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HomeMy WebLinkAboutTR-9340 Michael J. Domino, President coo ooG=� Town Hall Annex John M. Bredemeyer, III, Vice-Presidento� y<' 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A Nicholas Krupski Southold, NY 11971 " 631 Telephone Tele 765-1892 Greg Williams �l p ( ) 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 ection; ins When project complete, call for compliance p , I - v �� - •/��� Y la �f�� .lf� . : .;jam: BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK _ I , PERMIT NO. 9340 DATE: NOVEMBER 14,2018 ISSUED TO: ELSA RIVERS LIVING TRUST PROPERTY ADDRESS: 219 THE GLOAMING EXTENSION,FISHERS ISLAND J a j - SCTM# 1000-10-9-15.4 AUTHORIZATION � I Pursuant to the provisions of Chapter 275 of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on November 14,2018 and in consideration of application fee in the sum of$250.00 paid by Elsa Rivers Living Trust and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: I Wetland Permit to remove approximately 43' of concrete seawall and to install an approximately 43' long by 7'wide rock revetment with a 21' return located on the consisting of a layer of 3"diameter crushed stone filter layer placed on top of filter fabric; boulders 1.33' to j 4.23' in size will then be placed in a 1.5:1 slope; all disturbed grass areas will be loamed and seeded; and as depicted on the site plan prepared by CME Associates Engineering,Land Surveying&Architecture,LLC dated July 6,2018,and stamped approved on November 14, 2018. I IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. r j gpFFO� Lo �� .� Goldsmith-Useht co A Nicholas Krupski-Absent CA 0 Art • • ol .,�%` ;�=,`., . "`,%f. �r • .._�� ate. TERMS AND CONDITIONS The Permittee Elsa Rivers Living Trust residing at 219 The Gloaming Extension, Fishers Island,New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. o�� !/r�,ol Michael J. Domino,President OF S0Town Hall Annex John M.Bredemeyer III,Vice-President ~ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski Telephone(631) 765-1892 Greg Williams ��`,oU � ► Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 14, 2018 Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959-0447 RE: ELSA RIVERS LIVING TRUST 219 THE GLOAMING EXTENSION, FISHERS ISLAND SCTM# 1000-10-9-15.4 Dear Mr. Just: The Board of Town Trustees took the following action during its Regular meeting held on Wednesday, November 14, 2018 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting Services, on behalf of ELSA RIVERS LIVING TRUST applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated September 12, 2018, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 14, 2018, at which time all interested persons were given an opportunity to be heard, and, 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of ELSA RIVERS LIVING TRUST to remove approximately 43' of concrete seawall and to install an approximately 43' long by 7' wide rock revetment with a 21' return located on the consisting of a layer of 3" diameter crushed stone filter layer placed on top of filter fabric; boulders 1.33' to 4.23' in size will then be placed in a 1.5:1 slope; all disturbed grass areas will be loamed and seeded; and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying & Architecture, LLC dated July 6, 2018, and stamped approved on November 14, 2018. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, n , Michael J. Domi o, Vice-President, Board of Trustees MJD/dd Michael J. Domino, President {1'�� y� , Town Hall Annex John M. Bredemeyer, III, Vice-PresidentN z 54375 Route 25 Glenn Goldsmith ; P.O. Box 1179 A Nicholas Kru ski , y o� " Southold, NY 11971 Greg Williams p ?` �! ' ` � '"r Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ELSA RIVERS LIVING TRUST c/o J.M.O. ENVIRONMENTAL Please be advised that your application dated September 12, 2018 has been reviewed by this Board at the regular meeting of November 14. 2018 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50 00) 1St Day of Construction ($50.00) '/2 Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq ft.) ;:x 30- Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES. TOTAL FEES DUE: $ 50.00 BY- Michael J. Domino, President Board of Trustees Michael J.Domino,President �O��Of S0!/TyO1 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas KrupskiO Telephone(631) 765-1892 Greg Williams 'yreou ,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE I (We) ELSA RIVERS LIVING TRUST The owners of record of property at: 219 THE GLOAMING EXTENSION, FISHERS ISLAND SCTM#: 1000-10-9-15.4 in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: remove approximately 43' of concrete seawall and to install an approximately 43' lona by 7'wide rock revetment with a 21' return located on the consisting of a laver of 3"diameter crushed stone filter laver placed on top of filter fabric; boulders 1.33'to 4.23' in size will then be placed in a 1.5:1 slope; as shown on the attached licensed survey and/or site plan for the approved structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure. Any maintenance which involves more than 50%of the length of this structure requires approval of the Board of Trustees.We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of Trustees that said lack of maintenance would risk life, property or important natural resource features. Notarized signature of owner of record Swom to before me this day of November, 2018. Notary Public This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to show the final approval of the administrator. Michael J. Domino, P ent �1�pSUFFQ�'�-ra Town Hall Annex John M. Bredemeyer III, Vice-vresident �� y�q 54375 Route 25 Glenn Goldsmith ti a P.O. Box 1179 A.Nicholas Krupski . Southold,NY 11971 Greg Williams yho apl Telephone(631)765-1892 � p Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: L-7 1 Completed in field by: J.M.O. Environmental Consulting Services on behalf of ELSA RIVERS LIVING TRUST requests a Wetland Permit to remove approximately 43' of concrete seawall and to install an approximately 43' long by 7' wide rock revetment with a 21' return located on the consisting of a layer of 3" diameter crushed stone filter layer placed on top of filter fabric; boulders 1.33' to 4.23' in size will then be placed in a 1.5:1 slope; all disturbed grass areas will be loamed and seeded. Located: 219 The Gloaming Extension, Fishers Island. SCTM# 1000-10-9-15.4 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional Information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer /M. Domino G. Goldsmith N. Krupski G. Williams Other WOVEN WIRE FENCE (MIN. 14 w I GAUGE W/ MAX. 6" MESH • � �� J SILT FENCE SPACING) 10' MAX. CEN 36" MIN. LENGTH FENCE HAR�0 TO POSTS DRIVEN MIN. 16 - •� TER CENTER WOVEN WIRE FENCE (MIN. 14 �I �I INTO GROUND � E � v 1/2 GAUGE W/ MAX. 6" MESH / c o c SPACING) WITH FILTER CLOTH z _� s , � Y U 0 �` *�,, its o a) 36" MIN. FENCE POST 0 I I PILE O �I / SITE Lu CO T o UNDISTURBED I I` '7 c c) FLOW I GROUND I \� /� W i � i U E HEIGHT OF o Z \\\\\j\\j\/\ FILTER = 16" MIN. ~ 06 COMPACTED SOIL \\\ / /\//\ \ c > r Z� Q = � � _ EXISTING Q V N cn EMBED FILTER CLOTH \\�\\�\\ \\/ � o / / /�//\/\\\\\\\/\/ V A MIN. OF 6" IN GROUND //\//\\/. EMBED FILTER \ DOCK /� _ O cd cn N 4" CLOTH A MIN. OF O '� `m U W W lz M 6" IN GROUND Y 4_ / -3.4 X (� o -0 o N SECTION VIEW PERSPECTIVE VIEW PILE Q i- ao PROVIDE TEMPORARY (TYP.) o,P 6 M 00 ACCESS W/APPROVAL W � OF ABUTTING OWNERS 3p CONSTRUCTION SPECIFICATIONS RESTORE ALL 1. WOVEN WIRE FENCE TO BE FASTENED SECURELY TO FENCE POSTS WITH WIRE DISTURBED AREAS Al 4S ROCKS ALONG \i� PILE y� U = cc TIES OR STAPLES, POSTS SHALL BE STEEL EITHER "T" OR "U" TYPE OR SB�s•?3. WALL (EXISTING) o REMOVE DOCK AS NECESSARY BASE OF (TYP.) HARDWOOD. �3�. APPARENT TO CONSTRUCT NEW STONE SLOPE. 2. FILTER CLOTH TO BE FASTENED SECURELY TO WOVEN WIRE FENCE WITH TIES �.� \` �: \ LOW WATER REPLACE AFTER WALL CONSTRUCTION SPACED EVERY 24" AT TOP AND MID SECTION, FENCE SHALL BE WOVEN WIRE, 6" MAXIMUM MESH OPENING. ��� � 1';;"I . -2.3 X 3. WHEN TWO SECTIONS OF FILTER CLOTH ADJOIN EACH OTHER THEY SHALL BE OVER-LAPPED BY SIX INCHES AND FOLDED, FILTER CLOTH SHALT_ BE EITHER ��� �. ` EXISTING' FILTER X, MIRAFI 100X, STABILNKA T140N, OR APPROVED EQUIVALENT. ��� ��� GRANITE ^ �O DOCK APPARENT REMOVE EXISTING CONCRETE l 4. PREFABRICATED UNITS SHALL BE GEOFAB, ENVIROFENCE, OR APPROVED �` ��.�SEAWALL .� HIGH WATER WALL- (ALL MATERIAL TO BE EQUIVALENT. + \ ALONG FACE REMOVED FROM SITE) OF WALL -PROVIDE STONE SLOPE 5. MAINTENANCE SHALL BE PERFORMED AS NEEDED AND MATERIAL REMOVED WHEN SHORE PROTECTION (SEE DETAIL) LOCATION MAP SCALE 1 =400 "BULGES" DEVELOP IN THE SILT FENCE. ��. r��' , TOE OF SLOPE TO MATCH FACE ' OF EXISTING WALL DECK n-^n �C..:.:.::. CONCRETE MON. �� l� RETAINING WALL \ �\ W PLANTER (FOUND) S 5T37'S1» E ' �` � r MAP REFERENCES �p \ PROVIDE 3 -LIGHT DUTY HEDGE `O r� 44.18 �.; (TYPE 1) TURBIDITY CURTAIN k ^� PROVIDE WOOD 1. TOPOGRAPHIC SURVEY PREPARED FOR WILLIAM D. MCCALL & ' DURING CONSTRUCTION WALK TO DOCK CAROLINE N. McCALL OFF OF THE GLOAMING FISHERS ISLAND, NEW LIMITS OF DISTURBANCE 1� 9 k 0.5' YORK, SCALE: 1"=20', DATED: 10/17/2007, PREPARED BY CME ALL DISTURBED AREAS TO � REMOVE EXISTING ROCK ASSOCIATES, INC. BE LOAMED AND PLANTED �� 1 WALL- (REUSE ROCKS IF POSSIBLE) ^ . u,� r o `r 7 -PROVIDE STONE SLOPE "a"s ^� �� R`.... SHORE PROTECTION (SEE DETAIL) NOTE;z rcao�,. '6' PROVIDE GARDEN AREA EXIS ING ROCK TOE OF SLOPE TO MATCH FACE EXISTING (NON-LAWN)- p? RETAINING WALL OF EXISTING WALL 1. THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE HOUSE FENCE LAWN MINIMUM WIDTH 2' y NOTE• INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE \ + ,� `�' ` PROVIDE SILT FENCE PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR . �� �i TO PROTECT 11DAL THERE IS NO COASTAL EROSION EXCEEDS THE SCOPE OF THE ENGAGEMENT. STEPS s / ��i1� \BASSES HAZARD LINE LANDWARD OF THE i /1 APPARENT Is. SHORE IN THIS AREA. 2. IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY 'h -LOW WATER PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED .7 7\ TIDAL 7\ LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. Z �p1 u'R 1� ), GRASSES 7\ O '► ('IJ. \ 3. ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND _ DECK 16 AJ \ APPARENT SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL I- HIGH WATER ARE THE PRODUCT OF THE LAND SURVEYOR. r , I.PIPE U (FOUND) 4. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND Ld GEODETIC SURVEY TRIANGULATION STATION "PROS" O NIF \\ z Y �_ BRIAN DeBR00F " 5. SITE IS IN THE TOWN O�= SOUTHOLD, COUNTY OF SUFFOLK TAX (� O ......I' MAP '?000, SECTION 010, BLOCK 09, LOT 15.4. Ln > & KAREN DeBR00F Of z 6. SITE AREA = 0.13f ACRES. 0 ; X Z .�►, _ w LL I OQ �. :. 7. SITE IS LOCATED IN R40 ZONE. Ld - - � - zz 8 SITE IS LOCATED IN FLOOD ZONE VE13 AS SHOWN ON O TOWN OF SOUTHOLD NUMBER: 360813 PANEL 19 OF �' � COMMUNITY: � \ EXISTING 'Sp o 1026 MAP NUMBER 36103C0019H REVISED SEPTEMBER 25, 2009. w O Y. (10 HOUSE .:... ... N:1490.34 9. BASE FOR ELEVATIONS- NAVD-88 Q w E:162.71 g GENERAL NOTES: -:>:. ;: 1.) GE XTILE FABRIC TO BE INSTALLED IN ACCORDANCE WITH MANUFACTURERS OTE w \ RECOMMENDATIONS. MAINTAIN A MINIMUM OF 12 INCH OVERLAP AT ADJACENT 0 MON. SECTIONS. GEOTEXTILE FABRIC IS TO BE PROPERLY ANCHORED AS TO PREVENT ~` RIPPING OR TEARING DURING INSTALLATION OF OVERBURDEN MATERIAL. (FOUND) ;- , DURABLE, FREE FROM RSEVERE OCRACKS SHALL AND OTHER DEFECTS THAT WOULD INCREASE DETERIORATION FROM THE ENVIRONMENT OR CAUSE BREAKING DURING HANDLING \ AND PLACEMENT. .. 3.) FILTER STONE SHALL BE 3 INCH DIAMETER NOMINAL SIZE UNLESS OTHERWISE NOTED AND FREE OF ORGANIC DEBRIS. \ O 4.) STONES SHALL BE PLACED IN SUCH MANNER AS TO CREATE A EVENLY GRADED MASS WITHOUT CAUSING DISPLACEMENT OF THE UNDERLYING MATERIALS. THE FINISHED SURFACE SHOULD BE FREE OF POCKETS OF SMALLER STONES ARMOR LAYER m r 0 �' ^����r NIF AND CLUSTERS OF LARGE STONES. LESS THAN WEIGHT DIMENSION < /� \n JOHN T. PATTERSON JR 5.) ALL DISTURBED GRASS AREAS OUTSIDE OF RIPRAP REVETMENT TO BE BY WEIGHT LBS FT. '�� NIF & LOAMED AND SEEDED. 0 (MIN.) 390 1.33 cn o POLE \ o`�ot ELSA H. RIVERS SHARON R. PATTERSON 15 MA„ 1250 1.97 z' a 0-n!Z LIVING TRUST 6.) PROTECT TIDAL GRASS DURING CONSTRUCTION. 50 B 3130 2.67 w 85 "C" 6140 3.34 O N 100 (MAX.) 12520 4.23 APPROVE® BY - o 0 cn w BOARD OF TRUSTEES - TOWN OF SOUTHOLD > Z \ w -J \ DATE �Ja� c2 ��� 2olS Q N 0 0 NIF 1.5:1 STONE SLOPE FACE OF - NG ELSA H. RIVERS \ CONCRETE SEAT WALL- z LIVING TRUST (TOBE REMOVED) 0.38± ACRES \ EXISTING GROUND ----- -- ----- EXISTING DOCK ELEVATION 4.5' Q rn \ l PROVIDE TOP SOIL 1'S ~ w 3 \ � REMOVE EXISTING SMALL � "Bol ROCKS ALONG WALL. REPLACE Q a B "A" AFTER CONSTRUCTION AS TOE PROTECTION 5't � ¢ 2 APPARENT HIGH 00 °G ao � PROVIDE MIRAFI FW-700 GEOTEXTILE .`�y �� "A" WATER o = Q = o FILTER FABRIC OR EQUIVALENT (TYP.) m N I Of � o I N rrorr _ WATER LEVEL Q O o J ELEVATION VARIES z y \1 � � Y Z Z Y APPARENT LOW WATER PROVIDE 3" DIA. m w � = p LLI � LEGEND CRUSHED STONE ' : :' : 2.0' _ � ��- � ,� FILTER LAYER PROPERTY LINE - _ ABUTTERS LINE -- pp I- � � n ' , �' DATE: 07/06/2018 .... . . ........ EXISTING CONTOUR --- 6 --- `::u. 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S•'� .... .IM%F. _�... ....AeR+t.:...•.Y'.� x- .,.ss.� A .. _ _ __ Ni..,,o a I ._ - I wa. _— n r Real Property Tax Service Agency A lI � 49 r17- ..,.,, n ,� ,Hai•,zu s.,w — __ �� � +rw� I i � rwmryc°„ RIw�+�.ca.rvv rso, � f�>�t�.�) ,. o. w+ , -_'_ t, v rN ,m " u ( ♦ �- e AVE. J ]� 0 7aA1c1 i,unci „II (c0 1.3 1 aG / iiNct 5, 13 OA HENRY L FERGU MUSEUM YD - 1'1� St9 7 11 w O�� �„� wawa. wa•t #� v. 9.4 13.6 fi l."C) WEST HARBOR �"Lt w 1 \ 'n��';� \ ae (GREAT HARBOR) • _ay Q��i ,� 0^ � I01 s, SGVNE QI as 21 i ,q F w _ zi.9 �o�",' a '' o•_ to DN"'" 1 q 3. 4., ra.3 a lot s" �) ` w �•{w �' J,r. ? 3f0A4,) tat 1 +. • m,70 �c ",,./3 est t � � P b'� '°f m 9 +• ] �� 1 9�•A B rr .25 �'�a ,,t t7i�4Usl M w ', 3, B \ °•' B „IIr ,, ' 11711 23 Alm) 16NL FETGUBON MU9 _zOL21e1N.,c ) __l (6) 1 S, s %T, 11 INNER \' � 2.9A>2w tt.0A(Q A `�(> (.• flan �. . IWO O i u; 6LA 12 5.7A ,2.12 t9� (4) ] WI 1• " • 1 (9) 1.61 111W 1217 12M 1'pA ,.e rt O �I a ran F D.27 u ,u ,os ♦ „A e Mot F t oJ? w 2:�A1ct 1F zeNct � v � 1.M• `r-A 1 f - 1 1.31 1 1 3wq 'f. , 1 vA " e 12.3 ® t 9 w e 6.9 \13'10 1 TA '� 2� 9LF �a R. 42 ' 17° E PPNA i 10.1 197 V SEE sEC.NO.130 men 0.3 � SS ,.sNcl 1.61 � ORIE L1 s 17Nc) ` o �., SAL a ,.oNct Fpt PCL HO AVE. PO' -� 1 SEE SEC.x0. 90en-0Oe.1 ZZI <U<I SI RRY D. i, ,42 -� Om ao! ,otA1� souTNoLD SECTION NO E _•� _�� ," ,,,, __— __ ,,,,,,, -- r,r --„-- NOTICE COUNTY OF SUFFOLK K© E R1) „ O "—,,. --•_-- "••”-_—_—_•—_— Real PropertyTaXServiceAgency v E 9 rr-uu" ______ sr+ _ ___ o..u. -- -- yu•--�-- .1.1q tint RtKrM°.xv„M, A 010 �Of 0',O Un1Nat"ttu �` —__ 'tet` --r-- or...--w•-- r „c. Y'�• P m1 0011001x97 m..eim,mcware+ PROPERTY MNP a -- OFFICE LOCATION: O��QF SUUr�ol MAILING ADDRESS: Town Hall Annex Q P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 G.2 • Telephone: 631 765-1938 c4UNT`I,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: November 13, 2018 Re. Local Waterfront Coastal Consistency Review for ELSA RIVERS LIVING TRUST SCTM# 1000-10-9-15.4 J.M.O. Environmental Consulting Services on behalf of ELSA RIVERS LIVING TRUST requests a Wetland Permit to remove approximately 43' of concrete seawall and to install an approximately 43' long by 7' wide rock revetment with a 21' return located on the consisting of a layer of 3" diameter crushed stone filter layer placed on top of filter fabric; boulders 1.33' to 4.23' in size will then be placed in a 1.5:1 slope; all disturbed grass areas will be loamed and seeded. Located: 219 The Gloaming Extension, Fishers Island. SCTM# 1000-10-9-15.4 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the << Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney ����QgUfFO�,pcdG 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 Wed., November 7, 2018 the following recommendation was made: S. DAVID RIVERS, CO-TRUSTEE, ELSA RIVERS LIVING TRUST to remove approx. 70' of concrete seawall and to install approx. 70' of rock revetment. The revetment shall consist of a layer of 3" dia. crushed stone filter layer placed on top of filter fabric, boulders (1.33' to 4.23') in size will then be placed in a 1.5:1 slope. All disturbed grass areas will be loamed and seeded. Located: 219 The Gloaming Extension, Fishers Island. SCTM#10-9-15.4 The CAC did not make an inspection, therefore no recommendation was made. ' so so J.M.O. Environmental Consulting Services October 18, 2018 Mr. Michael Domino, President U Board of Town Trustees U Town of Southold OCT 2 2 2018 Town Hall Annex sort, d Town 54375 Route 25 oar (Trustee P.O. Box 1179 Southold, NY 11971-0959 Re: Application for S. David Rivers, co-Trustee Elsa Rivers Living Trust, 219 The Gloaming Extension, Fishers Island S.C.T.M.No. 1000-010-09-15.4 Dear Mr. Domino I am presently writing you to clarify this proposed project. For your review we have enclosed copies of the project plans that have been revised to depict the following: 1. The mean low water line. 2. The length of the proposed rock revetment 43' and the length of the return located on the eastern side of the property 21 '. 3. The width of the proposed revetment 7'. 4. Distance between the proposed revetment and the existing deck located on the seaward side of the existing single family dwelling 37' and 38'. 5. The minimum weights of all proposed stone to be used in construction the proposed revetment. Phone (631 ) 653-0607 - Email Gjustl0215@aol.com 121 Jessup Ave - 2nd Floor - P.O. Box 447 Quogue, New York 11959-0447 6. The location of the existing seawall as well as the seaward extent of the proposed revetment. We have also enclosed a letter from the adjacent neighbor (DeBroff) granting permission for the contractors for the project to access their property. Please feel free to contact me at any time should you have further questions regarding this matter upon your review of the revised plans. Since 1 OCT2 2 2018 , r, , Glenn E. Just i ; G `.fin Brian M DeBroff MD FACS 222o Huntington Tpke,Trumbull, CT o6611 203-381-0678 Bmdmd@aol.com 10/5/18 PpFP1 E0 �New York State Department of Environmental Conservation OCT 2 2 218 c/o JMO Environmental Consulting �------: --.— P.O. Box 447 Quogue, NY 11959-047 RE: Rivers Sea Wall Reconstruction on Fishers Island Greetings, With this letter,we grant permission to David Rivers and his assigned contractors to cross our adjacent property located at The Gloaming Extension on Fisher's Island for the purpose of working on the Rivers'sea wall project as well as for reconstruction of any impacts said project may have on our property. If you have any question, please contact me at the address above. Sincerely, Brian M DeBroff M—() Karen M DeBroff ��II `'l1YF SOU Michael J. Domino,President fF ,��� 4/Z ,. Town Hall Annex �}` ,�O !® John M.Aredemeyer IN,Vice-President 54375 Route 25P.O. Box 1179 Glenn Goldsmith ; Southold,New York 11971 A. Nicholas Kru ski ` cn P q ;` Telephone(631) 765-1892 Greg Williams �f.� ` Fax(631) 765-6641 ,` ,` lyL'DUNTV•�.,''' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension _[_Received Application: _',�Z �g Received Fee: $ 06-0,00.. ... Completed Application: Incomplete: SEQRA Classification: Type I Type ll Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: r Coordination:(date sent): g ! LWRP Consistency Assessment Form Sent: if 2`f CAC Referral Sent: y91•l ! 5�P f 10, Date of Inspection: /!,7, l�_ !; 2078 Receipt of CAC Report: Technical Review: Public Hearing Held Resolution: Owner(s) Legal Name of Property (as shown on Deed): ESQ jQ Lks)l or �tp� Mailing Address: Phone Number: Suffolk County Tax Map Number: 1000 - n Q—02 IS <L Property Location: Q T .� F <% I �C-`A�� ��I (If necessary, provide LILCO Pole #, distance to cross streets, and location) AGENT(If applicable): �M-QfiNj1COr-NMe n� CO0u(4��7 ��` Mailing Address: O. ,L- 'l�. encu P-4 Phone Number: (OS OS_�- 0(0� Board of Trustees App—cation GENERAL DATA Land Area(in square feet): Area Zoning: — Previous use of property: Intended use of property: Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes _,K_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 _Y, 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 ,L No Does the structure(s)on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: unV_,r iDJ q-\ Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? j�, _ No Yes If yes, provide explanation: Project Description(use attachments if necessary): Applicant proposes to remove approximately 70' of concrete seawall and to install approximately 70' of rock revetment. The revetment shall consist of a layer of 3" diameter crushed stone filter layer placed on top of filter fabric; boulders (1.33' to 4.23') in size will then be placed in a 1.5:1 slope. All disturbed grass areas will be loamed and seeded. Board of Trustees Apr. Ovation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: �ym Area of wetlands on lot: square feet Percent coverage of lot: n ba % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: _ 2�3 feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? ±(PSO cubic yards How much material will be filled? ± :75- cubic yards Depth of which material will be removed or deposited: (_feet Proposed slope throughout the area of operations: tS ' Manner in which material will be removed or deposited: RQ—C.Jg ' 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): Short Environmental Assessment Form Part I -Project Information Instructions for ComnletinE 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 1-Project and Sponsor Information Name of Action or Project: Proposed shoreline protection Project Location(describe,and attach a location map): 219 The Gloaming Extension,Fishers Island,NY,location map enclosed Brief Description of Proposed Action: Applicant proposes o remove approximately 70'of concrete seawall and to install approximately 70'of sloped stone shore protection. Name of Applicant or Sponsor: Telephone: 978-376-8781 S.David Rivers,co-Trustee,Elsa Rivers Living Trust E-Mail: drivers@me.com Address: 147 Spofford Road City/PO: State: Zip Code: Boxford MA 01921 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: F1Southold Town Trustees,N.Y.S.D.E.0,N.Y.S.D.O.S.&U.S.A.C.O.E. 3.a.Total acreage of the site of the proposed action? 0.13 acres b.Total acreage to be physically disturbed? 0.01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.13 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) [-]Industrial ❑Commercial m Residential(suburban) 13 Forest ❑Agriculture El Aquatic El Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑✓ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ ❑✓ 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:Fishers Island Sound ❑ FZI 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES 7 EL 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: ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ ✓❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ✓❑ ❑ Existing sanitary system 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? El ❑✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: West Harhnr 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: m Shoreline ❑Forest [I 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? ❑✓ ❑ 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 []YES Page 2 of 3 18.Dobs the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: Z ❑ I AFFIRM THAT THE INFORMATIO ROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Glenn,47 age Date: Signature: PRINT FORM Page 3 of 3 18 Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size. ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: 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 I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 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 �j ❑ establishment of a Critical Environmental Area(CEA)? LL�� 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? El 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)? LJ 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? I 1 Will the proposed action create a hazard to environmental resources or human health? El 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 cts. Town of Southold-Board of Trustees /l Name of Lead Agency Da M i c h a e I J Qom ins— President Print or�eName,,f Responsible icer in Lead Agency Title of Responsible Officer Signature o Responsi e Ofcer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees ApplAvation AFFIDAVIT S. David Rivers, co-Trustee, Elsa Rivers Living Trust BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION 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. Signature of Property Owner — Signature of Property Owner SWORN TO BEFORE ME THIS . �! DAY OF , _ , 20 /8 _ Notary Public � ROBIN PHEIAN NOTARY PUBLIC COMMONWEALTH OF MAssACHusErrs MY COMMISSION EXPIRES 812s/M Board of Trustees A,pp] ation AUTHORIZATION (Where the applicant is not the owner) I/We S. David Rivers, co-Trustee, Elsa Rivers Living Trust owners of the property identified as SCTM# 1000- 010—0 q— t1l Y in the town of Southold , New York, hereby authorizes 1 Ml rmrc�e r&� CCnSu Wi to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. S- Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS ?,h_ DAY OF , 20_Lff _ -0eh-.z- If Notary Public ROBIN PHELAN NOTARY PUBLIC CON 0*!EALTH OF MASSACHUSETTS MY COMMISSION EMPIRES V=424 APPLICANVAGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of EthicsRmItibits conflicts of iMerest on the RW of town officers and emoloyoes The>imDose of this form is to Mvide inbmatiti.which canglert the town of nosstble diets of mtete st and allow it to take whatever action_is necessary to avoid same. - YOURNAME: S. David Rivers (Last name,first mune.Middle Initial,unless you aro 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"Others',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 ofticer or employee owns more than 5%of the shares. YES __ NO R 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 tate 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(cheek 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 corporations II)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 2 9 th day o Au.9us t Zp 18 Signature S Print Name S David Rivers Form TSI APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM of Edda Whibk kUR00910 00 h 90 Qf-WM9ffi=Wd swaam no WW= g2guftrajtcts gf itimstaW allow' necUW to mid no. YOUR NAME S- (i,est 118111d,Brst nano, ` to 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 ofZone 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 intent"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 applicantfagentimpresentative)and the town officer or employee.Either check the appropriate line A)through D)andkir 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 ofgreater than 5%of theshamsof the corporate stock of the applk*W (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 RELATIONS14I1' Submitted this _ Signature Form TS I i�t� .. Print Name f PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK :�L6ag\ 71k4- , residing at , being duly sworn, deposes and ays that on the _11. da rof�W - , 20k k�, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were i at the United States Post Office at ,Q that said Notice w e mailed o each of said persons by CERTIFIED MAEURE RN RECEIPT. i Sworn to before me this 31st Dayof i Notary Public OINA A.LOCKE NOTARY PUBLIC,STATE OF NEW YORK Registration No.OIL06057960 Qualif ed in Suffolk countyq n1nissi0n Expires Apr.30,20�/ P• Postal Service CERTIFIED o RECEIPTCERTIFIED MAILPRECEIPT Cr- Domestic Mail Only i u'l Domestic Mail Only Er- ILMFor delivery'-q information,y rq f 1b3 11 r` CrCertified Mall Fee 3 45 i,l9 It g Q' Certified Mail Feed y r Ilgy q Ln $ 7 75 01 ll Eprate) f c 01 Extra Services&Fees(check box,add tee sp ate) Extra Services&Fees(check box,add fee ElReturn Receipt(hardcopy) $ !'!"' ❑Return Receipt(hardcopy) $ ❑Return Receipt(electronic) $ 1 1•IIII Postmark ❑Return Receipt(electronic) $ II'�•-Ill Postmark O ❑Certified Mail Restricted Delivery $ siif illi Here 0 E]Certified Mail ResMcted Delivery $ x: L((,) Here ❑Adult Signature Required $ $9.00 _ C3 ❑Adult Signature Required $ $ j fiT.�.,��� ❑Adult Signature Restricted Delivery$ ❑Adult Signature Restricted Delivery$. C3 Postage C3 Postage $0.92 �n $ Ili/3E/2G18 -0 $ 11:1/3li/2i 118 7 Total Postage and s 1�,� Total Postage and$7112 $ . $ ( r- Sent To. Q[ y r� Sent To (� O Str� a A t. __ -`�fz�_t_�l_��____ �5!`�?fSJ� �1� <__� or PO Box o O ree an A o., r Q,O_Box No. /�=]1 ' t 4 y�� - �- T try-- - v�( ----------------------------- -------------------Ciry, tate ZIP+4® ` ------------------ Ca Z ®— ^ lT2 ZI +d � � �C7'3q PS-Form 3800,April 17530-02-000-9047r 1 r r rrr•r• Postal Service" CERTIFIED MAILO RECEIPT rLl DomesticOnly m rU iri �� •I- Q^ Certified Mail Fee $3.45 C1949 U') $ 7 111 UT Extra Services&Fees(check box,add tee 4jrf:,fate) ❑Return Receipt(hardcopy) $ Q nff ❑Return Receipt(electronic) $ Postmark 0 F1 Certified Mail Restricted Delivery $ $)i•1 II 1 Here I= E]Adult Signature Requirad $ $0 (10 E]Adult Signature Restricted Delivery$ C3 Postage $0.92 � $ 10/31.1/21118 O Total Postage and F�1'? 0 854 TO and A o.,or PO Box IVo. P-1Th ` 10 � r` --�""---------------------- �` eePS -aQa� 0(clq 3-�33� Michail J. Domi—,.'resident t �0 COG Town Hall Annex John M. Bredemeyer III,Vice-President �� . y� 54375 Route 25 Glenn Goldsmith 2 P.O. Box 1 179 A.Nicholas Krupskiv • W,� Southold,NY 11971 Greg Williams y p!.N' Telephone(631)765-1892 O� �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of ELSA RIVERS LIVING TRUST COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DA YS PRIOR TO THE PUBLIC HEARING DATE I, S. David Rivers , residing at/dba 146 Spofford Rd. Boxford, MA 01921 being duly sworn, depose and say: That on the 3rd day of November , 2018 , I personally posted the property known as 219 THE GLOAMING EXTENSION, FISHERS ISLAND by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, November 14, 2018. Dated: November 13, 2018 (signature) Sworn to before me this 0 twil1111ill � tlay ofNOV-20 THF9 t•.�.� NO r, J;% O Zz Ch Notary Public ? SNIC a; �.t�' oto Il 1 � Postal Postal oRECEIPT CERTIFIED MAILCERTIFIED o RECEIPT o- Domestic 117-1 Domestic Mail Only Ln co For delivery information,visit our website at www.usjos.corW�. w - ica II Certified Mail Fee 45 i 1949 Ir Certified Mail Fee C (1949 i li $;.4! $ C2 75 $ 7 r5 11 Extra Services&Fees(check box,add Ln roe a te) Extra Services&Fees(check box,add fee ag�CC�r ����ay fjte) 0 ❑Return Receipt(hardcopy) $ C]RReturnReceipt(hardcopy) $ � ❑Return Receipt(electronic) $ �i I 1_I II i Imark r3 ❑Return Receipt(electronic) $� '''• Postmark C ❑Certified Mail Restricted De1Wyy $_^ $Q i Ill r---r�.r::�—. 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Ir .Certified Mail Fee $3.4c m'1949 Ln Certified Mail Fee $3.45 11949 _ Ln s ? 1 $ $2.75 Extra Services&Fees(check box,add fee p ate) i! Extra Services&Fees(check box,add fee as i r 'L��r) 1'1 Q ❑Return Receipt(hardcopy) $ ' `�, ��� Q ❑Return Receipt(hardcopy) $ Q ❑Return Receipt(electronic) $ 1 a l��( POstr[tark Q ❑Return Receipt(electronic) $ "'"!' Postmark Q ❑Certified Mail Restricted Delivery $ ¢r�„( 17(f He�T Q ❑Certified Mall Restricted Delivery $ 1 11_f Here Q ❑Adult Signature Required $ $ri fig Q ❑Adult Signature Required $ fh,�l_fly 1 ❑Adult Signature Restricted Delivery$ [-]Adult Signature Restricted Delivery$ C3 Postage $ IJ 9i C3 Postage $0.92_a $ 1 i 1/ .F/?1.118 -° $ 11 130/71 11$ Q Total Postage and F�. �. Q Total Postage and F1 Tr. 1? $ 1_7 $ N t Tor�� S t To } Street and Apt N or P Box NoM1 `�^tl�- - L �S� -T'o,r n�4-------------------- V b----------- -------------------------------------------------------- PS Form :rr April 2015r -Reverse for Instructions PS Form 3800,April 201502-000-9047 VGe�,r Reverse for Instructions J PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: V ✓o� 9 - /3 9_ i! 10-- q STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of , 20____, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. i x : Sworn to before me this Day of , 20 I Notary Public I Brian & Karen DeBroff, 2220 Huntington Tpke Trumbull, CT 06611 Steve & Sarah B. Malinowski, P.O. Box 402, Fishers Island, NY 06390-0402 John T. Patterson, Jr & Sharon P. Patterson, 1232 The Gloaming, #206, Fishers Island, NY 06390 Robert E. Brooks, 2512 Newport Gap Pike, Wilmington, DE 19808 Kenneth L. & Ann E. Edwards, The Gloaming, P.O. Box 332, Fishers Island, NY 06390-0332 Thomas Foyle, 22 Duram Road, Madison, CT 06443 Frederic & Suzanne Bancroft, 289 Mill Hill Road, Mill Neck, NY 11765 NUTILLE . UF HEL. AKINC NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: ELSA RIVERS LIVING TRUST It SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove approximately 43' of concrete seawall and to install an approximately 43' long by 7' wide rock revetment with a 21 ' return located on the consisting of a layer of 3" diameter crushed stone filter layer placed on top of filter fabric; boulders 1 .33' to 4.23' in size will then be placed in a 1 .5: 1 slope; all disturbed grass areas will be loamed and seeded. Located: 219 The Gloaming Extension, Fishers Island. SCTM# 1000-10-9-15.4 it TIME & DATE OF PUBLIC HEARING : Wednesday, November 14, 2018 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRPCO�NCY ASSESSMENT FORM A. INSTRUCTIONS I. 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 tion will -be ovWuatod as to its siuMt bmftc dal and a—dym effects u n the co which includes all of Sou l To 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 ex laIRA in detail, lbtm* e both Epp2rtinl-and am suup,22rou cls. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall Mt 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# 010 _, (D-9, PROJECT NAME 3A 'O 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: (a4c- Applicant proposes to remove approximately 70' of concrete seawall and to install approximately 70' of rock revetment. The revetment shall consist of a layer of 3" diameter crushed stone filter layer placed on top of filter fabric; boulders (1.33' to 4.23') in size will then be placed in a 1.5:1 slope. All disturbed grass areas will be loamed and seeded. Location of action:Q I Site acreage: _ 2 Present land use: Present Zoning classification: 12-`TJ 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: P,,kW (b) Mailing address: (LA(a �, EO&CO'ZA . M44 nI 9 J (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 W[ No❑ If yes,which state or federal agency?-,&)-,��, lV, ,',5- L)S•t 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. D�VEWPED CQAST 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 ❑ Not Applicable l 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 ❑ Not Applicable i l � c 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 ❑ Not Applicable hW -� Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRJ' Section III—Policies Pages 8 through 16 for evaluation criteria 0-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 U Yes ❑ No ❑Not Applicable ` e t 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 Not 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. Yes [—] No[—] Not Applicable \ w Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold Brom solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria, Yes 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 M Not Applicable c ► 1 ' Attach additional sheets if necessary WORKING COAST POLICIES Policy 14. 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 ❑ Not Applicable �c Attach additi shuts i 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.stn �J 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 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 M Not Applicable PREPARED BY u Sk_ TITLE DATE