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TR-9289A
�S�FFOL,�G' Michael J. Domino, President o� o� Town Hall Annex John M. Bredemeyer, III, Vice-President y� 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A Nicholas Krupski y • �� Southold, NY 11971 Greg Williams �'Ol ,� �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 1St day of construction '/z constructed Project complete, compliance inspection; 0f SU(/j Town Hall Annex Michael J.Domino,President �o�� yplo John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn GoldsmithAw_ Southold,New York 11971 A:Nicholas Krupski �p� Telephone(631) 765-1892 Greg WilliamsFax(631) 765-6641 UNV I t BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9289A Date of Receipt of Application: December 18, 2017 Applicant: Lee Kruter & Tracy Weiss SCTM#: 1000-119-1-1 Project Location: 9475 Nassau Point Road, Cutchogue Date of Resolution/Issuance: August 15, 2018 Date of Expiration: August 15, 2020 Reviewed by: Board of Trustees Project Description: Expand existing 8'x17'4" southerly screened porch an additional 140sq.ft. for a total proposed 16'x17'4" southerly screened porch. 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 site plan prepared by Joe Read Design, dated November 20, 2017 and stamped approved on August 15, 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. Michael J. Domino, President Board of Trustees 1'-q'3/6-0 5/11/1 4" 3'-5" 41' 3'-5" 4" 3'-5" 4" 1T-T' .- - - - - - - - - - - - - - - - - .- - - - - - - - - - - - - - - �-� F 2872FX 2872FX 11141 OFT' 3274PT 3541 OPT 3541OPT 3541OPT (� - - - o i m m m O r O '—X 6'—FA R-DECK ---- m m - z f- -- -- EXI5TING GOVEREED PORG w o PROPSED ADDITIONAL DECK - - - - - - - - - - - - - - - - - - - qrf X1 `4" ce EXISTING LIVING AREA f----- — t— VX 1'7'4" w — — EX15T1NG LIVING AREA " a r- 0 v � m ((� Z o 4014FX 5214FX 110410PT 3274PT 3541OPT 3541OPT 3541 OFT - - - - - - o - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ _ - FBOARD PROVES BY � OF 11?USTEES �-- EXPANDED, DEC�KPI� P05ED , DECK XTENTION 'OWN OF SOUTHOL Ul - T _ .-. - _I _1 GEDAR SHINGLE MATCH EXISTING ROOF -- .O - �. -- - A Z Lu �D n � z REMOVABLE — - 5GREENS Qp Z -- 0owQ -A lD ILS fQ Z_ wLU c� to z r r r � 6 I°1 I 6#11b" 6" I 5' - - r ELEVATION DATE: 11/20/1'1 50ALE: t SHEET: _ A- 1 Michael J. Domino, PresidE � � �Q �� Town Hall Annex John M. Bredemeyer III,Vice-President �Z� di��� " _ z 54375 Route 25 Glenn Goldsmith CD z P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 OY Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time3h Completed in field by: sy• `�f�'s� Joe Read on behalf of LEE KRUTER & TRACY WEISS requests an Administrative Permit to expand existing 8'x17'4" southerly screened porch an additional 140sq.ft. for a total proposed 16'x17'4" southerly screened porch. Located: 9475 Nassau Point Road, Cutchogue. SCTM# 1000-119-1-1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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 o 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: r Present were: J. Bredemeyer M. Domino G. Goldsmith N. Kru'pski k G. Williams Other 1 w„�J f STREET ADDRESS: 9475 NASSAU POINT ROAD SURVEY OF PROPERTY 0 F AT NASSAU POINT , U TOWN OF SO UTHOLDMAR - 7 2018 � I SUFFOLK COUNTY, MY I 1000 119-01-01so.i,hold lovm PQard of Tr tco SCALE. 1'--30' FEBRUARY 14, 2012 NOVEMBER 21. 2017 (PROPOSED DECK) FEBRUARY 27, 2018 (PA 710S LOCA TED) / o 9 / of I \ �a GDF Q I I T 71 LO / 6G E Oo / NE WALL (�I W o 1p�26_— 00" 128— I 28— \ > Lill n (t1 m MpNUMENT ^ X34` 1 \ \ \ Ln 7 UNDERGROUND 19.6 N PANE TANK ROP1r,, WAIL 1 J J ` `J A/C 0 ( / UNIT 2.5 2.5 S,�c� / SZEPS /I AD LO-T 72 o 1 GENERATORO 0 o \ �1 WO STORY \ \ I �'�41 �] W a o WELL 5.e AME HOUSE 10.5' �� w C� 3 f9 o F.F. E1.. 41.0' \\�\3`32 �^ `P"1 22.2 14.0' BLUESTONE �S R\ 1 N 9 ~ n+ LANDING/WALK D `�\ � ��`Z m M GF:A� N�' � 0cr 10.6' � WAY z GRAVEL B.B. CURB �'1` 17.4' x N OSED �I I I ' I I I 1 m J a B.B. CURB ! PROP ,/ o > O ro UTILITY �� DECK 45.0' m o � � POLE 3e ! 15.1 d 1,a GUY WERE ! 17.4' 9.1� 5.8 III I I I I I I I I i ro o J W f---- - - I IIII ! 14.9' m a m UTILITY ! BLUESTONEBLUESTI ro v POLE ! ! W/STAND NEONS IPATIO r=n W/ST I ! PATIO W/STANCHIONS_ V I I I I I a W/ EECocco col 1 / LOT 73 I �11 1i�o)I Ni \ � �j���ll ' W IJ j 0.30, a IF Q 44 / o � / w W I PO`s to I ! ' LOT 74 coI ! , - UTILITY POLE LOT COVERAGE EXISTING: _ - - "q2' W EXISTING STRUCTURES 2,886 S.F. 10 I - - poll S78 EXISTING GRAVEL DRIVEWAY 4,109 S.F. LOT COVERAGE PROPOSED: 6,995 S.F./96,216 S.F. = 7.27% LOT COVERAGE EXISTING STRUCTURES 2,886 S.F. PROPOSED DECK 140 S.F EXISTING GRAVEL DRIVEWAY 4,109 S.F. 7,135 S.F./96,216 S.F. = 7.41% LOT COVERAGE aF T M,. LOT NUMBERS REFER TO "AMENDED MAP A OF NASSAU POINT, OWNED BY NASSAU POINT CLUB PROPERTIES, INC '' /',• ,fig;�, �. .I FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON ' AUGUST 16, 1922 AS MAP NO. 156. 4 LIC. NO. 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION PECORIC.-;SURVEXOPS, P.C. OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW.EXCEPT AS (631) 765-5020 FAX (631) 765-1797 AREA=93,216 SO. F7. HEREON ARE EVA ID FOR THIS MAP AR SEC77ON DNDSCOPI S THEREOFION 2. ALL ONLY IF S P.0. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET ELEVATIONS REFERENCED TO N.A.V.D. '88 TO TIE LINES WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 12-115 yy "`�-'`:`�„M1�'�•-•.�� ^"� � �--,..'- -,4- ®,- _.�--- F��^--�..®�---_ ....,_____`".;mss. - - jppp . A. Alm R . a �Ar �,,�. � •.cam. �)�',. � _r� _ � `,.. ZZ Wi w.�- • "IM _ IA EX - _. -._ � .. ..,� -y. sty..• Ri +J • ti ■ Y s f E`^"w"" u*�y(' '4Pw _ � 'r�.prwA.-a—.rr:^.�..�,+Myiyt _ '►a" � �_ �f�'RxbORwtsr�(w _ N 1 � \ f� \ •, U1TLE \ r ag r PECON1C � AO O BAY \ Ys 6 1 Old © K n� v e01111101D SECTION NO a^- —�— .�.•... pts W. O --,—_ NOTICE COUNTY OF SUFFOLK --- _-- m� -- — �.�--M-- F" Real Property Tax SeMCeAgency E co.�ry acv w..�nra,x r nwt 119 A tai uttecr NO 1�N -- -- P PNOPERTY MAP OFFICE LOCATION: ®�*®F S®Ul�°®l MAILING ADDRESS: Town Hall Annex °` ® P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) v, S ® �Q Telephone: 631 765-1938 Southold, NY 11971 Q Fax: 631765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: August 2, 2018 Re: LWRP Coastal Consistency Review for LEE KRUTER &TRACY WEISS SCTM# 1000-119-1-1 Joe Read on behalf of LEE KRUTER &TRACY WEISS requests a Wetland Permit to expand existing 8'x17'4" southerly screened porch an additional 140sq.ft. for a total proposed 16'x17'4" southerly screened porch. Located: 9475 Nassau Point Road, Cutchogue. SCTM# 1000-119-1-1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency'Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP),Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney t ��a��yFFotk�a Peter Young,Chairman ti Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 ���� � Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Thurs., August 9, 2018 the following recommendation was made: Moved by Peter Meeker, seconded by John Stein, it was RESOLVED to SUPPORT the application of LEE KRUTER & TRACY WEISS to extend existing screened porch and deck. Located: 9475 Nassau Point Rd., Cutchogue. SCTM#119-1-1 Inspected by: Peter Young, Peter Meeker Vote of Council: Ayes: All Motion Carried OFFICE LOCATION: 1MAMING ADDRESS: Town Hall Annex ®� ��� P.O.Box 1179 54375 State Road Route 25 ®� ®�® Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1809 http://southoldtownny.gov cou ZONING BOARD OF APPEALS Town of Southold RECEIVED FINDINGS,DELIBERATIONS AND DETERMINATION I �, g'•GI GitM- MEETING OF JUNE 21,2018 JUN 27 2A'A ZBA FILE: 7170 aouthold Town Clerk C) NAME OF APPLICANT. Tracy Weiss and Lee Kruter PROPERTY LOCATION: 9475 Nassau Point Road,Cutchogue NY SCTM: 1000-119-1-1 SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated March 16, 2018 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated May 15, 2018. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP evidenced by the fact that the proposed 8' x 17.4' (139.20 sq. ft.) deck/covered porch will not be located further seaward of the existing dwelling unit. SUFFOLK COUNTY SOIL AND WATER CONSERVATION DISTRICT: This application was referred for an evaluation and recommendation to the Suffolk County SWCD. According to the information provided in a letter from the agency dated April 19, 2018, following an inspection conducted on April 4, 2018, the agency found the bluff face is showing signs of rill and gully erosion due to irrigation sprinkler heads located directly at the crest of the bluff edge and that the bluff face is heavily littered with landscaping debris which can lead to increased instability over time. Furthermore,the top of the bluff face is manicured and mulched which, like the landscaping debris, will deter necessary vegetation from establishing, leaving the surface vulnerable to runoff and erosion. The bulkhead was also evaluated and appears to be in good condition. A tree in the general vicinity of proposed work was noted and it is not recommended to disturb this tree as it would cause substantial ground disturbance. The office further recommends that the sprinkler head(s) located at the top of the bluff face be removed, as irrigation can eventually lead to severe-erosion. PROPERTY FACTS/DESCRIPTION: The subject, irregular shaped, 93,216 square feet, conforming parcel, located in the R-40 Zone measures 412.28 feet along the northern property line shared with a residential neighbor to Little Peconic Bay and then runs alongside wood bulkhead at the high water mark 29.58 feet southeast to 51.52 feet south, to 51.03 feet southwest, then 18.07 feet and 81.40 feet south, all along the Tie Line before returning 440.30 feet along the southern property line shared with a second residential neighbor toward Nassau Point Road J Page 2, June 21,2018 #7170, Kruter SCTM No. 1000-119-1-1 and continues along the roadway 136.96 feet and 100 feet along the Tie Line with an irregular curve forming the western lot line. The parcel is developed with a two-story, wood-frame house, proposed addition, deck,walkway, gravel drive, stone 'retaining walls, multiple stone patios and a frame cottage at the water's edge landward of the bulkhead accessed 'via a stone walk and steps as shown on the survey prepared by John T. Metzger, Peconic Surveyors,P.C. and,dated February 27,2018. BASIS OF APPLICATION: Request for a Variance from Article XXII, Section 280-116 A(1) and the Building Inspector's January'l6,2018 Notice of Disapproval based on an application for a building permit to make additions and alterations to an existing single family dwelling; at; 1) located less than the code required 100 feet from the top of the bluff, located at: 9475 Nassau Point Road,Cutchogue,NY. SCTM#1000-119-1-1. RELIEF REQUESTED: The applicant requests a variance to extend an existing covered screen porch by 140 square feet approximately and measuring, 8 feet by 17.4 feet, on the south side of the residence, 45 feet from the top of the bluff where .the Code requires structures to be set back a minimum of 100 feet, as shown on the contractors drawing's prepared by Joe Read,Joe Read Design and dated November 20,2017. ADDITIONAL INFORMATION: A mature oak tree is growing southwest of the proposed addition. The applicant's agent expressed interest during the public hearing to preserve this tree. No member of the public or an immediate neighbor spoke in favor of or against this application. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on June 7,2018 at which time written and oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property and surrounding neighborhood,and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law 4267-b(3)(b)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The Nassau Point neighborhood was developed prior to Zoning and many homes are sited on smaller or narrower lots than the applicant's. The subject parcel is substantially larger in size than what the Code requires for a single family residence in the R-40 Zone and the house is set back off the road nearly 300 feet. As a benefit of the natural terrain, mature landscaping and undisturbed lands belonging to the applicant at the southeast portion of the lot, increasing the size of the current porch by 8 feet will have no visual impact from the road or water. 2. _Town Law §267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The existing home is sited at 45 feet from the top of the bluff at the closest point,so any addition to the dwelling on the seaward side will require valance relief. 3. Town Law&267-b(3)(b)(3). The variance granted herein is mathematically substantial,representing 55%relief from the code. However, the existing structure and covered porch was built prior to the current bluff setback requirement of 100 feet and the applicant proposes to maintain the existing waterfront fagade and the existing non-conforming bluff setback of 45 feet. The side yard setback on the north side of the residence is over 50 feet and the combined side yard setback is well over 150 feet, substantially greater than the Code requires. A greater hardship would be incurred to relocate the covered porch addition anywhere on the existing residence and would potentially create the need for more substantial relief than the maintenance of the existing waterside fagade, 45 feet,at its closest to the top of the bluff. Page 3, June 21,2018 #7170, Kruter SCTM No. 1000-119-1-1 4. Town Law &267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5. Town Law X267-b(30)(5). The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. Town Law §267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of an enlarged covered screen porch while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-13, motion was offered by Member Planamento, seconded by Member Dantes, and duly carried,to GRANT the variance as applied for, and shown on the survey prepared by John T. Metzger, Peconic Surveyors, P.C., and last revised February 27, 2018 and the contractor's drawings prepared by Joe Read, Joe Read Design and dated November 20,2017. SUBJECT TO THE FOLLOWING CONDITIONS: 1. Per Suffolk County Soil and Water Conservation District recommendations dated April 19, 2018, sprinkler heads at the top of the bluff are to be removed, and the existing mature tree southwest of the proposed addition is not to be disturbed. 2. The covered screen porch shall not be enclosed or conditioned without further review by this Board. That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit„and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s)granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration, grant an extension not to exceed three(3) consecutive one (1)year terms. Page 4, June 21,2018 #7170,Kruter SCTM No. 1000-119-1-1 Vote of the Board: Ayes: Members Weisman(Chairperson),Dantes,Acampora,and Planamento(Member Lehnert abstained): This Resolution was duly adopted(4-1). C)�L, KAI Leslie Kanes Weisman Chairperson Approved for filing 6/ /2018 Y FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: January 16, 2018 TO: Joe Read(Kruter) PO Box 1031 Shelter Island,NY 11964 Please take notice that your application dated January 8, 2018 For a permit to make additions and alterations to an existing single family dwelling at Location of property 9475 Nassau Point Road, Cutchogue,NY County Tax Map No. 1000- Section 119 Block 1 Lot 1 Is returned herewith and disapproved on the following grounds: The proposed construction is not permitted pursuant to Article XXII Section 280-116 A. (1), which states: "All buildings or structures located on lots upon which there exists a bluff landward of the shore or beach shall be set back not fewer than 100 feet from the top of such bluff. The construction notes a setback of 45 feet from the top of bluff, at its closest point. Aut orized Si a e Note to Applicant:Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file, Z.B.A. r �v l0 JAJ'o (Main K030 r Michael J D<, ;no. V+cc-Pres,dcnt �~IP O Sox t 179 Jaincs F Kling" Trustee 4CSo, !d. Ne— Yock 1 197 1-0959 Dave Bergen- Trustee G� 0 � TClephonc (63 L) 765-1892 Charles J- Sanders.Trustee ��� Fax (631) 765-6641 COLIW BOA R-D OF TOWN TRUSTEES TO WN O F SO UTHO LD To: Southold"Tow6 Building Department Re-- Verification of Building Department Permit Requirements DEC 1 9 2017 'FO Wl-,j OF S;Oul,HOLD Property Owner Mame: Date Sent to Bldg- Dept-: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department`s permitting requirements stated below- YES M--O Will the proposed .project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered as Demolition as "described under Town Code? COMMENTS: -------- --- -- ------- ----- - -------- ---------- Si tur 9 or Reviewer Date y *pF SOUly Michael J.Domino,President � O 1 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 jW P.O.Box 1179 Charles J.Sanders C#I, Southold,New York 11971 ellGlenn Goldsmith ® �@ Telephone(631) 765-1892 A.Nicholas Krupski yCOUNTr Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit ApplicationF Administrative Permit Amendment/Transfer/ExtensionReceived Application: Received Fee: $ 100,00 DEC 1 8 2017 Completed Application: Z•K Incomplete: ---- r SEQRA Classification: Type I_ Type H Unlisted ©Dart!of T i 1 Fs Lead Agency Determination: YCoordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: S Resolution: Legal Name of Property Owner(s): &,� Mailing Address: / /// 5-f- Al e, s;3 { t 8 t D Phone Number: (oma{(o - z41, —A? � Suffolk County Tax Map Number: 1000 - q Q Property Location: 0&45 0 ' C)?C) C, a yip (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(Lf applicable): TO e, Zr,&� Mailing Address: I o-lzs Phone Number: Coa 1 - ZS Z-- !F6 7 ` Board of Trustees Applic ,,ion GENERAL DATA Land Area(in square feet): /03, RA40 Area Zoning: �-- ® Previous use of property: _ t� � Intended use of property: �,�_ N Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes 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 No Prior permits/approvals for site improvements: Agency Date X 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: Project Description (use attachments if necessary): * i � X}ems fx15�Ju 'S ® Vfz? �{ • N P Board of Trustees Applic ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: PA& Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: -16 ' feet Does the project involve excavation or filling? 1C No Yes If yes, how much material will be excavated? [ cubic yards How much material will be filled? LV ,1A cubic yards Depth of which material will be removed or deposited: LOJA feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: tj p gA,��,,,_„�L 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): 00 ���� �►a . p��r��c 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 1 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 I -Project and Sponsor Information Name of Action or Project: Project Location(describe,and attach a location map): Brief Description ofPrQposed Action: ( // 641 Name of Applicant or Sponsor: Telephone: 3 02 ger 7 J E-Mail:aoe:v S Address: Cwt" 130 sc City/PO: State: Zip Code: a 3 � A,)-[ 1 1 //9(017/ 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: ❑ 0 3.a.Total acreage of the site of the proposed action? zt acres b.Total acreage to be physically disturbed? acres 9-4 }t I7 4' � MG c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) [—]Industrial ❑Commercial [Residential(suburban) El Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. is the proposed action, NO YES N/A a.A permitted use under the zoning regulations9 ❑ © ❑ b.Consistent with the adopted comprehensive plan? ❑ FX1 ❑ 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: n 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: i�C —hk C° + t�lsncti CZ--Q EJ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: jy/,� ® El —� 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 4 A [�fl ❑ 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? RL❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ElIf Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: El 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: E•Shoreline El Forest ❑Agri cultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ®Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ® ❑ 16.is the project site located in the 100 year flood plain? NO YES 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: ❑NO OYES Page 2 of 4 1 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: 5-0 LEJ 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: n ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE 1S TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor e: 2v Date: //— Z,5- 1 7 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 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? [A 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 El 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)? El Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? 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 im acts. Town of Southold-Board of Trustees L )14(1 Name of Lead Agency Date MM Aft Aft�. n A fMMf M A President Print or Type Nam o Res onsib Vicer in ead Agency - Title of Responsible Officer Signature of Respo ible Officer in Lead Agency Signature of Preparer cif different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Applic- ion AFFIDAVIT ba 1f1�-�vYXI w`�fT� _ _ BEING DULY SWORN DEPOSES AND AFFI ' S TH At 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 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 -INSPECTTHE PREMISES IN CONJUNCTION WITH THIS APPLICATION, `j'INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT.• Signature of Property Owner SWORN TO BEFORE ME THIS %o? DAY'OF ,20) � r `y Notary P piic DIANE-M.SP15GEL VAtary_ftblio of,New York _No.•01 SP_4851'792 U} a0 O' ki Queens County CoFt mla lon Expires'Ootober 14,20 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 \ YOURNAME: ..1c�& `o, (Last name,Tirst name,xpiddle 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 200 Signatur t Print Name Form TS l APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM r QDI.ji`� The Town of Southold's Code of Ethics prohibits conflicts of Interest on the part of town officers and employees.The purpose_ of this form is to provide information which can alert the town of possible conflicts of Interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: k tM (Last name,first name,middle initial,unless you ore 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.) TYPE OF APPLICATION: (Check all that apply) f Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning ; 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 that 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 ,20 I Signature y Print Named �' ; Board of Trustees Appli,._ ion AUTHORIZATION (where the applicant is not the owner) v � (i11tjCs11___ residing at qq71- (print name owner of property) (mailing address) G �"• 1153 f l4����o hereby authorize (Agent) w� to apply for permit(s) from the Southold Board of Town Trustees on my,behalf. Owner's signature) Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant 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# PROJECT NAME 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: -� � Location of action: Site acreage: �l ,'5 3 pr Present land use: 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: , � �e,� ��9 40 y� ) Oes 16,5 (b) Mailing address: c ► �_ �� i V 1 �`� � � ✓-�,�.� �-� � � @� �l`� �J C- 4, (c) Telephone number: Area Code( ) G3 ( _ fir, _ -8-,7 7 F< (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No F1 If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No WC 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 �d Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No F 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 III—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 0 Not Applicable Attach additional sheets.if necessary Policy 6. Protect-and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Nol1 _,iplicable 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 E Not 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 1/Z/- Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ , YesD No® Not Applicable Attach additional sheets if necessary XORKING COAST POI;(,, ES 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 0 Not 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 ❑ No ® Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No 54 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III-Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY o� -�,,�1� TITLE ©�,Qg p,� , DATE /`-2r-!,