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Anderson Personal Residential Trust
i , g,W F0(,( .lames F kine,President P O Box 1 179 Bob Ghosio,Jr.,Vice-President �� GS Southold,NY 11971 Dave Bergen coo Telephone(631 765-1892 John Bredemeyer ,y Fax(631)-765-6641 Michael.1 Domino y T� Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: 1 )3 Suffolk Environmental Consulting on behalf of LOIS T. ANDERSON PERSONAL RESIDENTIAL TRUST requests a Wetland Permit to re-nourish a section of the beach within the southeastern section of property by depositing, grading, and grooming 100± cubic yards of clean sand obtained from an approved upland location; and a sand berm that will measure ±18' wide (max) x ±135' long and will be planted with Cape American beach grass on 1' o/c. Located: 2515 Calves Neck Road, Southold. SCTM# 70-4-45.5 Type of area to be impacted: _Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 other Type of Application Wetland _Coastal Erosion_Amendment _Administrative_Emergency Pre-Submission Violation Info needed: Modifications. Conditions. Pre set-Were: /J. King- '/B. Ghosio ✓ D. Bergen, 1. Bredemeyer v"*' Michael Domino D. Dzenkowski other Form filled out ' the field Mailed/Faxed to: Date. r Peter Young,Chairman o - Town Hall, 53095 Main Rd. Lauren Standish, Secretary , P O Box 1179 • 'F Southold,NY 11971 Telephone(63 1)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 8, 2013 the following recommendation was made: LOIS ANDERSON to re-nourish a section of beach within southeastern section of property along the landward edge of the tidal wetlands boundary by depositing/grading/grooming 100 cy. of clean sand obtained from an approved upland location. Sand berm will measure 18' wide X 135' long and will be planted with cape American beach grass 1' on center. Located: 2515 Calves Neck Rd., Southold. SCTM#70-4-45.5 DO NOT SUPPORT- Plan is insufficient in detailing potential impact upon adjoining properties Proposed by Doug Hardy, seconded by Derek Bossen. All in favor gpf F0(,t James F King,President �p� �'pG P O Box 1 179 Bob Ghosio,Jr.,Vice-President j S Southold,NY 11971 Dave Bergen y Telephone(631 765-1892 John Bredemeyer Fax(631)765-6641 Michael J Domino y 'F Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: UY /1-5 Suffolk Environmental Consulting on behalf of LOIS T. ANDERSON PERSONAL RESIDENTIAL TRUST requests a Wetland Permit to re-nourish a section of the beach within the southeastern section of property by depositing, grading, and grooming 100± cubic yards of clean sand obtained from an approved upland location, and a sand berm that will measure ±18' wide (max) x ±135' long and will be planted with Cape American beach grass on 1' o/c. Located: 2515 Calves Neck Road, Southold. SCTM# 70-4-45.5 y of area to be impacted T i altwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Pa of Town Code proposed work falls under: _Chapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment _Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: ,oma_ Pres t Were: /J. Kin �B. Ghosio / D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: ANDEWSON Property ^-- Proposed Beach IJ?e®Nourish en t Plan SITE PLAN 4dapted froin the Sia-vey of sitbject property, as prepared by Situate: 2515 Calves Neck Road; Town of Southold, New York — SCTM #• 1000—070—04— 045.5 NATHAN TAFT CORIflIN, III,L.S. t' CALVES NECK ROAD - I -1 i it, _ r. ' ` 1 �I a +-o,- l'n�s - Prod eJT I R CA jji I� 00:11 Jae `e 0 °k S PROPOSED AREA of FILL Quo `oma ofldco r 4 oa' r i `•• o l 6.0'±to AHW j� E C E I V E J Dock APR 2 2 2013 MHw x MLW �'�8� o khead Southold Town JOCKEY CREEK Board of Trustees Date: April 22 2013 SUFFOLK ENVIRONMENTAL CONSULTING, INC. Scale: 1 o" =40 0' t Drawn by: md, r P.O. Box 2003 • Bridgehampton • NY • 11932 / O� Comments: AdaFtcd From the survcu of 5u6jcct propert_y as Frcp-rcd 6u NATHAN TAFT CORWIN III L 5 (631) 537—5160 (phone) - (631) 537—5291 (facsimile) f ANDERSON Property Proposed Reach Re-Nourishment Plan SITE PLAN Situate: 2515 Calves Neck Road; Town of Southold, New York SCTM #: 1000— 070— 04 —045.5 Adapted from the Survey of subject property, as prepared by NATHAN TAFT CORIdlIN, III,L:S. CROSS-VIEW PROJECT DESCRIPTION: Applicant proposes to re-nourish a section of beach within the southeastern section of subject property (along the landward edge of the tidal wetlands EDGE of ESCARPMENT boundary) by depositing/grading/grooming 100 cubic yards ± of clean sand obtained from an approved upland location. The sand berm will PROPOSED GRADE measure 18.0' Wide (max) x 135.0' Long ± and will be planted with Cape American Beach Grass PROPOSED NATIVE PLANTINGS (Ammophila breviligulata) on i.0' o/c. t - - •t � ;t� ��� i� ��•.; �'}111. qp o U+ cm ( I l mu, EXISTING GRADE 1 ' 5 cm .I , 16.0'± to AHW _ Aluneophila breviligulata p EC EHE APR 2 2 2013 8outhuld Town Date: April 22, 201 3 SUFFOLK ENVIRONMENTAL CONSULTING, INC. Board f Trntees Scale: 1.0" = 2.0' t Drawn by: mil P.O. Box 2003 • Bridgehampton • NY • 11932 ®F Comments: Adaptcd from tkc Survcl of 5u6jcct�roperty a5 FrcFarcd 6u NATHAN TAFT CORWIN III 1 .S. (631) 537—5160 (phone) - (631) 537—5291 (facsimile) Lois T. Anderson Personal Res. Trust 2515 Calves Neck Road, Southold SCTM#70-4-45.5Y I U"261 d' S r 1 +, °�� ``.�:���jl$ �;.• rte. ,"- I 1 11 I SURVEY OF PROPERTY WEST CALVES NECK ; ROAD SITUATED AT T HILL ROAD (YOUNGS ROAD) SOUTHOLD PUBLIC WATER IN-STREE6,, .° q _ TELEPHONE • • °13.2,• ° EDGE OF PAVEMENT• 13.5 67 36' 133 T O W N OF S 0 U T H 0 L D 1,493't JUITYTpO s 88 00" E Nt$3•DO,00" E SUFFOLK COUNTY, NEW YORK UTILITY p0�90X _ � _ _ 9YERHEAD WigES- 13S.00� O ' WOOD SIGN POST UTILITY POLE�GUY WIRE 0 [�° <5 4 '' Z�ya `� S.C. TAX No. 1000-70-04-45.5 zr s a a"/ 3 z ti `a. SCALE 1 "=40' %$ 4 To=� / AUGUST 19, 1996 L" IW ° ic ��? 1 �y / <",� OCTOBER 22, 1996 (ADDED PROPOSED ADDITION & DECK) / Ln ° y 1 K I XAPRIL 10, 2000 (ADDED PROPOSED ADDITION) APRIL 19, 2013 (REVISE NOTES) of i i ���o� AREA = 53,573.89 sq. ft. ,I z0W_O—- // �s 1.230 ac. ZONES Gc� X� o s I i // ci APPLICANT TO. £g s ti 1�� oe�G 'O X09 "s / x LOIS T. ANDERSON 4�'corEirGao°N�bx �o / �r�p c/o SUFFOLK ENVIRONMENTAL CONSULTING, Inc. 'r 4 �Qt\GA 6.y -"C� SEO \ -WATER SPIKET // // / P.O. BOX 2003 °s �j v /�,aO�e°� Eo " BRIDGEHAMPTON, NEW YORK t�7 Or Z al TCE �/JC 8 1VP BRICK STEPS i x ,� \.. C°a�pN. °"ns�a �- p1R \ 5SLATE, / D Eflo 9 P4S �ao. \\ -ELEC. OUTLET 09 /T.W. 1035.6 9 °9 109 / ow222013 O,yyP°q4L�\'`\. 0 1 Z i / 0- 10 - p. 8 \ Ty 1 N \ COII,,�'NIT ON r'�`ld' t WOgl.1.5 z f // 66 ib soo T W B 9�i"�pAD _- - O $�Noo / / // Southold Town 6 _ A o FLAG POLE Boardf Trustees Z\ to �ti/ /p / .1�0�f` y1 N �� el 6� �Iyt�`�/ °EeO�o PREPARED IN ACCORDANCE WITH THE MINIMUM LEGEND: p o yy —,( STANDARDS FOR TITLE SURVEYS AS ESTABLISHED „ 1 I x / /� w o°�4 �` a� BY THE L.I.A.L.S. A AND ADOPTED T.B. 5.9 — TOP OF BULKHEAD ELEVATION 0C I o I / / �/O�pyJFf r�R�ry FOR $UGH U$ HE we- T. Fjp- STATE LAND T.W. B.9 — TOP OF WALL ELEVATION FENCE O.L' zo 6 I 3 w o \\ b.6 //// /// TITLE ASSOCco [ F t11� F.FL. 15.1 FIRST FLOOR ELEVATION W000 BULKHEAD to 000 g I a w I \ \ 'x //j\F'i�N// O0, vQ s'�V �T O ` ---- 10_____ — EXISTING CONTOUR LINE U K 6 _ O b `_ 1 4\ 10.0 — EXISTING SPOT ELEVATIONTa. � � ~ 11 WOOD BULKHEAD T.B. .9 6-_ i MEAN HIGH A ABURLKHHEK EADN B 8 x'31'34” W / =i� 61, WOOD 70.36' -— RAmp N 86'00'1 1" W --- W S 3 FL TING 33.51' WOO Q _ ' DOCK �,* N N 8751'37" W 5 T 3q 629 - 89.0 31.15' �1 Y 6�J w00D PILINGS O LAP:: Y S Llc No 50467 NOTES. 1 ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM JOCKEY CREEK Nathan Taft Corwin III 2. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP COMMUNITY-PANEL No. 360813 0078 F ZONE A4 (EL 8): AREAS OF 100-YEAR FLOOD BASE FLOOD ELEVATIONS AND FLOOD HAZARD FACTORS DETERMINED Land Surveyor ZONE B: AREAS BETWEEN LIMITS OF THE 100-YEAR FLOOD AND 500 YEAR FLOOD; .UNATHORIZED ALTERATION OR ADDITION OR CERTAIN AREAS SUBJECT TO 100-YEAR FLOODING WITH AVERAGE DEPTHS TO THIS SURVEY IS A VIOLATION OF LESS THAN ONE(1) FOOT OR WHERE THE CONTRIBUTING DRAINAGE AREA IS SECTION 7209 OF THE NEW YORK STATE LESS THAN ONEO) SQUARE MILE, OR AREAS PROTECTED BY LEVEES FROM EDUCATION LAW THE BASE FLOOD ZONE C. AREAS OF MINIMAL FLOODING. COPIES OF THIS SURVEY MAP NOT BEARING Successor To Stanley J Isaksen, Jr L.S. THE LAND SURVEYOR'S INKED SEAL OR Joseph A. Ingegno L.S. EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY Title Surveys - Subdivisions - Site Plans - Construction Layout CERTIFICATIONS INDICATED HEREON SHALL RUN PHONE (631)727-2090 Fox (631)727-1727 ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE THE EXISTENCE OF RIGHTS OF WAY TITLE COMPANY, GOVERNMENTAL AGENCY AND OFFICES LOCATED AT MAILING ADDRESS LENDING INSTITUTION LISTED HEREON, AND 1886 Main Road P O Box 16 AND/OR EASEMENTS OF RECORD, IF TO THE ASSIGNEES OF THE LENDING INSTI- Jomes ort, New York 11947 James ort, New York 11947 ANY, NOT SHOWN ARE NOT GUARANTEED. TUTION CERTIFICATIONS ARE NOT TRANSFERABLE. P P 96-263. 14 !: i ► '• j" W' �` f a Aig fi l l� �. . � 44 - `'� =1�� i; ,�' TTT 1 � ,✓ 1, i! 1 wJ_ 1 `. 1 7 1 ANDERSON Pro Situate: 2515 Calves Neck Road; Town of Southold, New York SCTM #: 1000—070—04—045.5 (Photo taken on April S, 2013) A VIM rA ff 4` . ... i 4 r L a Photograph indicating the staked out extent of the proposed Beach Re-Nourishment along the southeastern shoreline of subject property. Photograph taken from the southeastern corner of the property, facing west, along Jockey Creek. Property ANDERSON Situate: 2515 Calves Neck Road; Town of Southold, New York SCTM #: 1000 — 070—04— 045.5 (Photo taken on April 8, 2013) It 17 'Pe r . t i Photograph indicating the staked out extent of the proposed Beach Re-Nourishment along the southeastern shoreline of subject property. Photograph taken from the southern-central section of the shoreline, facing east, along Jockey Creek. J'4IN Ai►�i .A p .s�! +�"r4'�d "fir ��� i Sg ff �.o �P7+ �oeq, .'A rIOr �j�►@D., � 'vq s-.J ` . C� k3'�,. r 's�f'0' r t!F '„!) ��a1 `w A i} .il, , ci IIOIOAi.�;tl ra°7 j��// �, 4J�,1�J ►t ; �j N ��yy Nr'Y f e`r t �� ,✓� y r .? P rs .' t i ! 1 y ► nii< 4'�aere 5,;AZI ii �.�'t,r� t x�p'�'�ir ® + ,tP iP5n ; 1�, q� fa r .+4 5P ' � ,�� .., v A' orf ;,rot�I/✓ .. ���`,c�'e`+�"c 051 7 u .�' ! { �* ♦ ;, � 'f �,ts �� '� t was a �"b1�"'.�. � t r t t r'�. iH ...nLr `� �t•. t i ka k 1 1 ! 1 1 ! ! 1 1 ! 1 ANDERSONProperty Situate: 2515 Calves Neck Road; Town of Southold, New York SCTM #: 1000—070 —04 —045.5 (Photo taken on April 8, 2013 r: }y . w r bS `ok� 'r' Y ��,y ;d^y +1" S��.,7ya� � �` "9=•'"�+• y� M �`A'.+?*" -�`�"M1 �,,aw"'� '�` �g a OF }} s Photograph indicating the staked out extent of the proposed Beach Re-Nourishment along the southeastern shoreline of subject property. Photograph taken from the southern-central section of the shoreline, facing north, along Jockey Creek. ANDERSON Pro Situate: 2515 Calves Neck Road; Town of Southold, New York SCTM #: 1000 — 070—04 — 045.5 (Photo taken on April 8, 2013) 4 �s� 41. wy e. v a tiry Y � � d� ,�;�. � { �.., pa,y�}i.'If`t i `j .. � �� h y ��`'�' f� � .,,'tlt,.'a,.•� �LT"'��7�5��5��•.� :m� '�+t Pig i n� � ! .d r.+�rs.w�xA�s` v � »j• � r �.tW ; �"a's P'...x;� ••{ r .a."��:�"vt a r 0, x'6' g/•�' p t ', ` a� ("00, P ray � F, �' r♦ ,: �';, �:� ��'� ,! _gip °li� _ z ��� �� Photograph indicating the staked out extent of the proposed Beach Re-Nourishment along the southeastern shoreline of subject property. Photograph taken from the southern-central section of the shoreline, facing northwest, along Jockey Creek. ANDERSON Pro Situate: 2515 Calves Neck Road; Town of Southold, New York SCTM #: 1000 — 070—04 — 045.5 74 � c a a` �eNVoe ay l Beixedon d8 °�� P Estates �v lirr Suiihc+ld 4 25 Southold,Town Of �°� s �y s Ik Rd oba�Ra s rerry,C, pf� Q``�° L�2 j' Tow n "v � Jasmine Ln Creek � Jockey Creek Dr tyeckRd iatkrr Cr, Z Fa 25 }s. P+pe � $ 7 x` d f G d r icuster Ave r SITE r `' CJearv,�K,gve � a N parish f)r 3 r .r7 Malar m Rd idfarm R �+Qa K Karx �� f mN e az-No.Bea ,,.,.m � � � MAiCN ———— a 0) ACH SEE SEC.RD,om 4 —� aoa wiat �M ------- AS Daum •fi '� m �' 2. S,.Sae, O x a.a 9,�`'� 'P � tONN OF9WTtOL0 m-zao, a ,We) n.aAlq ,uao2 e.s • n. ., ear^� I 2zm .s m e am �,•�a n as aA(c) fi re SOUiHOLD scnDoc Disr—No.e +panni eBae t,[.a a exz101. 'b+,o 4a 32A(Q101 f 21 ZIA DRPaN.N. SEE SEC ,1d<I i]Hel 12A(. .2 1eY DREEe DR 211 9 �' \• .. ...J v^ ° t� Is to ,ez � �`�! , 5 �. 'y0,:in � I\ e M,pw 0.,Nc7 m Jai— 1 eui.r_ 5<M. —ERY�' ' NS _ / b uA ,. <1 yt? p 19• 1 ,M B't }, fq!t M•Q w e SAY ' e3 u eB y A• n e " Ewy 9 f1 fi,6 ,q 5 ,�O I� y O � � N •i°� 1 �In t Wim`' �. t.BNcl m.d mA m.2 xayc ,.BNc fe to 12 M E ,AN<1 a„t,0 r11 f11 w ,5 ^ 11! 7Af w O 11 N 1B � 10 It ...a mw,1BA a Q z� :, 1p w ,9u A < + s e >• u^ m.u e< m ' e°°2 m g w ,,5 s a., u ?t^ J" B.w L�'J":/ n✓ P.D 70 tl51 ^iy 5dd ,.3A r yp mz ,.Wc1 gFAC m euiai 1--`i—_Y'�1Y_�= ue 9WIHDLD Z P s. q 1O•" Pp 7 A ez± _ COUNTY OF SUFFOLK © R souixoto secrroN No NOTICE L rv� E E�� _�_ a+l s m,.,_ —_,-- ,� --.-- RealProperly Tau Service Agency 70 A wcc.B 1000 PROPERW~ OFFICE LOCATION: OF SO(/ryO MAILING ADDRESS: Town Hall Annex �O lQ P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) N Southold, NY 11971Q Telephone: 631 765-1938 Fax: 631765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORAND IRA oECE VEF To: Jim King, President MAY 1 4 2013 Town of Southold Board of Trustees Southold Tom From: Mark Terry, Principal Planner Board of Trustees LWRP Coordinator Date: May 14, 2013 Re: Proposed Wetland Permit for LOIS T. ANDERSON PERSONAL RESIDENTIAL TRUST SCTM#1000-70-4-45.5 Suffolk Environmental Consulting on behalf of LOIS T. ANDERSON PERSONAL RESIDENTIAL TRUST requests a Wetland Permit to re-nourish a section of the beach within the southeastern section of property by depositing, grading, and grooming 100± cubic yards of clean sand obtained from an approved upland location; and a sand berm that will measure ±18' wide (max) x±135' long and will be planted with Cape American beach grass on 1' o/c. Located: 2515 Calves Neck Road, Southold. SCTM# 70-4-45.5 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 proposed actions are CONSISTENT with the Policy Standards and therefore 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. Cc: Lori Hulse, Assistant Town Attorney Office Use Only Coastal Erosion Permit Application Wetland Permit Application X Administrative Permit `y- Amendment/Transfer/Extension p Received Application: Y.I 3 x Received Fee:$ K—Completed Application: /3 Incomplete. 2 E 2 SEQRA Classification: N E C E Type I Type II Unlisted_ Coordination(date sent) � LWRP Consistency As essment Form: //-z' APR 2 2 2013 [ CAC Referral Sent: y / —Date of Inspection: / Receipt of CAC Report: Southold Town Lead Agency Determination Boa f T u e Technical Review: _Public Hearing Held:-6p,;"/ Resolution: Name of Applicant LOIS ANDERSON Address P.O. Box 1329; Southold,New York 11971 Phone Number: (631) 765 - 2928 Suffolk County Tax Map Number: 1000—070—04—045.5 Property Location: 2515 Calves Neck Road; Southold,New York (provide LILCO Pole#, distance to cross streets, and location) AGENT: MATT D. IVANS 0 Suffolk Environmental Consulting, Inc. (If applicable) Address: P.O. Box 2003; Bridgehampton,NY 11932 Phone: (631) 537-5160 c� Board of Trustees Application GENERAL DATA Land Area (in square feet): 53, 573.89 square feet± Area Zoning: R-40 Previous use of property: Residential. Intended use of property: Residential with bulkhead. Covenants and Restrictions: Yes X No If "Yes", please provide a copy. Does this project require a variance from the Zoning Board of Appeals X Yes No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept. Yes X No Prior permits/approvals for site improvements: Agency Date Board of Trustees: August 6, 1973 Board of Trustees. February 6 1980 Board of Trustees: November 25, 1996 Board of Trustees. February 28, 2001 Board of Trustees. March 18, 2003 Board of Trustees: December 13, 2006 Board of Trustees. December 14, 2013 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Applicant proposes to re-nourish a section of beach within the southeastern section of subject property (along the landward edge of the tidal wetlands boundary) by depositingZgradingZgrooming 100 cubic yards ± of clean sand obtained from an approved upland location. The sand berm will measure 18.0' Wide max) x 135.0' Long ± and will be planted with Cape American Beach Grass on 1.0' o/c. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed activity: Applicant proposes to re-nourish a section of beach within the southeastern section of subject property (along the landward edge of the tidal wetlands boundary) y del2ositinglgradinegrooming 100 cubic yards ± of clean sand obtained from an approved upland location. The sand berm will measure 18.0' Wide (max) x 135.0' Long± and will be planted with Cape American Beach Grass on 1.0' o/c. Area of wetlands on lot: 1, 500± square feet Percent coverage of lot: 2.7± Closest distance between nearest existing structures and upland edge of wetlands: 0.0 feet (existing bulkhead) Closest distance between nearest proposed structures and upland edge of wetlands: 1.0± feet (proposed sand berm) Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? 0.0 (cubic yards) How much material will be filled? 100± (cubic yards) 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 appropriate): No impact to the surrounding wetlands in that the project is to enhance the surrounding environment and to utilize wholly innocuous materials (i.e., clean sand, native vegetation). Consequently,we do not anticipate any adverse impact to the surrounding environment. Board of Trustees Application N/A COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 14-16-4(9/95)-Text 12 617.20 S EQ R PROJECT I.D.NUMBER Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1-PROJECT INFORMATION To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Suffolk Environmental Consulting,Inc. ANDERSON Property 3. PROJECT LOCATION: Municipality Southold County Suffolk 4. PRECISE LOCATION (Street address and road intersections,prominent landmarks,etc.or provide map) 2515 Calves Neck Road;Southold,New York(SCTM#: 1000—070—04—045) 5. IS PROPOSED ACTION: ® New ❑ Expansion ❑ Mod if ication/alte ration 6. DESCRIBE PROJECT BRIEFLY Applicant proposes to re-nourish a section of beach within the southeastern section of subject property (along the landward edge of the tidal wedands boundary)by depositing/grading/grooming 100 cubic yards t of clean sand obtained from an approved upland location. The sand berm will measure 18.0' Wide (max) x 135.0' Long t and will be planted with Cape American Beach Grass on 1.0'o/c. 7 AMOUNT OF LAND EFFECTED: Initial) <0.1 acres Ultimate) <0.1 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ® Yes ❑ No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ®Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe. Private single family dwellings. 10 DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENT AGENCY(FEDERAL,STATE OR LOCAL)? ® Yes ❑No If yes,list agency(s)and permit/approvals NY State Dept. of Environmental Conservation approval 11 DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ® No If yes,list agency(s)and permiUapprovals 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes ® No I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Matt D.Iv -Suffolk Environmental Consulting,Inc. Date: April 22,2013 Signature: If the action is in the Coastal Area,and you are a state ency,complete the Coastal Assessment Form before proceeding with this assessment OVER _ 1 PART II-ENVIRONMENTAL ASSESSMENT To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617 12? If yes,coordinate the review process and use the FULL EAF ❑Yes ❑No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No,a negative declaration may be superseded by another involved agency. ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten,if legible) C1 Existing air quality,surface or groundwater quality,noise levels,existing traffic patterns,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly- C2. rieflyC2. Aesthetic,agricultural,archeological,historical or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitat,or threatened or endangered species? Explain briefly- C4 rieflyC4 A community's existing plans or goals as officially adopted,or change in use or intensity of use of land or natural resources? Explain briefly C5 Growth,subsequent development,or related activities likely to be induced by the proposed action? Explain briefly C6. Longterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? ❑Yes []No D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑ No If yes,explain briefly PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important,or otherwise significant. Each effect should be assessed in connection with its(a)-setting(i.e.urban or rural); (b)probability of occurring; (c)duration; (d) - irreversibility; (e)geographic scope; and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes,the determination and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary,the reasons supporting this determination: Name of Lead Agency Print or Type Name of Responsible Officer Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different From responsible officer 2 PART II - IMPACT ASSESSMENT TC _,completed b Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617 4? If yes,coordinate the review process and use the FULL EAF Yes D No B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617 6? If No,a negative declaration may be superseded by another involved agency ❑Yes a No C COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING.(Answers may be handwritten,if legible) C1 Existing air quality,surface or groundwater quality or quantity,noise levels,,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly- C2. rieflyC2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly, C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly- C4 rieflyC4 A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly- 05. rieflyC5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly- C6. rieflyC6. Longterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly C7 Other impacts(including changes in use of either quantity or type of energy)? Explain briefly D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? ❑ Yes No If Yes,explain briefly E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? Yes 0 No If Yes,explain briefly- PART rieflyPART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e. urban or rural); (b)probability of occurring; (c)duration; (d)irreversibility; (e) geographic scope, and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide,on attachments as necessary,the reasons supporting this determination Board of Trustees -2- Name Name of Lead Agency Date President Print or Type Name of Responsible Officerin Lead gency Title of Responsible Officer or Signature esponsible Officer in Lead Ag Signature of Preparer(If different from responsible officer) Suffolk Environmental Consulting, Inc. Newman Village,Suite E,2322 Main Street,P.O. Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax. (631) 537-5291 Bruce Anderson,M.S.,President ECEIVE May 8, 2013 Mr. James King, Chairman M11013 Town of Southold Board of Trustees P.O. Box 1179 Southold, NY 11971 tees Re: ANDERSONProperty Situate: 2515 Calves Neck Road; Town of Southold, NY SCTM #: 1000—070—04—045.5 Dear Mr. King, As you know this Firm represents the owner of the property referenced above who is seeking to improve thereon. As per the hearing requirements of the Southold Board of Trustees I enclose herewith: ➢ Affidavits of Mailing dated May 3, 2013, with certified receipts attached to all abutting property owners. Please be advised that we will forward to you the green receipts cards as we receive them. Should you have any questions concerning this matter, please contact this office at any time. Thank you in advance for your attention and consideration. Sincerely, Diane K. Wassick enc. cc: Ms. Anderson i PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 70.-4-42 Harry Bais Katherine Bais 70.-4-45.3 100 Hilton Ave 420E Lawrence H Kaplan Garden City, NY 11530 Denise Blesi-Kaplan 330 Stonytown Rd 70-4-40 Manhasset, NY 11030 Terry W George Carolyn P George 225 Harper Rd Southold, NY 11971 STATE OF NEW YORK COUNTY OF NEW YORK Diane K. Wassick c/o Suffolk Environmental Consulting, Inc. , residing at 2322 Main St. ; Neuman Village Suite E; P.O. Box 2003; Brid eh ton NY 11932 ,being duly sworn deposes and says that on the day of2013, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Bridgehampton , that said Notices were mailed to each of said persons by (certified) (registered) mail. Au4a- Sworn to before me this 3441 day of 2013 Not4r4 Public Matthew D (vans Notary Public of New York No OlIV6053859 Qualified in Suffolk County Commission Expires January 22, 20 U.S. Postal Servicerr., CERTIFIED MAIL,t 'RECEIPT (Domestic Mail Only;NO insurance Coverage Provided) For delivery information visit our website at www.usps.comn I r � 1 s 1 ',Awpm elrl PS Form 3800.August 20060 V see Reverse for instructions U.S. Postal ServiceTr., CERTIFIED MAILTI., RECEIPT (Domestic Mail Only;No Insurance Cove; ga,R,nvided) For delivery information visit_our weh.t 2XWww usps.cum,d_ idt 1 � 1 I - 1 I C ♦� •• 0 I 1 � 'PS Forrn'3800;,August20U6- + See Reverse for instructions, U.S: Postal ServiceTr., CERTIFIED MAIL,, RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) information visit our website at w_ww.usps.comn For delivery 1 ,1" •1 �, r NOTICE OF HEARIN -Gi NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town— Hall, 53095 Main Road, Southold, New York, concerning this property. OWNERS OF RECORD: • ra 5� N1 IR IFC'T OFP UBLIC HEARING: To re-nourish a section of the beach within the southeastern section of property by depositing, grading, and grooming 100± cubic yards of clean sand obtained from an approved u:ptand location; and a sand berm that will measure ±18' wide (max) x ±135' long and will be planted with Cape American beach grass on 1' o/c. TIME & DATE -OF PUBLIC HEARING: tiecknesday, 1 Serol 3 04 �� -ar a S.'30 />/4/y1 If you have an interest in this project, you are invited to view the Town file(s) which are available for ins ection rior to the day of the hearing during normal business days between the ours o 8 a m and ,4 p.m. - BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 i Board of Trustees Application County of Suffolk State of New York BRUCE A.ANDERSON—Suffolk Environ. Consulting. Inc. BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMELESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY BIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S0, TO ENILR ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION VIEW OF JAPPLAT ON. Signature SWORN TO BEFORE ME THIS DAY OF �L ,20 !� 6 ro — f ary Public Matthew D. Ivans_ Notary Public of New York No 011x6053859 Qualified in Suffolk County Commission Expires January 22, 201 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, LOIS ANDERSON residing at 2515 Calves Neck Road; (print owner of property) (mailing address) Southold, New York do hereby authorize Suffolk Environmental (Agent) Consulting, Inc. to apply for permit(s) from the Southold Board of Town Trustees on my behalf. r� (Owner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME. WASSICK,DIANE K. (Agent) (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company If so,indicate the other person's or company's name.) NAME OF APPLICATION (Check all that apply) Tax grievance Building Variance_ Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thisqday f d'�C^A' 20/1 Signature Print Name DIANE K.WASSICK Form TS I Matthew D van Notary Public of New York No 011116053859 O'alif2 ied in Suffolk County2 Commission Expires January 201 d� Town °6f Southold Erosion, Sedimentation 'St6iif=N, :Run-off.ASSESSMENT FORM PROPERTY,LOCATION: ,-S.C.T IM o: .,THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A - .'" 1000= 070'– 04- 045:5 ,STORM-WATER,f;iRADINO,,DRAIyAOE AND.EROSION CONTROL°PLAN "Mmer, T� -Bo1;E - 71 .CERTIFIED BY'A DESIGN PROFESSIONAL'IN;THE`STATE'OF.NEW YORK., SCOPE'OF WORK = -PROPOSED �CONSTRUCT'ION' :ITEM#/ WORK•ASSESSMENT Yes No a '+WhaIIs (Incluthe Total Area Run-0ff of the Proles,Pa'roets? - ;' ;r. de Total Area of ap Parcels located within' 1.23 acres .WiU this,Pro!1etp!n AA StorTit-1lVater the'Soope of Wolk for Proposed Conshkiaon) - Generated by a Two'(2-j1A tt'hEiIri6 on Site? F r, , •(This item`witl Include all.iuiroficreated by site b. Whatis the Total Area 61`U4Cleartrrg " ' ) sea and/or eonstniation ac tles as well as all orwior Ground Dishirbaitoe'for the`proposed 0:4 acre Site Improvements aiiiII6e Op'f ariiirit txeatiori of consbi ctlon ac(ivityl Impi' b6t surfacesj ' ;(&F.I Ams)., PROVEA.BRIEF P1tOJF.CI' DESCREMON (?rurws!dd7aonaiPpan!!?!mo 2 DOBn6ge,§tya"'Ind6UtrrveySllowcation .Tt ft / — Or"sin®ge,Sbvctures Indicating Size 8 Lo ? 'This 4 Item'sftall inatid'eall Proposed G Wd..l iajn es aria . Applicant proposes to re-nourish a section of beach Slopes Pon io ling Surface Water Flow. within the southeastern section of subject property(along 3 Ones the Site;Plan and/or`Suivey describe the Ion' the landward edge of the tidal wetlands boundary) by _ • 1 a�seiiimerit oorrtroi practices that will be used to control she erosion and storm water discharges. Th_is depositingZgradingZgroorning 100 cubic yards t of clean ,Itemmustbeinaintained•thmughoutttieEntire sand obtained from an apTroved upland location. The CorisUucUon:Period. sand berm will measure 18.0'Wide (max) x 135.0' Long t 4 --will this'Projeot Require aiiy(:arid Filling,Grading or Exoavatlort wtithere Is"a change to.the Natural — and will be planted with Cape American Beach Grass on ete ;Etdsur g Grade Invoiviiig'more lhan 200 Cubic f ares' 11 1.0'o/c. of Material within any Parcel? `*1 this AppOcat}on,Reequire Land Disturbing Activities Encompassing an Area lntxt bis of Five Thousand (5.000 S.F.)Square-Feet of Grotuid Surface? 6 1s;thbre a Natural Water Course Running ttgough the SIte? Is thIs.P ect within the Trustees trrisdiction rot 1 cionorai oec sVVPPP RemitromerKa cr within`One Hundred(10t>')Yeet of a Wetland or — Subedssbn of o SWPPP Isrop-uirod fw all Constriction adWas hvdA'V sb0 - BeachT dlia ibar>ces of ono(t)or mac sacs huAodirig dlstuibances of loss ttum a-ebe that 7 Will there be,Site,preparation on F)dsUng Grade Slopes / are part of a largor`co nn" plan that'vr,7i'us�rriateyil isub orae or Tiara acres of.tar+d: I Exceed F(ftei3n(I 5)feet of VeiUcal Rise`to f "din p C.onstnidion edivitips trrv6lvfrg soil dlsturbarioes cf bsa,than ono(1 j acro wticto Orjg Hundred(100')'of horizontal Dtstar oe? . tho DEC Re's detemilnrid that o SPOEs pem'it is mo W.ed for srorrn wpater dischorgei. / (SWPPP's,Shnll moot tho'Minkamn Rogulmmonts of Ma SPOES Ga *a'Partnit, 8 Will Driveways,PWkIhg Areas or other Impervious for Storni Watgr Dlsthargcs Cram Coristructlon ocMvlty•.Portrait No.OP-0-70-0W.) Surfat�s be S(Ope, t0 Direet StCtin Watef Run Ofl a — 1.The SWPPP shell bo prepared prior to the suliiiittai,of the idol.The`NOI shaft be Into end%f in the direction of 8 Town rigF$of-way? sutxnittoA to the Department pilar to the oorrxr+er>ceiiient of eons6uetlori actlMty. 2?tie SWPPP alia0 desafbe the eioslon e6d sed6rierst oontroi piactioes aril where 9 Will thts Project Require the Pla6dtii Tit of Material, r"Arod.post-constn,aiori storm water managerrxmt Oactkei slat w®be uses and/or 'Removal of:Vegetation and/or the ConStntCtiOri of ar;y eartst u 0 reduce the po0utonb in srmm water dlscRaipes end to a sure Item Wkhin tt a Town,Rlght-&'Way of Road.Stro ilder — — eamptia.with ua toriru ala caaAloim or u,b permit In edditbn,'the,SWPPP shall Area?(11da t0iin wire not tnehiae ir+.irs tlon of oAw:rey 1lprona) i kw W Potential soiuites of polwjon inRrtcli'—Y ioasoriabyr bo oipoueb to affect Mie' pua4ty of storm water dischrirgos. NOTE: If Any.Anawrcr to au stions_Ono through Nino b Mirwsnad wlih o Clack Mark 3.A0 SWPPPs that m W6 tia'P69-CO trudlon storm water managemerd practice - in a 114X snd Ma ooiutrvdioir silo dlshabaiieob batween 5,000 S.F.a I Aso in arca, oorr�arent shall bo Diepa+ by a quaffled Design Pmfe=Idt l lk&6od fn NOW York a 9 W"ator;OraaM Dminago_d,Eroibn Control Plants Rogubod by Mie Town of that IS'browiodpeable ln'di6,pdnolpW arid:proctioda of Storm Water Marm om6nt Southold rand Muse do sutxnttDed for Rovlow Prlw edtssuanoo of Any BuaQing PertNt P+O.M A 6,eck kart(4)otrd+or'Msi�v br sib cushion b.RaaLod fa a.0onplern APPS+). S1 ATE OF NEW YORK, - - SUFFOLK • COUNTY OF....:...........:.:..:....::.......::.......SS BRUCE A..ANDERSON @-SUFFOLK ENVIRONMENTAL_GONSULT.NG,,INC. y , poses and sayssthat he/she is the applicant for Permit, 1�tat 1 be dill morn de (Narm of indhAC W signbv Doaxnentj AGENT Aral that heJshe is the .........................................w ,-., _ . . .• . ........:........... ... .:...:....... (owner.Cantrector,POWA.C.-Wateots er.etc.)' Owner and/or re*seritative.of the'Owner dr O_wnei•s,and is duly authorized to perforTn or have pet-formed the said work and to inake and file this application;that all statements contained in this,applic�ori are true to the best of his knowledge and belief;and that the work tyi' be per'foimed in tilt manner iet forth ii the application.filed herewith Sworn to before me this; ............................. day. ......_ 120/5 , Notary Public: ............ D. Ivens . .::.. bntary'Putrtfc rk '(s�r+si„�anvvev _ FORM = 00119 Qualified'in Suffolk County Commission Expires January 22, 20 P1 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 supplemnt other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C,the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered"yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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# 070 - 04 - 045.5 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees Zoning Board of Appeals ❑ 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) ❑ (c) Permit, approval, license, certification: Nature and extent of action: A1212licant proposes to re-nourish a section of beach within the southeastern section of subject propeM (along the landward edge of the tidal wetlands boundary) by depositing[grading(grooming 100 cubic yards t of clean sand obtained from an approved upland location. The sand berm will measure 18.0'Wide(max)x 135.0'Long t and will be planted with Cape American Beach Grass on 1.0'o/c. Location of action: 2515 Calves Neck Road; Town of Southold, NY 11944 Site acreage: 1.23 acre± Present land use: Improved with single family dwelling & related appurtenances Present zoning classification: Residential 2. If'an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: LOIS ANDERSON (b) Mailing address: P.O.Box 1329; Southold,NY 11971 (c) Telephone number: Area Code(631) 765-2928 (d) Application number, if any: N/A 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? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable This application is for the enhancement & maintenance of the existing shoreline. Due to the minor nature of this project no impact to any condition or quality within the Town of Southold will result from the minor nature of this activity. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable This application is for the enhancement & maintenance of the existing shoreline. Due to the minor nature of this project no impact to any condition or quality within the Town of Southold will result from the minor nature of this activity. Attach additional sheets if necessary Policy 3. Enhance visual'quality.and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 5 through 7 for evaluation criteria ❑ Yes ® No ❑ Not Applicable This application is for the enhancement& maintenance of the existing shoreline. Due to the minor nature of this project, the visual quality and scenic resources will not be impacted. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ® Yes ❑ No ❑ Not Applicable In that application is for the enhancement & maintenance of the existing shoreline by installing a sand berm, protection from flooding & erosion will be a direct result of the implementation of this project. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ® Not Applicable This application is for the enhancement& maintenance of the existing shoreline. Due to the minor nature of this project, no impact to any condition or quality within the Town of Southold will result from the minor nature of this activity. 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 This application is for the enhancement& maintenance of the existing shoreline. Due to the minor nature of this project, no impact to any condition or quality within the Town of Southold will result from the minor nature of this activity. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria ❑ Yes ❑ No ®' Not Applicable This application is for the enhancement& maintenance of the existing shoreline. Due to the minor nature of this project, no impact to any condition or quality within the Town of Southold will result from the minor nature of this activity. Attach additional sheets if necessary Policy 8.Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable -This application is for the enhancement& maintenance of the existing shoreline Due to the minor nature of this proiect no impact to any condition or quality within the Town of Southold will result from the minor nature of this activity. Attach additional sheets if necessary 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 ❑ Yes ❑ No ® Not Applicable This application is for the enhancement & maintenance of the existing shoreline. Due to the minor nature of this project no impact to any condition or quality within the Town of Southold will result from the minor nature of this activity. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria ❑ Yes ❑ No ® Not Applicable This application is for the enhancement & maintenance of the existing shoreline. Due to the minor nature of this project no impact to any condition or-quality within the Town of Southold will result from the minor nature of this activity. 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 This application is for the enhancement& maintenance of the existing shoreline. Due to the minor nature of this project no impact to any condition or quality-within the Town of Southold will result from the minor nature of this activity. Attach additional sheets if necessary { i Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable This application is for the enhancement& maintenance of the existing shoreline. Due to the minor nature of this project, no impact to any condition or quality within the Town of Southold will result from the minor nature of this activity. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable This application is for the enhancement& maintenance of the existing shoreline. Due to the minor nature of this proiect, no impact to any condition or quality within the Town of Southold will result from the minor nature of this activity. Attach additional sheets if necessary Created on 5125105 11:20 AM J Suffolk Environmental Consulting, Inc. Newman Village,Suite E,2322 Main Street, P.O. Box 20031 Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President Hand Delivered 22 April 22, 2013 D E C E I 1Y/�// E Mr. Jim King, Chairman Board of Trustees APR 2 2 2013 Town Hall P.O Box 1179 Southold Town Southold, NY 11971 Board of Trustees Re: ANDERSONProperty Situate: 2515 Calves Neck Road; Town of Southold, NY SCTM #: 1000—070—04—045.5 Dear Mr. King, This Firm represents the owner of the above referenced property, who is seeking approval to re-nourish a section of shoreline that received erosion from the recent Hurricane Sandy. Consequently, approval from your Board is required. Please find attached: (1) Town of Southold Trustees Wetlands Permit Application(original and two [2] copies); (2) Short Environmental Assessment Form(original and two [2] copies); (3) Town of Southold Local Waterfront Revitalization Program Application(three [3] sets); (4) Erosion, Sedimentation&Storm-Water Run-Off Assessment Form(original and two [2] copies); (5) Location Map for reference(three [3] copies); (6) Photographs of the property indicating current conditions thereon (three [3] sets); (7) Survey of subject property,prepared by NATHAN TAFT CORLVIN, III,L.S., last dated April 19, 2013, indicating the conditions thereon(three [3] prints); (8) Proposed Beach Re-Nourishment Plan,prepared by SUFFOLK ENVIRONMENTAL CONSULTING, INC., dated April 22, 2013, indicating project specifications (three [3] prints); f (9) Check made payable to the Town of Southold to cover the requisite application fee. Kindly review these items and schedule for the next available Board of Trustees' meeting at the earliest opportunity. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you in advance for your cooperation. / Sincerely, Matt D. Ivans \ attach. CC: L. Anderson