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HomeMy WebLinkAboutTR-9185 Michael J.Domino, President rif S19 Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams 'O� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1560C Date: March 6,2019 THIS CERTIFIES that the raising of the existing9_58 9sqft dwelling with attached 190sq.ft. seaward side screened in porch to have a first floor elevation of 11 52' above grade by installing 22 18"x18"concrete reinforced piers with microlam(ML) girders deck joists floor joists,• new floor under landward entry area,• insulate and install exterior grade sheathing under floor,• reconnect all plumbing for water supply and drainage to existing septic; construct two(2)new staircases with 24sq.ft. landings and two (2) support concrete piers on each; At 55 Second Street,New Suffolk Suffolk County Tax Map#1000-117-10-20.9 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 16, 2018 pursuant to which Trustees Wetland Permit#9185 Dated April 5,2018,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the raising of the existing 958.9sq.ft. dwelling with attached 190sq ft seaward side screened-in porch to have a first floor elevation of 11.52' above grade by installing 22 18"x18"concrete reinforced piers with microlam(ML) girders deck joists floor joists;new floor under landward entry area; insulate and install exterior grade sheathing under floor; reconnect all plumbing for water supply and drainage to existing septic; construct two(2)new staircases with 24sq.ft. landings and two(2) support concrete piers on each. The certificate is issued to Cartwright Family Trust owners of the aforesaid property. a Authorized Signature f e Michael J. Domino,President oE SO(/JyD Town Hall Annex John M.Bredemeyer III,Vice-President h0 l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski • Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 COUNT`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATEOF INSPECTION: yo��� Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction / % constructed V Project complete, compliance inspection. INSPECTED BY: COMMENTS: 6)fe ra,IW CU �1QNs dl/ Ifo lzvS —r CERTIFICATE OF COMPLIANCE: Michael J. Domino, President 0g SUUry� Town Hall Annex 54375 Route 25 John M. Bredemeyer III,Vice-President �� l0 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas KrupskiG • �� Telephone(631) 765-1892 Greg Williams '1h Fax(631) 765-6641 Ol BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction / % constructed t� Project complete, compliance inspection i ;. NVI BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK j PERMIT NO. 9185 DATE: APRIL 5, 2018 ISSUED TO: CARTWRIGHT FAMILY TRUST PROPERTY ADDRESS: 55 SECOND STREET, NEW SUFFOLK SCTM# 1000-117-10-20.9 AUTHORIZATION f.: Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 5, 2018, and in consideration of application fee in the sum of $250.00 paid by Cartwright Family Trust and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits 4 the following: }. Wetland Permit to raise the existing 958.9sq.ft. dwelling with attached 190sq.ft.seaward side screened-in porch to have a first floor elevation of 11.52' above grade by installing 22 18"x18" concrete reinforced Piers with microlam (ML)girders,deck joists,floor Joists; new floor under landward entry area; insulate and install exterior grade sheathing under floor; reconnect all plumbing for water supply and drainage to existing septic; construct two(2) new staircases with 24sq.ft. landings and two(2)support concrete !; piers on each; and as depicted on the site plan prepared by Mark K. Schwartz,AIA,dated March 22, r 2018,and stamped approved on April 5,,2018. :.. > IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this. ;( o�OSlid fFO1,�.`O * y e^ 'I S x +r. TERMS AND CONDITIONS The Permittee Cartwright Family Trust, 55 Second Street,New Suffolk,New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: l. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J. Domino,President 0f SUUIy� Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski • Q Telephone(631) 765-1892 Greg WilliamsyCOU O Fax(631) 765-6641 � NTI,�� BOARD,OF TOWN TRUSTEES TOWN OF SOUTHOLD April 5, 2018 Michael A. Kimack P.O. Box 1047 Southold, NY 11971 RE: CARTWRIGHT FAMILY TRUST 55 SECOND STREET, NEW SUFFOLK SCTM# 1000-117-10-20.9 Dear Mr. Kimack: The Board of Town Trustees took the following action during its Special meeting held on Thursday, April 5, 2018 regarding the above matter: WHEREAS, Michael Kimack on behalf of CARTWRIGHT FAMILY TRUST applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated February 16, 2018, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 5, 2018, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of CARTWRIGHT FAMILY TRUST to raise the existing 958.9sq.ft. dwelling with attached 190sq.ft. seaward side screened-in porch to have a first floor elevation of 11.52' above grade by installing 22 18"x18" concrete reinforced piers with microlam (ML) girders, deck joists, floor joists; new floor under landward entry area; insulate and install exterior grade sheathing under floor; reconnect all plumbing for water supply and drainage to existing septic; construct two (2) new staircases with 24sq.ft. landings and two (2) support concrete piers on each; and as depicted on the site plan prepared by Mark K. Schwartz, AIA, dated March 22, 2018, and stamped approved on April 5,,2018. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, amm� Michael J. Domino President, Board of Trustees MJD/dd Michael J. Domino, President � 49, Town Hall Annex John M. Bredemeyer, III, Vice-President o 54375 Route 25 Glenn Goldsmith H P.O. Box 1179 A Nicholas Krupski �y • �� Southold, NY 11971 Greg Williams Ol ,� �a� Telephone (631) 765-1892 Fax (631) 765-6641 AW40_1647- FhM1cq rtRU,Sr Clp TO: YM is 4AeL, KWA<44 , Please be advised that your application dated , UtS has been reviewed by this Board at the regular meeting of /K/t<<— b, 0019 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/2 Constructed ($50.00) Final Inspection Fee $50.00) Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ two BY: Michael J. Domino, President Board of Trustees Cantrell, Elizabeth From: Jayne Martin <jpmartin447@aol.com> Sent: Monday, March 19, 2018 10:03 AM To: Cantrell, Elizabeth Subject: Application of Cartwright Family Trust; Hearing Date- March 21, 2018 Attachments: trusteesltr docx Dear Liz: Please make the attached letter a part of the above-referenced file Thanks so much, Jayne Martin ID ECCE VE n 1. MAR 1 92018 8 Southold to--:vn Board of Trustees 1 March 17, 2018 2350 Jackson Street New Suffolk, NY 11956 117-10-20.2 and 20.8 Southold Town Board of Trustees 53095 Main Road Southold, NY 11971 Re: Application of Cartwright Family Trust Dear Sirs: We are adjoining property owners to the north and the south of the premises which is the subject of this application and respectfully submit this letter as an expression of our concerns regarding this project. Confident that this Board has addressed the adequacy of the original existing septic system, lying to the east of the cottage, a few feet under the sand, and that it will not be additionally compromised by the heavy construction vehicles necessary to complete this project, or issues of possible dewatering during the installation of the concrete piers, we would like the Board to also consider the following issues: As you will have noticed upon your inspection,this is a very tight, close-knit community.The properties to the north, Lots 21, 20.2, 20.5 and 20.7 have deeded rights of way across the northerly and then the easterly property line of the premises which is the subject of this application,to Peconic Bay. It is difficult to imagine a scenario whereby the types of vehicles necessary would not adversely impact this right-of-way. We would request that any permit issued contain a provision which would prohibit the impeding of our deeded right-of-way to Peconic Bay. Our summers here, as everywhere in our community we call the North Fork, are precious and all too short. Any project of this magnitude on such a tiny parcel will by necessity have a negative impact on the adjoining property owners and their enjoyment of the beach and bay, and it would at least be hoped that construction would not commence until after Labor Day. Thank you for your consideration. Very truly yours, Thomas M. Martin Jayne P. Martin Robin P. Ennis M -- �• _ - r^fir--'----r-, T^- !��`�' r— T�Y-''~^-` - __ _ •- r �v x r 71 _ t F" _• '.. � � - *"'- Ir , '��' �1} �ta..Ai'� -`' • ...sem+ t ', Y"=•' _.-� v.;. * _ _ ,� '�' c���pgr ''Ll,,[t�a�:[{�`'''�1 r �i'7r�.GS+F"oN',7�1 M ,�z y� 'S b - .;!' `'�.� - �r-..�' �j ..1�` Y? '�.1• ,t.• �Y. is �+ .�� - .< _~� °}lt^�`^' REVISIONS •------------------------------------- :€ f 1L 1 Yr III : HAY BALE OR SILT FENCING I LIMITS OF CLEARING AS BE BULK NO MORE THAN 2( FROM PROPOSED WORK AS HEAD INDICATED ON ATE PLAN ........................... ............... ROBEINS 1 I N 5"5'p" F 100.0 EL.5.0 — — — — — — —— EL 7.0 ••� , 1 N/O/F O j1 1 W I 1 in LAWN(GRASS Z MARTIN �+ co I EL:'.:''' 40.9• i i �,`• 1 �+ :.'. 4.2 23.3' 1 Iw '. CONRETE O r ,. ",,.,:.::,.,.,,•.'.;., WASHOUT I•.1 Cri V'� EXISTING t STY.HOUSE 1 1 IIF,.:- SCREEN: N O F w � SAND E%.FFEL62 1 PORCH PRoPOSMEL11.52 BROPHY `— _0 11 •29.7'•' a � w .Uj V E 8 "iV i; `4 opo cn ^� O GRAss. .• t.... U �. .z � PE C O N I C I `I N o SAND v ANY ADDITIONAL EXCAVATED 1 W SOIL TO BE REMOVED FROM SITE U w a .!: - - ' .' .. ;- .,• .• 1 O � ... 6 A Y �I _ :=I _zu = �1=w -T ,T-I_T .,: OG •CONSTRUCTION ENTRANCE .r I I• S'RIGHT OF WAY r �Y I EL 2.5 S tJ�S'0"VV EL 7.6 100.0' E 1 V71 V� I N/O/F WETZEL L Ip'RIGHT L z I; 'OE WAY � O I 1 IN O / a 209.0' p" W E-+ 0-4 1 SECOND STREET SITE PLAN ® " = 20'-0' SITE DATA: SCTM # 1000-117-10-2 � SCALE. 1O � DESCRIPTION: TOTAL: LOT COVERAGE: EXCAVATE: FILL: PROPERTY: 5976.1 SQ.FT. 0.137 ACRES - Y APPROVED BY ESTI TEDAREAOF �" O GROU D DISTURBANCE: 4800 SQ.FT. w BOARD OF 1 RUSTEE w TOWN OF SOUTHOL z ING HOUSE: 958.9 SQ.FT. 16.0% 25 CU.YD. 15 CU.YD. z O DATE /�-rm- !�" 2o`t7 EXI ING PORCH: 190.0 SQ.FT. 3.2% 4 CU.YD. 2 CU.YD. LL O LL cWn c=n Lo n � � TOTAL: 1148.9 SQ.FT. 19.2% 29 CU.YD. 17 CU.YD. M--i W O Z MEETS&BOUNDS BY: CONTRACTORS'LINE&GRADE SOUTH,LLC SURVEY DATE: JANUARY 12,2017 O FIRM MAP#36103CO501H ZONE:VE AN DRAWN: MH/MS �' SCALE: 1/4"=1'-O" MfaR 2 3 2018 ��� • � :��",,1�, �.� �� JOB#: .'�vlarch 22,2018 SHEET NUMBER: ,® pw3 REVISIONS H N N/O/F f N 5'5'0'E 100.0' M 7.0 N/O/F to f Q u o I m I � >aysE N/O/F PMCH: 2.0. IIRO% Lu i -- N P E C 0 N I C Q - -' W � " f T7 7 AY -- ----- ---------- B IS'RIGlfiof EL T.6 1 1 V �i S5'5'0'W 100.0' 1 MAR - 9 2018 e _ I N/O/F WETZEL XI _Board 1;t'i�ll,lcols ____� , O O / I 1 Q 209.0' I ! Q 1 a o. SECOND STREET SITE PLAN x SCALE: i° = 20'-0' SITE DATA: SCTM # 1000-117-10-20 Q DESCRIPTION: TOTAL: LOT COVERAGE: EXCAVATE: FILL: PROPERTY- 5976.1 SQ.FT O PROPERTY WETLANDS: } W W BUILDABLE PROPERTY- u I Z ESTIMATED AREA OF a J GROUND DISTURBANCE: ���VVV Z O 0 Lu D EXISTING HOUSE: 958.9 SQ.FT 16.0% co cl) U-) 3 EXISTING PORCH: 190.0 SQ.FT 3.2% W Q Z O Y O I MH/MS SCALI TOTAL JOB N: 1/4"=I'-0" F! ' Febnmry 15,2018 MEETS 6 BOUNDS BY- CONTRACTORS UNE 6 GRADE SOUTH.LLC SURVEY DATE: )ANUARY 12.2017 SHES- 1 ETNUMBER: FIRM MAP 0 36103C0501H ZONE:VE h I REVISIONS 1 , i 6 " ' o � u ^ El H 7 uw '$z a M 4 � O hyo aG Q u' cj� Im El I IHI ini IL a FF-EL 11.52' BOTTOM OF GIRDER EL 10 EX.GRADE +/•EL 5.T A wz aP PROPOSED NORTH ELEVATION W SCALE: 1/4" = 1' En w a z w i i I _ Y a a ❑ U wwZ 0 J EJ f;::a f;:a 0 u- O 0 LLE C E V E U-1 w FF-EL 6.0_ A z EX.GRADE O +/•EL 5.31 MAR — 9 2018 EXISTING NORTH ELEVATION o SCALE: 1/4" = 1' :MH/MS Southold Town SCALE: 1/4•-1'-0• Trustees IOB a: Febnawy 15,2018 SHEET NUMBER: A- 1 REVISIONS i D El 0d F EIEI o rte." •-a m '� h FF-EL11.52'___ o. s LEA ¢ U n BOTTOM OF GIRDER EL 10 4 EX.GRADE +/-EL 5.T EX.GRADE +/-EL 4.T -PROPOSED WEST ELEVATION SCALE: 1/4" = 1' ro w z 00 0 a > w EEE VE F r w MAR - 9 2018 Southold Town Board f Trustees w � O U NZ CF-1 Z J N W D 10 El D El In N Z O " EX.GRADE EX.FF EL 6.0' EX.FF EL 6.2' I EX.FF EL 6.3' O +/-EL 5.T _ _____-_-_-_-_-_- _-___-_-___ ___ _ i EX.GRADE MH/MS +/-EL.4.7" SCALE: 1/4"=1'-0" i JOB#: Februuy 15,2019 EXISTING WEST E LEVATI O.N SHEET NUMBER: SCALE: 1/4" = 1' A-2 REVISIONS s � i - I ' • a � U0 >- ir n U b t FF-EL 11.52' a BOTTOM OF GIRDER EL 10 EX.GRADE +/•EL 4.7 _ Q wZ � o PROPOSED SOUTH ELEVATION - a > w SCALE: I/4" = V w . w ECy, EIVE 0 �- o luxi MAR - 9 2018 Z0 0 LL FF-EL 6.3' 0 LL Southold Town EX.GRADE +/•EL 4.7' ard of Q Z EXISTING SOUTH ELEVATION o SCALE: 1/4" = 11 DoOftN:MH/MS SCALE: 1/4"-l'-O" JOB# Fcbnuay 15,2018 SHEET NUMBER: A-3 i I REVISIONS I F - o 1 Ell L-1 � U El 5 ^ FF-EL 11.52' BOTTOM OF GIRDER EL 10 i I EX.GRADE EX.GRADE Em +/-EL S.T +/-EL 4.T . A PROPOSED EAST ELEVATION 00 0 Z SCALE: 1/4" = 1' a C'7 w F- E C - EC E VE MAR - 9 2018 x . C'7 of Trustees Southold Town Board Y �, w w El El 1 . y � Z 0 J Z 0 EX.FF LL U) �-6'3� EX.FF EL 6.2' I EX.FF EL 6.0' EX.GRADE EX.GRADE ________________________ +. 5.7" {� IF�'hl Z / O EXISTING EAST ELEVATION o SCALE: 1/4" = 1' :MH/MS SCALE: 1/4"ml'-0" 1OB#: February 15,2018 SHEET NUMBER: A-4 I REVISIONS B 6T RETAINING WOOD WALL _______ _____________j_ _r____________________ _ __ _ U (7)DECK 101;75 ' { ' ----- yN. '-"1 �.�.� i —(3)11- ------ 3)11-7/8 ML GIRDER , ------- a• `�" "' ____�_ (3)11.7/8 ML GIRDER } (3)Il-7/8 ML GIRDER , 73)-F . .T } : (3)FLOOR JOIST t; - ° 0 0 . LL LL .' A 'zs° ' — -- --• �I A (3)11-7/8LL GIRDER { (3)Il-7/8 ML GIRDER /8 ML(3)11-7GIRDER IBXIB CONC.PIER, � • REINFORCED w/ ' ' . :_O 3X3%1 CONC.FTG. p I' •"-"-"""" ' O ' , ae (SEE SECTION)TYP I$ 0 ------- N3X17 GIRT ' •/ 7XA Dl�16'CC ' ... •' NFVV 2Xl.Fl ' •m 3 11.718 ML GIRDER 3 it-7/B ML GIRDER , ' 3 11-7/8 ML GIRDER w , 4 ---`44 - H •u :_' __. ., • (fn 7)3X17 GIROE� _ 3„ IQ 0 N' 1 • O LL --------------- --------------- AIRS '' (3)li-7/B ML GIRDER ' (3)11-7/8 ML GIRDER (3)11-7/8 ML GIRDER - '(FLOOR JOI i J-4 DECK 101ST; i ��El r'T. i .} -,- .�. a , , ._ ------------ --------------------r' - _r_ -------"--------- •--------• i ,_.V'____• .______l,. . � i . i . i i .. . --------------- CLEAN 11T n� 'WINDING.TBO. .. _____________ B ' ' ' .LANDiNGTBD Y F— )O W U W LU W S�--N PROJECT NORTH FOUNDATION PLAN o Z SCALE: 1/4" = 11 0 0 w D Fn cn Z O MAR - 9 2018 : MH MS SCALE: 1/4"=1'-0" JOB#: Southold Town Pe 15,2018 SHEET NUMBUMB ER: Board of Trustees A-5 REVISIONS ONAW i " I o r U la n ell \ BEDROOM t � 5X7 BEAM T-6 AFF o Ih 5X7 BEAM I T-6 AFF SCREENED i 2X4 RR 024-OC ______ 2X8 RIDGE ____ CATHEDRAL CH LIVING ROOM ENTRY CATHEDRAL CEILING 1 1 CATHEDRAL CEILING 5X7 BEAM 2X4 RR T-6 AFF 1 1 ' " " 11 • -•_______ ________ll X \ ----- ------ g 5X7 BEAM T-6 AFF BATHKIT T-6'CLG.HT � ry O 0 / O _____________ 00 mu Y W G� 0 SN PROJECT NORTH FLOOR PLAN of z SCALE: 1/4" = V o z W00 o ECEHE Q " Z O MAR - 9 2018 O MH/MS SCALE: 1/4'-l'-0" JOB a: Southold Town Febnmy 15,2018 Board of Trustees SHEET NUMBER: A-6 REVISIONS Ffi X T • 12 12 4� Lu—LLj I �4 N III EX.SCREENED EX,LIVING ROOM EX.ENTRY PORCH �yy EXISTING FLOOR FRAMING TO REMAIN ^Z REPLACE/SISTER AS REQUIRED VERIFY; U GIRDER LOACATIONS WITH FLOOR i ® ..N, ,-7 a e SYSTEM PRIOR TO CONSTRUCTION 3/4'SUBFLC 01 OVER .. 2%6 DFI2 16'OC –_—__EL 11.52 EXISTING DECKING Z m H TO REMAIN INSULATE FLOOR THROUGHOUT NEW FLOOR –-—-–EL 10.0(TO REPLACE INSTALL 1/2'AC EXTERIOR GRADE RECONNECT PLUMBING SLAB ON GRADE) SHEATHING UNDER FLOOR,FASTEN AS REQUIRED FOR tai WITH STAINLESS STEEL SCREWS WATER SUPPLY AND 'G - DRAINAGE TO y4 EXISTING SEPTIC El 5.7 EL 4.7 1 SECTION A-A SCALE: 1/4" = 1' a 0 U W r2 e� EX. LOFT as EX.KITCHENEX.BEDROOM 00 o ws- W EL 11.52- - U –_ --EL10.0 U Z 1 J i O LL U LL ECCE u� �EL 4.5 MAR7� V ' _(VARIES 11 O :MH/MS Southold Town SCALE: 1/4^=r-D^ Board r JOB 4: SECTION B-B Feb 15,2019 SHEET NUMBER: SCALE: 1/4" = 1' A-7 Michael J. Domino, Presid(,� o�QSOFFOtIr -, Town Hall Annex John M. Bredemeyer III, Vice-Presioent �� y� 54375 Route 25 Glenn Goldsmith o '` P.O. Box 1179 z A.Nicholas Krupski Southold,NY 11971 Greg Williams 'y • p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: / Completed in field by- Michael Kimack on behalf of CARTWRIGHT FAMILY TRUST requests a Wetland Permit to raise the existing 958.9sq.ft. dwelling with attached 190sq.ft. seaward side screened-in porch to have a first floor elevation of 11.52' above grade by installing 22 18"x18" concrete reinforced piers with microlam (ML) girders, deck joists, floor joists; new floor under landward entry area; insulate and install exterior grade sheathing under floor; reconnect all plumbing for water supply and drainage to existing septic; construct two (2) new staircases with 24sq.ft. landings and two (2) support concrete piers on each. ..'Located: 55 Second Street, New Suffolk. SCTM# 1000-117-10-20.9 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notic7. 111 ring Card Posted: Y / N Ch. 275 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application co plete ess/comments/standards: �! 9 "?116 - — CA& ce r Q,,::�;n I.have read & acknowledged the foregoing Trustees comments: Agent/Owner: ' Present were: redemeyer M. Domino G. Goldsmith N. Krupski G.-Williams Other Page 1 of 2 Michael J. Domino, Presid( o�QSgFF01 COG Town Hall Annex John M Bredemeyer III, Vice-Presiaent 54375 Route 25 Glenn Goldsmithti = P.O. Box 1179 A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SO i THOLD Date/Time. Completed in Work Session by: Michael Kimack on behalf of CARTWRIGHT FAMILYI TRUST requests a Wetland Permit to raise the existing 958.9sq.ft. dwelling with attached 190sq.ft. seaward side screened-in porch to have a first floor elevation of 11.52' above grade by installing 22 18"x18" concrete reinforced piers with microlam (ML) girders, deck joists, floor joists; new floor underllandward entry area;insulate and install exterior grade sheathing under floor; reconnect all plumbing for water supply and drainage to existing septic; construct two (2) new staircases with 24sq.ft. landings and two (2) support concrete piers on each. Located: 55 Second Street, New Suffolk. SCTM# 1000-117-10-20.9 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recolurses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide danj age: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT I MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible; or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed I Coordinated Review Y/N Pos/Neg Declaration CAC. LWRP: Additional information on comments/to be discussed/Public Hearing: I I Date: Complete' By: mY Present: J. Bredee er M. DI mino G. Goldsmith N. Krupski G. Williams E. Cantrell) D. Di Salvo Other Page 2 of 2 uOZ b WC) N LL11 LLJ I 60.31' 2 t4 87 l'O'E 8 Itf ZI of W V1YN 4 d S 87-2140"W d 60.31' —3 -L— V tqD E (111' rc--z l7 7 V L F E B 1 6 2018 Z 0 < U m Scutimid iaIvn LU Board of Tnizi..eS (1)Cartwright Family Trust Taken Feb.13,2018 Looking SW a` oil 7. t f (2)Cartwright Family Ttrust Taken feb.13,2019 Looking South I �4 7 (3)Cartwright Family Trust Taken feb.13,2018 Looking SSEt JOAO - - - - V-1 •y (4)Cartwright Family Trust Taken Feb.13,2018 Looking NNW .3 5 ) j AL (5)Cartwright Family TrLI%t Taken Feb.13,2010 Looking West --------- IID i ....— ISM [77, PFOPUM MAP f 2. 3 a ♦a S MATCH t1NE ^ ------ ' FOR PCI.NO. /- ' SEE SK NO. �O TUTHILLcRD.,tpd t.egd R!I U 3 to ' (Sa) 30.2 43 4.1- I t9A 1 w i 12- v m -2 r O N 9 12 N, FOR PCL NO. 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Ic,mt919 W..`� 23N.A „ " r L 21?�c t�e> T e e.,F 9� w — ` 112 1 � � ' T SAY pECONIC GREAT ���� uy ^+ ------ `�•- __-t=_ �� _=n__ NOTICE COUNTY OF SUFFOLK © K ar gpV7rypEp SECTION NO --- 11) 2 E Real Property Tax ServiceAgency r t) a 117 uu. M- �� u —_ o.n.eu u�u. • � CarNypr•r R1-r1r9,MY1tNt M 1t4 t - a •� �zt Na via �•• —__ c.e�.. --r-- tarr--rr-- P xo 1000 PROPERTY AMP Nt OFFICE LOCATION: �O�*Of SU(/ryOlO MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor Main Rd. &Youngs Ave.) G Q Southold, NY 11971 �p Telephone: 631 765-1938 O Fax: 631 765-3136 ou LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To. Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: March 15, 2018 Re. LWRP Coastal Consistency Review for CARTWRIGHT FAMILY TRUST SCTM# 1000-117-10-20.9 Michael Kimack on behalf of CARTWRIGHT FAMILY TRUST requests a Wetland Permit to raise the existing 958.9sq:ft. dwelling with attached 190sq.ft. seaward side screened-in porch to have a first floor elevation of 11.52' above grade by installing 22 18"x18" concrete reinforced piers with microlam (ML) girders, deck joists, floor joists; new floor under landward entry area; insulate and install exterior grade sheathing under floor; reconnect all plumbing for water supply and drainage to existing septic; construct two (2) new staircases with 24sq ft. landings and two (2) support concrete piers on each. Located: 55 Second Street, New Suffolk. SCTM# 1000-117-10-20.9 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Due to the lot size there is no ability to relocate the structure outside of the FEMA EI 8 flood zone. 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. Damon Hagan, Assistant Town Attorney c Og16FFD Peter Young,Chairman y Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 • '� Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., March 14, 2018 the following recommendation was made: Moved by Peter Young, seconded by James Abbott, it was RESOLVED to SUPPORT the application of CARTWRIGHT FAMILY TRUST to raise the existing dwelling to elevation 10' at bottom of proposed girders to be a minimum of 2' above VE 8 el. In conformance with FEMA requirements. Located: 55 Second Street, New Suffolk. SCTM#117-10-20.9 Inspected by: James Abbott, Peter Young The CAC Supports the application with the Condition all disturbed areas are re-vegetated. Vote of Council: Ayes: All Motion Carried Jaincs r Icing. Tr'ustcc 4 ' Sour hold Ncw Yock tt97t 0959 �c Dare Bergen. Trusice �O� tlephonc (63U 765-1892 Charles J. Sanders. rruscce ��� ��' Fae (63.1) 765.6641 Ulm BOA-RID OF TOWN TRUSTEES D TOWN 0FSOUTHOCD To: Soui_hold.Towh Building Department FEB 2 3 2018 Re_ Verification of Building Department Permit Requirements gUILDINGDEPT- TOWN OF SOUTHOLD SCTM#: [7��0 0,,R Property Owner Mame_ 2.23-�5 Date Sent to Bldg- Dept--- The ept__The Office of the Board of Trustees is forwarding the above referenced applicafioa for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Wil[ the proposed project require a variance determination from the Zoning Board of Appeals? - Will any part of this application be considered as Demolition as -described under Town Code? COMMENTS: - - ------- --- -- - - ---- - ---- ---------- Date Si azure of Reviewer p Michael J.Domino,President 0��9 O1 Town Ball Annex '�• ,; John M. Bredemeyer III,Vice-President 4 54375 Route 25 P.O.Box 1179��.•.' •;��;;, Charles J.Sanders r Southold,New York 11971 Glenn Goldsmith ® `" ya Telephone(631) 765-1892 A. Nicholas Krupski ��`► Fax(631) 765-6641 oUti BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Pcompleted eceived Application: 2.16•Ig E �r 7 eceived Fee: $ ZSD.,..... .1-•�1 —(1 i II �`( �f Application: . Incomplete:. FEB 1 6 2018 SEORA Classification: Type I_ Type II_ Unlisted Lead Agency Determination: Coordination:(date sent):. I/ LWRP Consistency Assessmen Form Sent: �'Z`1S I Board ofTni<.iee5 CAC Referral Sent: 2•2-9+1 V Date of Inspection: 3. 13.1 _ Receipt of CAC Report: Technical Review: . Public Hearing Held: rc'� Resolution: S Legal Naine of Property Owner(s): "G&/7 .r' MAI&X Z=221"" Mailing Address: 21 �!S Cyd/� jZ/?�NU�yTlit/GTdit/, �1/Y!/743"44QZ Phone Number: a-1d— q376 3 Suffolk County Tax Map Number: 1000- l,17 Property Location: �,J� J.L cno y '" 'Fr6/�lU ,S'U��oe-�r/ly (If necessary,provide LILCO.Pole#, distance to cross streets, and location) AGENT(If applicable): Mailing Address: P D 9105e 1097, 1'101)�010. A1,Z !Z!?Zl Phone Number: 376 6V- 6907 4o r) 3P-6 Hoard of Trustees Application GENERAL DATA Land Area(in square feet): SIZ6/ Area Zoning: JP 4O Previous use of property: Otis /'C4iy/L y Intended use of property: JQ,�S`/b,�/ 77XI, G41,6 ,0C:XN/L_y Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. ` Will this project require a Building Permit as per Town Code? Yes 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 No Does the structure(s) on property have a valid Certificate of Occupancy?_ Yes No Prior permits/approvals for site improvements: Agency Date T.t'U1E� ir�Vo. q7Q/ �'vN� 2. l.9 9 7 No prior permits/approvals for site improvements. v Has any pen-nit/approval ever been revoked or suspended by a governmental agency? /e No Yes If yes,provide explanation: Project Description(use attachments if necessary): X/57-4t/6 DGU,-'LUNQ AFAL' �l.519 Ar o/v,PZ /B'�X/F"'C'ONC' R1&IN�o�cid P/,�,7s GvirN /-t/c,�o WWAI,�&Z- 12,9r k =ZS .. �G CM TWISTS. �I/�1,04 WD.2 L&OW& E*r1k`Y. 1A/-PVLA7Z rL ooR IW1906016Ur &/ �/z 1114 c i�-r i.. � i •. n h � c+i I✓ .• .'t i�i/ �lI/1�C n r/.t n p C�iU C PLUMPING 6IJA7 .,e JrvPRGY 14ND PWA//VAG4- 70 SEPI"/C AS q49(w 't5p &'X/ r/.v - ,ems,/) 7�� V25 < /NA AS_ 8,---r AN/,r f/D 2 1 1'1 �C'C �� 1 s�1 ANG Two �>1'1)poFvzr coAv C, Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ;no A?d#1Sg�5 >C/17�/ii/(� �GU�11�i1/(1 L4& Al Area of wetlands on lot: 6. square feet Percent coverage of lot: . O % Closest distance between nearest existing structure and upland edge of wetlands: 7 feet(gyl,WL /GH GVVZTQ Closest distance between nearest proposed structure and upland edge of wetlands: feet,4r,4g0114 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? NOA46 cubic yards Depth of which material will be removed or deposited:A[Z4—_feet Proposed slope throughout the area of operations: , �T' 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): 6VL— k1A V110: Q/0 /MP.�CT'eW 77pAL. 6/7.20 Appendix B Short Environmental Assessment Form Instructions for ComMetintt Part I -Project Information. '11'he applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete.Part I based on information currently available. If additional research or investigation would be needed to frilly respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part.1 -Project and Sponsor Information Name of Action or Project: UST: RVSZ EXYMIN6 Project Location(describe,and attach a location map): 5-5 S15GOW MA&Z . j Al- Brief Brief Description of Proposed Action:RW/.,'E u,7`OW coAvc, �P�uCo,e ,o O/�,QS cu/f?<CR0 4,4H 0�11e) G/,VP1&k ' D 'ro/s�S,�I Loa Ta137-Y Neaj Moak. UNP.6,P&Cx• Z5NrRY, AJrV1_A� �LOd,� IRO vG��d,� �4 e 7= fit',�}��a ill/ UND,tce FL 0 aR. � 45Co NNS O I S tv�J'� J'uo��Y SND ;V 0X�S�iVG s� AfIfecry orpRa� s A 4.S'F1"�V�t�?it:s i�T). rE/,6 V UNE/S 8F�'EL • W�L NDlNGS �Z4 Sf� (7 4>405 T 1WP t:uu o P UPAPRr COAI e plAPSel4cp Name of Applicant or Sponsor- Telephone-57 6�r —6 007 M/ClIlArL A liell-0 cle. E-M! • K/ Ck VAR/ZON.N Address:. 1047 City/PO: State: Zip Code. 5'0&7W64D -Y 1-119- 71 I Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO I YES administrative rule,or regulation'? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that M 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? Q acres b.Total acreage to be physically disturbed? B acres c.'Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? QLL97 _acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban [:]Rural(non-agriculture) []Industrial ❑Commercial %Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 ol'4 5. Is the proposed action, -i NO YES NIA a. A permitted use under the zoning regulations? El T-1- b. b.Consistent with the adopted comprehensive plan? ❑ 6- Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ IQI 7. Is the site of the proposed action located in,or does it adjoin,.a state listed Critical Environmental Area? NO YES If Yes,identify• ® ❑ 8. a.Will the proposed action result in a substantial,increase in traffic above present levels? NO. YES b.Are public transportation services)available at or near the site of the proposed action? El- c. c.Are any pedestrian accommodations or bicycle routes available oil or near site of the.proposed action? 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- 10 Will the proposed action connect to an.existing public/private water supply'? NO YES If' No,describe method for providing potable water: ❑ vic-A 11. Will the proposed action connect to existing wastewater utilities? - NO IYES If No,describe method-for providing wastewater ireaGmcnt: wJ�`�/t�7 �jiC'_�f� � 12. a. Does the site contain a structure that is listed on either the State or National Register of I-listoric NO YES Places? r`\/'I (� b. Is the.proposed action located in an archeological sensitive area? UN LJ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a.federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland oi•waterbody? (Qj ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: — _ -- -- ............... 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland El Urban LAW fVfSuburban 15 Does tite 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 17 Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? ❑NO YES ❑� b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains):? If Yes,briefly describe, F-1 NO ❑YUS Page.2 of 4 18 Does the proposed action include construction or other activities that result in the impoundment of _M NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? I f Yes,explain purpose and size. ® .� 19 Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ® ❑ 20. Has the site of the proposed-action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVF. IS TRUE,AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name:f� C J L�L/2.}Ck Date: ;?116 '16) Signature; ----- Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer, When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or iModerate small to Inrge impact impact may may occur occur I. 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 a establishment of a Critical Environmental Area(CEA)? 5 Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? _ 7 Will the proposed action impact existing: a.public/private water supplies? E2r/ u b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9 Will the proposed action result in an adverse change to natural resources(e.g., wetlands, waterbodies,groundwater,air quality,flora and fauna)? El Page 3 of 4 - No,or Moderate small to large impact impact may may occur occur 10 Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Ez ❑ Parti-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 Pari 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. ElCheck 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. ElCheck 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 im t cts. Town of Southold-Board of Trustees Z C4uNan of Lead Ag Ute 1a pt �v President Priit o�e()F p tsibl Ricer in Lead Agency Title of Responsible Officer le Officer in Lead Agency Signature of Preparer(if different fi•om Responsible Officer) PRINT Page 4 of 4 Board of Trustees Application AFFIDAVIT G'LAUpa &&/,J/ T�US7,6, 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 BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property OwAir Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF Z",,MAA , 20/8 Notary Public NotaMIry Nu006,S tate New York NPOM5056823 Ouapfi Term 0d in'Nissau Count Ezpi►e' Marctl 11 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) C�,�r �lGNr `W/IZY T,�UST- I/We, CZAVVIA ! l&&LSV owners of the property identified as SCTM# 1000- 117— ZO.—2a.. 9 in the town of .51007h OL2? New York, hereby authorizes /7ZCZeA61— elIlly C/Z to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town 'Board'of Trustees for this property. Property Owner's Signatu Property Owner's Signature SWORN.TO BEFORE ME THIS 7% DAY OF �,�,��U��Y , 20 /9- Notary 0I9..Notary Public Notary Pi Public,State tMAK of New York Qua23 lified in NassaulCountyy 9rtn Fxmres MR—h 11 4,06 ZUl ff APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM - i The Town of Southold s Code of Fthics rohibits conflicts of interest on the ort 6f town fficers and emntovees.'I Frc.nurnose of tots foiin is tpprovide-information which can atown of possible conflicts of interest and allow.rtto take whatever action is necessary to avoid same: t YOUR NAME: _ (L6enam6,first name,diddle initial,unless you are applying to the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check-ali that apply) Tax grievance Building Variance Trustee . Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map. Planning Other (If"Other",name the activity.) Do you,personally(or through your company„:spew,-,sitilih'gparent;:or child)havea relationship:withtiny officer or,employee of the Town,of Southold? ”12elatianship".indludes.byblood,ntarrin or bus iuess.lnterest."Busiiiess interest":`ineuns.a.Uusiness, including apartnei hih,.in,which•the town offcer,or employee has,cvcn a partial ownership of(oremployment.by).a corporsition in which the town ofticer.:or employee owns more than 5%.of t.hc 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 ),escribcahc;relationship.between yourself(the applicant/a gent/representative)and the town officer or employee.Either check the appropriate line A)through D)and78r describe in the.spacc 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°Z4.of.,the shares:of the'corporate stock.of the applicant (when the applicant is a corporation); B)the legal or beneficial.owner of any in); in a:non corjiorate entity'(whcnthe 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 F•PLra- 20 Signature. 11-A. �--� Print Name I u i t Form TS 1 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Tile'fown of Southold't Code of Ethicsprohibits conflicts of interesi on thet�ditown officers and emniovee ,The aurnoscJ' this&.1j)1 -19 provide reformation which can alcrt.the town_ f nossi01 take whatever action is necessnry to avoid same. YOUR NAME: �lI%Chf ",/ G'� •LCL (Last name,first name,griddle initial,unless you are applying to the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee 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)havea relationship with tiny officer or crnployce of thc'('own.of Southold? "Rclntionship"includes by blood,.ntan'iagc,or buwincss hitorest."13usiness interest"means u.business, including a.partnership,In which Elie town.of-ficer or employee has even a partial ownership of(oremployment by)a corporation in which the toWn officer or employee owns more than 5%or-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 Rescribedho relationship-between yourself(the applicant/ager i/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)tho owner of greater than 5%of tile shares.of the.corpomtc;stock of-the applicant (when the applicdnt is a corporation); B)the legal or benofTcial owner of any.interest in 6.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 6 da yo 20/ Signature CL Print Name Form TS 1 I SECTIONSENbER::COMPLETE THIS COMPLETE THIS SECTIONON DELIVERY ` ■ Complete,items 1,2,and 3: Rece ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. ■ Attach this card to the back of the mailpiece, y(Printef(Name Cat�hof �Iv_�ry or on the front if space permits. `'1 � kf 1. Article Addressed to: D. is deivery address di from item 17 ❑Yes-.. -i If YES,enter delivery address below: �'p No. „ sr- NYNY /ool� II III I II I IIII I II I I I I II I II I II II II III 3.II Suit ig Type ❑Priority Mail Express®IIIIII II ❑Adult Signature ❑Registered MailTM AduR Signature Restricted Delivery ❑Registered Mail Restricted Certifled Mail® iE"'O1Y Receiptfor- 9590 9402 3554 7305 7881 71 ❑CeNfled Mail Restricted Delivery Merchandise ❑Collect on Delivery ❑Signature CorrflmratlonTM 2. Article_Number_f tansfer_fCum.se vice-Ta—ben— ❑Collect on Delivery Restricted Delivery ❑Signature Conflrmatlon ❑Insured Mail Restricted Delivery" 0640 0001 5427 8846 ❑Insured Mall Restricted Delivery over$500 PS Form 381 iVi6iy 2015 PSN 7530-02-000-9053 i bomestii Re am Receipt 1 SENDER: • SECTION COMPLEI E THIS SECTION ON DE-LIVERY ■ Complete items 1,2,and 3. A Signature ❑Agent X ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B Rec ed by(Printe Name) C. Date D livery ■ Attach this card to the back of the mailpiece, or on the front if space permits. r 1. Article Addressed to: D. 19 delivery address d t fro item 1 es ��O If YES,enter delivery ad rens low. \ o �iyl •/�/� �. Pkv 7XU ' i A z ?0 8 I I� -TM'7`' vo 1 ©z� �. N3. Service Type ❑Priority Mall Express® II IIIIII IIII III I II I IIII I II I I I I II I II I II III I III iMult Adult Signature ❑Registered MallSighature Restricted Delivery ❑Reeggistered Mail.R ResMcted Certified Mail® elivery' 9590 9402 3554 7305 7881 40 CerOfled Mail Restricted Delivery alum Receipt for ❑Collect on Delivery erchandise ❑Collect on Delivery Restricted Delivery ❑Signature Confirn aOonTM 2. Ardcle-Number_(Transfer-from_service_labet) ❑Insured Mail ❑Signature Conflnnation f 0 6 4 0, .0 0 0.1 5427 8 8 7 7 1 ❑Insured Mail Restricted Delivery Restripted Delivery (overM S SPS Form 3811,July 261 PSN 7530-02-000-9053 Domestic Return Receipt 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: �c�olps o� v�ss�� qs GU /a 11, Sr PM4, N-Y NY /0 0 117-104? �/ ,� 1195�� Za,z �o,y�s �V iVVYA""El o. ,pae 697 )VZ-&"Jo1" Y 117 -10 oc1��vY 1/9� z3.5��,�u . �- o -z 6.4 AUpR� GU�TZhL Po' g" I7-Ib- z o. 7 r��/z �, e'�� ? v. Q0e 2°Z� OW IN 7-4-3MWILY ;e7 ,81SC�y o� N Y !? STATE OF NEW YORK COUNTY OF-SUFFOLK IVOYi5Z A ,��W , residing at 0, eoX 1,04-7 _ being duly sworn, deposes and says that on the day of H,*,e CAS , 20/81 deponent mailed a.true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said 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 f�I(/�l61D[,O , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to efore me this Day of ( l_ 2 _ Kim E,Fuentes Notary Public,State of New York C—)/ Qualified In Suffolk County fi i LIC,#01 FU4611709 Commlealon Ex lme rll 3;"-2- Notary Pu is Michael J.Domino,President O�0000f 0th- COG Town Hall Annex John M. Bredemeyer III, Vice-President h� y� 54375 Route 25 Glenn Goldsmith ti = P O. Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 'y ® p! Telephone(631)765-1892 ��� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of CARTWRIGHT FAMILY TRUST COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING (T6-BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR-AT LEAST_SEVEN , , DAYS PRIOR TO THE PUBLIC HEARING DATE I, 0L 14_ residing at/dba &D, yak 10,0f7 P6277VVO Ay ,�197i being duly sworn, depose and say: That on the Z6 day of H,#RC.Al , 2018, I personally posted the property known as 'Sa fIILA_�C Oiyly 1D >; 64EGU aUr�i�10 -e by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Thursday, April 5, 2018. 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'._',e-_ .f}..Ys:: t'E,i �,F?' M°it> rxr..L•:'1.4;,c.y.r Name: ±)?'r l'�.. i^L:��j.(r�.�,i��:i i. 1.•� "•f.:i<��'- ::tin'. `'4,,3.r'Y ' •f �r- �I 54-1 A.'�y`; '.L'•• ,4, lT,ti .i::r' 4w{-,.:: r•` 4 2.� �} 1., L_ !'V. .4r1J'J�to„” 's',. T'j':-s• . ;it`...i) .�;/Y'a;,• •a•ie�e'.) .i%rs t:';' d :y•-�-...-nbii�_ ".7,``: - -- ..g-;. :,�,-rte., it;:y-._ .-r,'. -x>,:�r.,�;�,r�..-��"v.a•'.�ii� ;-'rte-�i•r �:'t"i .I; ..r1`: ���1.•viti'.- fir• t.,•.`J;.'.•F+- •JS. ?-f "�a?yl- ,:i^•�'l?•,:N_�:1�>.(�j:4-r.�'i�t:.ii Vii:;w�'.S.:xr .4,`„, S...f'.: . _�°ik:�c''`• A,-,y.[; �l�_ C^L�`..Ya4•. y R ��yy"j�i�.�_�^!.i..t�`•1:I.''�.` 'f r .. .+. .':1.;. -'y. '�v�t•.. y'„.f.n...;t >:' • �3'•"• ,..��� »z":i' ''jr'.c�b:4^..=`"''v..:9'�Yz'�;��M•,6'.;.iy-�t; >.c.:�.;• � �•..�'-i•`x:F'Y:�•'• .':'-'#„rad(;,,�3.,r�.. . .`.[�!,•.ti ... •;��'� �x. �,.j.� ,, 4'•,+•'•rii} rr%fi.tr�,�”- '".'1" '..<''-�q+- .;?x',:-`f'V:'�'=4:•d.��:..., ...� �j-;: �`':.;!� ,'i; •.�x .r':.;�,�`� �r,� ..�;,r,�,-t a�,as -t« r,:'�.�--.+: s STATE OF NEW YORK COUNTY OF'SUFFOLK .f , residing at } , being duly sworn, deposes and says that on the i day of , 20 , deponent mailed a-true copy of the Notice 4' set forth in the Board of Trustees Application, directed to each of the above named t persons at the addresses set opposite there 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 i Office at , that said Notices were mailed to each of said persons by CERTIFIED MAEURETURN RECEIPT. ( E Sworn to before me this Day of , 20 r I o i w Notary Public f NUTILt: Ul�; H 'L' ARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: CARTWRIGHT FAMILY TRUST SUBJECT OF PUBLIC HEARING : For a Wetland Permit to raise the existing 958.9sq.ft. dwelling with attached 190sq.ft. seaward side screened-in porch to have a first floor elevation of 11.52' above grade by installing 22 18"x18" concrete reinforced piers with microlam (ML) girders, deck joists, floor joists; new floor under landward entry area; insulate and install exterior grade sheathing under floor; reconnect all plumbing for water supply and drainage to existing septic; construct two (2) new staircases with 24sq.ft. landings and two (2) support concrete piers on each. Located: 55 Second Street, New Suffolk. SCTM# 1000-117-10- 20.9 TIME & DATE OF PUBLIC HEARING : Thursday, April 5, 2018 — at or about 5:OOP. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 .� � a • PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS eAeY,0z0,P"z1 R6'V• P r- 2 G Z Ecu Tuf�ax, i✓y Name: Address: !!7-!o i 9 �tlicyot gs o� cec�s r- QS' w /0 fti � PHA M.y. 'V. ! l90!> 117- 10-47,0.4 gU�/?Ey GtJET�'EG ��— C'a•VD 5r NEcu.!'u�LQ� • C A,prW Rjopr 4ptiay ;%J/57- 2 7 B<r�'Y,rr� 'Oe. R_ 444 z % �- Al 2 2 Ta uiN cE /b vTN bUD �O. f�o�C // Al- 1!9 7> /'QUPtrotl� Z 1X/oyA P Je YJgI� p. 6)e6 OL,L; N Y l/P-5-4e � 1,U STATE OF NEW YORK COUNTY OF SUFFOLK �1l cdyq,L .4 leIA94 ClG , residing at P 0. B DX / ,a 4 7 r'0077icll,V NY /,) ,?7/ , being duly sworn, deposes and says that on the day of If"ell , 20/jY, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said 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 1'5iW7-1W_0 ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Swom to before me this q Day of MA•4 - , 20 Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. 01 D1475593 Auollfled in Suffolk County My Commission Expires April 30, 20�� FO(,� Michael J. Domino, President S�F O�Q CCG Town Hall Annex John M. Bredemeyer III,Vice-President' �� y 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A.Nicholas Krupski A Southold,NY 11971 Greg Williams �Ol?, p! Telephone(631)765-1892�a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of CARTWRIGHT FAMILY TRUST COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TLO_B__E COMPLETED_ AFTER POSTING REMAINS IN PLA CE.FOR.AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARINGDATE.- ,' 1, M/CPAZL .4 1e/MA1C/L , residing at/dba ,D D. X Q)e 104 7 J'DUTya[,n, Al)" //97/ being duly sworn, depose and say: That on the F/Oday of eAR01- , 2018, I personally posted the property known as S5 JI 500 vo X , AIZ:4111Y16F'6Z e by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, March 21, 2018. Dated: -XA�W _��� (signature) Sworn to before me this G� day ofd 20(g, 440 #or Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No O1 D1475593 9uolified In Suffolk County My Commission Expires April 30, 2018 ►: '� SK. u NOTICE USTMUTION OF My.PORTEN OF THE 'ri 1 1 1 Y; 4k , rer Fs a3A r�4f? yitfEz , ,°ns,�Ta a_i.t:'y .w.:t'`iY.:-.��`',fVfi�er•"aa'S..�-rr�,.`^'.�'ce y. r.,�_:'Y v.f-„`�`'1i_ � i}..�Lr�T,rx'.iYi ..i 'a'z - '. }. �?�'-.1v.`��a :.vi•-�.rr.�.'... -`°� •ry t.,t�,s: .k„+a' " -r` � :t- ;ix.'s� ��',u�,R,..; ..�x^3 'T .�,�ie�"' v'•5 �3.- §''S*'' '�, �•1 r r CEO, j7 3 ;� Gtr, © —." �''�} a - .fns. 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J •�,'€y a�'C �' y� .� -r'rUtyn, Y � :.r_2�n..+, 4- ��� �. � "5i �` •� ,.. 5- n .Fc .., •'tE���� i•.1 .z`yr,� .'Y .'1 �,y�j; ;$M'�i ,tee r� Kz-+�-';:w, 1.r'.ef ��• a,.,.a--�':.ai,3w. �` z+_,a#+. 3 zr,z.• 4�.._ �r.. +xs4'�.:• Maim Diane Diane 1.07 20.2 From: DiSalvo, ST(o ��r_99o� Sent: Friday, March 16, 2018 11:06 AM A)v6 mA,eTV To: jpmartin447@aol.com' Subject: Cartwright Family Trust - 55 Second Street, New Suffolk Attachments: Site Plan.pdf, project description.pdf Jane: Attached please find the information relative to Cartwright Family Trust project. The Board hearing is scheduled for Wednesday, March 21, 2018 at 5:30 p.m. DiClKt Dt SOILV0 Southold Town Trustees Town Hall Annex/First Floor 54375 Route 25 P.O. Box 1179 Southold,NY 11971-0959 (631) 765-1892 Fax: (631) 765-6641 i COMPLETE SECTIONDELIVERY SENDEW dOMPLETE THIS SECTION A. Signature i ■ Complete items 1,2,and 3. p Agent ■ Print your name and address on the reverse X OMl Addressee so that we can return the card to you. 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COUNTY OF SUFFOLk residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a"true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said 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 that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. E I Sworn to before me this Day of , 20 Notary Public NUTILt Uim HtAKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: CARTWRIGHT FAMILY TRUST SUBJECT OF PUBLIC HEARING : For a Wetland Permit to raise the existing 958.9sq.ft. dwelling with attached 190sq.ft. seaward side screened-in porch to have a first floor elevation of 11 .52' above grade by installing 22 18"x18" concrete reinforced piers with microlam (ML) girders, deck joists, floor joists; new floor under landward entry area; insulate and install exterior grade sheathing under floor; reconnect all plumbing for water supply and drainage to existing septic; construct two (2) new staircases with 24sq.ft. landings and two (2) support concrete piers on each. Located: 55 Second Street, New Suffolk. SCTM# 1000-117- 10-20.9 TIME & DATE OF PUBLIC HEARING : Wednesday, March 21, 2018 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 I' Town of Southold .LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be. -evaluated-as to its .significant !erieficiab and adverse effects upon the,coastal.area(which includes:al.l of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must beApki lained.in detail, listing both suunortine 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# 11Z PROJECT NAMELY 7Q-5`r- 4/S.E A X1 X The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation, land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval, license,certification: RA Oxy= PWOV/NG 7-0 Ar.,�c. �/,szfr N s�8'k/8�C CAVC. Nature and extent of c 'on:�p��Q C P��RS w' ���Ml� /CL 6 0R ,TD/S7S� GU F-� U /A/eANYW.. //1/�Lf1?� "L Ob' �1J�R AGO OUj1 wl r! GvA �-MA&r Y AAIP ae�a�/✓AG� T'a /s /�vG Dl`s FAQ MH ca,e Qpasw 4.S' /S /o 50 Noa) J7i41RcAsuS Location of action:_ � •�-SCDrVD 1'>' . /V GU 1'Uf� JL Site acreage:_ Present land use: Present zoning classification: P-40 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: C,�,��!>�Cv�r /�iy/Ly (b) Mailing address: 27 /.2( A' Y ,MAI Z. ZZ 743- 44Q?- (c) Telephone number: Area Code( ) ..631 776 936 3 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes F] No If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern.of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. R1Yes F] No [] Not Applicable C'LOo/'7 2`oiLi� GU/LL ,f14j6e,�- ,jQ -f3o WIOV/71) H,�5wd5FI c%9L. IAIPACraV P-4 ZZ�- 3 D)Eo DOM, :- D NZ— OR AE, C'TS' 0)01:r ,Or�U�LOPf SVT 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 El Yes 0 No Y Not Applicable AZO /1=,P/C AND d2 �9RVJi"QZ0G/Q4 ,P 00 'CAI PROF,6M 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 ❑ Not Applicable 7#Z 4x/rn vr Ax., oz. is ,W�Pi?ox, .S-5'FT,' rPeLt d /, //1r0,4C7y/1J 114TI L (204161rY QX JQ5NIC X2 5oUM ME2 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 L G O Ve5 7%1,15 V.�5L o 9ULL / 41,654 AAWC O 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 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. ❑ ❑ X Yes No Not Applicable DAAAP-61 Zy 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 A10 div cQ5fjj:5,1N A L11 ,,�5 a,& 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. El Yes ❑ No ISO Not Applicable ALS hVQWAr - !N ,4h&&Z- J-041P 46A57225 �"/34T,�,0 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. nn YeO No I Not Applicable N4 RIAIJc ,gcc-5ss 11161) 04)Ze H,4Be 00255' NQS' REA: CA) 090?Z92y 4LAI E Attach additional sheets if necessary 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 ❑ No.9 Not Applicable NO /,y/A,4 9E 0V u�,���/2-DLII iYDE�VT_Us S 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. ❑ YesEl No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No X1 Not Applicable NO 4G,C1Q1ZAZZ 4f0/-15- QAZ 10MQ6CZX 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 PREPARED BY /`' CyA�L 4. /l/11,¢C,l TITLE DATE 2 6