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TR-9219A
Glenn Goldsmith, President ��0� SO!/Tyo Town Hall Annex A. Nicholas Krupski,Vice President ,`O l0 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold, New York 11971 Michael J. Domino G • Telephone(631) 765-1892 Greg Williams 'Q Y Fax(631) 765-6641 COUN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1844C Date: August 9, 2021 THIS CERTIFIES that the removal of dead trees, dead branches and debris from the non-turf buffer and wetlands,• dead trees are painted with a red X or Red marking, remove invasive species in non-turf buffer, oriental bittersweet English ivy_porcelain berr ,Japanese wisteria, winter creeper poison iyy, and kudzu; prune remaining trees and vegetation in non-turf buffer to facilitate new growth; and as further set forth in the project plans provided.; At 4145 Wells Road, Peconic Suffolk County Tax Map,#1000-86-2-12.6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 6, 2018 pursuant to which Trustees Administrative-Permit#9219A Dated May 16, 2018,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal of dead trees dead branches and debris from the non-turf buffer_and wetlands; dead trees are painted with a red X or Red marking; remove invasive species in non- turf buffer, oriental bittersweet English ivyporcelain berry, Japanese wisteria, winter creeper poison ivy, and kudzu,• prune remaining trees and vegetation in non-turf buffer to facilitate new growth; and as further set forth in the project plans provided. The certificate is issued to Charles &Brenda Grimes owners of the aforesaid 74-�_Uy '4K4_ Authorized Signature qz,qAa iwmt, y,v uQatw (11�1) 177— �19s Glenn Goldsmith, President �QF SD(/ry Town Hall Annex V' A. Nicholas Krupski,Vice President ,`O l0 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold, New York 11971 Michael J. Domino N G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 coUNT`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: J --I INSPECTED BY: ' �ylt Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection COMMENTS: CERTIFICATE OF COMPLIANCE:_ d� Michael J. Domino, President �o�oSUFFo��-�oGy Town Hall Annex John M. Bredemeyer, III, Vice-President 54375 Route 25 Glenn Goldsmith y ,x P.O. Box 1179 A Nicholas Krupski �y • �� Southold, NY 11971 Greg Williams 0( , dao 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 '/2 constructed liance inspection; Project complete, comp f Michael J.Domino,President ��jg S0(/TTown Hall Annex John M.Bredemeyer III,Vice-President �� lO 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski • Telephone(631) 765-1892 Greg Williams O Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9219A Date of Receipt of Application: April 6, 2018 Applicant: Charles & Brenda Grimes SCTM#: 1000-86-2-12.6 Project Location: 4146 Wells Road, Peconic Date of ResolutionlIssuance: May 16, 2018 Date of Expiration: May 16, 2020 Reviewed by: Board of Trustees Project Description: To remove dead trees, dead branches and debris from the non-turf buffer and wetlands; dead trees are painted with a red X or Red marking; remove invasive species in non-turf buffer, oriental bittersweet, English ivy, porcelain berry, Japanese wisteria, winter creeper poison ivy, and kudzu; prune remaining trees and vegetation in non-turf buffer to facilitate new growth; and as further set forth in the project plans provided. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by,and submitted by Brenda Grimes, received on April 6, 2018 and stamped approved on May 16, 2018. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. —)�- ��J Michael J. Domino, President Board of Trustees r Project Plan I. Project Plan Outline II. Project Plan Map E C E V E III. Project Plan Photos APR - 6 2018 Southold Town Board Trustees I. Project Plan Outline The location of the project is at 4145 Wells Road,Peconic. The Proj qct Plan is to perform an in-depth cleaning of the 3Oft non-turf buffer which is overgrown with invasive vine species, especially Oriental Bittersweet, which are killing the native vegetation. The Project Plan includes removing dead trees, limbs, debris and the invasive species. The Project Plan also includes pruning remaining vegetation to facilitate healthy growth. Section 275-8 H- an administrative permit includes operations that are deemed to have no adverse environmental impact, and a public hearing and notice are not required prior to issuance of such permit. The proposed project meets all the requirements of an Administrative Permit set forth in chapter 275 of the Southold Town Code in that it will not have an adverse impact on the environment. The Project Plan was prepared by and is submitted by Brenda Grimes who consulted with and received input and advice from several local horticulturists, landscapers and Cornell Cooperative Extension. The dead trees which will be removed pursuant to the Project Plan are identified by Red Paint Markings. There are 13 photos of the dead trees, limbs, debris and invasive species which we are requesting permission to remove attached to and described in section III. Each of the 13 photos corresponds to the number on the Project Plan Map in section II. It is important to note that we will not use any heavy equipment to remove the dead trees, limbs, debris and invasive species. Dead trees will be cut to the ground level and pieces will be removed by wheel barrel. The invasive species will be removed in accordance with exhibit B of the application. Once the non-turf buffer is cleaned we will revegetate it in accordance with Southold Town Code 275-4 (d)using"non-invasive native species". We understand that we can vegetate the non-turf buffer with native plants,trees and shrubs but NOT grass. Our goal is to restore the buffer to a healthy vegetated native barrier. ,, APPROVED BY Eu` E i V ,`BOARD`OF T RUSTEES TOWN, OF SOUTHOL® APR - 6 2018 DATE 1(��2®� : . Southold Town Boar of Trust e II. Project Plan Map EC E VE APR - 62018 Southold Town Board of Trustees i�4. ��k•; f�d�" xr�•=.=r fjro �S•,�,.-�� v- �'1 .E`.rf. 4'�t��- ��J♦,� 1,��-, /�;�Y-,,yrs -,,,� el 19 CGSh+SUiTfN&, f"'.C. ` a`i --- aG ~ �r� 4�. r ►� v `� '� 'PT,-;03ER 24, ZO,1 a Y s J ` `'M way A 5• 1010 4 41 co ylV}J L- I 1 rte- �`r tr �' 16QO Ir p n a Aj � A O"M ir�9���a .. �. -� � FC•�,`. \ � �1 r� ,'} y 4 i�'Y.t - 4�-, tp• YH 11 n n u�" '�._~�E'tt• ^' r ti!: �,/ �k.F r t�-- .:-�_Y=�'-rr��_�^ o n +=sa C RTIFIED TG, OiARLES ►U. Cql., a w 88 l S84•c;7'3,9"�, _ _ _ s� 4'rFO NA,TONAZ 3 ' �. .nrs- '"`V"V PS I c,rvur:erun�nar ar...•. S,FP77 JrY-,77FAl nFTTAII III. Project Plan Photos (Description of Matter`Shown) 1. 5 Trees and invasive species 2. 2 Trees and limbs 3. 3 Limbs and branches 4. 2 Limbs,branches, debris and invasive species 5. 2-Trees, branches and debris s 6. 1 Tree, limbs, branches, debris and invasive species 7. 3 Trees, limbs, branches, debris and invasive species 8. 2 Trees (one already counted in photo 7 above), limbs, branches and invasive species 9. Invasive species, branches and debris 10. 1 Tree, Invasive species, branches and debris 11. Several Limbs,branches and invasive species 12. Invasive species and debris 13. Invasive species, branches and debris EC.' E' VE APR - 6 2018 Southold Town Board of Trustees 0 �•' i1. 1 t T: teff - ... ........ 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Roo Pl MAN F': ►� r ►' , „ - a 16r D e � f r I - Y it ZN Act Rli - ' w rr A 1 t N �g, 4 1 r� i ♦ • l S 1 t � y Z ,yam .�.tk.� r «. �r` �.'�'Y 4fi � J� 3I x•e`1 :t / r�`*�� ,�.•'r,y��. -- .�,,,av, � *AF s , � APR - 2016 Southold Town Board-of CURRENT PHOTOS OF SUBJECT AREA ECCIVE In APR - 6 2018 Southold Town ard of Trustees I Vlp p ` * v /l � A !� $oplboldJown gf Tr stns � �. � ilL Vj Zill 1 , A { �t•_ ref _ 1 a ,�. \j` q, I � ; �� ; � ,. �` ", ry'''` P I r r,� �. , - � � r. �'� i ," �.., '!. � it 'h'' '�� •.�� y��f._' — If TA e r � t i s ' ��S� � $ ���•�j�J caw, �.-.���n W�:�� r �P OF F7 i APR IiP' p 1 • ���` aid ,� •..r � 1�•:�+� t>r' �� � ��► own N�f`� Boar 1 of Tr st P j ;I} r �! J e rr% Alm ter - ��.,, S a•,. f .y'".' � �� eft�$'�" °tF nAr 'r#�': �• t �may.. '� '` :"°' ��- _ A',a3•.a►t�"� :5 Y\ Z "l �a 'l Michael J. Domino, Pr�'r'nt Town Hall Annex John M. Bredemeyer III,Vict'rresident �� - yJ, `, 54375 Route 25 Glenn Goldsmith C3 z P.O.Box 1179 A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams � Oar ( Telephone(631)765-1892 �Ol �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES n TOWN OF SOUTHOLD Date/Time: `Z -�'® '' Completed in field by: ne . CHARLES & BRENDA GRIMES request an Administrative Permit to remove dead trees, dead branches an debris from the non-turf buffer and wetlands; dead trees are painted with a red X or Red marking; remove invasive-species in non-turf buffer, oriental bittersweet, English ivy, porcelain berry, Japanese wisteria, winter creeper poison ivy, and kudzu; prune remaining trees and vegetation in non-turf buffer to facilitate new growth; and as further set forth in the project plans provided. Located: 4145 Wells Road, Peconic. SCTM# 1000-86-2-12.6 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. 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: II'e-eJ K/IID-,e '7 Are'; r / g� J P 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 SUFFQc� f� Michael J.Domino,Pre it O�Q CSG Town Hall Annex John M. Bredemeyer III,Vice-President �� yam, 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 09,� �ap'r Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: CHARLES & BRENDA GRIMES request an Administrative Permit to remove dead trees, dead branches an debris from the non-turf buffer and wetlands; dead trees are painted with a red X or Red marking; remove invasive species in non-turf buffer, oriental bittersweet, English ivy, porcelain berry, Japanese wisteria, winter creeper poison ivy, and kudzu; prune remaining trees and vegetation in non-turf buffer to facilitate new growth; and as further set forth in the project plans provided. Located: 4145 Wells Road, Peconic, SCTM# 1000-86-2-12.6 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: S 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 CLEAN OUT DETAIL SCDHS REF# R10-17-0030 SURVEY OF PROPERTY FOR USE W17H BUILDING EXTENSION/CONNECTION S° A T PECONIC i i SLATE OR OTHER STOPPER ENDQ i// TD WN OF SO UTHOLD SUlTABL COVER OR PLUG q� T°wtiSUFFOLK COUNTY, N. Y. O TJ °F 1000-86-02-12.6 / YA SCALE: 1'-30' SEWER PIPE — ozsoi i JANUARY 14, 2015 w 30'ELBOW FEB. 16, 2016 (SITE PLAN) �lij \ O,` 0 mob rr Fo°� ` �yF<.� r14�,q O APRIL 7, 2016 (REl/ISIONS) oo k% � Ox- 4 �� � MAY 24, 2016 (REVISIONS) 60' WYE FNr JUNE 9, 2016 (REVISIONS) \ q� Fo (o� •� OCT 28, 2016 (REVISIONS) V. 04 2016 REVISIONS TEST HOLE DATA y F< , Aq GJi NO ( ) M�� � �� o pyo e' SS .� ��FtiT TFC FEBRUARY 7, 2017 (REVISIONS) 10/15/I5 FEBRUARY 15, 2017 (REVISIONS) DARK BROW LOAM a MARCH 6, 2017 (REVISIONS) -- D.5L J�Q� ��: Q'�' - o• '�;.<c F MARCH 16, 2017 (REI//SIONS) PALE WOW SILT ML -- <"�<�' bows s MARCH 28, 2017 (REVISIONS) 4. PALE BROW F7NE TO MEDIUM SAND SP / MAY 09, 2017 (REVISIONS) ¢ oh���P Ao��lr Foci 0� � -- 6.6' L / A F o� Q �� A 41 2 � 0 00� �T � WATER IN PALE BROW fTNE TO MEDIUM SAND SP O& TOTAL AREA TO TIE LINE o� S J8,595 sq. ft. �v NOTE WATER ENCOUNTERED 6.6'BELOW SURFACE B3,_p \.\opt - Q 9 Is S-- - p —'s,, Q�°/ AREA y�o' UPLAND = 28,297 sq.ft. WETLAND 10,298 sq.ft. LANDWARD LIMIT OF TIDAL WETLANDS AS DETERMINED � 1� CSR�� `\ ° �3 = �2' \ 9 BY SUFFOLK ENVIRONMENTAL CONSULTING, INC. Fy gssJF� \�G \ �so_� ova 3�0 ti� 00 ON SEPTEMBER 24, 2015 R �s weTSy r o�•\_w ,Z, 0• � �F LAND /pQ ° NOTE.' 2°NF°o u o S A 4 FOOT ACCESS PA TH PERMITTED THROUGH THE 30 FOOT NON-TURF BUFFER FOR PURPOSES OF SHORELINE ACCESS. G o Q AV� PROPOSED UPLAND �o �O �- o v` Q� LOT COVERAGE 4z" �;\ NF ,1'� �v'� V, .3744/28,297 = 13.2 k , O T=2�� 13.2 9 PROPOSED COVERAGE NON ,-'� �"� �O QJm MHWM \v) Z�F wE7kAn,Os FFR ,� RAIN RUNOFF CONTAINMENT NE m HOUSE WITH GARAGE = 3494 SQ.FT. N74 22,5,» `�-Tic LINE `ll #4 m 3494 x 1 x 0.17 = 594 Cu.ft. W \� GRAVEL DRI VEWA Y = 1120 sq.ft 123 38, ` _ MHWM f— E LINE F� 1120 x 0.8 x 0.17 = 153 cu.ft KEY — — _ _ _ s 747 cu.ft. S84-02938"W � 747 cu.ft./422 = 18 VF = STAKE 122.21' a = MONUMENT PROVIDE (5) DWs = 80 x 4' RjCjj OREQUAL = TEST HOLE NO GRADING OR FILL PROPOSED ND = WET LANDS FLAG CRRj/ J,'j K CERTIFIED TO. AREA= 38,595 SQ. FT. CHARLES W. GRIMES BRENDA C3, L J q FI- To BRENDA GRIMES I �� TIE LINE FLEXIBLE SUPPORT RING SEPTIC SYSTEM DETAIL WFG NATIONAL TITLE INSURANCE COMPANY ELEVATIONS AND CONTOUR LINES ARE REFERENCED FROM NAVD 88 CONNECTOR AT PVC/C1. JOINT NOT TO SCALE APR - 6 2018 F.F. EL. 11.0' FLOOD ZONES FROM FIRM J6103CO162H CLEAN OUT FINISHED GRADE EL. 8' EL. 8' Southold Town 1— 24 ` 3"MAX MASONARY CHIMNEYS MASONARY CHIMNEY ar of Tr t The location of public water, wells and cesspools shown hereon are INV.EL. 6MIN. 1' MIN. from field observations and or from data obtained from others. 12' 6.. 2 MAx 7.5' INV.EL. ' HOUSE TRA 6.5' 6' f0 INV.EL. ® ® ® ®N I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND 6 1/8" PER FOOT INV.EL. ® ® ®E: 2.0' ® � CE SEWAGE DISPOSAL SYSTEMS FOR 1/4'• PER FOOT CONSTRUCTION OF SUBSURFAMINIMUM PITCH '� 5.6' ® ® a ® '�� 0 SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE CONDITIONS MINIMUM PITCH PIPE — + " SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT. MINA" DIA. PIPE ++ m4m.MINA" DIA. (6) 2 feet deep gallies rw 1200 GAL. 2' J ; WATER EL=0.7' � n�• . - 'a '�' PRECAST SEPTIC _ - --------------------------------------- " T KNOWN AS RICHMOND CREEK FARMS" r E. TO MINOR SUBDIVISION PLA TANK ---------- --E-- --- -- __ ___ LOT®s REFER LOWEST EXPECTED GROUND / .Q n �r TO BE A PORTION OF THE PREMISES CONVEYED TO THE GRANTOR WATER ELEVA 77ON HEREIN BY DEED DATED NOVEMBER 25, 1997, RECORDED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON DECEMBER 9, 1997 IN LIBER 11866 CP 74Z PROPOSED SEPTIC SYSTEM .SYS;` rr r �f0. 49618 ANY ALTERATION OR ADDI770N TD THIS SURVEY IS A VIOLATION (3 BEDROOMS) PECONIC-:URVEYORS, P.C. OF SECTION 7209OF THE NEW YORK STATE EDUCA77ON LAW. (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS [1] 1200 GALLON PRECAST SEPTIC TANK 100 x 25' LIQUID DEEP P.O. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF [6] LEACHING GALLEYS 2' HIEGHT 3' ABOVE GROUNDWATER 1230 TRA VELER STREET SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR SOUTHOLD, N. Y. 11971 15-225 WHOSE SIGNATURE APPEARS HEREON. r w ` P r +' p ��-•� � Syt�A H ry.. 1� ` f.. .kn i w. 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CURRENT PHOTOS OF SUBJECT AREA EcE � E APR - 6 2018 Southold Town Board f Trustees 4"I Avg /Air, Ax Of AR d , � ` .rte 'e• ,0 Y- 11 y mop- it fi. 4 11■■ i K. ! t At • e C)L— m �� �� '"�,., .Y'1' L •1 �: � r 'd t�'� �;i �-��>x \ t �.t;..l f 7 t y �l,;l j-�. � ;t�-+_ _' tat �\ n 1 �l'�I -1 � � c �• '+� ...... _ ._ � n • - e�'r 4'�d• ' 1� a ' Ltiq�..� - "'3 � , � �� W Sic } � �t 7 y� /fig LA ck In .3a BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8805 DATE: MAY 18, 2016 tz,;' f ISSUED TO: E.G. STEIN FAMILY TRUST c/o DAVID EDELSTEIN & LIBBY 1 Kf GOLDSTEIN PROPERTY ADDRESS: 4145 WELLS ROAD, PECONIC SCTM# 1000-86-2-12.6 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 May 18, 2016,and in consideration of application fee in the sum of$250.00 paid by E.G. Stein Family Trust c/o David Edelstein & Libby Goldstein 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 construct a 37'x501 (1,850sq.ft.) two-story dwelling with a 24'x24'(576sq.ft.) attached garage and a 12'x62'(895sq.ft.) attached deck; install a septic system on'landward side of dwelling; connect to public water; install a 1,890sq.ft. gravel driveway; and install a system of drywells to contain stormwater runoff; with the condition to establish and perpetually maintain a 30' wide non-turf buffer along the landward edge of wetlands with a 4' wide access path through same for shoreline access; any activity to remove invasive species in said buffer area will require the issuance of a permit; and as depicted on the survey prepared by Peconic Surveyors, P.C., last dated June 9, 2016, and stamped approved on July 8, 2016. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seat to be affixed, and these presents to be subscribed by a majority of the said BoardKsf this date-, V_IH tC E � VE APR 6 2018 Southold Town nf ThiStCOS 2r-A lug*0 6 6b%V^ 'fit► !!s � � � • ►►► ►��� .�•�.��� '�'�. Eli� '� �• �f��, �`�g'� �. '�.,y� FIN Iv �'•, ' !, ' dLY' _ .per r ` tk ' C ± `�'e+v,.ti F�v_ aZF.tr ' I` , :.. � ..ems• � � r..�� ��Y ..'«�7�,.f: t �i`" ' .! ✓f�� '"r'w•;r. .: Y -�! �� - �'3'•,`` ��{ �i f'U� �` � � ' A, ��' ,,gip", �`�/"�� . - ( lai ' �+ - `� o.- `_; '°'• �'�e'��__-�_ 'T�'y�[ ► lacy r ��4 r '- `� � � �"'�� I; c ► rf i x�y�fedi C 1 1• T - ;,?s;/ .5 `� jaw- 44 s `fit•,,,., AN s�••„ F _ _ ,L r, ;�� - :�� !. -:key. 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) S � a� Telephone: 631765-1938 Southold, NY 11971 ® Fax: 631 765-3136 l�C4UN�Y,�� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael.Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: May 10,�2018 Re: Local Waterfront Coastal Consistency Review for CHARLES & BRENDA GRIMES SCTM#,1000-86-2-12.61 CHARLES & BRENDA GRIMES request an Administrative Permit to remove dead trees, dead branches an debris from the non-turf buffer and wetlands; dead trees are painted with a red X or Red marking; remove invasive species in non-turf buffer, oriental bittersweet, English ivy, porcelain berry, Japanese wisteria, winter creeper poison ivy, and kudzu; prune remaining trees and vegetation in non-turf buffer to facilitate new growth; and as further set forth in the project plans provided. Located: 4145 Wells Road, Peconic. SCTM# 1000-86-2-12.6 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. The recommendation was based on the following: 1. The applicant has provided sufficient details in the photographs provided. 2. Invasive vegetation, dead trees and limbs and debris will be selectively removed by hand. 3. The area will be re-vegetated with native species. It is recommended that the Board clarify when revegetation will occur and what species would be used. 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 Michael J.Domino,President �Q�.'" ��� Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders � Southold,New York 11971 Glenn Goldsmith Telephone(631) 765-1892 A.Nicholas Krupski �/�`+ " " Fax(631) 765-6641 ; ®UNTO,: ]BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application �,,c_Wetland Permit Application @/ Administrative Permit APR - 6 2016 Amendment/Transfer/Extensio s Received Application: Southold Town Received Fee: $ E Board of Trustees Completed Application:. __4,17 l Incomplete: - SEQRA Classification:-Type I_ Type II Unlisted Lead Agency Determination: } �Coordination:(date sent):: V LWRP Consistency Assessment Form Sent: - CAC Referral Sent:, _ _ - - - - - ----- --. •+_�"-; ,.: .. Date of Inspection: J5-ZW Receipt of CAC Report: Technical Review:_ { Public Bearing Held:" Resolution: Legal Name of Property Owner(s): Charles & Brenda Grimes Mailing Address: - _3501 Bonita Bay Blvd, Bonita Springs, Florida 34134 Phone Number: 239-777-4185 Suffolk County Tax Map Number: 1000_ 86-02-12.6 Property Location: . 4145 Wells_Road, Peconic, New York 11958 (If necessary,provide LILCO Pole#,distance to cross streets, and location) AGENT(If applicable):• N/A Mailing Address: Phone Number: Board of Trustees Appl.m_- ,tion GENERAL DATA Land Area(in square feet): 38,595 Sq Ft/ .89 Acres Area Zoning: Previous use of property: Intended use of property: Residential ' Covenants and Restrictions on property? X Yes No If"Yes",please provide a copy. see attachment A adjacent to this page Will this project require a Building Permit as per Town Code? Yes X No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. .Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s)on property have a valid Certificate of Occupancy? Yes X No Prior permits/approvals for site improvements: Agency Bate Southold Board of Trustees 5/16 ammended 4/17 Southold Building Dept 7/17 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No X Yes If yes,provide explanation: A stop work order was erroneously issued by the Southold Town and Trustees. Work has subsequently resumed. Project Description(use attachments if necessary): See attached project plan for further details 1. Remove dead trees, dead branches and debris from the non turf buffer and wetlands Dead trees are painted with a red X or Red marking . See attached project plan photos 2. Remove invasive species in non turf buffer, oriental bittersweet, english ivy, porcelain berry, Japanese wisteria. winter creeper poison ivy and kudzu. See attached project plan photos 3. Prune remaining trees and vegitation in non turf buffer to facilitate new growth 4/4/2018 Vine Removal-Go Native L nnn Island EC EVE G® Native Long Islam APR - 6 2018 Southold lovin VINE REMOVAL Bar of Trustees-- IVY AND OTHER VINES KILL THE BEAUTIFUL TREES that give our yards and neighborhoods shade and character.Once in the tree canopy,vine leaves eventually block sunlight from those of the trees. But by cutting vines at the ground most trees can survive. Four Steps to Remove!lines: 1. Use garden clippers,quality loppers or small limb saws to cut,or saw through large vines near the bottom and around the trunk at the base of the supporting tree. Be careful not to disturb the bark. TIP:Wear gloves, long sleeve shirt,and long pants to lessen the risk of poison ivy. Many prefer doing this during the months from late fall through early spring when poison ivy is less prevalent. 2. Pull the vines from the ground around the base of the tree,making a 2 foot"life saver ring"around the tree.This will protect the tree from future infestations. If the ground is hard and the vines break, work after a rain. Lay a 2"thick leaf mulch or wood chips in the cleared area 3"away from the tree trunk. 3. Once cut, leave vines on the tree to die. Do not pull them off because that could harm the tree.The vines will gradually blend into the tree bark after they die. Checkup on your tree each year to be sure the ivy on the ground remains off the tree. 4. Pull out additional ivy growing along the ground by grabbing, pulling and snipping as much as possible.You may lay the cuttings on the ground to air dry as they are unlikely to re-root. For more information on controlling ivy and other vines click Tree Stewards. © For general information about invasive plants and their control go to the links in the side bar. ® KUDZU AND GIANT HOGWEED HOTLINE: Residents should take photographs of suspect kudzu or giant hogweed plants and email them to ghogweed@dec.ny.gov.You can also call 845-256-3111 to report. For more information on removing vines click the following pages: ® Oriental Bittersweet Q English Ivy http•/Igonativeli.com/vine-removal/ 1/2 4/4/2018 Vine Removal-Go Native L^^^Island Porcelain-Berry © Honeysuckle Vine • Japanese Wisteria Winter Creeper Kudzu Vine Poison Ivy 1 CpVE APR - 6 2018 Southold Town Bar oTr e http.//gonativeli.com/vine-removal/ 2/2 Board of Trustees AppJ,.-11-%.iatJon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: _ To cl _an out dead trees and debris from the non turf hr rffer and to facilitate new growth and vegitation by removing invasive vines and pruning trees Area of wetlands on lot: 10,298 square feet Percent coverage of lot: 27 % Closest distance between nearest existing structure and upland edge of wetlands: 75ft feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? No Yes if yes,how much material will be excavated? cubic yards Plow much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Lead Trees will be removed by cutting stump to the ground and removing the pieces using a wheel barrel we will not use heavy equipment waterside of the 30ft buffer to clean out buffer. Invasive species will be removed as described in attachment B adjacent to this page 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): Positive effect by removing dead trees will facilitate new growth and by removing the strangling invasive vines which kills trees Board of Trustees Application AFFIDAVIT ; N" .LF�. __=: • --. --_- - - BEING DULY SWORN DEPOSES AX07AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE t BOARD OF TRUISTEES 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 TRUTEES G THE TERM OF THE PERMIT. E r q A Signature of P rofert ner SWORN TO BEFORE ME THIS DAY OF 20 STACIE KESSLER MY COMMISSION#FM5M EXPIRES:Much 28,2020 Notary Public J Board of Trustees Application .AFFIDAVIT[' 3 } \m421�7 BEING DULY SWORN a DEPOSES ANI)AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER]KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION F 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. SigAatuNrb,of Property Owner SWORN TO BEFORE ME THIS DAY OF 20 is"", otary Public LYNDA M RUDDER Notary Public,state of New York No.01RU6020932 Qualified in Suffolk county Qommission Expires March 8,20_� ,, APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE,FORM The Town ofSoutholrl's Code of Ethics prohibits conflicts of interest on the Iva of town officers and employees,The )urpose of this form is to provide information which cult alert the town of possible conflicts of interest and allow it to take whatever action is ttecesSary to avoid same, n YOUR NAME: r-- �C� (Last name, trst name,.rniddle 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 b Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other',name the activity.) Tho YOU personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or cmployce of the Towfl oi'Southold? "Rehttionship"includes by blood,tparriage,or busine s interest,"13usinexs interest"means a buslnesC, including it partnership,in which the town ofticeror employee lyes coven a partial ownership of(oremplaymew by)a corporation in%:Mich Ole town officer of 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_ w 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 Or RELATIONSHIP ^— Submitted this da ��too Signature Print Name t� Form TS l APPLICAN'I'/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town-ofSouthold's.Co&of Etlil&-prohibits conflicts of interest ori the port of town officers and etn}ilovees:'Tire purpose of this Form 1s to`nrovide•informatiotinvnich can alert the town ofpossible.conflicts of inferesf and allow•it to'take whatever_tction is� neebssarto avold Same. YOUR NAME: Charles and Brenda Grimes_ (Last name;fifst name,jpiddle 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.) i NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee x'- Change ofZone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',narne the activity.) Do you personnlly(dr ifirough your company,spun§c,•siblhtg„parer>,t,,or child)havc,a relationship witivany officcr or employee, of theTown oi'Southold? "Relationship"includes�y blood,marriage,or business-interest.."Business interest"-means a liusiiiees, including n parinersl}ip,in which the town officcror ernployec has-even n partial q�yneisltip of(or'etitnloyme nl by):t corn}�nttion. in Nvhicli thcuiwn officer or cmpidyei owns-more than 5%of Clic Silures. 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- a Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check r 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 appliegnt (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 Sub S day of �..L- St attire "' Print Na r ida Grimes Fonn TS 1 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, residing at R " (print name of owner o rope rty) (mailing address) a ereby authorize,._ (Agent) f -.-to apply permit(s) from the Southold and of Town Trustees on,m ehalf. i i (Owner's signature) D ECS NVE APR - 6 2018 Southold Town B ar o Trustee 617.20 Appendix B Short Environmental Assessment Form Iiistructions,for,Comlileting Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part l based on information currently available. If additional research or investigation would be needed to fully s 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 Non turf buffer clean out t Name of Action or Project: Non turf buffer clean out Project Location(describe,and attach a location map): 3 4145 Wells Road, Peconic New York, 119.58 Brief Description of Proposed Action: Remove dead trees, dead branches and debri in the non turf buffer. Remove invasive species in the non turf buffer such as oriental bittersweet, English Ivy, Proclain berry, Honeysuckle vine, Japanese wisteria, winter creeper, kudzu vine and poison ivy. Prune healthy trees to facilitate new-growth. ; SEE THE ATTACHED PROJECT PLAN FOR PHOTOS OF DEAD TREES AND INVASIVE SPECIES DEAD TREES ARE MARKED WITH RED PAINT. Name of Applicant or Sponsor: Telephone: 239-777.4165 E Charles and Brenda Grimes E-Mail: bgrimes@gandb.com Address: ` 3501 Bonita Bay_Blvd i L City/PO: State; Zip Code: Bonita Springs Florida 1 34134 1.Does the proposed action'-only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ a 3.a.Total acreage of the site of the proposed action? 38,5qf�Sa ft_823 §s' b.Total acreage to be physically disturbed? Cres acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 38,595 Sq ft .89 acrea(es 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 of 4 a - 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ❑ ❑ b.Consistent with the adopted comprehensive plan? FRI ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: M ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ ❑ ❑ ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: N/A ❑ ❑ 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: ❑ ❑ 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? ❑ b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 5XI Il 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 [:ZAgricultural/grasslands El Early mid-successional Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ❑ ❑ 16.Is the project site located in the 100 year flood plain? NO YES X 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: ONO ❑YES 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 TEST OF MY KNOWLEDGE A name: \C��}�-- Date: gnature: 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 Moderate small to large impact impact may may occur occur I. 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? r--7f ❑ 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 o ortunities? 7. Will the proposed action impact existing: FW ❑ 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 1 I No,or Moderate small to large imE:' pact impact maymay occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainagea problems? I I. Will the proposed action create a hazard to environmental resources or human health? x 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 pacts Town of Southold-Board of Trustees 1� Name of Lead Avancy Date DIg4 � President Pri t or�5= ponsible Officer in Lead Agency Title of Responsible Officer Signature of Respo ib e Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 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 rrd other ministerial-permits net 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 vd1t be evaluated as to -its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town) 3. If any question in Section C on this form is answered-"yes" or "no", then the proposed action wiL affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each inswer 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 iwdertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's weusite(souLholdio-wri.noiLrorlc.net), the hoard of Trustees `v'i= aiullent all local libraries and the Town Clerk's office. ❑ (� E ,!' p DD B. DESCRIPTION Orli'SITE AND PROPOSED ACTI®Rt SCTAIN loon-as _ 02 _ 12.6 FAPR - 9 2018 PROJECT 1 TAI`M Non Turf Buffer Clean up Southold Tarn Time A.pplIcaldon has been sekbmlitted to(check appropriate response): Town Board ❑ Pla nniiamg Board❑ BuRdiing 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: ❑x Nature and extent of action: Removal of dead trees, limbs and branches and other debris in the non turf buffer. Removal of invasive species such as oriental bittersweet, English Ivy Porclain berry, honeysuckle vine,japanese wisteria winter creeper, kudzu vine and poison ivy Prune trees in nont turf buffer to facilitate new growth. Location of action: 30 ft non turf buffer at 4145 Wells road Peconic Site acreage: 38,595 square feet .89 Acres Present land use: residential, 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: Charles and Brenda Grimes (b) Iblailirig address: 3501 Bonita Bay Blvd Bonita Springs Florida 34134 (c) Telephone number:Area Code( ) 239-777-4185 (d) Application number,if any: Will the action-be directly undertaken,require funding, or approval by a state or federal agency? Yes 11No I xJ- If yes,which state or federal agency? Co 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 CAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that emhaimees community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRI? Section Irl—Policies; Page 2 for evaluation criteria, [—]Yes ❑ No Fx� Not Applicable Policy 1 is not applicable given that the project does not involve development, preservation of open space, infastructure use of coastal location and adverse effects on development. The project merely seeks to clean out ea trees an invasive species rom a non u u er. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resOrces of the Town of Southold. See L WRP Section DTUr—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No El Not Applicable Policy 2 is not applicable in that the proposed project plan does not impact any potential historic and or archaeoloaics, resources or in the surrounamg areas Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section LLl—Policies Pages 6 through 9 for evaluation criteria tJ Yes ❑ No ❑ Not Applicable —Yes this proposed protect does enhance visual quality of the property. Specifically policy standard 3.1 b, 3.1 e; we will be removing; dead trees, debri (garbage), invasive species currently strangling living vegitation. We will be pruning remaing vegitation to facilitate healthy growth and planting native non invasive vegitation to restore butter toa healthyvegtae sae. Attach additional sheets if necessa-j NATiI1RAL, COAST POLICIES Policy 4. Minimize loss of Life, structures, and natural resources &oni flooding and erosion. See L WR? Section HI—Policies Pages 8 through 16 for evaluation criteria ❑ `des F] No F] Not Applicable The pro-ject plan will com�I.�_policy 4 in that it will remove invasive species which is currently killing healthv vegitation the plan will also clean out debri and dead vegitation and prune healthy vegitation to facilitate growth No heavy equipment will be used. 4.1 There will be no loss of human life and or structures. _ 4.2 We will be protecting and enhancing buffer. 4.3 no impact on public land. 4.4 no impact on costal. 4.5 no public funds used. 4.6 no public funds used. Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the Town of�Southoliato See 1LTVRF Section H if —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ Ido 0 Not Applicable Project is not applicable to policy 5 in that it will have no impact on the water quality supply within the surrounding area nor the Town of Southold. Attach additional sheets if necessary Policy 6e Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife 1Xtabitats and wetlands. See L,' Section M—Policies; Paged 22 through 32 for evaluation criteria. ❑ ❑ F Yes NO h,wr Applicable Policy number 6 is not applicabiein the project will not impact the Town of Southold's ecosystern coastal fish and wlldlife habitat and the wetianas. attach additional sheets if necessary Folicy 90 Protect and improve air quality in the Town of Southold. See ILS Sections M — policies Pages 32 through 34 for evaluation criteria. ❑ Yes r x❑ Not Applicable The project will not have any impact on air quality and therefore policy number 7 is not applicable Attach additional sheets if necessary PORCY 8, Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wa- stes. See LVVRP Section 1H—Policies; Pages 34 through 38 for evaluation criteria. Fx µTo+9 Lei laTQg u Note AppRg'able The project does not involve disposal or transportation of solid waste, hazerdous waste, toxic pollutants petroleum products etc. As such, policy number 8 is not appicable. PUBLIC COAST POLICIES Polic6r 9, Provide for public access to, and recreational use of, coastal waters,-public lands, and public resouurces�of the Town of Southold. See ILVMF Section III—Policies; Mages 38 through 46 for evaluation criteria. Yee No Not Applicable Policy 9 is not applicable. Project relates to a private residential property. Attach additional sheets if necessary WG TG COAST P_, CM1z � Polio 10' Protect Soaat>IgoYd's wate�dependent ��� and! Promote� �1tamg ®1i']MOW water-dependent - se�italDle locata®nso See I•��P Sectnon ffi—Policies;Pages�9 through 56 for ewal�aatio� crus.,EJ �Ies ❑ I�® ❑ dot Applical�le Policy 10 is not applicable as the project does not effect water dependent uses. Attach additional sheets if necessary P 011CY 11. Promote sustainable -ase of living marine resources in Lon Island Bound, Estuary and Town waters. Sege LWRI?Section M—Policies; Pages 59 through 62 for evaluation criteria.Peconic ❑ es ❑ iii® ❑ Not Applicable Policy 11 is not applicable in that it does not involve any form of marine resource managment ie., commericial fisheries; recreational fisilullco, aquaculture etc. Attach additional sheets if necessary Policy 12. Protect agricultural lauds in the Town of Southold. See LWR_P Section .flak—policies; Pages 62 through 65 for evaluation criteria. ❑ yes ❑ No❑ Not Applicable Policy 12 is not applicable in that the project does not involve agricultureal of lands (i.e. the converson of farmland, the establishment and/or maintencance of new UUC:I.*:,LCII agncut urs production-ea-7— Attach ro uc ion etc.attach additional sheets if necessary Policy 13- Promote appropriate use and development of energy and Mineral resources. See LW1_?RP Section M—Policies; Pages 65 through 68 for evaluation criteria.. ❑ Yes ❑ Nox❑ Not Applicable Policy 13 is not applicable in that the proposal does not involve the conservation of energy resources on a commercial level and/ort the promotion of a ternaLive energy sources, proper main enance o ue s orage tact ies an cr t e extrac ion or minera a ract on. P +PAED B Y '�'� DA E