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TR-9200
Michael J.Domino, President �o��of SUyo 1 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn GoldsmithCA Southold,New York 11971 A. Nicholas Krupski �pQ Telephone(631) 765-1892 Greg WilliamsFax(631) 765-6641 �yCOM,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1502C Date: August 21, 2018 THIS CERTIFIES that the adding of additional rows of 500-1,000 pound toe stone armor and core stone base in order to fortify existing stone armoring• bury stone in approximately 40 cubic yards of clean sand to create a vegetated dune; and re-vegetate disturbed areas with Cape American beach grass; At 2325 North Sea Drive, Southold Suffolk County Tax Map#1000-54-4-24 Conforms to the application for a Trustees Permit heretofore filed in this office Dated March 12,2018 pursuant to which Trustees Wetland Permit#9200 and Coastal Erosion Permit#9200C Dated April 18,2018,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 adding of additional rows of 500-1,000 pound toe stone armor and core stone base in order to fortify existing stone armoring,• burn stone in approximately 40 cubic yards of clean sand to create a vegetated dune and re-vegetate disturbed areas with Cane American beachrg ass. The certificate is issued to John F.Betsch owner of the aforesaid property. Authorized Signature Michael J. Domino,President 0,oE SOUjy� Town Hall Annex John M. Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski • Q Telephone (631) 765-1892 Greg Williams O �OUNT`I, Fax(631) 765-6641 �ya� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: dgVtv_1 `-371% Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/2 constructed Project complete, compliance inspection. v INSPECTED BY: e COMMENTS' 71' 9 CERTIFICATE OF COMPLIANCE: Michael J. Domino, President -ro Town Hall Annex John M. Bredemeyer, III, Vice-Presidents 54375 Route 25 Glenn Goldsmith H ,� P.O. Box 1179 A Nicholas Krupski • Southold, NY 11971 Greg Williams y'�'41 ,� �a°! Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction % constructed Project complete, compliance inspection; 4 - _ aft�'- BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 9200 & 9200C DATE: APRIL 18, 2018 ISSUED TO: JOHN F. BETSCH (` PROPERTY ADDRESS: 2325 NORTH SEA DRIVE, SOUTHOLD J' F SCTM# 1000-54-4-24 ' AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 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 I 18,2018 and in consideration of application fee in the sum of$500.00 paid by John F. Betsch and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to add additional rows of 500-1,000 pound toe stone armor and core stone base in order to fortify existing stone armoring; bury stone in approximately 40 cubic yards of clean ` sand to create a vegetated dune; and re-vegetate disturbed areas with Cape American beach grass; and as depicted on the site plan prepared by Crowley Marine Contracting, dated March 1, 2018, and stamped approved on April 18, 2018. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, ' y 1�. and these presents to be subscribed by a majority of the said Board as of this date. Gyp 1 � �► x t !r 1 TERMS AND CONDITIONS The Permittee John F. Betsch, residing at 2325 North Sea Drive, Southold ,New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J.Domino, President ��0f SUTown Hall Hall Annex John M. Bredemeyer III,Vice-President O lQ 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski • Telephone (631) 765-1892 Greg WilliamsyCOU O Fax(631) 765-6641 � N'f`I,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT #9200C Applicant/Agent: John F. Betsch Permittee: John F. Betsch SCTM#: 1000-54-4-24 Project Location: 2325 North Sea Drive, Southold Date of Resolution/Issuance: April 18, 2018 Date of Expiration: April 18, 2020 Reviewed by: Board of Trustees DESCRIPTION OF ACTIVITY: Add additional rows of 500-1,000 pound toe stone armor and core stone base in order to fortify existing stone armoring; bury stone in approximately 40 cubic yards of clean sand to create a vegetated dune; and re-vegetate disturbed areas with Cape American beach grass; and as depicted on the site plan prepared by Crowley Marine Contracting, dated March 1, 2018, and stamped approved on April 18, 2018. INSPECTIONS: Final Inspection SPECIAL CONDITIONS: None. In accordance with Chapter 111-15 Erosion Protection Structures: xx A maintenance agreement is attached hereto and is a necessary special condition of this permit. BY: Michael J. Domin President Board of Trustees Michael J.Domino,President so yO Town Hall Annex John M. Bredemeyer III,Vice-President h0 lQ 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G O Telephone(631) 765-1892 Greg WilliamsO ' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April-1-8-, 201-8 John F. Betsch 2325 North Sea Drive Southold, NY 11971 RE: 2325 NORTH SEA DRIVE, SOUTHOLD SCTM# 1000-54-4-24 Dear Mr. Betsch: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 18, 2018 regarding the above matter: WHEREAS JOHN F. BETSCH 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, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, application dated March 12, 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 18, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 and Chapter 111 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 JOHN F. BETSCH to add additional rows of 500-1,000 pound toe stone armor and core stone base in order to fortify existing stone armoring; bury stone in approximately 40 cubic yards of clean sand to create a vegetated dune; and re-vegetate disturbed areas with Cape American beach grass; and as depicted on the site plan prepared by Crowley Marine Contracting, dated March 1, 2018, and stamped approved on April 18, 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, 1 � Michael J. Domino President, Board of Trustees MJD/dd Michael J. Domino,President ��0� S�Uryf7 Town Hall Annex John M. Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A. Nicholas Yrupski • Q Telephone (631) 765-1892 Greg Williams O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE I (We) JOHN F. BETSCH The owners of record of property at: 2325 NORTH SEA DRIVE, SOUTHOLD SCTM#: 1000-54-4-24 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. add additional rows of 500-1,000 pound toe stone armor and core stone base in order to fortify existing stone armoring; bury stone in approximately 40 cubic yards of clean sand to create a vegetated dune, as shown on the attached licensed survey and/or site plan for the approved structure. 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. Not ar' d signature owner of record Sworn to before me this day of April, 2018. DIANE DISALVO Awl* NOTARY PUBLIC-STATE OF NEW YORK No OID1475593 Notary Public 01.1511fled In Suffolk County My Commlaalon expiro0 April 30, 20-1 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. MAR 1 2 2018 drd SAO- VIC Aw- COD Ivo APPRO� ED BY" BOARD OF I-RUSTEES, TOWN.,OF SOUTHOLD DATE `` - _ - --- ___' � ^ � --'t--'/S'-F,�}cK ,D 2 81p2{ frL�}w1E r•�OJSF pct • Std,} -- i snug tv 9WCOU60d 1part>t "1�'4k" �'�� I -fa,�nl of b�vrr(a��$ ZY►s Aua 7cs►5 a - -� t�oPosen CSE s cM� �rL €�Fs,�re CNJ -7 7 -TW A444- slmg i M: 'i'eopsd ,4berr�u�t Bozo Cep Grnu�s �` Cmc c OE6 PA" CAfe AAO*O 0- NOmt R" yr csvis-2. \V' V 1 III ANw 141iM �.t�/}4►7 �C pfz�,s i D f�'A> 7oE Stu+��E/ ASA L LE cS'� `l3A5� Awt 4bcrf-/ Jal$TIol �mrtrED A"Ok. 4u A*1rin Is hiwit' "IuW "610ST Ia^ eajjWL 4S SAVW4) 9N QLW UIPN• AN'Mor I+J 4-44d swg -- ozicrA'riD �rVE. �-4 ZIE `7D�kVOIAIl &M5 k5 La�1 xl SOdN SoF4:ra-k,$ I?J 2vj�;tjbg:EA*-M. ¢ : . N -tzw ` G2,wLra tnd� C .0 SURVEY OF PROPERTY N SITUATE: SOUTHOLD w E TOWN: SOUTHOLD SUFFOLK COUNTY, NY i ; S SURVEYED 10-10-02 MAR 2 2��8 1 �/ prop action 05-Oq-03 I I AMENDED 0�-17-03 WINTER TOPO 02-02-04 _ _—� D.E.0 HIGH WATER 02-I-7-04 1 ''' "T''I Test Hole TRU5TEE5 REV1510N5 03-01-05 5GT# 1000-54-4-24 10 00 EL=8.25.25' SUFFOLK COUNTY HEALTH DEPT. 0.01 REF. # RIO - 03 - OlOq CER11FIED TO: JOHN BBITSM Glean Sand �a \+ � �+ 0 , fv N //owo�y /^/ d// 6.0' 6e EL 2.25' OC� / p +\SDo ' OA Hater Water F" in 4' / j/ \ \ \ Eh�� Glean +L�' \ a Sand , \�+ \ ar +\ / / I TIP 0, lo I __0 syr o1p0 `� ' I \� \•\ optic ��� h. °/ f \�, 0 dQ',^�% eAhs ti •� \• , / P'' / 'vQ Q^jSSEe o� ,�/ S.T. .• ��'�/ �� ..... PROPOSED SEPTIG SYSTEM DETAIL NOT TO 56ALE CAST IRON FRAMES AND COVERS TO GRADE FiNsen "Ape a•la IE-5.1' 24• rw\.c nwsor.Fr corners covex 1/4'PER °• _ i•wvc MINIMUM PF�ryIE•6.2 MIN.4'DIA.PIPE L IE•651' MHIMUM P%, I H °RI In® MIN.4'DIA.PIPE °B BOTTOM OF TANK ELEVATION 5' 4'M 1000 GALLON ' • _�. MONOLITHICN ' 3'DEEP 3' ` ,�•.•�" SEPTIC TANK O CESSPOOL ' 2'MINIMIM SEPARATION FROM <_ REMOVE IMPERVIOUS 501E WITHIN of NEW SEASONAL H16H 6ROW WATER 1.3' /-,HORIZONTALLY AND b'VERTICALLY 1110 GROUNDWATER \I� BOTTOM OF POOL BACKFILL WITH CLEAN MATERIAL. ELEVATION 2.25' +' �,.• ��i•'�.17!�_ ELEVATION 5.25' 9'MINIMM SEPARATION FROM GROUNDWATER - SEASONAL HIGH 6ROW WATER ELEVATION 225' NOTES: SEASONAL C ■ MONUMENT FOUND GROUNL--W�TER 1 p '�•�' P* lW ELEVATIONS REFERENGE NCGV0'2cl FEMA ZONE5 SCALED FROM FIRM MAP m.P�beaFy a IM°.er"�a1eed b °�'te�ti•sal•b o� # 56103GO154 G MAY 4, IggB "°��d....e TXTI••.t.E&I.e l a w N°n 120 x.0 Educatz f C.E.H.L. FROM N.Y.5. D.E.G. GOA5TAL ER05ION HAZARD gJ AREA MAP 5HEET G OF 4q PHOTO # 56-510-83 F �J® C EI�I,ERS LAND SURVEYOR AREA = 26,812 5F OR 0.62 ACRES �«,..�a.•b..ted � � w. N.Y.S.LIC.NO.50202 •°°.F�:d 6 EAST MAIN STREET dY w Nen tart x.ee A••oeblbn of Pro/osbrol GRAPHIC, 5GALE 111- 30' `�. ate` . ';= RIVERHEAD,N.Y. 11901 and°n N•1 11 low AW earyay ro"""�""`"°r:. and 369-8288 Fax 369-8287 t.w...gre•a w NiM•g rouww..c.rtulw- REF•\\Hp server\d\PROS\02-294b.pro lbro r.rot w,.lerdN.t.°ddltl.n.l rout.tam !/]ls003 p.9°lIAM \ ••n•rd'Rt°S.C]-Tb Michael J. Domino, President �O��oE S�UryOlO Town Hall Annex John M.Bredemeyer III,Vice-President54375 Route 25 P.O. Box 1179 Charles J.Sanders T Southold,New York 11971 Glenn Goldsmith Q Telephone(631) 765-1892 A. Nicholas Krupski li,'`+0� Fax(631) 765-6641 23118 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ;Too F, $i I sr_� Please be advised that your application dated ftpa' l2,20!$ has been reviewed by this Board at the regular meeting ofpiL 18,J;W/6 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) 15` Day of Construction ($50.00) ''/s Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement(complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.oa BY: Michael J. Domino, President Board of Trustees f \ Michael J.Domino, President rjf SU(/ljf0 Town Hall Annex John M. Bredemeyer III,Vice-President ,`O l0 54,375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski • Telephone(631) 765-1892 Greg Williams �CoUNTY, Fax(631) 765-6641 � �� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE I (We) JOHN F. BETSCH The owners of record of property at: 2325 NORTH SEA DRIVE, SOUTHOLD SCTM#: 1000-54-4-24 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: add additional rows of 500-1,000 pound toe stone armor and core stone base in order to fortify existing stone armoring; bury stone in approximately 40 cubic yards of clean sand to create a vegetated dune; as shown on the attached licensed survey and/or site plan for the approved structure. 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 Sworn to before me this day of April, 2018. 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. Michael J. Domino, Pre; ! G Town Hall Annex John M Bredemeyer III,Vice-rresident �� y� 54375 Route 25 Glenn Goldsmith ti = P.O Box 1179 A.Nicholas Krupski ® Southold,NY 11971 Greg Williams ?,h p! Telephone(631)765-1892 Ol �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: �� d" Completed in field by: JOHN F. BETSCH requests a Wetland Permit and a Coastal Erosion Permit to add additional rows of 500-1,000 pound toe stone armor and core stone base in order to fortify existing stone armoring, bury stone in approximately 40 cubic yards of clean sand to create a vegetated dune; and re-vegetate disturbed areas with Cape American beach grass. Located: 2325 North Sea Drive, Southold. SCTM# 1000-54-4-24 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 Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 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 completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: 'J. Bredemeyer M. Domino G. Goldsmith N. Krupski __/G. Williams Other Page 1 of 2 Michael J. Domino, Pre; rotFF107t �0 C'G Town Hall Annex John M. Bredemeyer III, Vice-rresident �O Gy�� 54375 Route 25 Glenn Goldsmith ro 2 P.O. Box 1 179 A.Nicholas Krupski 0 ® Southold,NY 11971 Greg Williams Telephone(631) 765-1892 Ol �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: JOHN F. BETSCH requests a Wetland Permit and a Coastal Erosion Permit to add additional rows of 500-1,000 pound toe stone armor and core stone base in order to fortify existing stone armoring; bury stone in approximately 40 cubic yards of clean sand to create a vegetated dune; and re-vegetate disturbed areas with Cape American beach grass. Located: 2325 North Sea Drive, Southold. SCTM# 1000-54-4-24 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at,the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 r , John F.Bctsch 2325 North Sea Drive,Southold SCTM#: 1000-544-24 u 4/11/18 k OV jra f 9 •, Fo l �i n n�{ x .f ?�4w if , ° � � .� � ,yea � .;4� A`r�' �:. •:�, +'' � l y. r t a ,- t r _ 9 K y � N r l 48 �,ki. AV 74 Al t, oat 0 tit h w i s 1 # i }�� 'a 1 1 ,� r'���"e S+ y1 ttn g 1{ [P�l -'+"��`.•M - -t - 1�50� � �g t[.' }•' w �: -1 � : d+�-L G+21�'�r 3 i � .moi I ,;� d,x ,i�� +�t; >F+l• E � 3�.i 3l� ��4 � Win. _ _ _ ,h �r � - � ��k� }moi. � � � .t �r 1�� �� �� '.��z.i � � � — •. . _ -� �* � _ �Y -nom �� .,'•ild► .,i�sT-�,.� 1 �� -�k � >e i :f �- '�i��` •� � � �� �. e'er,:, a f � 4� k �► w w W- 4 r - � . .<.A--•.� AMM � y� _� - �:.e x r t r A-P c , � s 641 t y s , tr l a�.�-', °.\ � • y �p _ �� �+{�, �I �%ter ,.,-_ ~ � �`� Y r' -d - �. J 6 t - r . l� , ¢ .., �.• �_. F / kyr 3 f .`�.. f*.(� ♦ `° ayT. u y : i 3 / / r 1J F'tl4 � O J w J �o / ^gyMM 3SA-fc /44, Iy�mR m � f a •I.L 3 / b♦ !1 m Y 2. 2p / re✓ ' 3R , 0.3 . J F �9i " oe sowwrwr+na °y° e ° 2. d / s f� a �Mgb4` // All 'd 218 IZ N' / B O soroil�Ro D ff d i 'QV J ♦ � z1.e f IJ t J O Yl l.eA / +s � e� a � p o 1'TOhr a •, z�'� �Q4o .,y a �°°Q''ty° ♦ � j e / lo SOUTHDW FOR POE NO. DA § �,,.u,. �� tir 4. �• � ,"� ys �hB� °.o �' a SEESEC. ✓ Z6 UNE4 rim °-- —�-- �.. 1211 — Q-- �„� _— _— �,,,,� a„ NOTICE caa COUNTY OF SUFFOLK © x ow or sECTX)NNO N ��--� ^---- " ,_ —__ '� „ `y�l',� Real Property Tax Service Agency v sourNo�O D °'°"r n .." f>f Mel"iz.0 �. o...u. \771 Coumv GnMrRMmua.NrllMt W�� 054 aucgmr,u ww ie rRoru¢B � M Rrnw°P T-EAWIY ro lf0 r A 1,Ric1 NO 1000 P °Se PROPERTY MM / r 1 1 ! 1 � OFFICE LOCATION: ti0�*of SU(/r�Ol 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 �yCOUNTY,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: April 12_20118 Re: . Local Waterfront Coastal Consistency Review for JOHN F. BETSCH SCTM# 1000-54-4-24 JOHN F. BETSCH requests a Wetland Permit and a Coastal Erosion Permit to add additional rows of 500-1,000 pound toe stone armor and core stone base in order to fortify existing stone armoring, Wry stone in approximately 40 cubic yards of clean sand to create a vegetated dune; and re- vegetate disturbed areas with Cape American beach grass. Located: 2325 North Sea Drive, Southold. SCTM# 1000-54-4-24 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards,and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish, Secretary ,h P O Box 1179 'F Southold,NY 11971 �'�►Ol ���' 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., April 11, 2018 the following recommendation was made: Moved by Peter Meeker, seconded by James Abbott, it was RESOLVED to SUPPORT the application of JOHN F. BETSCH to add 500-1000 Ib. toe stone and core stone base to fortify existing permitted armor. Bury stone in clean sand to create vegetated dune and cover with American beach grass. Damage to existing dune was a result of 2018 Nor'easter. Located: 2325 North Sea Drive, Southold. SCTM#54-4-24 Inspected by: Peter Meeker, John Stein The CAC Supports the application with the Condition the fence that was running perpendicular to the shore line is not replaced. Vote of Council: Ayes: All Motion Carried Michael J. Domino, President �*0f SyO Town Hall Annex John M.Bredemeyer III,Vice-President �O lQ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G � �O Telephone (631) 765-1892 Greg WilliamsO Fax(631) 765-6641 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 Id Received Application 3#1211? +,.` ', eceived Fee: $ 5d®, ' MAR 12 2018 ✓ Completed Application: Incomplete: _ Y UnlistedSE RA Classification: Type I Type II �- Lead Agency Determination: J �Coordination:(date sent): LWRP Consistency Assessment Form Sent: 3,30.t9 CAC Referral Sent: —Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Legal Name of Property Owner(s): N O h1 �l �- `..)Z 7 SC-�A Mailing Address: Z3Z5 ���Oat\-'\ Sl.� �Q VV C Sou T�rko ) Phone Number: CQ Suffolk County Tax Map Number: 1000 - Property Location: Z�J�.S OST t\ '�C- P, V L C oc 12z�-. fyiisT- (Dip A0P_VC)V1S u, ® Pow W20 (If necessary, provide LILCO Pole #, distance to cross streets, and location) AGENT (If applicable): Mailing Address: Phone Number: co(� I card of Trustees Applicata GENERAL DATA Land Area(in square feet): XQ Z X�► Area Zoning: 9, 40 Previous use of property: �R M Pt R�( �ES l t�L;tST l(�L, `0 Kl: Intended use of property: 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 V 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 ZNo 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? Zyes No Prior permits/approvals for site improvements: Agency Date �.,nA0►Ok��,� � (z .�tQ kA . �15� 3� `15�3G rt Z.ole, q K QC No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? VNo Yes If yes, provide explanation: Project Description (use attachments if necessary): //�� Sco-/u00 N" Atm D TUE S7T3 ac- N 0 C-0 QCC.To UG (2> qORILAN 11J,,--J 4- (1O6yos C' �CC� P�vvwJt._• 3vQ�( Sror�4v LQdC.1LS)NVb To Vcod�'00) {J\/Lt, W A-s evs Qel io of- ZcD\% tAo(,c>tiS tm/ myvL-c�, (tR w \ ik(1S — Z.9MAS� CvVM w c774 4wex 6~ �i f#-� Dard of Trustees Applicat: '6 WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: CLo S�o ti.1 C.) Yy k—P-tali Area of wetlands on lot: U O c7 square feet Percent coverage of lot: 33•(P % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: _feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? qJk cubic yards How much material will be filled? v cubic yards Depth of which material will be removed or deposited: 3-3. < feet Proposed slope throughout the area of operations: IL., 3 O 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 tsuch proposed operations (use attachments if appropriate): 1 0 iS V ' 9 Dard of Trustees Applicat: COASTAL EROSION APPLICATION DATA Purposes of proposed activity: CLAS��►, Ccs O-V— u Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? No ✓ Yes If Yes, how much material will be excavated? N / (cubic yards) How much material will be filled? '� (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts 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) !=�OS�c�i..Q C-C��•.9Tdk1 l� /0 �jy Michael J.DsoTown Hall Annex Domino,President O� Ol0 John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders Southold,New York 11971 Glenn Goldsmith • iQ Telephone(631) 765-1892 A.Nicholas Krupski l�COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 1111-15 OF THE SOUTHOLD TOWN CODE (We) 'Tb b"L `t', K-�>e"��-�-� The owners of record of property at: Z3Z5 1�o u:svt �Q���T , in the town of o� , New York, SCTM#: 1000- S1l —� 2L1 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. 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. tz f o er of record Signature of owner of record DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. O1 D1475593 Nota lic Quallflod I,, Suffolk County /v Notary Pu My Commission Expires April 30, ZO a 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. 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: 2'e Pizmcxu Project Location(describe,and attach a location map): Brief Description of Proposed Action: 10 ke-CV1 &iM3 ro C v To V LS ht4o C-(D Q.R S T O►-its C'02 II Name of Applicant or Sponsor Telephone:(03t I(as U Address: by%qE City/PO: State: Zip Code: SD'i r-'A O lip t 1 CL-17 / 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attacha narrative description of the intent of the proposed action and the environmental resources that �. may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ C 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? .�` O acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? C- *UZ acres 4. Check all land uses that occur on,adjoining and near the proposed action. E]Urban El Rural(non-agriculture) [:1 Industrial F-1 Commercial 2 esidential (suburban) El Forest ❑Agriculture El Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ Z 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: Z ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES Z EL b.Are public transportation service(s)available at or near the site of the proposed action? Z F-1- c. c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 2- 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: k b, ❑ 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: M"' ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ b.Is the proposed action located in an archeological sensitive area? ❑ 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? El 17 b.Would the proposed action physically alter,or encroach ink,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: [2"Shoreline El Forest ❑Agricultural/grasslands El Early mid-successional [Wetland ❑I lrhan ❑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 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? dN0 YES b.Will storm water discharges be directed to established conveyance systems(runo nd storm drams)? If Yes,briefly describe: O DYES 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? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE �, �T�G C. Applicant/s onsor name: ,1'0 / Z;o f Date: Signature: !v 0 4E Part 2-Impact Assessmen . The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large .impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ® ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the 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? 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)? 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? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental i pact . Town of Southold-Board of Trustees Ta Name of Lead Agency Date 4-4-4 _— 3O r,-a1 w President Print or Type Name of Responsi Officer in Lead Agency Title of Responsible Officer Signature of Resp nsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 %oard of Trustees Applicat. 'S AFFIDAVIT �50 Nvl 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. ignature of operty Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF � -v�%t , 20 b Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. O 1 DI475593 Qualified In Suffolk County My COMMISS106 Expires April 30, 20/9 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town bfficers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessa_N to avoid same. YOUR NAME: v SG �•1 O�v (Last name,fust name,giiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"OtheC',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship.with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/a$4nt/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 /Z day of MtVeW 20 100 Signa � Printame Form TS 1 } bard of Trustees Applicatil AFFIDAVIT t,0 a E S (�l E K Sc- H 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. cooga, c(h_ Signature of Property Owner Signature of Property Owner 'SWORN TO BEFORE ME THIS o o�na DAY OF Hard-) -. 20 113 lAaaq Notary Public TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2W APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. 6e75: #YOUR NAME: 1�C//a.edS G � _ (Last name,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the.other person's or company's name.) NAME OF APPLICATION• (Check all that apply.) Tax grievance Building _ Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship.with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this�'� day of -ARCH 204 Signature Print Name ZS G Form TS 1 ib PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: TowPa fox 11,_1°5 Taw u v un Go v-R-+v� N q - k'L(1-11 So'jT-VAv 01 STATE OF NEW YORK COUNTY OF SUFFOLK ' ZpkkA IC �Tc_->C_0 residing at ,, per Nom{ ,being duly sworn, deposes and says that on the S day of R_W J , 20/K, 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 'S0 ,-xkkool� , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this 12 Day of HPIIL , 20 Ae A*t_ Notary Public DIANE DISALVO NOTARY PUBLIC-STATE Of NEW YORK No OID1475593 Qualified in Suffolk County My Commission Expired April 30, 20V_ Michael J. Domino,rresident o�'04$UFFO(,I-cOG Town Hall Annex John M. Bredemeyer III,Vice-President �� yJ,q 54375 Route 25 Glenn Goldsmith y = P.O.Box 1179 A.Nicholas Krupski 0 ® : Southold,NY 11971 Greg Williams 41- �a 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 JOHN F. BETSCH COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE , residing at/dba �32.� Al, c 6-),9- r2WC AO being duly sworn, depose and say: r That on the-1 day of(qp,2.tr , 202 , I personally posted the property known as 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, April 18, 2018. Dated: 12 zo/g (si ure) Sworn to before me this 124h day of^L 2015 A4 i Notary PuWpE DISALVO NOTARY PUBLIC-STATE OF .NEW YORK No. O1 D1475593 Qualified in Suffolk County e My Commission Expires April 30, 204— SC,�4 4 -4—Z-4 Z3ZS SCA 1�:)P,' Som ItOLt U.S. Postal ServicC CERTIFIED MAIL@ RECEIPT Domestic Mail Only r co 171- S00 . - S0u 0 , FP1 I A L U S E ,rUCertified Mail Fee 83.45 ---- 0971 s ILD i, 2 Services&Fees(check box add tee ate) �rL i� r=l ❑Return Receipt(hardcopy) $ C3 ❑Rehm Receipt(eiectronlc) $ Poster cfl C3 ❑Certifled Mail Restricted Delivery $ Q ❑Adult SWurtureRequired $ APR-5%8 -► ❑Adult Signature Restricted Delivery$ L-J Postage -31 $0.50 $0.50 Total Postage and Fees . $ $6.70Ln r Sent To O—k Siieei endAFi ::r Pro"-x Ko:---------------------------------------------------- ---- OX -------------------------- \\V1 ) P.S. Postal Service' cC3 CERTIFIED MAILP RECEIPT D' Domestic Mail Only cc) /�� s .�q POU �t t1 t ru SO L$G U 14501 It pH t, (� (� E .r Certified Mail Fee U tI d�il L4® t�f �� $ $3.45 0971. 1 Services& ees(check bee add tee te) 02 r j ❑Return Receipt(hardcopy) $ r C3 ❑Return Receipt(electronic) $ i --$v0.00 C3 ❑CeedMailRtrRiteDe�� _ 6().Lq@0 DHere O ❑ ,rt d i9J --se—ea- 0 % O Adult Signature Restricted Davey$ • etp1� -J. Postage L f $0.50 $ N aea-5 C3 Total Postage and Fees 4 5/2018 Ln $ $6.70 5 r'3 Sent To -�^ I N StresP QnpvZ.o Pfo ffo No. - =_�4_- -- Q(Z_--- ECTION ON DELIVERY COMPLETE THIS S APLETE THIS SECTION .ERT I 6,�tal-ServlceTM I RECEIPT 1,2,and 3. A. Signature RED ❑Agent M © :and address on the reverse X" ❑Addressee • i return the card to you. rl B. eived by(Printed arse) C. Date of Delivery m d to the back of the mailpiece, r` �G RISUN FIL01 r Y P 17L U Espace permits. ;d to: D. Is delivery � � ' ,t from item 1.71.171 Yes Certified Mail Fee _ Q,NO $3.4` 0971 If YFrenter delive below r.. v $Extra❑Re�MnrvRe�cei&Fees(check box edd lee te) �.1 LD f v�� 2 �`"t�—\ ` Q ��// tt` Receipt(ha ctronl) $ �� �7 \ \`\ U LA 9�g V( - � ❑Return Receipt(electronic)` j / C3 ❑CeNged Mail Restricted Delivery S POShT1g81'k 441s"-` _ 0 ❑Adult SWnatmRequired : pPR-- X18 '�` r 441s GS 6rOj [3 Adult Signature Restricted Delivery$ C3 Postage `•� $0.50 I IIII IJIIIIIII II I IIII II IIIIIIIII 3. Service Type O Expe s® $ ❑Adult Signature ❑Registgiad MaIITM O Total Postage and Fees ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ery Ln $ $6.70 402-3554 7305 7918 50 ❑ d M�1® ❑R DelNetum Recelptfor Sent To ❑Certified Mall Restricted Deli very rchandise O � I ❑Collect on Delivery 0 Signature nfinnatlonw n.c.ua t on Dellve Restricted Delivery Sireej�{r t oiPr ffoxK------ { �___�_- __'---' ry' OS Confirmation Confirmation C.. i Mall _______-____ 13640 0001 5 4 2 7 814 31, i Mell Restricted Delivery Re Ct%Delivery �. Mete.Z;P+4eV(TS 1 � r —(over�500)� I July 2015 PSN 7530-02-000-9053 Domestic Return Receipt awl l � J NUTILL UF Ht: AKING 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: JOHN F. BETSCH J SUBJECT OF PUBLIC HEARING : For a Wetland Permit and a Coastal Erosion Permit to add additional rows of 500-1 ,000 pound toe stone armor and core stone base in order to fortify existing stone armoring; bury stone in approximately 40 cubic yards of clean sand to create a vegetated dune; and re-vegetate disturbed areas with Cape American beach grass. Located: 2325 North Sea Drive, Southold. SCTM# 1000-54-4-24 TIME & DATE OF PUBLIC HEARING : Wednesday, April 18, 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 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 si ugh ficant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained 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# SA - 'A - -Z-'6c PROJECT NAME EQOSW�A C UTeut_ 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: Nature and extent of action: L Q0 Seo 4 Co VA7ZOt- ' zl Location of action: `Z3-.S N►' �Ek Site acreage: .U?- Present Present land use: pp I Vt k-a K e SL D Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: 150 L-k,-a Vim'(-�C�1 (b) Mailing address: (c) Telephone number: Area Code 7�-C.s L0 k— (d) Application number,if any: 1 " / tq Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes Q No❑ If yes, which state or federal agency? N�4c.>K�-)t G 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. ❑Yes ❑ No [J Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 9Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section HI—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No �Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section IH_Policies Pages 8 through 16 for evaluation criteria ' ' Yes ❑ No ❑ Not Applicable 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 ZotApplicable 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 HI—Policies; Pages 22 through 32 for evaluation criteria. d ❑ ❑ Yes No Not AL _ cable 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 VNot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No 2Not 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. ❑ YesO No 9Not Applicable Attach additional sheets if necessary z� WORKING COAST POLICILu 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 [ZNot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes 1:1 No zNot 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 ENot 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 9Not Applicable PREPARED BY—X0 k -A `��"'T�Ck� TITLE QN 1_9.E_- DATE