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Candan, Ayda & Hirant
John Bredemeyer, President �g'OFF014. Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King P.O. Box 1179 Charles J Sanders • Southold, NY 11971 Dave Bergen y�O1 ,F �aTelephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: I 1 t q/ `f J Patricia C. Moore, Esq. on behalf of AYDA AND HIRANT CANDAN requests a Pre- Submission Inspection to extend existing retaining wall/bulkhead along east side of property 32' with a +/-1'-2' long return; 10' long sheathing; 6x6 timber wales; back-fill to grade with approximately 270 cubic yards; and placement of stone armor in front of bulkhead. Located: 55955 Route 48, Greenport. SCTM#44-1-18 Type of area to be impacted: Saltwater Wetland Freshwater Wetland 1 Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: L,,,"Chapt.275 Chapt. 111 other Type of Application: /Wetland C stal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable k Info needed: 10 ri ��� vJ " I v^� 2✓1'1 oto o It. U,,,I I i Modifications: Conditions: Present Were: V/J. Bredemeyer Domino V J. King. Sanders�D. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: STREET ADDRESSr 55955 NORTH ROAD N pt1N� «� SURVEY OF PROPERTY N� s Pit A T ARSHAMOMOQUE iST' �� N ��N���' TOWN OF SO UTHOLD LONG SUFFOLK COUNTY, N. Y. E �►��'`�'DU"E ��-6 6 ow 1000-44-01-18 N��.��oo. N 6 `� SCALE. 1 —20 5. ��r SEPTEMBER 23, 2002 NW pd'kG FEBRUARY 25, 2011 ►fit m o '� FEBRUARY 7, 2014 (TOPO, PROPOSED BULKHEAD) Crl 1 � MAR - 7 2014 Board of Trustees I lop Sp EL ��•, +g 6 � � o _ 505, s£j S 76'03 0E OF NEW k w 0AD R, n ELEVATIONS REFERENCED TO N.A.V.D. 1988. r4oltTlir COASTAL EROSION HAZARD LINE (C.E.H.L.) FROM hb 4WS COASTAL EROSION HAZARD AREA MAP PHOTO NO. 55-581-83 SHEET 11 OF 49. c NO. 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLA-TION ECONIC SU ORS, P.C. OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, AREA=4,261 SQ. FT. (631) 765 - 5020 FAX(631) 765-1797 EXCEPT AS PER SECTION 7209–SUBDIVISION 2 ALL CERTIFICATIONS P. 0. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF TO TIE LINE SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON SOUTHOLD, NY. 11971 102 - 2 Sn:EET ADDREM 55955 NORTH ROAD SpQspw '' SURVEY OF PROPERTY olp � AT .ARSHAYOMOQUE yoN� I$ .0"oo- TOWN 'OF lop," SUFFOLK COUNTY, N Y .4 �,,�° 0 6 ;A_ 1000-44-01 1B tt?4r q E Ngo ? SCAL&% 1,W' SEPTEMBER 24.2002 i t`r P� FEBRUARY= 20ii e,M q FEBRUARY 7, 2014(TOPO,PROPOSgD BULKHEAD) Z CDN tit MAR - 7 2014 i So�cioa ttli��i-_ M / ar f Tr ee 'v viol _ - R OAD ELEVATIONS REFERENCED TO:N.A.V.D. 1988. IdORT� COASTAL EROSION HAZARD.LINE (C.E.H.L)'FROM COASTAL EROSIONHAZARD' AREA MAP PHOTO _-XYZ LIC'Nal 49W8 N0.,55-581-81 SHEET.1b OF 49. ANY ALTERATIDN arAMMTIDI M-_n S:SUgWY•JS-A VMLAIIOY P.0 4<sQCimr 7289 pc.;nE HEv rogc-SiA7E EttGTIDw uv. (631) 765 5828 FAYUG31")765-1797 EI�PT Ar fOa grrlov 7ae�ammvma,,a ALL>CERTF=4TMa AFFEA-4,2W 80. F=T. P a Bax,989 NDM AW VALM FUR.-Mg XW,'*W1C =TkO*Z'OILY JF .1230 TRAVELER STREET SAO)MW 0?GLAgS 6EW.Tw afflm=SEALCrPC SLgvexA TO TIE UNE1-0-1-284 MDSE Mk4nAE APPEARS W EM SOVThOLD, t Y. 11971 J J Q 0 Z Z p PROPERTY Q O Z _ LIME w p ' Q� � QZ Z 3/4'GALV.BOLT w/ _ 0 0 TOP CAP I WASHER&NUT Y = 0) (f) ` i z(TYP.) J co GRADE 4X6 FOLLOWER W 0 U) 4X6 FOLLOWER—, p� � uu y 6X6 TIMBER WALES OW.) GRADE 0. (SPLICES TO BE ON CENTER OF PILES WITH A 12'OVERLAP) W 10'dia PILE W 12'LONG ? 3'a GENERAL NOTES C7co Z A 1.ALL TIMBER TO BE No.2 GRADE OR BETTER _ Z CSO 01. 10'LONG SHEATHING 2 STAGGER JOINTS OF FRONTAND REAR WALES � W � 0 p N � X EVERLAST OR EQUAL 3.ALL TIMBER TO MEET OR EXCEED AWPA STANDARDS(C-2 V\ � 000 ( AND C-18)FOR PRESERVATIVE TREATMENT AS APPLICABLE Z m= 4.FOR TIMBER FACE AND ANCHOR PILES,REFER TO ASTM D-25 0 0 j FOR UP DIAMETER AND cl)RGHTNESS.BULKHEAD 5.ALL STEEL FASTENERS AND TIER DS SHALL BE HOT DIP W a - GALVANIZED PER ASTMM153'WTTH 20 OUNCES OF ZINC PER \` LL SQUARE FOOT OR BE STAINLESS STEEL(GRADE 304 OR 316). 0 6,IF TIE-ROD 15 NOT STAINLESS STEEL,EXPOSED REGIONS O d TREATED WITH BTTUMASTIC COATING. t(' f=� ?, n g !� 7 BACKFILL SHALL BE-CLEAN,GRANULAR,MATERIAL(GW,GP,SW, dp ID ,.y `:jy.!•'' ^'rte OR SP PER ASTMD-2487)ANDCOMPACTEDATLEAST95% - :..� (PER ASTM D-698). 1/28/2014 SCALE.1/4"=1'-0' MAR - 7 2014D SHEET NO: Board of Trustees ()If WE 0 _j EXISTING HOUSE _j z AS REQUIRED TO t z RETURN TO HOUSE <0 PROPOSED SUL HFAp uj a w z Ec w z <M0 EXISTING BULKHEAD 0 F- -J a!0 Z Z < Ln0M F- 32' -O'± w in D A A 0 LO (0 LL! ---------------------------------------------------------------------------------------------------------------- c/) PLAN VIEW .,z W EXISTING HOUSE w TOP OF BULKHEAD I wz -to, CV EXISTING � Z GRADE X-i A ;� 0 C) co m r*- 0 F- U) cL 0 fD TOP OF BULKHEAD wLL 95 00STING BULKHEAD Ow AJ PROXIW TE ZS%. PROPOSED GRAD; 3117/2014 EXISTING GRADE SCALE:114"=1'-0" mzzm� SHEET NO- A-A 1 t i _ . 1 k ��IIIIIIIIIM��IIMIAI�� , . ;. R/ , I A.0 ALM! -f fig/ 116, FF IN It I y • 1 y` { R: i 1 Z '. } AW w a 1-019 4w t f �,k, s CANDAN SCTM; 1000-44-1-18 VA It tit- � sem' tRAL Ak_ kP owl CANDAN 1000-44-1-18 y.,}. . s r : - _ f WWI x � �3d LL CANDAN SCTM: 1000-44-1-18 i`. [ x �r CANDAN SCTM: 1000-44-1-18 ci s. a. �t t• rt 6 Or :i`, �.•y to�� CANDAN r ,r- 1000-44 a 1 1 4Y h, - may.... _ t# � ��• .may �,'/� � _J'• R•.i. •.iR 'Ovr, .! .BoardO� Southold d Town Trustees �. % y SOUTHOLD, NEW YORK Storm Damage (12/24/94) ' ` ro a PERMIT NO. Emergency. 1?ermit DATE: ..V4/95 A ISSUED TO ...HI.R...AN.T...&..A.YDA CANDAN. �I w % 1• • I(; i Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and.the Southold Town Ordinance en- x �y titled "REGULATING AND THE PLACING OF OBSTRUCTIONS . ". IN AND ON TOWN WATERS AND PUBLIC LANDS and the \ �;x REMOVAL OF SAND GRAVEL OR OTHER MATERIALS FROM } LANDS UNDER TOWN WATERS;" and in accordance with the PI? Resolution of The Board adopted at a meeting held on ..1Z/.Z41.94. :► `x``y' s.t 19 .9.4, and in consideration of the sum of $. paid by 1 C A ..... ... .............. of .. N. Y. and subject to the NA v .. > 11 '71 Terms and Conditions listed on the reverse side hereof, . Y a of Southold Town Trustees authorizes and permits the following: . Emergency Storm Damage Permit to construct 52 feet of bulkhead all as per DEC Permit recommendations .issued . T y 5. 12130194 •�+ ' �j' all in accordance with the detailed specifications as presented in ftt .y' the originating application. eYV J� 4 r IN WITNESS WHEREOF, The said Board of Trustees here- ' by causes its Corporate Seal to be affixed, and these presents to _. be subscribed by a majority of the said. Board as of this data. ~' C= 3 �. . • S <�. Y Trustees ," r ry - Zvi.', ''. 4L_.... .__.-x•�_'__: ::. .. •. -- — _ - 'sic"- c-.•w:. - ;..s96'Xr !� aV-.�,•..'.E+_�;e..,�:�.�'...;s�i_-ir_✓_,�x:.irTiti�Sa:�+' ice:�ti_na�._._:T--�•si+rte/- == '`.y"'sti;:di� r: •'� ,.6-fir�.. . ..\1 •�:.:,L. -: C/.b � _ .,,,� •'�y'. 's •� '�3/�.r !�:.ix - 'Y,",r�'e�� :9,y:�;i< (6'v` , [y ' lYl:, ._ -- ;w '4.�'," �, �+`,``• :: ;� .!?c•" -Zf amt *.y"' ^ '=Oar :�, "` _.! �;'r. � ,Q�►'.a'S'� .�,�,.;,�►, :t+`, T s.,"_ •� fir. ti _ �''�• >'•'�'v�•-- 'y, i5 — of existing functional bulkhead .and extend western return to 101 , construct 7 l. f. of bulkhead with a 10' return on eastern end, and place 100 c.y. of clean backfill., all in accordance. with NYSDEC approved plan dated 1/3/95. Located: 55404 County Rd. 48, - Southold. SCTM #44-1-11 8:00 p.m. - In the matter of Craig Richter on behalf of LAZAROS LASKOS requests an Emergency Storm Damage: Permi.t to temporarily relocated existing single family dwelling to east to provide new pile structure. Upon completion, relocate dwelling back to original location, construct 45 l.f. of bulkhead with approx. 8 ' angled armored return on west side, construct approx. 45' return along west line and place approx. 162 c.y. of fill, remaining concrete foundation to be broken up and placed under final house location, relocate septic system, all work in accordance with NYSDEC approved plans dated 2/10/95. Located: 55915 County Road 48, Southold. SCTM #44-1-17 .� 8:01 p.m. - In the matter of HIRANT CANDAN requests an Emergency Storm Damage Permit to remove and replace in same location 85 l.f. of existing functional bulkhead and place 25 c.y. of backfill, construct 52 ' of new bulkhead appurtenant to existing structure, all as per NYSDEC approved plan dated 12./2d/94 .' Located: 55955 County Road 4.8, Southold. SCTM #44-1-22 8:02 p.m. - In the matter of JOSEPH F. CITARDI requests an Emergency Storm Damage Permit to construct .rock toe armor with a min. of one ton rock, create a sand dune over rock armor; to tie into neighbors on both sides all in accordance with NYSDEC revised plan dated 4/13/95. Located:. 56225 County Road 48, Southold. SCTM #44-1-22 8:03. p.m... - In the matter of Robert Bohn Contractor on behalf of MRS. ALPHONSE ATWAN requests an Emergency Storm Damage. Permit to reconstruct 6 footings, replace fireplace, repair skirting and. °stairs. Located: 56055 County Road 48, Southold. SCTM #44-1-.20 ---� TRUS:TEE KRUPSKI: Would anyone like to make any comments on, any of these ,applications? The Boards been down there many tims. . TRUSTEE ALBERTSON: Motionto close the. hearing. TRUSTEE HOLZAP.FEL: 'Second. ALL AYES TRUSTEE KRUPSRI: I' ll make a motion to approve these Storm Damaged Permit that the disturbed areas be ,re=vegetated with a. non-turf, non-fertilizer species. TRUSTEE ALBERTSON: Second. ALL AYES 8:04 p..M- - In the matter of WILLIAM P.ISARELLI requests a Wetland' Permit to construct a 3:' X 20' catwalk with 1 pile. Located: vacant lot south of Sterling Road, Mudd Creek, Cutchogue. SCTM #138:-2-26 TRUSTEE KRUPSKI: Is there anyone here who would like to speak either in favor or against this application? CAC recommends approval with stipulations that applicant follow the standard SUPERVISOR RUSTEES John M. Bred meyer, III, President r�",�~ ,. < ? �% SCOTT L.HARRIS Albert J. K.rupski,Jr.,Vice President , ': `: A� Henry P Smith � _ <:r ; Town Hall John B. 1hthill ` `° 53095 Main Road William G. Albertson P.O. Box 1179 Telephone (516) 765-1892 - Southold. New York 11971 Fax.(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only: DATE REC. : astal Erosion Permit Application oastal. Erosion Variance Application etland Permit Applicati.Qn-, 9 aiver from Chapter 97.(Application/permit. rustee Lands Permit Application randfather Permit Application Completed Apps.. Date: MOf SOUTH Inspection date: q'a� WN CAC comments-Date: Sent�Rec. Variance Required; (Y/N)T'� - eighbors notified-Date: SEQRA Type _ Coord. : Date sent SIQRA Determin./date: 3a�� i Public Hearing/date: '���7 Q3� �j 3 `(4m Findings: Approved (Y/ ) _ Special Conditions: (y/N') (see file) oc- Permit(s.) issued=date: j Application Number;SCTM#1000- 94 d4__�A��.�. � • Applicant: MR Address: 59gs< AIC�TIt ivy , _ ti AU►es �17rf{ �-10c' tHt1+-b M 1` Phone St Interest: (owner, consultant,lessee,etc. ) ()uAt Owner of Property: -� ���� �, Pr�� OAr&r+ Address 5��i. < a�- Q S.D' 'l. knlcl N•.q, Phone e-1463 Subject Property Location: 30Q,\\\ (-Provide LILCO Pole #, Distance to cross Streets if not on location map) THIS IS NOT A PERMIT Page 1 �(�> �`� �., •4� I\\�S to Q:c�.,1 mca< <•;�T:p� . 9�S "Mt rt JJ{ J:. � .. Y4 ,,ren C��s v•c� of ��1'<�.r.�. t - ��o.�s .F. •, D�{orc� h �r �1-�...y Vesc.r:P�C:�,, cls -�' S �,y i •c!, ba -01 1, trete iOlt' i c(o5s SQcTtVC f A .a tfbt T.1f@ tl p �' �� �.Itp�♦ t 50� � �d�]Qj1• � I I I tx]wr♦•ar auE / I I tee ♦a a se I / �yi° .�•� awt ,NO I • � I / 4 I ILM ] I L100 / y couNrvo.etsrw� I ,a.,e T f L wTCM_--_�---__1—llk T EL iCi.110.a9 T .O 9 i - - -- gTCE rCOUNTY OF SUFFOLK © N s SECTION NO �•••���. —�— qtl —O - -- e..,---�-_-_ a u, Real Property Tax Service AQ., v R» wutNan pNovEaTr Ntw Cantrell, Elizabeth From: Betsy <betsy@mooreattys.com> Sent: Thursday, February 04, 2016 9:18 AM To: Cantrell, Elizabeth Cc: Moore Patricia;'margaret Subject: CANDAN good morning. Liz. Pat spoke to the trustees about this matter and would like to attend the work session and request an emergency permit for repairs. Betsy Perkins LA Moore Law Offices William 0. Moore, Esq. 631.765.4663 Patricia C. Moore, Esq. 631.765.4330 mailing& physical address: 51020 Main Road Southold NY 11971 fax number for both 631.765.4643 www.mooreaMs.com NOTICE: This e-mail and the attachments hereto, if any, may contain legally privileged and/or confidential information. It is intended only for use by the named addressee(s) . If you are not the intended recipient of this e-mail, you are hereby notified that any dissemination, distribution or copying of this e-mail and the attachments hereto, if any, is strictly prohibited. If you have received this transmission in error, please immediately notify the sender by telephone and permanently delete this e-mail and the attachments hereto, if any, and destroy any printout thereof. i n �a LI Al 4# IF ANk IL s w Kik fi , y + A Nunemaker, Amanda s From: betsy@mooreattys.com Sent: Wednesday, January 07, 2015 11:52 AM To: Nunemaker, Amanda Cc: pat; mcandan@mindspring.com Subject: Candan Trustees Attachments: doc01965520150107114125.pdf, doc01965420150107114114.pdf Amanda: Per your conversation with Pat, attached please find the revised project description and survey. Please let this confirm that you will place this matter on the inspection list for the 14th. Thank you! Betsy Perkins LAF Moore Law Offices William 0. Moore, Esq. 631.765.4663 Patricia C. Moore, Esq. 631.765.4330 mailing & physical address: 51020 Main Road 9 Southold NY 11971 fax number for both { f 631.765.4643 www.mooreattys.com t CO PROJECT DESCRIPTION) - Ce u i"S-e-d' I I-il 1 S Hirant Candan Extend existing retaining wall/bulkhead along east side of property 32'as designed by Joseph Fischetti, Jr. P.E. with 1'1/2 return to existing house, 10'Long Sheathing, 6'x6 timber wales, back fill to grade(approx. 270 cy),placement of stone armor in front of existing bulkhead j rt N EXl31IhF6 HOt3SE: �. J tr'' Q z ,. - Q=a MSTING BIILXKFA!] ! `. J a / 1 O O OX _Ln ` Y =°0) J � IM W - - - - - - - -- ._... - .......................................... O PLAN VIEW MW W EXISTING r10USE Z 1lLP OF BUL! 4FAD X C. Z Z� O' W K N ca.7.RmG AA;� oo'o Z mz� 0 O OM. � rLo I TGF OF BULWEAD `\ OWING 0- ROPOSEO GRADE 3!1)!2314 SCALE:1/4*n 14- SHEET NO- A-A 3 ,ry . � V 9 I PROPERTY 2Q Q . LIE f' Z E ireQmd Uof 0 Zo .} 3/4'GALV.BOLT w! U1 �2 O 1 TDP Uo WASHER G NUT .I Y Z�cni JE GRADE .-AX6,FOLLOWcoWS'4X6 FOLLOW6X6 TIMBER WA-ESPUCfS'R7 BE ON OF PILES WITH A 12'OV ... .....,. ...._ 10'di PILE }Lj� IT LONG ''DCGENERAL NOTES cO z VY LONG SHFATHo NG L ALL TiMBERTO BE Na 2 GRAVE OR BETTER tt0 E EVERIASTOR EQUAL 2.STAGGER JOINTS OF FRONT AND NEAR WALES )(� i 3 ALL TM3ER TO MELT OR EXCEED AWPA STANDARDS(C-2 Om_C AND C46)FOR P3ESERVATIVE TREATMENT AS APPLICABLE ZR _ 1 4.FOR TIMBER FACE AND ANCHOR PILES,REFER TO ASTM D•25 "�A,^.Q m r' B U L K H_EA D. 5.FOR�EDIAMETER AND NS RODS SHALL BE HOT DIP U)��' N1 0 co _ GALVANiZED PER ASTM A-153'WtM 20 OUNCES OF ZINC PER SQUARE FOOT OR BE STAINLESS STEEL(GRADE 304 OR 316). EL IF TIE-ROD IS NOT STAINLESS STEEL,EXPOSED REGIONS ' TREATED WITH BRUMASTIC COATING. 'a ' .7.BACKFILL SHALL BE CLEAN.GRANULAR,MATERIAL(GW.GP,SW, OR SP PER ASTM D•2487)AND COMPACTED AT LEAST 95% (PER AS 0-698). 1/2812014 SCALE:1/4'=1'-0' SHEET NO: STREET ADDRESS,55955 MPTH ROAD N Soo,, ��� SURVEY OF PROPERTY ,rID 5 AT ARSHAMOMOQUE TOWN OF SO UTHOLD SUFFOLK COUNTY, N.Y. �too, �-�,`.�q�� 1000-44-01-18 SCALE: 1'=20' 00 ,SZP7SWBER 23, 2002 w4p FEBRUARY 25, 2011 - � � - HFLALy C3 tEBRUARY 7, 2014(TOPO, PROPOSED BULKHEAD) to x0.5 N r 1• {n� D �.'"�` , p - r Nj4 m ee CCC � o u N •$;q,lt5:.9'a;ik" P.P. .... ,. BrA of"wim Imp 13, 5a65' S7648) �gOFNEk Y RaAD ELEVATIONS REFERENCED TO N.A.V.D. 1988. 14000 * , COASTAL EROSION HAZARD LINE (C.E.H.L.) FROM �li. ii0 c " COASTAL EROSION HAZARD AREA MAP PHOTO NO 55-581-83 SHEET 11 OF 49. Na,49618 ANY ALTERATION CR ADDITION TO THIS SURVEY IS A V[OLATICN CONIC S ORS OF SECTION 7?B9 OF THE NEV YORK STATE MEATICN LAV. (6 31 765-5828 FAX,(631) 765-1797 EXCEPT AS PER SECTION�- R.. ALL CEPTIFICATic"s AREA=4,261 SO. FT. P 0. BOX 989 rEREON ARE VALID FCR THIS AW AND COPIES nEREDF-OxY IF- -WD TO TIE LINE W CR C 'IF.'S BEAR TW IMPRESSED SEA_Or THE SCRVEYOR 1230 TRAVELER STREET WOSE&rG\(4 LRE APPEARS rEWMI SOUTHOLD, N.Y. 11971 02-2844 rI Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Friday, March 28, 2014 11:19 AM To: Besty at Pat Moore's Office (betsy@mooreattys.com) Subject: Candan application Hi Betsy, Regarding the Candan application (SCTM#44-1-18) l have reviewed the application a bit further and found other items in need of revisions. They are: An updated, more detailed project description including the amount of approximate fill to be brought onto the property. A project plan for the first pg. of the Short Environmental Assessment Form (currently the SCTM#is the only thing in that section). On the Storm Water Runoff form, complete top left section, Scope of Work-Proposed Construction. An updated project description for the LWRP. Thank you and enjoy your weekend! C1erkTgpist Town of Southold ` y Board of Trustees a o(6']TipE'J P1Cti(1S O�_, 631-765-1892 00-5 "0 � C �Pcx_)n0�0.1 v,A C.JoJ'�C 5/,dif - S4-C�0, +,,, t e yr SCS CCGSG/i`pi'oj� _ e L I �l n0 MOl/'Er Of � < <' � xA57I cxue OA CV6GVf CkA L f / lIq J� M11S�� ill S� q,on COs pc,'or �o Mov �n -�o' n r Off , � ON p *er- QC�nC,I tVJ S� n )Ctcp �(�0.d ��e( nccdS-1b �� pre-Ca James F.King,President 6raf so Town Hall Annex Bob Ghosio,Jr.,Vice-President 64375 Main Road P.O.Box 1179 Dave Bergen i Soi;thold,,New York 11971-0969. John Bredemeyer Teleplone(01)7654892 Michael J.Domino lei Fax,(01)765-6641 jBOARb. OF TOWN TRUSTEES TOWN OFSOUTHOLD Office Use Only X Coastal Erosion Permit Application Wetland Permit Application Administrative Permit L —Amendment/Transfer/Extension -Received Application:Al V MAR - 7 261,, Received Pee:$ I JID —Completed Applic tion Incomplete '317h 4 _:SEQRA Class IficAtion: Type I_Type IIUnlistedBoard of Thisten Coordination:(date.sent)_ .L,WRP Consistency Assessment Form _CAC Referral Sent: Date of Inspection: —Receipt of CAC Report. Lead Agency Determination: Technical Re'v'ew: —Public Hearing'Held: —Resolution: Name of Applicant Ayda AND Hirant Candan Mailing Address 88-30 51st Avenue, #MGMT Elmhurst NY 11373 Phone Number( (917)670-7551 Suffolk County Tax Map Number: 1000- 44-1-18 Property Location: 55955 Route 48 Southold NY 11971 (provide LILCO Pole#,distance to cross streets,and location) AGENT: Patricia C Moore (If applicable) Address: 51020 Main Road Southold 'NY 11971 Phone: (631) 7654330 Joard of Trustees Applicata.-.& j GENERAL,DATA Land Area(in square feet): 4261 r-40 i Area Zoning: ` Previous,use of property: existing house with bulkhead Intended use.of property: existing house with 32'extension of bulkhead Covenants and Restrictions on property? Yes X No If"Yes",please provide a copy. f Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed.by the Building Dept.prior to a Board of.Trustee review and Elevation Plans;will be required. Does this project require a variance from the Zoning'Board of Appeals? Yes , X No If"Yes",.please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes x 'No j Does the stricture{s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: .Agency Date NYDEC pending { 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): s PROJECT DESCRIPTION Hirant Candan Extend existing retaining wall/bulkhead along east side of property 32' as designed by Joseh Fischetti, Jr. P.E..with 10' Long Sheathing, 6'x6 timber wales, back fill to grade, Is (storm damage), ro x ziD replace steps, as needed,, R8,g-�* t-x« d _.-'ard of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Sandy Storm damage protect property with 32' of extended bulkhead along east side of house Area of wetlands on lot:. 100 square feet Percent coverage of lot: 1 % ' Closest distance between nearest existing structure and upland edge of wetlands: 0 feet. Closest distance between nearest.proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? No X Yes If yes,how much material will be excavated? 0 cubic yards How much material will be,filled? 270+ cubic yards Depth of which material will be removed or deposited: backfill feet Proposed slope throughout the area of operations: flat Manner in which material will be removed or deposited: small equipment and by hand restore:;ien�annxto bulkhead 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): none- i Board of Trustees Application I i COASTAL EROSION APPLICATION DATA Purposes of proposed activity: SA 4JDL1 Are wetlands present within 140 feet of the proposed activity? �. No Yes !- Does the project involve excavation or filling? No V/ Yes If Yes,how much material will be excavated? 1�:) (cubic yards) How much material will be filled? 1 13 k (cubic yards) Manner in which material will be removed or deposited: bA h a rte' '(^es e, s= ue n Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) �JDeJ� I. } I. ,t James F.King,President \\QF SQUTy Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O ��� 54 Main Road P..O.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer N ,c Michael J.Domino ® COQ Telephone(631)765-1892 Fax(631)765-6641 "4Um, I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE I (We) fAQ 60`, d 1A\Oft,T C( QRO The owners of record of property at: SCTM#1000- H`i — ) — K in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: as shown on the attached licensed survey and/or site plan for the approved structure. I It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure. Any maintenance which involves more than 50% of the length of this structure requires approval of the Board of Trustees.We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of Trustees that said lack of maintenance would risk life, property or important natural resource features. Notarized signature of owner of record Notary Public This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to show the final approval of the administrator. 6X Z 20 Appendix B Sliort Environmental Assessment Form t' Instructions for Completing E t Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses i 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 j 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. j Part I -Project and Sponsor Information da ffl/ani Ca--7clan Name of Action or Project: 5�-i^in .^�s�Zrra�i�n anc� �✓t��ad/r"ek1/hirtq Vt/al� �'��s�eyJ Project Location(describe,and attach a location map): �Ss 9SS �2� 7 Brief Description of Proposed Action: i Name of Applicant or Sponsor: / Telephone: \ d,q -4 H(r' rrn t �Gt hG/Q/�1 E-Mail: Address: City/PO. State: Zip Code: .50wg10 & ^Y //!7/ I.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 ® El 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. 3.a.Total acreage of the site of the proposed action? -aeras 5y F3 b.Total acreage to be physically disturbed? yB Do acres X�y z?— M c.Total acreage(project site and any contiguous properties)owned - e or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercialesidential(suburban) ❑Forest ❑Agriculture ❑Aquatic E]Other(specify): ❑Parkland Pagel of 4 1• 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ M ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ❑ x❑ i 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES X ❑ �• b.Are public transportation service(s)available at or near the site of the proposed action? ® ❑X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 1 ❑X 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 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: t 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES j Places? X ❑ b.Is the proposed action located in an archeological sensitive area? ❑ X 13.a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? a b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? a ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Ide the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: i Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? © ❑ 16.Is the project site located in the 100 year Flood plain? NO YES x {I{ 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES I If Yes, © ❑ a.Will storm water discharges flow to adjacent properties? ®NO ❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ®NO AYES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? i If Yes,describe: © ❑ j 20.Has the site of thero sed action or an adjoining been the subject of remediation(ongoing or NO YES P Po J g P roPerh' completed)for hazardous waste? If Yes,describe: © ❑ I 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE f Applicant/sponsor na «t G /le 06 Date: �oW- /7 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 l and other materials submitted by the project sponsor or otherwise available to the reviewer When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning Elregulations? 2. Will the proposed action result in a change in the use or intensity of use of land? El 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 1:1 Ll of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or Elaffect existing infrastructure for mass transit,biking or walkway? 6. Will theproposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, El 11architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, Elwaterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 i i, 1 1 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage EI Elproblems? 11. Will the proposed action create a hazard to environmental resources or human health? El I E Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. E i s i� f. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 4 • 4 Joard of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, H ( ra n h Ca njo rN residing at q 9 (print owner of property) (mailing address) _ (3Gc uc I(e M/ If -70`l No o do hereby authorize (Agent) �4V(-CA0, C to apply for permit(s) from the Southold Board of Town Trustees on my behalf. moi. (Owner's signature) v :Aoard of Trustees Application County of Suffolk State of New York AV a 4 yj BEING DULY SWORN DEP SES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature r SWORN TO BEFORE ME THIS O�014 DAY OF A-10-V_ ,20 /--1 Notary Public PATRICIA C PJIOORE Notary Public, State of New York Suffolk County-No 48616668 Commission Expires June 16;20& r , 1 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 pmose 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. n YOUR NAME: 'r"I t t/GZ Af ( o n 4i d r, Cl Y1 d b,J (Last name,first name,middle initial,unless y u 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 X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 2063 Signature_ Print Name -- Form TS I —� f4'ACAI A <-tM�l al'1 I i Town of Southold U Erosion, Sedimentation & Storrin-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S C.T M.O: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN s n —WiT — CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUC`T'ION ITEM# / WORK ASSESSMENT Yes No a. What Is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within Will this Project Retain All ch Rainfall oRSite? the Scope of Work for Proposed Constnx;tion) Generated by a Two(all Inch Rainfall On Site? )), ❑ (S.F./aces) (This item will include all run-off created by site 1 JIf•� b. What Is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? (S.F./Acres) impervious surfaces.) Drainage Structures ctures Indicndic Survey Show All Proposed 2 Does the S PROVIDE BRIEF PROJECT' DESCRIPTION (PmvkwAdMondPeen asNeadad) Plan a ating Size 8h Location?This NLA Item shall include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. 3 Does the Site Pian and/or Survey describe the erosion ❑ W A1.Z,IbU uc('f1=t� i h�(>iJ ra ( s and sediment control practices that will be used to control site erosion and storm water discharges. This item must be maintained throughout the Entire �� Construction Period. 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural Gt Existing Grade Involving more than 200 Cubic Yards J of Material within any Parcel? Q0 u 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 7� W yt e- t 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction ❑ Genera( DEC SWPPP Requirements: or within One Hundred(100')feet of a Welland or Submission of a SWPPP is required for all Construction activities involving soll Beach? dishubances of one(1)or more acres; Including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common pian that wig ultimately disturb one or more acres of land: which Exceed Fifteen(15)feet of Vertical Rise to including Construction activities Involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? El the DEC has detemdned that a SPOES permt Is required for storm water discharges, (SWPPP's Shall most the Minimrmh Requirements of the SPOES General Permit 8 Will Driveways,Parking Areas or other Impervious 0 for Storm Water Discharges from Construction activity-Permit No.GP-0.10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the NOT.The NOI shag be Into and/or In the direction of a Town right-of-wayT submitted to the Department prior to the commencement of construction activity. i 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,postconstructlon storm water management practices that will be used and/or Removal of Vegetation andlor the Construction of any ❑ constructed to reduce the pollutants In storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder j compliance with the terms and conditions of this permit.In addition,the SWPPP shag Area?(rima item wig Nor Irhcrude the trutauadon or Driveway Aprons.) f Identity potential sources of pollution which may reasonably be expected to affect the ! quality of storm water discharges. NOTE: N Any Answer to Questions One through Nine is Answered with a Check Mark 11 3.All SW PPPs that require the post-construction storm water management practice In a Box and the construction alto disturbance Is between 5,000 S.F.d i Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm—Wats,Grading,Drahwgo&Er Ion Control Plan is Required by the Town of that Is knowledgeable in the principles and practices of Storm Water(Management Southold and Must be Submitted for Review Prior to issuance of Arty Building Perm1L (NOTE A Check Mads(J)andfor Aruwer for each Question Is Required for a compteta Application) SPATE OF NEW YORK, C COUNTY OF..� �Jv3..I,-.`n p..... .........SS That I, ...........being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of Individual signing Document) Andthat he/she is the .... ..... ................................................................................ (Ovhtu:cont gen Corporate Officer.air-.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file flus application;that all statements contained in flus application are true to the best of his knowledge and belief;and I that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; U y Notary Public. . 8 (signature of Applicant) i FORM - 06/10 Notary Public,State of Now York No.01 PE6130= Qualified in Suffolk Commission Expires July 18,__.. 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 l 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 Hagar,d 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 1 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 f review law. Thus,.each answer must be gxulained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places.: online at the.Town of Southold's '. website(southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 44-1-18 i PROJECT NAME AM & Hirant Candan The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept .❑ Board of Trustees ❑x 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: repair storm damaged foundation, repair existing porch, extend bulkhead by 32 linear feet along east side of property.,Ped�L U�esrro by Tk sey Zoxa �ha !e x /o �`�mhe. A10-*x Grade , r'feS}orr_ y>'11nr garN /ale a*er 'ee'eled Location of action: 55955 Route 48 Southold Site acreage: 4261 Present land use: existing house with bulkhead Present zoning classification: r40 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: Ayda Hirant Candan (b) Mailing address: 88-30 51 st Avenue, WGMT Elmhurst NY 11373 (c) Telephone number:Area Code(. ) (917)670-7551 (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? I C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies.. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies;Page 2 for evaluation criteria. QX Yes ❑ No ❑.Not Applicable repairs to existing structure and extend bulkhead landward 32 feet along east side. Backtill to protect ex is ihouse Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWR,P Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable 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 6 through 7 for evaluation criteria, . ❑ Yes ❑ No R. Not Applicable existing house will not affect scenic resources _ 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'S through 16 for evaluation criteria ❑ Yes D No ❑ Not Applicable Piirnnse of repairs to storm damagQ foundationand extension of existing bulkhead landward 32feet willp[otect house 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 0 No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ a Yes 'No Not.Applicable I i Attach additional sheets if necessary j Policy 7. Protect. and improve air cptity in the Town, of Southold. See LWRP Section III —.Policies Pages 32 through 34 for evaluation criteria. i D Yes D No Q. Not Applicable I" 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. i I ❑ Yes ❑ NoFX] 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. D YeD No D Not Applicable extension of bulkhead Ikandward does not affect public access Attach additional sheets if necessary I WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for.evaluation criteria. Yes ❑ NoFA] Not Applicable i i i Attach additional sheets if necessary :i 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 0 Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands-in the Town of Southold. See LWRP Section III _ Policies; Pages 62 through 65 for evaluation 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; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No.0 Not Applicable PREPARED BY Patricia C Moore TITLE AGENT DATE 11/26/13 CHECK LIST FOR TRUSTEES APPLICATIONS: (AN ORIGINAL& 3) 1. Application ( C & R'S, if any) typed detailed project description with dimensions (n te..must be signed by owner, with notary) �2. Transactional Disclosure (signed by owners & agent) t/ 3. Short EAF L'-�4. Authorization �/ 5. LWRP L,-, 6. Survey 7 Plans /8. Photographs 9. Stormwater form(last dated 6/10)