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HomeMy WebLinkAboutBayview Pacific, LTD INFORMATION TAKEN FROM SURVEY DATED JANUARY 1 1, 1999 j PREPARED BY JOSEPH INGEGNO, LAND SURVEYOR RIVERHEAD, NEW YORK i FOR PATRICK McCARTHY SCTM# 1000-77-3-1 28'6 ` Z 0 586d08�30 gI 11 C) StiAWP�� ~I m M, �n PROPERTY AREAS: COCR���6�OCK cf� ' z G LOT: 18, 15G 5ci.ft. m z_i I EXISTING HOUSE: 12G 15cf.ft. < w' EXISTING PORCH: 172 5ci.ft. \ EXISTING GARAGE: 448 56f.ft. 1 [� TOTAL AREAS: 1881 56,.ft. (f) LOT COVERAGE: 10.3% PROPOSED ADDITION: 4G85CI.ft. NEW TOTAL: 23495a.ft. \ TOTAL PROPOSED LOT COVERAGE: 12.9% = 0' ,L, DRAINAGE CALCULATIONS: — U w z EXISTING HOUSE ROOF: 12G 15q.ft. �- N ; jl O1 NEW STRUCTURE: G28 5a.ft. N ` Q) Q H N �. Q Lu z 0 TOTAL ROOF AREA: 1889 561.ft. 1 [L (n 1889 x .I G7 = 3 15.45 C.F. 1 PROPOSED EW 3 15.45/42.2 = 7.47 VF. m DECK PROVIDE (2) ,5'-0" dia. X 4' DRYWELL5 1 I ( 1�.-�.1 NOTE: W SHADED AREAS INDICATE U AREAS OF NEW CONSTRUCTION z ` W C] z j.� � J � EXISTING ENCLOSED PORCH \ C� ' �/ `y — O� TO BE REMOVED; PROPOSEDPROPOSEDJEWNEW STRUCTURE TO BE BWUILT AREA� ' OC Q WITHIN REQUIRED SETBACK f���`-9 ," -" • 1o Lu > � �1 T-- 0 OUTLINE OF E 115TING STRUCTURE T BE O REMOVED rL W --I 4'-9 1/2"— \ EX 5 INGE�fCL 6 D DKMELL DRYWELL �a�51et�U�SD�Ne EXISTING HOUSE TO REMAIN .12 N ❑ u lhl �) f� z � I c� Lu LLJ • L9 � C) --A 9'-3 1/2"— _�� 51'-G" Q Ln 0 Luz LuN N EXISTING GARAGE - O TQ•R L AIN 15.0 51DE YARD 5EMACK • 10-9 51DE YARD 5EMACK -29'-511 ,1- 22'-2 1/2" t` PAGE: N72d25'30"W 125.00' I S� OLD WOOD DOCK GO0 CRE E11 SURVEY OF 3.0 LOTS 53 , 54, 55 , 56 , 57 & 58 . UNNAMEDMAP OF STREET HIGH GOOSE BAY ESTATES 1 q ON ✓UNE 4828 FILE No. 1176 FILED NOVEMBER 13, 1934 F°� S 86�0886008`30" SITUATE SOUTHOLD NC. ND 'NON. 6.8 X 6.4 128.67' TOWN OF SOUTHOLD ^ CONC. BL CK WALL r-� w SUFFOLK COUNTY, NEW YORK AVERAGE SETBACK OF HOUSES = 56.2' �. O3 ozs / I o.t•s CONI. eLocK wALL s O 3o FLAG PO ` / r , AVERAGE SETBACK OF DECKS & PATIOS = 42.3' N °' .. p' y of 0.2's, oVw S.C. TAX NO. 1000-77-03-01 CO ! r —� M a / �o i i l ^ SCALE 1 "=20' LO :, 3 13I JANUARY 11 , 1999 471 sq. ft• OF DECK O / Q IS IN 7s sEreACK ° / � 1�1 ® co JUNE 6, 2008 ADDED SPOT ELEVATION & PROPOSED ADDITIONS ft. OF PATIO 293 sq. ui m o / 1 IS IN 75' SETBACK 287 sq. ft. OF DECK IS IN 75 SETBACK DECK DECK PATIO OF 4 y 0 v �5 sE�PCK HOUSE s 7 x�.9 AREA = 0.417 6a 9 sq. ft. 436 sq. ft. OF PpS�p ISIIN 75 SETBACK HOUSE 479 sq, ft. OF HOUSE / �Sg, l l'Rop / l 1 STORY 575 sq. ft. OF HOUSE IS IN 75' SETBACK A0 DF FD IS IN 75' SETBACK o D $ HOUSE /rO ?/ -- � R -------- — — — __ _ — j'�> Qo�D CERTIFIED T0: 2 STORY — '�/ c �8.7. �� 'l??::`: ::: ::..... 4g SFS 4G CK / HOUSE — o. � :;::'::.,;:::.::.•... ::: o:: ::::::::..... $� K PATRICK McCARTHY OUSE i � G , : .:`•,`:�:�:::.'•`.':::'. .. ': .;.....:: SF �l'IO(� 3�0� pt X. R O f �p,CK / �I 3Q W �:c:'�`N�•p:;ii:�.i��:�.=::7:�.:iii�.�:ii�'•ii�ii?:i:� � CIC F o �-,. _ '----r $`was ZONE X* �l 4 3� � ZONE / PORCHLAJ XLA PORCH m oo v 4 fXIST/NG s. Zn / 193,�� FRgA1 ST ❑o_ 4C V Q , 008 ::✓ E NOUS ORY °� 6 l O\ i i 51' NOTES: F-•, : rr Tru",,p, ,4. CV ! V . v. ys 'o.2x _ `� w�� 1 . ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM �:°.e • : :•. / / . cE`� / z2 � EXISTINFlRSELEVATIONS ARE SHOWN THUS: 5.0 L G.FL. - GARAGE FLOOR bT.B. e •• e. , .. � c� EL . - TOP OF BULKHEAD • vA 11.4 'e Fp9 •' .•e. �� / \ ` g B.B. - BOTTOM OF BULKHEAD y_ d 3p• Wq� °: v v ASPe •v . .: j� o.2N °2E 0• o. a NgLT BRAY V. .' 222, sic �Nc x ` 2. FLOOD ZONE INFORMATION TAKEN FROM: o n 4U /�/ •O ••. ° e v U oN, 29. O•g.WE ��/ ` FLOOD INSURANCE RATE MAP No. 3610300166 G 2 u t ry 1 �' \ 7 U '72. 2�SCc '30 " '`' � E AGE o / \ O Sc Z ZONE X*: AREAS OF 500—YEAR FLOOD; AREAS OF 100—YEAR FLOOD WITH AVERAGE OAK AVENUEC°NCBUHAN .2• ry � `N� 11 SQUARE MILE; AND AREAS PROTECED BY DEPTH OF LESS THAN 1 FOOT OR WITH ILEVES ROMNAGE AREAS L100ESS-YEAR FLOOD. o T --V-C; M -r O Q e � ZONE X: AREAS DETERMINED TO BE OUTSIDE 500—YEAR FLOODPLAIN. cyZx LLL o �O l .41 p OTS ^ \/�29\ a ORo S / `10�N�0�1ti' �2C•oo 02'ry °W2W 11. o� l 'l04;r Aad o� sTRO$ mJN m n �� N 2 U 4/ 45J / Jai � 3S 1• / O C� Q /. m 14 � J Q SSS l S /At %ON7,S D K 3S•0, 1 ISN SNI SE/y USE CK 34.3, 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 VALID 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 BY THE LI.USE AND APPROVED AND ADOPTED Nathan Taft Corwin n I I 372. FOR SUCH USE BY.TFIE NEW.,Y9RK STATE LAND TITLE ASSOCIATJON. r� o" �' , Land Surveyor . �r; 4 - _/ r Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 11 � df `* OFFICES LOCATED AT MAILING ADDRESS �°^p.,"`-'? ^°� ,'•- "' 322 Roanoke Avenue P.O. Box 1931 N.Y.S. Lic. No. 50467 Riverhead, New York 11901 Riverhead, New York 11901-0965 99-105A 35/ Afft- 06/ 11 /2008 14 * 36 144 r ; ti. t y� ti ,_ Jun 18 08 12: 16p Rlbi ' Gustafson 212697 -,--04 P. 1 Jun 10 uo ic.v-ey A i ROBERT & PATRICIA MCCARTHY 1459 GOOSECREEK LANE SOUTHOLD, NY 11971 June 18,2008 Town of Southold Board of Trustees 53095 Route 25 P.O. Box 1179 Southold, NY 11971 RE: 1100 Pine Avenue Trustees Application To Whom It May Concern: My wife and I reside at 1459 Goosecreek Lane. Our property is adjacent to 1100 Pine Avenue, applicant for a trustees permit. We were notified by certified mail of the hearing date. We are unable to attend the hearing and would like to inform the Board of Trustees that we have no objections to the proposed work mentioned or any revisions subsequently requested by the applicant. Thank you. Sincerely, pem FCRJUN U ' Robert McCarthy • 1 8 2008- ±YJJ�l Southold Town Board of Trustees NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES,TOWN OF SOUTHOLD In the ttmatter of applicant: 2 '1- t M 'C�l�"'L L SCTM# YOU ARE HEREBY GIVEN NO E: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: i LL"* -e 2. That the property which is the subject of Environmental Review is located adjacent to Oe- your property and is described as follows: I too � ,/1 p� -IS I ze% e.3q af-Ces 3. That the project which is subject to Environmental Review nde Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: 60 t 1 a U . You may contact the Trustees Office at 765-1892 or in writing. b rl ,(`) OLbC (PI-00 p rv(- The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: 0��Of-re - + MCGI-LW VLO— MAILING ADDRESS- o PHONE#: 9 /'y Enc: Copy of sketch or plan showing proposal for your convenience. /70 )114 4 ,4V n 17"1,0 Sou��1 vc y q�pgtlfFDt,�-CO Donald Wilder,Chairman coo Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 4,- Q Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., June 11, 2008, the following recommendation was made: BAYVIEW PACIFIC, LTD C/O PATRICK MCCARTHY to remove the enclosed porch attached to the existing dwelling and construct an 18'X 34'9" addition in same location and a 15'X 34'9" deck. Located: 1100 Pine Ave., Southold. SCTM#77-3-1 The CAC did not make an inspection, however the council does Not Support any further encroachment to the water. James F.King,President p��gtlFFfl�,g-rp P.O Box 1179 Jill M Doherty,Vice-President �� Gyp Southold,NY 11971 Peggy A.Dickerson o - Telephone(631)765-1892 Dave Bergen W Fax(631)765-6641 Bob Ghosio,Jr O • 'F Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: BAYVIEW PACIFIC, LTD C/O PATRICK MCCARTHY requests a Wetland Permit to remove the enclosed porch attached to the existing dwelling and construct an 18'X 34'9" addition in same location and a 15'X 34'9" deck. Located: 1100 Pine Ave., Southold. SCTM#77-3-1 Type of area to be impacted: L_;:�Mtwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part Town Code proposed work falls under: LZChapt.275 Cha� Wetlandpt. 111 other Type of Appllcatlon: Coastal Erosion —Amendment —Administrative—Emergency Pre-Submission Violation Info needed: ­-f �7 0 Modifications: Conditions: Pres Were: _J.Kin J.Dohert P.Dickerson (AD. B.Ghosio g — Y— Bergen_ D. Dzenkowski Mark Terry�ers , Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review- _ _ I iOLx[rPMr TAx uAP I6 PRON01iE0 I . . I.a....MOf Nlvef11000,N T 11901 M --- I I f h uE«ovinnri �.�er� A+n og seN2RRE1 .P �f �ueeE�o 1000- V Ill iw PROPERIY AIAP — -- - •Ce .wy.'�:+vx.• �.%va�„`�..",'af�a Zet—'r _ _ e x:�'a.�,.1 �-..-.'4k'R.. � - _ ..✓sz'�_ mai.+". - __ _ - - e 4 —N— Creek —16 I ISj�i I 1 1 jlI°„ I I'IY I 111 �I I I/�!1 I I \`\ :�I l ll l' 11$11 •" I I 172 Is 20 21 �•• �\\q9n ®/,/ \�\ _�� =�4o4tci I—______'_ 5_�_�� :6 n a: 21 - O --1 L2AIc1 a 21 NOTICE COUNTY OF SUFFOLK © x, , exNo SOUTHOLD SECTION NO -� _ — •�- 1�1> 2Q v„.r — __ of Poa m of Real Property Tax Service Agency r E,ALiERAtXW,6LLE DR a-ED '^ Comfy Center Is N Y 11501 N n1Au s O 7 7 N R uv tr .. AST1aA rlleeui ald N PERi6611R1 of TI2 c ay ~ N4F N X121 Alm° 1z u a ---- -- -- r••b� — -- R:u PRamtr r .Rues A6Erc1 P 1000 PROPERTY MM 1121"l l � OFFICE LOCATION: � OF S®UPyO MAILING ADDRESS: Town Hall Annex ,�O l0 P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) N Telephone: 631765-1938 Southold, NY G �Q Fax: 631 765-3136 Cnii LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD To: Jim King,President Town of Southold Board of Trustees Q / From: Scott Hilary/Mark Terry, LWRP Coordinators J U N 17 2008 Date: June 16,2008 1 SOIL JthD�d TQ' Re: Chapter 268: Waterfront Consistency Review __ _ Eca,c rt Trust Wetland Permit for BAYVIEW PACIFIC,LTD C/O PATRICK MCO. SCTM#77-3-1 BAYVIEW PACIFIC,LTD C/O PATRICK MCCARTHY requests a Wetland Permit to remove the enclosed porch attached to the existing dwelling and construct an 18'X 34'9"addition in same location and a 15'X 34'9" deck. Located: 1100 Pine Ave., Southold. SCTM#77-3-1 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 INCONSISTENT with the LWRP policy standards and therefore is INCONSISTENT with the LWRP. The proposed action is 56' from the tidal wetland boundary which is within the minimum setback of the Board of Trustees pursuant to &275-3, and therefore is inconsistent with LWRP sub-policy 6.3. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. §275-3 Findings; purpose;jurisdiction; setbacks. D. Setbacks. [Amended 10-11-2005 by L.L. No. 17-2005] (1) The following minimum setbacks apply to any and all operations proposed on residential property within the jurisdiction of the Board of Trustees: (a) Wetland boundary. [I] Residence: 100 feet. Pursuant to&275-11 (A)(3) remolded homes cannot be situated or modified such that they proiect closer to the wetland boundary than homes on either side of subiect lot as referenced below. §275-11 Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: (3) New and remodeled homes.New and remodeled homes cannot be situated or modified such that they project closer to the wetland boundary than homes on either side of the subject lot. Pursuant to &268-5(lam Waterfront Consistency Review,if the agency(Trustee's) makes a contrary determination of consistency,the agency shall respond in writing, describing the manner and extent to which the action is consistent with the LWRP. §268-5. Review of actions H. In the event the LWRP Coordinator's recommendation is that the action is inconsistent with the LWRP, and the agency makes a contrary determination of consistency, the agency shall elaborate in writing the basis for its disagreement with the recommendation and state the manner and extent to which the action is consistent with the LWRP policy standards. Live Search Maps-Windom M IJV-1' :aPhttp:((maps.ive.com( -- -- ------ — v �1 P U)?sic C:• v Go o C v7�' i� Q Boolaearks. �l i blocked ,�Check AutoUnk. iy Send to. j 5ettings. $ Live Search Maps ® fl�9 �Page, ,kyr Tools- Live Search MapsBusinesses People Collections Locations Welcome Directions Collections Share Print ' ► }��' �• tiJ' Dewy' U � w 1 ` 0 nx • J y � to 01 ` '+�. _ � :fie y. -•� ,i r Y �'�,•y YEA .,�.fti .� ua Eart Intemet 61IL 100% +I , k + er i� � i Albert J.Krupski,President ��S11FF01/r I Town Hall James King,Vice-President �`1`o OG�� 53095 Route 25 Artie Foster p P.O.Box 1179 Ken Poliwoda W Southold,New York 11971-0959 Peggy A. Dickerson • `I y 0� Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRFSTEES TOWN OF SOUTHQLD Office Use Only astal Erosion Permit Application ; Coetland Permit Application Administrative Permit _Amendment/Transfer/Extension --16ceived Application: ,Received Fee:$ rC-ompleted Application _Incomplete _SEQRA Classification: Type I Type II Unlisted MAY 2 8 2008 ; —Coordination:(date sent) _,QAC Referral Sent: - _ ,_ _ LD-ate of Inspection: ( _Receipt of CAC Report: _Lead Agency Determination: Technical Review: ✓Isublic Hearing Held:_ _ —Resolution: Name of Applicant _ V IeI.V QCi C'� L`C� "-b ,���'1 d(� y Address'+ Phone Number:(06 Suffolk County Tax Ma mber: 1000 - r,'I Property Location: 1 ®O 1 n C A VQy1 V-Q. '--)ou'-�O d &)�f i lG[--� 1 (provide LILCO Pole#, distance to cross streets, and location) AGENT: V►' ,Ce&_'I\�t1 vL ana a1, fi (If applicable) � I f l �- Address:_Lt 6SoQo ��i � �1� f� I� Id T `1�l ( ( 1 Phone: 63 f-- 9 Board of Trustees Applicatlon GENERAL DATA Land Area(in square feet): D Area Zoning: S 1 J 2tQ�J Previous use of propertyS wL L Intended use of property ,n ( "'h Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or susper}ded by a governmental agency? 1/ No Yes If yes,provide explanation: Project Description (use attachments if necessary): ve t i n re.PtiOAA- r j t Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: e n 10 r �ic e ash Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance be+---n-nearest existing structure and upland edge of wetlands:!) ° ad feet Closest distance between neaj t�proposed structure and upland edge of wetlands: a 1 feet Does-the project involve cavation or filling? j No Yes If yes, how much material will be excavated? cubic yards How,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: 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): � te Board of Trustees Appliq 4.on r + a r COASTAL EROSION APPLICATION DATA Purposes of proposed activity: !E [0,,te'C-> d 0 - Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involy excavation or filling? No Yes If Yes,how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) (V 1 , e i 1 PROJECT ID NUMBER 617.20 SEQR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 9 •PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) LI ANT/SPONS R L4 2.PROJECT NAME 3,PROJE T LOCATIDN• --�-- !� I Municipality­_�5 (} 0 County S L) 4.PRECISE LO) Street Adders aqA Road Intersections, Prominent landmarks etc -or provide map L C�C ) ,�t�v�� Vey,0 Go o+4no Ld \4 L L$1 1 5 IS PROPOSED ACTION New RrExpanslon ❑Modification!alteration 6,DESCRIBE PROJECT BRIEFLY. " ►s4i n ('-es I deri e- 7. 7.AMOUNT OF LAND AFFECTED, Initially acres Ultimately acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Oyes ❑ No If no,describe briefly: 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential ❑industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open Space ❑Other (describe) 10 DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AG NCY (Federal, State or Local) ElYes ❑No If yes, list agency name and permit / approval, C V tee A l91 d l 1� ��� r%4-4 11 DOES ANYI�SPECT OF THE ACTION HAVE A CURRENTVALID PERMIT OR APPROVAL? ❑Yes WNo if yes, list agency name and permit / app val: 12. AS A RESULTF OPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes ❑No tICE !- AT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant o Date: Signature I fi Lof�s 06� If the action is a Costal Area,and you are a state agency, ccmpl athe Coastal Assessment Form before proceeding with this assessment 1 PART Ii- IMPACT ASSESSMENT To be completed b Lead Agency) A DOES ACTION EXCEED ANY TYPE'I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. Yes [:]No - B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes E]No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers maybe handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal,. potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly. C3. Vegetation or fauna,fish,shellfish orwildlife species,significant habitats,or threatened or endangered species?,Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly:. C5. Growth,subsequent development;or related activities likely to be induced by the proposed action?Explain briefly: C6. Longterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly C7. Other Im acts(IncludinR changes in use of either d;n'tl ar a of ene ? Ex Iain briefl : D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA 7 If yes,explain briefl : El Yes [:]No E IS THERE,OR IS THERE LIKELY TO 8E CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If y2s ex Iain: Yes ❑No PART 111-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential im pact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse Impacts which MAY occur Then proceed directly to the FULL EAF andfor prepare a positive declaration. Check this box If you have determined,based on the information and analysis above and any supporting documentation,that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi ss determination. , Name of Lead Agency Date Print or Type Name 57 Responsible Officern ea gency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) -- 1 32) Situs: 50 OAK AVE, ---THOLD NY 11971 8003 APN. 1000-077-00-02-00-007-000 Rec/Sale Dt' 03/27/2000 03/17/2000 Total Value: $5,000 County: SUFFOLK, NY Sale Price: $376,000 Land Value: $1,200 Use: SFR Doc#: 12030-360 Impry Value: $3,800 Card#: Map Pg: 77 1st Mtg $: $300,000 Prop Tax: $4,252.20 Munic: SOUTHOLD TOWN State Use: 210 Lot Area: 10,454 Township: GOOSE BAY ESTATES Cnty Use: Zoning: R-40 Owners: VAIL GEORGE D III & MARY S Census: 1702.01 Phone: Mail: PO BOX 159; CUTCHOGUE NY 11935-0159 B002 53) Situs: 1050 PINE AVE, SOUTHOLD NY 11971-3549 R003 APN: 1000-077-00-03-00-002-000 Rec/Sale Dt: 11/22/1994 11/16/1994 Total Value: $3,500 County SUFFOLK, NY Sale Price. $98,500 Land Value: $400 Use: SFR Doc#: 11703-574 Impry Value: $3,100 Card#. Map Pg: 77 1st Mtg $: Prop Tax: $3,355.30 Munic: SOUTHOLD TOWN State Use: 210 Lot Area: 7,405 Township: Cnty Use: Zoning: R-40 Owners. LIVING STROH Census: 1702.01 Phone: Mail. 217 W ISLIP RD; WEST ISLIP NY 11795-4550 CO25 64) Situs 1459 GOOSE CREEK LN, SOUTHOLD NY 11971 R001 APN: 1000-077-00-03-00-017-002 Rec/Sale Dt: 10/26/2000 10/16/2000 Total Value: $11,600 County: SUFFOLK, NY Sale Price: $356,500 Land Value: $2,300 Use: SFR Doc#: 12080-815 Impry Value: $9,300 Card#: Map Pg: 77 1st Mtg $: Prop Tax: $11,120.34 Munic: SOUTHOLD TOWN State Use: 210 Lot Area: 57,499 Township: Cnty Use: Zoning: R-40 Owners: MCCARTHY ROBERT M & PATRICIA A Census: 1702.01 Phone: Mail: 608 WALNUT ST; WESTWOOD NJ 07675 DV Win2Data® Page: 1 of 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 1(�b�► n �.- Lq UeVI U \o CU) �--So o° -ho 1cl (D STATE OF NEW YORK COUNTY OF SUFFOLK pt 9,00scceevsidingat I (�F3Sr jO O ,tieing duly sworn, deposes and says that on the i day of , 20M, deponent mailed a true copy of the Notice set forth in the Board4f Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Tow of Southold;that said No were ailed at the United States Post Office aty . ®1 _ ,that said Notic ere led to ea , of said persons by (certified) (registered)mail. Sworn tefore me this Day of , 20� Notary u lic Ruth Love Notary Public State of New York No. 01 L06064063 'I Qualified in Suffolk County J Commission Expires March 5,20+F--' i James F. King,President �*oE SOUrO Town Hall Jill M.Doherty,Vice-President �� yl0 53095 Route 25 P.O.Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G • �� Telephone(631)765-1892 Bob Ghosio,Jr. �Ocou Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT,I iOF POSTINGnn �r - t_ at 1 being duly sworn, depose and say: That on th day of U-v,R, 20 I per onally posted the property known as by placing the Board of Trustees o ficial poster where it can easily be seen, and that I have checked to be sure the poster has remained in placefor eight days prior to the date of the public hearing. Date of hearing noted thereon to be held u)o,/_ ®0 D CP dt 0< < Dated: (9 I lq �S (signature) Swpxn to efore me this 1%a y o uhe2W( Notary Public Ruth Love Notary Public State of New York No. 01 L06054063 Qualified in Suffolk county I 1 Commission Expires March 5,20�. NOTICE OF- HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Rocsd, Southold, New York, concerning this property. OWNER(S) OF RECORD::§11 4ut pLiD ryo Parhn'cr me eorkqSUBJECT OF PlJBIC HEARING �r�cto Kh.O�t�ac ;� � e nQ l�Q x y q' a�dd .n ��rie ���n nM oe 1s x 3a•�I�c.4 �� _ . T & DATE OF PUBLIC HEARING: � atuw It I xx$ Von Or 6:00 PM If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business dans between the hours of S a m and ,4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 `McCARTHY .MANAGEMEN NC: _ TRANSMITTAL ' ' :46520 County Road'48 I - ;50UTWOLD, NEW YORK 119.71' t DATE JOB NO. �; C• (6x31,)0 FAX (631`) 765-5816 ATTENTION 4 t�" i 7�0 WE-ARE SENDING YOU D Attached D Under separate cover via the following-items, ; >•: i 'b: ' ❑ Shop,.'drawings n Prints `: ❑ Plans : ❑.Samples D Specifications j i Y 5'❑,Copy 6f5 e,tter ❑ Change order ❑ s a S­ COPIES DATE NO. DESCRIPTION e THESE ARE TRANSMITTED as checked below: _ ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ -Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: PRODUCT 240T if enclosures are not as noted,kindly notify us at once. i Board of Trustees A plication County of Suffolk State of New York BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE I THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATE NTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE A ND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN FBIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF-TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DA 4AGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRU TEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO R PERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH O HIS APPLICATION. Sign We SWORN TO BEFORE ME THIS t " DAY OF Q 200'�?' I Notary Public Ruth Love Notary Public State of New York , No. 01 L06054063 ©ualified in Suffolk County j Commission Expires March 5,20-41 Board of Trustees AppLic, on AUTHORIZATION (where the applicant is r}ot the owner) Ok Ca4u, residing atq ,LS ,;?o `l�S (print owner of propert } (mailing address) II --'' pp rr /�1 a GOt2�Q SLY L l � do her 9by authorize y (Agent) C�Vl _to apply for permit(s) from the Southold r of Town Trustees on my behalf. ( wner signature) 8 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. YOUR NAME: (Last name,first name,middle 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 501( f 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 thi day of ALL\Q 200 �� S ignature Print Name Form TS 1 P " „ ,M6CARTHY aMANAGEf 3 46520 County Road`a48” ER OF TRANSMITTALY-11 SOUTHOLD,-,NEW YORKA1971 " ➢ i jy t' ,, ` - DQE. n Q� a JOB NO: (631) 765,5815',; FAX (631) 765=5816 ATTENTION TO RE:- € t WE ARE SENDING YOU ❑ Attached. ❑ Under separate cover Vila the following items, - ? x-4` Shop drawings ❑' Prints ❑ PI'ans: ` ❑.Samples , ❑ Specifications, ! ❑` 'Coovdfiletterl ❑ Change order ❑ J ) COPIES DATE NO. DESCRIPTION L THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted - ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution `❑ As requested ❑ Returned for corrections ❑ Return corrected prints , ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: PRODUCT 240T If enclosures are not as noted,kindly notify us at once. 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",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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# `J –1 - .3 —L • The Application has been submitted to(check appropriate response): Town Board © Planning Dept. D Building Dept. D Board of Trustees I. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital 0 construction,planning activity,agency regulation, land transaction) a (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit,approval, license,certification: El Nature and extent of action: o �1 1 y i Location of action: I Q. so t]1+h© ld A) Y 1 l Site acreage:,_ Present land use: aj Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shallovided: I (a) Name of applicant:- r l (b) Mailing address: `-1 u O ISO 1�ffio Id II (c) Telephone number:Area CodeQ `j (p-, (d) Application number, if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 21 No❑ If yes,which state or federal agency? N y lj "bEIC 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 EjNot Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—P licies Pages 3 through 6 for evaluation criteria 0 Yes 11 No 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—Po cies Pages 6 through 7 for evaluation criteria 0 Yes 0 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 P Iges S through 16 for evaluation criteria Yes 0 No W 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 throw '21 for evaluation criteria Yes 0 No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes []] No iNot Applicable f t Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [] No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and waste See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 11Yes 1:1 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. ❑ Ye❑ No iNot Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. S e LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ 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 9 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 4Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; ages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable a 4r - Created on 512510511:20 AM