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HomeMy WebLinkAboutTR-9330A Michael J. Domino, President �oSutFOlIr Town Hall Annex John M. Bredemeyer, III, Vice-President , �� y��; 54375 Route 25 Glenn Goldsmith y ,? P.O. Box 1179 A Nicholas Krupski Southold, NY 11971 Greg Williams ' �'01 , 9a�aY 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 Y2 constructed When project complete, call for compliance inspection; Michael J.Domino,President �oE SOUjyo Town Hall Annex John M.Bredemeyer III,Vice-President l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski �pQ Telephone(631) 765-1892 Greg Williams `,ou ffm Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9330A Date of Receipt of Application: June 22, 2018 Applicant: Martin & Julie Regine SCTM#: 1000-13-2-8.19 Project Location: 675 Hillcrest Drive North, Orient Date of Resolution/Issuance: November 14, 2018 Date of Expiration: November 14, 2020 Reviewed by: Board of Trustees Project Description: To clear the overgrown brush on the sound side; remove two (2) overgrown shrubs; trim up the brush along the property fence line; with no removal of trees on the sound side of the fence line, only trimming and cleaning up. 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 Chris Mohr, received on October 10, 2018 and stamped approved on November 14, 2018. Special Conditions: No vegetation is to be cleared below 4' in height, except for the trees that were requested to be removed. Must maintain all bluff vegetation at a height of 4 . 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 SURVEY OF LOT 17 S UBDI VISION MAP OF HILL CREST ESTATES SECTION 1 FILE No. 7218 FILED AUGUST 15, 1983 SIT UA TE ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 13-02-8. 19 SCALE 1 "=20' AUGUST 13, 2007 4•rV_" AREA = 75,928 sq. ft. ' ! TO TIE LINE 1.743 ac. s OCT 1 0 2018 f APPROVED BY- -8 Y-8 '_1111,r T;` :f BOARD OF 1 RUSTEES Y / / TOWN OF SOUTHOLD 10 r' —12 DATE x-14 R D —t8 , _222 - — / —24 / 9� / / / / _ 26 j�yo —28 1.7 / / / / / / / / / / / � / / � _ - -30 NOTES: —32 —34 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM N EXISTING ELEVATIONS ARE SHOWN THUS:m 6 ' / / / / / / / / as EXISTING CONTOUR LINES ARE SHOWN THUS: — — — —s— — — — / F.FL - FIRST FLOOR �4° G.FL - GARAGE FLOOR T.B. - TOP OF BULKHEAD B.B. - BOTTOM OF BULKHEAD T.W. - TOP OF WALL - BOTTOM OF WALL 6 " 54 -_S8 �- / elf moo, �� / / / / / / / / / / / / / / / / / / / / / \80 Top OF emoff XIU Xm X82 60 M0 /80 63 CON 6ib1p/ zszX 1a I6 / / / / XLU 20, C/ / $6 / o x -M / s X81.3 \ � ' X o \ /$0 aN � X 80-9 n �` Ta O OsUTrs X$0.9 f-oG X•$1.2 82 � X at.Z / 84 e o U 00 � c�, \ V1 QJS°J�QIAcz TNW 0���GE• 4 K� NOf V. 84— ""\ \ �'� �� • �c�""RPT' g�� "' •. .•. • G \ \ ,0 SCO .'• •. .d•. Ci jr A3 HOER 81.9 �1 Y10 •'.•To / •' ' yy \ � v F, ...yoy . j ,' °• :� A.• '�i^ ISO \ 82.6 1k f�`r 0 0 �°°F•(F'���P � �o���r� • � :a � o S� - 11 86, % s. % • 1�� N I 4�' • 14 a / 89.50 �'. OS B3035 CURB CUT • e A :° d. rL=65.5 - CONC. CURB �� •' r .• i R;64•0.00' •DRAIN .• �•, �• •- a"10 O� ATV. - ••:d, , ORT11 j y G11aN gOX •• •, •• •. • N uN - '•a , . : -SIV � � • • •w• .• Cp,-EST 13 A. . • SIL UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED of Corwin III BY THE LIALS. AND APPROVED AND ADOPTED athan FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. Surveyor Successor To: Stanley J. Isaksen, Jr. L.S. Joseph A. Ingegno L.S. Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS N.Y.S. Lic. No. 50467 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 Michael J. Domino, Pr( �it O�QC Town Hall Annex John M. Bredemeyer III,Vice=r"resident �� yam, 54375 Route 25 Glenn Goldsmith ro P.O.Box 1179 A.Nicholas Krupski 0 i Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: �� J(� Completed in field by: MARTIN & JULIE REGINE request an Administrative Permit to clear the overgrown brush on the sound side; remove two (2) overgrown shrubs; trim up the brush along the property fence line; with no removal of trees on the sound side of the fence line, only trimming and cleaning up. , Located: 675 Hillcrest Drive North, Orient. SCTM# 1000-13-2-8.19 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I 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: 1103eb� '6 ts--_ 9d I have read & acknowledged the foregoing Trustees comments: Agent/Owner: , Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski Williams Other Michael J. Domino, Pres ©�QSUEFO(,�C Town Hall Annex John M. Bredemeyer III,Vice-rresident �� y� 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 Ze A.Nicholas Krupski ® Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: MARTIN & JULIE REGINE request an Administrative Permit to clear the overgrown brush on the sound side; remove two (2) overgrown shrubs; trim up the brush along the property fence line; with no removal of trees on the sound side of the fence line, only trimming and cleaning up. Located: 675 Hillcrest Drive North, Orient. SCTM# 1000-13-2-8.19 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. 'Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Baring 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: `1 Present were: Bredemeyer M. Domino /G. Goldsmith N. Krupski G. Williams Other J g11FF0(,� ;s Michael J. Domino,Presid' O�Q �' � _ ' Town Hal]Annex John M. Bredemeyer I11,Vice-PrcS,uent V_ = 54375 Route 25 Glenn Goldsmith y z P.O.Box 1179 A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams y �ap� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: v ` ° Completed in field by: MARTIN & JULIE REGINE request an Administrative Permit to clear the overgrown brush on the sound side; remove two (2) overgrown shrubs; trim up the brush along the property fence line; with no removal of trees on the sound side of the fence line, only trimming and cleaning up. Located: 675 Hillcrest Drive North, Orient. SCTM# 1000-13-2-8.19 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: l -�lw ov!�:7-? tet/ Il I have read & acknowledged the foregoing Trustees comments: Agent/Owner:_� �(� Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other Michael J. Domino, Pr 'nt ®�QSVFFD(�-COG Town Hall Annex John M. Bredemeyer II1,Vice-rresident �� �� 54375 Route 25 Glenn Goldsmith o P.O.Box 1179 A.Nicholas Krupski ' Southold,NY 11971 Greg Williams a�l� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD / Date/Time: (3 y-W Completed in field by: MARTIN & JULIE REGINE request an Administrative Permit to clear the overgrown brush on the sound side; remove two (2) overgrown shrubs; trim up the brush along the property fence line; with no removal of trees on the sound side of the fence line, only trimming and cleaning up. Located: 675 Hillcrest Drive North, Orient. SCTM# 1000-13-2-8.19 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: 624 e2 6A/ C or- 611/ o��C,T � � I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: �/J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other _ c 7/o,,j)S �(g C �•. � l�,✓e2 �,,,�z,,,,� 'w ter,-};�. � r�-�.�� - '"l cl-� rx�vboy s' J Tw. - jL- 4-o �!� suers PAS, �^�,� �r� �I�1 s' 3) �� lv-� 11'z� JAI L kk �n U } z v sR . � ,tea... vi �� � 1q �rl Ylf1G'tV1� Ct:trc° il� r a r �.. it is 4yrmr+ y F . z a , +. a y ° t w yy e x r- rz .�A w vit �J n .'r• a .L- .. f f . r w t• _ r c m � i r !^ u . • , x x u_ g t p .. '. +i r a t a ` i ' 14. r r• am a.,. •k �: + /i w �- a�3' n r x,30' $ i`��� '+�Y 6y'....:..,..P• � •/� < � 1 � i� r �����f°4 .3 r r � - •°fir r_ . ,. _ .. _ v . Y y � s + N Rp GOOD /.� FOS a.a(U � 719 G , 2NG m ^ z r rA(o) G / 921 ,•GN nn 920 19A ` ,a to t rA oMG 1rA s N 9.19 `._. 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H r' a, MP` oQ� a NOTICE COUNTYOFSUFFOLK © E t� av 90UT1OL0 SECTION NO cReal Property Tax Se r 13 � u.°,y c.cr.RI..I,-.N Y„99, °,. a 09 p Ota Oto 1000 PROPERTY MAP Chris Mohr Lawncare & Landscaping, Inc. 22155 County Road 48 PO Box 48 ECEHE Cutchogue, NY 11935 ID 631-765-4617 / 631-765-9026 Fax OCT 10 208 Board of Trustees Southold Town Southold Town August 15, 2018 To Whom It May Concern, In response to the meeting I had this morning with John Bredemeyer, I would like to request a maintenance permit for bluff trimming for Martin Regine at 675 Hillcrest Drive in Orient. John informed me that the 2 black Locust trees can be cut flush as well as the Norway maples. Additionally, the privet and any growth on the bluff can be cut down to 4' high. We also have to maintain the non-turf buffer zone which is present. Thank you for your consideration Tha you, I-Aj C6KX D . �y. 4 go ris MohVr _ TZ, oo rri1N � r Chris Mohr Lawncare & Landscaping, Inc. 22155 County Road 48 PO Box 48 Cutchogue, NY 11935 631-765-4617 / 631-765-9026 Fax Board of Trustees Southold Town August 15, 2018 To Whom-it May Concern, In response to the meeting I had this morning with John Bredemeyer, I would like to request a maintenance permit for bluff trimming for Martin Regine at 675 Hillcrest Drive in Orient. John informed me that the 2 black Locust trees can be cut flush as well as the Norway maples. Additionally, the privet and any growth on the bluff can be cut down to 4' high. We also have to maintain the non-turf buffer zone which is present. Thank you for your consideration k you, hris Mohr Lcz rr AUG 1 5 2018 SF;iith�Owl —� Board of TrustfnFs DiSalvo, Diane From: Julieanne Regine <jregine@jaspersurety.com> Sent: Monday,July 16, 2018 11:16 AM To: DiSalvo, Diane Cc: Martin Regine, Chris Mohr enterprise Subject: RE: 675 Hillcrest Drive North, Orient, NY 11957 - Maintenance Permit Meeting for better outline plan on what will be trimmed Dear Ms. DiSalvo, As per our conversation and previous discussions with John Breadmeyer, please allow this email to confirm the acceptance to meet with the Town Board on location at 675 Hillcrest Drive North, Orient, NY 11957 on August 7"', 2018. Also, in lieu of my and my husband's appearance for the meeting, please allow this email to confirm we permit our landscaper, Chris Mohr or Chris Mohr Landscaping(who is performing the maintenance work when approved via maintenance permit)to appear on our behalf for this meeting. Please advise best time for availability so Chris' calendar be further coordinated. If needed, his contact is noted below in red print and have also included Chris on this email. Any questions or concerns, please call me. Thank you. Kind regards, Julie and Marty Regine Ph. 516-376-9638 ------------------------------------------------------------------------------------ Chris Mohr to individually appear on August 7th, 2018 Chris Mohr Lawncare & Landscaping, Inc. 22155 County Road 48 PO Box 48 Cutchogue, NY 11935 (631) 765-4617 (631) 765-9026Fax email: chrismohrenterprise@yahoo.com TDG,?V P T->L.S,p.l v Soittliold ' oNvn Trustees Town l[all Annex/First Floor 1 Cantrell, Elizabeth From: Terry, Mark Sent: Thursday,July 12, 2018 9:03 AM To: Cantrell, Elizabeth Subject: Regine I cannot review this action as there are no details on the plans. The type, area, method and disposal of vegetation needs to be identified and shown. MARTIN &JULIE REGINE request an Administrative Permit to clear the overgrown brush on the sound side; remove two (2) overgrown shrubs;trim up the brush along the property fence line;with no removal of trees on the sound side of the fence line, only trimming and cleaning up. Located: 675 Hillcrest Drive North, Orient. SCTM#1000-13-2- 8.19 Mark Terry,AICP,APA Assistant Town Planning Director LWRP Coordinator Town of Southold 54375 State Route 25 P.O. Box 1179 Southold, New York, 11971 (631)765-1938 Mark.Terry@town.southold.ny.us 1 Town Hall Annex Michael J..Domino, President 4 54375 Route 25 John M. Bredemeyer III'Vice-President ` P.O.Box 1179 Charles J.Sanders Southold,New York 11971 A k- Glenn Goldsmith dk` ;� Telephone(631) 765-1892 A. Nicholas KrupskiICOUNmFax(631) 765-6641 l BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permittt� �r``� _Amendment/Transfer/Extension Received Appliction: 61 2-Z Received Fee: $X00,', t� JUN 2 2 2018 Completed Application: (a Incomplete:; SEQRA Classification: Type I_ Type II a/ Unlisted S^ot pId To,Yn Lead Agency Determination: Boar nfTiutees �LCoordination:(date sent): 'Z09 LWRP Consistency Assessment Form Sent: ___�c_CAC Referral Sent:. �/ Date of Inspection: �C Receipt of CAC Report: Technical Review: _ Public Hearing Held: s� Resolution: Legal Name of Property Owner(s): Martin and Julie Regine Mailing Address: 310 Old Country Road, Suite 202, Garden City, NY 11530 Phone Number: 516-376-9638 Suffolk County Tax Map Number: 1000 - 47388b11-2-8.,19 Property Location: 675 Hillcrest Drive North, Orient, NY 11957 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Mailing Address: Phone Number: Board of Trustees App; ation GENERAL, DATA Land Area(in square feet): see attached survey Area Zoning: _ Previous use of property: Residential Residence Intended use of property: Residential Residence Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes -_ ✓ No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes 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 I V No Does the structure(s)on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? V No Yes If yes, provide explanation: Project Description(use attachments if necessary):._We would like to properly maintain our backyard which is set high on a bluff on the Long Island Sound. House is recessed back towards street, however in maintaining a manicured yard,we would i e to -clear the brush on the Sound Side which is vastly overgrown. Remove two overgrown shrubs which are on property side and trim up the brush along our property fence line. o renloval-of trees or shrubs oil the, S- I oand=S' ing and clean up. Board of Trustees App7' Ztion 1 WETLAND/TRUSTEE LANDS APPLICATION DATA This form is completed to the best of my ability based on the property located high on a bluff. - Julie Regine Purpose of the proposed operations: Maintenance of our yard at our Residential Residence Area of wetlands on lot: not applicable square feet Percent coverage of lot:, 10 Closest distance between nearest existing structure and upland edge of wetlands: 125 "--—w feet - Closest distance between nearest proposed structure and upland edge of wetlands:—100 feet Does the project involve excavation or filling? V lilo Yes If yes,how much material will be excavated? _._50 estimatecbubic yards How much material will be filled?— not applicable cubic yards Depth of which material will be removed or deposited:_60 _feet estimated Proposed slope throughout the area of operations: only cleaning site on top of bluff on our property line Manner in which material will be removed or deposited: removing overgrowth of shrubs and trim trees on property line which will be properly disposed by licensed landscaper 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): 61 Z20 j Appendix B Short Environmental Assessment Form IIIStroctibus"for Cplllj}1Cthfg 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 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. i 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 MARTIN AND JULIE REGINE 4 Name of Action or Project: ADMINISTRATIVE PERMIT TO MAINTAIN OUTSIDE PROPERTY TO WELL MANICURED SETTING 'Project Location(describe,and attach a location map): 675 Hillcrest Drive North, Orient, NY 11957 _ Brief Description of Proposed Action: i In an effort to properly maintain our property, we are directed to secure an administrative permit to clean up overgrown shrubs/trees which are blocking our views of the Long Island Sound from our residential home. Name of Applicant or Sponsor: Telephone: Owner requested - no sponsor needed E-Mail: T Address- City/PO: State: Zip Code: 1 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; a ; may be affected in the municipality and proceed to Part 2. 1f 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: i 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? Soundwew/Side property line only acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.75 acres �4. Check all land uses that occur on,adjoining and near the proposed action. J ❑Urban E]Rural (non-agriculture); ❑Industrial []Commercial 0Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify)! ❑Parkland i, Page 1 of 4 I 5. Is the proposed action, - NO YES N/A a. A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? FJ, D 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: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES .a- •❑ b.Are public transportation service(s)available at or near the site of the proposed action? aE] c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? a ❑ 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: a 10. Will the proposed action connect to an existing public/private water supply? NO _ YES If No,describe method for providing potable water: o 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? 0 ❑: 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? n E b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? EJ �-' If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:, Q 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: [vdshoreline El Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? FV F1 16.Is the project site located in the 100 year flood plain? NO YES .V 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? DNO []YES �L b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ®NO ❑YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO -YESw water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: - FVJ 0, 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; 1 AiiiiRli THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor e: Julie Regine _ Date: _ 6-22-2018 Signature: _.... �._._...,____..._ Part 2-Impact Assessment. The bead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I 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 ModerRte 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 I- EJ 2. regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? F—A D 3. Will the proposed action impair the character or quality of the existing community? EO El 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 ( _-.„W_ affect existing infrastructure for mass transit,biking or walkway? El 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? - w 7. Will the proposed action impact existing: LA a.public/private water supplies? a Y- b.public/private wastewater treatment utilities? _ i 1, . �._�,__. 8. Will the proposed action impair the character or quality of important historic,archaeological, r architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, 4 waterbodies,groundwater,air quality,flora and fauna)? i Page 3 of 4 r� No,or Moderate' small to large ` impact I impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? Ell 11. Will the proposed action create a hazard to environmental resources or human health? 12f 'E] Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. 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 environmenta impacts Town of Southold-Board of Trustees Name of Lead Agency Date m T D o m in_o President Print or Type Name of Responsible OfAcler in Lead Agency Title of Responsible Officer Si`gnatur"e of Responsi e Officer in Lea&Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees App] 'ation ,AFFIDAVIT MARTIN AND JULIE-REG INE BEING DULY SWORN DEPOSES AND AFFIRMSTHAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. 4::::; 61,,�ignature of Pro rty Owner SWORN TO BEFORE ME THIS . S DAY OF J�I Notary Public Karen D.Zelinski Notary Public,State of New York #01ZE4811449 Qualified in Nassaut 140 Commission Expires APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FIORM Thr~Town of Sautii"old?`,,Code of'Etliicsprohibit�conflicts`af iiitert st ori the par#ol,tawn iifficor5°nnd emnlayees:"1 lie uuroose nt tlii"s fciiiii is fo o"vide inforiiiatioa which cart alert the-town ofpossible conflicts.ofinterest and allow it to`take'.whatever actron-ts, ' ;rtrwc-ssa �io:avcridsama, • -' YOUR NAME: M kfzT T J -- 9- "b`qZptl E- NE (Last name,first name,griddle 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',narpe the activity.),_ YYI It11S - AT-11Z0C_ �C��'YI 1 i /nA7✓1L y Oo y6ii per`saruilly-(ai•tlirauidi your b6inpaii:�,spotltie,silll'tlig„pArettt;;-ur child):It�pc n rcliiLiansllil a iih_uuy of ccr ar c�iiployec< aE,the''Idwn ohSoutlioltl? "Rclatl nship"tnetudes by,bloqdj ntarriage;or business interest. Burin[ interest me5ns a 1?iisiiiGss, including,l,pnrtnerShlp;a?:which the townrofCcer6r cruploycc leis cve[l,h partial o�vnet,hip}of(arep�'ploynie[iC,by.)a gorporntiony, in wl"icl�,t'lie tciivii afCcer'oi:k;mj�lay',cv_oi+![i"s;more than»S°lo-c� tlic°�hares. 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/agrrnt/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 OT RELATIONSHIP___ Submitted this .249- day of J VIVl" 20V� Sibnature- Df1A9ctdf - Print Name Form TS l Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS L. 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 wilt be---evaluated' as a--its„-significant", laci�efci'aI'-ai�cl.iaelverse--effects-u on the+coastal�<irea:' which�ncltides all�c��'S�vtliold`7'�wn �� - ' . 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. llnxs cac14 a�xswe�� iz ust be cx `laiiiccl ie� d'e <!il ;lis in$ Both.su' �or•tim :and non -- sip `6rthi k�f ets. If -an action cannot be certified as consistent with the LWRP policy standards and conditions,"R 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 PROJECT NAMEr7 - �C-S)6 fAM 14-L ,FS'12)&`Ir(I The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees l_!4 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital E construction,planning-activity, agency regulation,land transaction) - ❑ (b) Financial assistance (e.g. grant,loan;subsidy) (c) Permit, approval,license,certification: Nature and extent of ac ion: . APPL �fl�1')�r�1Si '1�J16� /lf'Y)� mt=)N� ct/l2 IF "I ia4 >6C � Location of action: tP1 f"(C_L_Ca i ,441,6, /�/�,�—M14. Site acreage:.._ (� C,rP Present land use: � ; _ I� Ot—A<A 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:, (b) Mailing address: (c) Telephone number: Area Code( ) (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No❑ If yes,which state or federal agency? 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 allot Applicable ----------------- Attach'additional sheets if necessary Policy. 2. Protect and preserve historic and archaeological resources of the Town of Southold. See " LWRP Section III—Po icies Pages 3 through 6 for evaluation criteria .❑ Yes 11 No Not Applicable A 1, d 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 E Yes No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See'LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes "E] No 2Not 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 throukh 21 for evaluation criteria Yes 1:1 No Not Applicable d 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 Applicable 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. FlYes , ] No� Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wast s. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 0 Yes F] No 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. E Yeo No Not Applicable Attach additional sheets if necessary WORIUNG COAST P�...!CIES - Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. ee LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Fj Yes F] No 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 0. No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policie ; Pages 65 through 68 for evaluation criteria. ❑ Yes F1 -No Not Applicable PREPARED EY TITLE � DATE Martin & Julie Regine 310 Old Country Road, Suite 202 Garden City,NY 11530 Ph. 516-376-9638 Sent via Federal Express June 21, 2018 i� Town of Southold, Suffolk County,New York ! JUN 2 2 2018 FD1 Town Hall Annex { 54375 Route 25 5uthold Town Southold,NY 11971 Board of T�stees _j Re: Request for Administrative Permit to Maintain residential yard appearance Dear Board, In support of our landscaper's direction and compliance with the Town of Southold's requirements,we hereby request to secure an Administrative Permit to allow us to manicure our residential property grounds which overlook the Long Island Sound: • Fully completed Administrative Wetland Permit form as directed by the Board of Trustees • Picture of the area seeking to manicure in support of this Permit request • Survey of our property (2 copies) Original should be on file with Town of Southold • Check for the Application Fee payable to Town of Southold in the amount of$100 We appreciate your review at the next meeting scheduled for July 17, 2018 and further reply on approval and processing. Thank you for your time and assistance. Very truly yours, *an nd Julie 4e /Encs.