partnership,in which the,Ws,,rt officer or employee has even a partial ownership of(or employment by)a coll)(Mitinu in wilich the.lown officer or employee owns more than 5%of the Shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold ._ Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner ol"gleater than 5%or the shares or the corporate stock of the applicant (when the applicant i s a corporation); B)the legal or benelicial,owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this /U day of /3 D U 2001 Signaturo ��� ,�� Print Name EGG/y7-y Form TS I rL1 .— �� ii �`'7 ii'' Board of Trustees Application �i1� I�� �' NOV - g 2017 ard eij im,an o Board of Tn!��_ .J AFFIDAVIT 9,4r-,qA-?'AV 4• cl*^wo1sc — BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SITE IS TIME APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER]KNOWLEDGE AND BELIEF,AND THAT ALL WORD WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signattfre of Property Owner SWORN TO BEFORE ME THIS l DAY OF CCAv6x�- 320 /7 2A ,& Notary Public EILEEN A POWERS Notary,Public State of New York �ryryU.,02M5021?42 Qualified in Suffolk County IQ Commissiotl,Expires March 26,20 10 i 1 APPLICANUAGLNUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM I I The'fown of South6ld's Cotte of Ethics prohibits confliemof•interest on the Part of tnwn ofFccrs and em n�ecs.TI►e a use o' thfs'for1n i5 to provide htforination whic scan alert the town of Possible conflicts of intere1t and 411uw into take whatever action'Is, Irecessa6 to avoid st t YOUR NAME: (Last name,first name,giid a initial,unless y are applyin in the name of someone else or other entity,such as a company:If so,indicate the other person's or company's name.) 3 NAME OF APPLICATION: (Check all that apply.) i Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with tiny officer or employee of the'lbwn of Snuthnld7 "Relationship"includes by blood,marriage,or husincss 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,cmlitoyec owns more than 5%of the shares. YES NO ✓/ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold _ Title or position of that person Describe the relationship between.yourself(the applicaurt7agenUrepresentative)and the town officer or employee.Either check tine appropriate line A)through D)and/or describe in,the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than S%of the share's of the corporate stock of the applic;tnt (when the applicaftt'is a corporation); B)the legal or benclicial owner of any.ihterest,in,a nun-corporate entity(when the appl icant'is not a corporation); C}an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted a9dayo 20 Signature Print Name Li'tis-Q Form TS 1 1 J\ 1 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, � owners of the property identified as SCTM# 1000- in the town of New York,hereby authorizes Eta CL 1.6 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 Owner's Signature 5;erty Owne ' itore n t SWORN TO - E THIS O"� DAY OF fie-✓ ,20 Notary Public EII.EEN A:'POWERS Notary',Public State of New York 0:02005021242 cam ad ad in Suffak County Expires March 26,20 Board of Trustees Application AFFIDAVIT Olken (9M LI hBEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner S gn a of Pr y ner SWORN TO BEFORE ME THIS �� DAY OF � L ,20_q EILEENAPOWERS Noteri Pubfib.State of New York Notary Pub is a-02P05021?42 Board of Trustees Application i34 S q i i AUTHORIZA'T`ION � (where the applicant is not the owner) Y a� ! I ►C�rHyAr �'- C+4MP8 .0. residing at 75' ®rc.ka., et iuc`. (print name of owner of property) (mailing address) do hereby authorize (Agent) Eken A.Powers,Esq.P�ILG , 456 OrfHirtg Ave AlVerhwd,.N.Y. 11901' to apply for permit(s)from the Southold Board of Town Trustees on my behalf. _ r (Owner's signature) i k 4 i f t I S r i g� l t i. z e r a Michael J.Domino,President0oG Town Hall Annex John M.Bredemeyer III,Vice-President vim+ 54375 Route 25 Charles J. Sanders ti P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski y p! 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 KATHRYN A. CAMPBELL 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 I, c �0-Wey'S_,residing at/dba LC S(0 46(_ Q� if � 0 / being duly sworn, depose and say: That on the of ) day � QA5-w`\ov2Q1 7, I personally posted t e property known as Son �-��(���c� fz-y� 7b'f" -- (0,0i, 5�0 l �p�pc., 1�NtV.e) S:U"mttd by placing the Board of Trustees official poster where it can easily be seen, and that I have (9-) 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 Wednes tuber 13 2017. Dated:`�Q,e, rj �b 1—] signature) Sworn to before me this I bday of bX,20 I r] otary Public Stephen Francis Kiely notary Public,State of New York 1l':• 02KI6247155 .:zihiA 1n!Suffo1k County "tiv'voPr CouuuissionmExpires it I Io Rq ZONING BOARD OF APPEALS AFFIDAVIT OF MAILING In the matter of the application of: Kathryn Campbell AFFECTING PROPOERTY LOCATED AT: 540 Hippodrome Drive and 570 Hippodrome Southold,New York 11958 Town of Southold, State of New York 1000-066.00-02.00-012.000 and 013.000 Suffolk County Tax Map Number STATE OF NEW YORK COUNTY OF SUFFOLK Eileen A. Powers, residing at 456 Griffing Avenue Riverhead,New York 11901, being duly sworn, deposes and says that: , 1. Pursuant to the provisions of Chapters 280-150 and 55-1 of the Town Code.of the Town of Southold, on the 5th day of December 2017, I mailed a true copy of the annexed Notice of Public hearing before the Southold Board of Trustees, together with a copy of the survey/site plan, directed to each of the named persons on the attached list at the addresses shown; that the address for each person is that as shown on the current asses ent ro the Town of Southold; that said Notices were mailed at the United States st O e in Riverhea New York, by Certified Mail/Return Receipt Requested as indi ted on t annexed origi al postmark receipts. Eileen A. Powers Sworn to before me this 5th day of December 2017 coy - Notary Public = CATHERINE C.DESANTO Notary No 0c state 2DE5074631WYnrk Qualified in Suffolk County Commission Expires March 17,20 ' 1 1 Vivian Eyre P.O. Box 1055 Southold New York 11971 SCTM#1000-66-2-11 SCTM#1000-66-2-16 Elliot B. Heath, III Ora J. Heath P.O. Box 232 Southold New York 11971 SCTM#1000-66-2-13 Elizabeth Clayton P.O. Box 1403 Southold New York 11971 SCTM# 1000-66-2-14 Constantine M. Riley P.O. Box 764 Southold New York 11971 SCTM#1000-66-2-15 Margaret DiBitteto 3211 Lake Parkway E Apt B1 Tarpon Springs, FL 34688 SCTM#1000-66-2-34 i -I Postal ' e oRECEIPT ' e. thestic Mail Only M C3 Lr)"l COCO TARP t3P! SSRI�tG5 r;F •,34b8$; mru 7OUITT-9411 ps NY 1971 A L Ub T`. Pow s 11971 1 N PA 15 5 0971 - 02 Ln Certified Fee �.00 a g�e� 7�9^ Certified Fee - X0.110 / r postrq�� I m Pos marJt 1� O Return Recei t Fee Return Receipt Fee j era, p � (Endorsement Reqwred) $0.00 d '`� O (Endorsement Required) J��L O _.RestrFe Restricted Delivery Fee r� icted Delivery e E_ , (Endorsement Regwred) `. {�� C7 (Endorsement Required) �� Iz Total Postage&Fees Total Postage&Fees M rurq +' Ti Se d ✓� Gam. ------ --------------------------- • Street&Apt No,p Street,Apt No., a or PO Box No. M or PO Box No �l `` `Q�l�t- I'AV tl �� eL ` C,ty,Sfate,ZIP+ :II 1 TM TrI Postal • • • CERIFIED IJ s ■ CERTIFIED © RECEIPT C3 Domestic Mail Only L)Omestic Mail Only Will rn SOUTF OLt=x ICY 1 1 t, • L FL� 3 .� i ru SOUPOLIP• F 1197 . � A L U rE fl u `"� s��, 0971 N 1� 0971 Ln Pos'lag'b u�yt r, 02 Ln EF- Er / Certified Fee Certified FeeLQ M Post M 9 Postmark C] Return Receipt Fee $((.0% (iq � O Return Receipt Fee ���� � Hg %j I p (Endorsement Required) `��` �01 I � (Endorsement Required) $13 ( `�� C] Cl 00 J Restricted Delivery Fee Restricted Delivery Fee M (Endorsement Required) (Endorsement Required) �� 1 ` n.ru r1 Total Postage&Fees ,� 1 17 rq Total Postage&Fees $ ru pi a e t J . Sent To 1_ _ II Sent To �+1 ��AZO- �L �- L -----L-L Street&Apt.No., SVeet&Apt.No., 171^,6 (^ �l or PO Box No. _ _______-- ------ Cl or PO Box No. v' "' ---- --- - ----------------- ---- ---------------- City,Sta e,ZIP+ �' on City State,ZI -� ®�e� N 11u�C1��l c( t .M e. e Ln r� Fordellvery M Sru OU1 F OL ,visit our website at www.USPs;Coh!1". u sinformation197 a j tE P.Alb-, �E� 097Er 410-75- 0`2\ M Certified Fee X0.00 %/�� rrl ` Postmark c9� C] Return Receipt Fee p (Endorsement Required)C3 $0$0.00 Hefe 00 I Restricted Delivery Fee ° C] (Endorsement Required) ru r-1Total'P6stage&Fees $ 1 V1> ru Sent To { I Street&Apt No, n0 ^ � �0�� IP+4O or PO B - ox No. Y 7}s City Stat Z --------�-- - 1 :11 1 ' e L LCI I (Do`mestic) (SOUTHOLD, NY 11971) - -SOUIHOLD - - - - (Weight:0 Lb 0.80 Oz) 710 TRAVELER ST (Estimated Delivery Date) SOUTHOLD (Thursday 12/07/2017) Certified 1 $3.35 NY (@@USPS Certified Mail #) 11971-1000 (701421200003957231566) 3580000971 Return 1 $2.75 12/05/2017 (800)275-8777 12:54 PM Receipt (@@USPS Return Receipt #) Product _ - - - (9590952106150181875815) Sale Final Description Qty Price First-Class i $p;q9 b Deit Card Rem t' d $32.95 Mail (Card Name:Debit Card) Letter (Account #:XXXXXXXXXXXX7442) (Domestic) (Approval #: ) (SOUTHOLD, NY 11971) (Transaction #:764) (Weighfi:Q Lb 0.80 Oz) ! i (Receipt #:004244) (Estimated Delivery Date) (Debit Card Purchase:$32.95) (Thursday 12/07/2017) (Cash Bacl<:$0.00) jCertified 1 $3.35 (@@USPS Certified Mail #) (70142120000395723170) Return 1 $2.75 I BRIGHTEN SOMEONE'S MAILBOX. Greeting Receipt cards available for purchase at select (@@USPS Return Receipt #) Post Offices. (9590952106150181875860) ,,� *,� ,,,� ,� ,�,� ,� ,� ,�,�*wxx First-Class 1 $0.49 Mail Text your tracking number 'to 28777 Letter i (7.USPS) to get the latest status. (Domestic) Standard Message and Data rates may (SOUTHOI-D, NY 11971) I apply. You may also visit USPS.com (Weight:0 Lb 0.80 Oz) USPS Tracking or call 1-800-222-1811. (Estimated Delivery Date) i (Thursday 12/07/2017) Certified 1 $3.35 Order stamps at usps.corn/shop or call (@@USPS Certified Mail #) 1-800-Stamp24. Go to (70142120000395723187) i usps.com/clicknship to print shipping Retrain 1 $2,75 Receipt labels with postage. For other (@@USPS Return Receipt #> information call 1-800-ASK-USPS. (9590940218716104117670) First-Class 1 $0.49 Mail --� � Letter Ge (Domestic) (TARPON SPRINGS, FL 34688) ui (Weight:O Lb 0.80 Oz) u' (Estimated Delivery Date) (Friday 12/08/2017) , Certified 1 $3.35 (@@USPS Certified Mail #) (70131090000155785503) Return 1 $2.75 Receipt (@@USPS Return Receipt #) (9590940218716104117687) ; First Class 1 $0.49 Mail Letter (Domestic) '• (SOUTHOLD, NY 11971) (Weight:0 Lb 0.80 Oz) ; (Estimated Delivery Date) (Thursday 12/07/2017) Certified 1 $3.35 (@@USPS Certified Mail #) ! (70142120000395723163) r Return 1 $2.75 Receipt (@@USPS Return Receipt #) (9590952106150181875822) First Class 1 $0.49 ' - - i NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD Inthematter of applicant: Oaf? I _ SCTM# ,000 -10&O ,00- 4 ,00- Ula, 60 0 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Boarof Trustees to: ( &�N0,b< << �-e. C016 UQ g vacs e o.v\ p vo«AFi�cs��(� �SS�2.w.e,,,��' �bd� ►ns � c`���-1-e��.�n►h.�� ��lf-I eecovCP er�atc � v-LCV w, aca� resu tcvt u�oS ve,� ecb� U} 3ls vew�o sJ q(t,5 o2P�a "1 K At, 5 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follow o ® �� o \C� 1'�wC9_ \a2c Iooc)-- 0(06 00-va,ov - ©i3.©o6�(c_ 1-1, q�080ni-c Zrl ) V a`I h �, CCaw\0 o LQ(J . oo -a 9, o o- o 1 3. That the p oject which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: ��P.�e�,. �2� 13 go You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. 61 PROPERTY OWNERS NAME: ,g&D- _' MAILING ADDRESS: PCS -60-f 53 Som of 191 0 �1�V, Vt PHONE #: feo� AGENT: MAILING ADDRESS: ✓ ( 11 / PHONE #: r516 _J q5 ti 1 lQ U Enc: Copy of sketch or plan showing proposal for your convenience. Pu®,am,m N�.,•..,,.maa�ax+wo,.r\v+,roasl.��>.., E E N \ a \.\ Notes: Groat E M YCNR M MEY R.WS 5 Sme.ro ra COrOmexS QIRA6D M 111E Nis OEC ` - vh b ,•`' - , L sfrauM a rµgPsasiawieas46POrsl w'�REax w1¢aiaucnan+cnxnrs �! ,; i" a uw aa(r3 asn®Daunt fslmlapr 9wE mEOM a aur¢5IWu axD Sno. 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OWNERS) OF RECORD: KATHRYN A. CAMPBELL SUBJECT OF PUBLIC HEARING : For a Wetland Permit to rehabilitate and upgrade an existing driveway located within an easement by installing a ±85 linear foot long by 2' high (maximum) retaining wall with a top of wall elevation at 5.20 along the seaward edge of driveway; along landward edge of driveway install 50 linear feet of 8" diameter perforated corrugated polyethylene pipe with an area drain at westerly end, 25 linear feet of 8" diameter perforated corrugated polyethylene pipe with an area drain at easterly end, and an area drain installed in between the two pipes in order to contain storm water runoff along the driveway; and fill and resurface driveway in-kind while providing a minimum 10' drive width throughout using clean gravel; and to install and maintain a line of hay bales and/or silt fencing along the limits of disturbance area during construction. Located: 570 Hippodrome Drive & 500 Hippodrome Drive 10' wide Right of Way, Southold. SCTM# 1000-66-2-12 (Dominant) & 1000-66-2-13 (Servient) TIME & DATE OF PUBLIC HEARING : Wednesday, December 13, 2017 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse•effects upon the coastal area(which includes all of Southold Town), I If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be exphainM in detail, listing both supporting and non- supRorting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# �QDO - D(.e - l tx'60 O Q,OOG .hoc PROJECT NAME �� The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: E Nature and extent of action: b A lrlCL 4a\Irl in s WW 0.VXd aM1V1(%C CACI�1 CCU �T l n41 v-WCC ram A,& ..eu 5�r�(�5 �� `�2 Location of action: �(�(� � .�b.� ly`� " � (1 LAJ 0L Site acreage: e G 3 o a o"? &n 14 Present land use: DC -ems Present zoning classification: 9W® 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: �Y C1 (a) Name of applicant: E, �-e-2t�1 � � �r 5'9 OLAr ` f t (b) Mailing address: (c) Telephone number: Area Code( �) i-) � d 6-6 0l5, G (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes �No❑ If yes,which state or federal agency? ��5� � Cp (� S 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 LW"Section III—Policies; Page 2 for evaluation criteria. ❑Yes F] No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Pol- ies Pages 3 through 6 for evaluation criteria F] Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LW7ection III—Policies Pages 6 through 7 for evaluation criteria s ❑ No ❑ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Sectio III—Policies Pages 8 through 16 for evaluation criteria Yes ❑ No ❑ Not Applicable ( r �- �v� —la n r nnu.4 SLG l� kfl�ca S 4 s mcbj cQ.Q-S Wa Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 throng 21 for evaluation criteria ❑ Yes 1-1NoNot Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife habitats and wetlands. See LWRP Section III-Policies; Pages 22 through 32 for evaluation criteria. 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 dor a .aluation criteria. o Not Appli F] Yes ❑ Ncable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes See LNVRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ 4] No Not Applicable Attach additional sheets if necessary 1 Jj WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations;Not e WRP Section III-Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and town waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III- Policies; Pages 62 through 65 foreva ation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III-Policies; ges 65 through 68 for evaluation criteria.Pl ❑ Yes ❑ No 0 Not Applicable PREPARED BY TITLE�� TITLE DATE q,-i-7