HomeMy WebLinkAboutTR-6826 Jill M.Doherty,President OQF S0(/ryO Town Hall Annex
Bob Ghosio,Jr.,Vice-President l0 54375 Main Road
James F.King l P.O.Box 1179
Dave Bergen
Southold,New York 11971-0959
G Q
John Bredemeyer �� �� Telephone(631) 765-1892
Cou Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
February 16, 2011
Patricia C. Moore, Esq.
51020 Main Rd.
Southold, NY 11971
RE: GREGORY K. JOHNSON
2870 HENRY'S LANE, PECONIC
SCTM#74-1-1
Dear Ms. Moore:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wed., February 16, 2011:
RESOLVED, that the Southold Town Board of Trustees grants the last One-Year
Extension to Wetland Permit#6826, as issued on February 24, 2008.
This is not an approval from any other agency.,
Sincerely,
Jill M oherty
Presi ent, Board of Trus ees
JMD:Ims
Jill M.Doherty,President �QF so(/ry Town Hall Annex
0 James F.King,Vice-President ,`O l0 54375 Main Road
P.O. Box 1179
Dave Bergen
Southold,New York 11971-0959
Bob Ghosio,Jr. G
John Bredemeyer Telephone(631) 765-1892
��UMy,� Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
February 24, 2010
Ms. Patricia C. Moore, Esq.
51020 Main Road
Southold, NY 11971
RE: GREGORY K. JOHNSON
2870 HENRY'S LANE, PECONIC
SCTM# 74-1-1
Dear Ms. Moore:
The following action was taken,by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday,February24, 2010:
RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to
Permit#6826, as issued on February 27, 2008.
This is not an approval from any other agency.
If you have any questions, please.do not hesitate to contact this office.
Sincerely,
ill M. Doherty
President, Board of Trustees
JMD:eac
01/31/2011 15:55 FAX 631 765 4643 MOORE LAW OFFICES Trustees IM002
PATRICIA C. MOORE
Attomey at Law
51020•Maln Road
Southold;New Yor01971
Tel:(631)76&4330
Fax::(631)765-4643
January 31, 2011
Board of Trustees
Town of Southold
P.O. Box 1179
Southold, NY 11971
J A N 3 1 2011
RE: GREGORY K. JOHNSON
PREMISES:2870 HENRY'S LANE, PECONIC .
i SCTM # 1000-74-1-1 ;
PERMIT # 6826
I
Dear President Doherty:
Please let this serve as a request for an extension of the
i above permit for Mr. Johnson.
Thank you.
V y truly y
Patricia C. Moore
PCM by
01/31/2011 15:54 FAX 631 765 4643 MOORE LAW OFFICES Trustees Cij001
PATRICIA C. MOORE
Attorney at Law
51020 Main Road
Southold, New York 11971
Tel: (631)765-4330
Fax: (631)765-4643
FACSIMILE COVER SHEET
i
Thepages comprising this facsimile transmission contain confidential information from Patricia C,Moore. 'this
Information is intended solely for use by the individual entity named as the recipient hereof. If you are not the
intended recipient, be aware that any disclosure, copying, distribution, or use of the contents of this
transmission is prohibited. If you have received this transmission in error, please notify us by telephone
immedlat !y so we may arrange to retrieve this transmission at no cost to you.
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FAX NO: _
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comments:
02/12/2010 17:53 FAX 631 765 4643 MOORE LAW,OFFICES Trustees 1@ 001
PATRICIA C. MOORE
Attorney at Law
51020 Main Road
Southold,New York 11971
Tel: (631)765-4330
Fax::(631)7654643
February 11, 2010
Board of Trustees
Town of Southold FEB
P.O. :Box 1179
r 6 2���
Southold, NY 11971
RE: GREGORY R. JOHNSON ti
PREMISES:2870 HENRY'S LANE, PECONIC
j SCTM # 1000-74-1-1
PERMIT # 6826
Dear :President Doherty:
With reference to the above and pursuant to your request,
please be advised that my client has retained the services of
Natural Images Landscaping to re-establish the haybales as soon
as the snow has melted down to a point to effectively install the,
haybales .
Please also note that construction has not yet begun and the
haybales were only required to be installed prior to and during
construction, no building permit has been issued. We will advise
you once the haybales have been re-established so that you may
reinspect. Please extend the permit prior to the expiration of
the permit.
`thank you.
Very truly yours,
Patricia C. Moore
PCM/bp
Enclosures
01/14/2010 14:02 FAX 631 765 4--- MOORE LAW OFFICES — lustees 0 001
PATRICIA C. MOORE
Attomey at Law
51020 Main Road
Southold,New York 11971
Tel:(631)765-4330
i
Fax::(631)765-4643
January 14, 2010
I
Board of Trustees
Town of Southold
P.O. .Box 1179 JA N j 4
j Southold, NY 11971 2010
RE: GREGORY R. JOHNSON
]PREMISES:2870 HENRY'S LANE, PECONIC
SCTM # 1000-74-1-1
PERMIT # 6826
Dear President Doherty:
Please let this serve as a request for an extension of the
above permit for Mr. Johnson.
Thank you.
Ve truly yours,
1 �
Uzi
Patricia C. Moor
PCM/bp
Enclosures
a SOUT�o
Town Hall Annex �O l0 Telephone(631)765-1802
S4375 Main Road Fax(631)765-9502
P.O.Box 1179 G • �Q
Southold,New York 1101-0959 '�
CDUNTY,Nc�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 19;2009
Gregory Johnson
3007 Avenue F
Holmes.Beach;FL 34217
RE: 2870 Henry's Lane
SCTM#1000-74.-1-3/#1000-74.-1-2/#1000-74.71-1
Encroachment onto town owned property without permit
To Whom It.May Concern: ;
It has come to my attention that you are using town owned property to access your construction
site at 2870.Henry's Lane.Based on my investigation, I have determined that construction
equipment has traveled over town owned land(#1000-74.-1-3),and across vacant property owned
by you(#1000-74.-1-2).
You.are hereby ordered to cease traveling over both of these properties.
With respect to the vacant parcel of land that you own,you must first contact the Southold Town
Trustees before moving any equipment through this property. As for the town owned land; you
have ten(10)days from the receipt of this letter to contact Melissa Spiro, in the Southold Town
Land Preservation Department, 631-765-5711, to discuss remediation options with respect to
damage done to the tow_n's access road. Should you fail to contact Melissa,legal action will be
taken against you.
Thank in adva ce for ticipated cooperation.
espectfully You ,
D mo . r allis, oibhg Inspector '
i Town'of Southold uilding Department
Cc:Melissa Spiro,Land Preservation Coordinator, Town of Southold
File #
TOWN,OF SOUTHOLD COMPLAINT REFERRAL FORM
Location of Complaint: #ena v15 kct,rti2. SCTM# 711- I — 3
Property Owner: 1 own crt- �;o VT o'.A 6D'M!�oGce Phone
Address: %? Ii55/�- S:Tiax)4. LC&A& T('PS
NATURE OF COMPLAINT:
racsr-xa
I wi'h:a� ,��'ss,.vv .
lA /raf ate, . g1��Worf are aw73usn d� azn2��,
Mi eC,%Yt '
� 4so wLrACON TAKEN: 'ImsoecrW .
r e> c� i' or�r _C 4q ' ' S / p
✓ .'c 1N Wa o't' . av\ 'tea., %o p
0-%\J r, 025 .NS},Ak\¢& @ pj;n,`!•-.o6 OoAvi t f Tale ce VM' Av. 6k,G'r Ct.4
Optional:
Complainant: By Phone` Mail In Person
Address Phone:
Report Taken By: ,: Date:
Date Referred to Code Enforcement:
---------------------------_-------------
CODE ENFORCEMENT REPORT
SITE INSPECTION REPORT/DATE:
ro
aAei do.
ACTION/DATE:
Page I of 3
Standish, Lauren
From: Rick Kedenburg [rickkedenburg@optonline.net]
Sent: Monday, December 28, 2009 8:34 AM
To: Standish, Lauren; Cantrell, Elizabeth
Subject: Re: 2870 Henry's Lane, Peconic
Dear Trustees,
As a followup to my letter of yesterday. I received this email from my neighbor Mike Bendik. The
Fresh Water stream that feeds Autumn Pond flows through his property before it crosses under Henry's
Lane to the property known as 2870 Henry's Lane. Mike has some interesting input as regards how the
stream flow will be affected and how it has already been affected.
Respectfully yours,
Frederick R. Kedenburg
Dear Rick and Linda,
Michelle and I both agree that the area/surrounding areas should be protected and researched further as
to the obvious depletion that has taken place in just the last couple of years. My direct concerns would
be the setbacks and spot location of the dwelling (how poured foundation/concrete and other materials
in the short and long term will be effecting water source that runs in the direct path? (one cannot
possibly get below a frost line let alone a couple of feet in that area as we all know from our own
properties, and not be fighting water). The septic/sanitary system(what happened with the perk test)?
The last I looked the water is standing in that area and many of the areas surrounding. The estuary
is "free flowing " all year long (though at times I wonder for how much longer as I personally study the
flow on my own property). Don't think for a minute that there wouldn't be some sort of change to take
place on the proposed building lot and surrounding areas. I feel for sure there would be!
Start to screw with the ecosystem in a major way again(as did my new neighbors to the South).
Everybody needs a poured concrete patio and buried stone and sod, etc.
I felt compelled to go off tonight on stupidity?, or is it just pure nativity?, or worst yet...Greed!
Fight the good fight as we are with you on this.
Let me know , and be well.
Sincerely ,
Mike Bendik- Owner/residence
2865 Henrys Lane
Peconic ,N.Y. 11958
Tel:631-484-0886
On Sun, Dec 27, 2009 at 4:05 PM, Rick& Linda Kedenburg <kedenbirdnoptonline.net>wrote:
Dear Neighbors,
I sent the below letter and pictures to the Town Trustees. I would like to know from you all if you are
in agreement with my thoughts on this matter. If the Trustees contact me I would like to be able to
say I speak for us all as to protecting this area.
Thank you for your consideration and please send me your thoughts as soon as possible. Thanks
guys !
Rick
To the Honorable Trustees Town of Southold NY,
12/28/2009
Page 2 of 3
Dear Trustees,
I am writing to you regarding the Permit to construct a single-family dwelling and new sanitary
system located 2870 Henrys Lane<Peconic. SCTTM#74-1-1
These permits were granted at a Trustee public hearing Wednesday, February 27, 2008.
I still have trouble understanding how any construction could be allowed on these wetlands that feed
into an important Fresh Water Pond-Autumn Pond(Lake) -just west of Goldsmith's Inlet. As you
can see from the below photos I took today Sunday December 27th 2009,the area is under much
standing water. Many of the trees were taken down last spring and the place now looks totally
devastated. It was a healthy woodland with streams and kettle pond areas. In addition the area of the
proposed Sanitary System is mired in silty standing water. This water is flowing toward Autumn
Pond that is itself already in danger of silting up.
I kindly invite any one or more of The Town Trustees to come to the site and look around.
We and many of our fellow year round neighbors agree that this area needs more protection. That of
course is up to The Trustees, but perhaps a second look would help us all to understand the needs of
this critical area.
I will be home this week and live to the north of the property. My wife and I would be happy to
answer any questions The Trustees might wish to ask us.
Respectfully Yours,
Frederick& Linda Kedenburg
3080 Henry's Lane
Peconic NY 734-7144
Rick Kedenburg
rickkedenburgnoptonline.net
The area of the proposed dwelling with standing water at hay bails.
IMG_4773.JPG
IMG_4774.JPG
More water at the beginning of the road cut into the woodlands
IMG_4775.JPG
More water slightly south going toward the Town owned Open Space.
IMG_4776.JPG
The fresh water stream that flows under Henry's Lane onto property.
IMG_4777.JPG
The stream runs all year even in dry spells fed by freshwater wetlands directly to the west of Henry's
Ln.
IMG_4778.JPG
Good flow this time of year.
IMG_4779.JPG
The proposed Sanitary System with water. You can see Autumn Pond directly behind.
12/28/2009
Page 3 of 3
IMG 4780.JPG
incomplete and or ineffective hay bails.
IMG_4781.JPG
Area of proposed dwelling.
IMG_4782.JPG
Rick Kedenburg
rickkedenburg@optonline.net
Rick & Linda Kedenburg
kedenbird(&-optonline.net
Rick Kedenburg
rickkedenburgnoptonline.net
12/28/2009
i�
Cantrell, Elizabeth
From: Rick Kedenburg [rickkedenburg@optonline.net]
Sent: Sunday, December 27, 2009 3:48 PM
To: Standish, Lauren; Cantrell, Elizabeth
Subject: 2870 Henry's Lane, Peconic
Attachments: IMG_4773.jpg; ATT2116109.txt; IMG_4774.jpg; ATT2116110.txt; IMG_4775.jpg;
ATT2116111.txt; IMG_4776.jpg; ATT2116112.txt; IMG_4777.jpg; ATT2116113.txt; IMG_
4778.jpg; ATT2116114.txt; IMG_4779.jpg; ATT2116115.txt; IMG_4780.jpg;ATT2116116.txt;
IMG_4781.jpg; ATT2116117.txt; IMG_4782.jpg; ATT2116118.txt
IMG_4773.jpg (91 A7T2116109.bct IMG_4774.jp9(93 ATr2116110.txt IMG_4775.jpg(106 ATr2116111.txt IMG_4776.jpg(110
KB) (284 B) KB) (346 B) KB) (349 B) KB)
Rwm
EJ EA OE"J_ 1A E73
ATr2116112.bct IMG_4777.jpg(107 ATT2116113.txt IMG_4778.jpg(118 ATT2116114.bd IMG_4779.jpg(110 ATT2116115.bd
(351 B) KB) (393 B) KB) (312 B) KB) (368 B)
Li
IMG_4780.jpg(105 ATT2116116.bct IMG_4781.jp9(123 ATT2116117.txt IMG_4782.jpg(102 ATT2116118.bct
KB) (324 B) KB) (310 B) KB) .(331 B)
To the
Honorable Trustees Town of Southold NY,
Dear Trustees,
I am writing to you regarding the Permit to construct a single-family
dwelling and new sanitary system located 2870 Henrys Lane< Peconic.
SCTTM#74-1-1
These. permits were granted at a Trustee public hearing Wednesday, February
27, 2008 .
I still have trouble understanding how any construction could be allowed on
these wetlands that feed into an important Fresh Water Pond - Autumn Pond
(Lake) - just west of Goldsmith' s Inlet . As you can see from the below
photos I took today Sunday December 27th 2009, the area is under much
standing water. Many of the trees were taken down last spring and the place
now looks totally devastated. It was a healthy woodland with streams and
kettle pond areas. In addition the area of the proposed Sanitary System is
mired in silty standing water. This water is flowing toward Autumn Pond
that is itself already in danger of silting up.
I kindly invite any one or more of The Town Trustees to come to the site
and look around.
We and many of our fellow year round neighbors agree that this area needs
more protection. That of course is up to The Trustees, but perhaps a second
look would help us all to understand the needs of this critical area.
I will be home this week and live to the north of the property. My wife and
I would be happy to answer any questions The Trustees might wish to ask us.
Respectfully Yours,
Frederick & Linda Kedenburg
3080 Henry' s Lane
Peconic NY 734-7144
i
Rick Kedenburg
rickkedenburg@optonline.net
The area of the proposed dwelling with standing water at hay bails.
z
PATRICIA C. MOORE, ATTORNEY AT LAW
51020 Main Road, Southold, NY 11971 (631) 765-4330
DATE
TO SUBJECT
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James F. King,President �OF SUUTy� Town Hall
Jill M. Doherty,Vice-President 53095 Route 25
Peggy A. Dickerson l P.O. Box 1179
Southold,New York 11971-0959
Dave Bergen G
Bob Ghosio, Jr. Telephone(631) 765-1892
`OUNN Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES
72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN
APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO
SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE
PERMIT.
INSPECTION SCHEDULE
Pre-construction, hay bale line
1 st day of construction
Y2 constructed
/
Project complete, compliance inspection.
1
SURVEY OF PROPERTY 1 5%SLOPE MAX FF ELEVATION 23+
" O�,(� GRADE EL=21.9
,}c�,tl `- C TW=20.5 GRADE 21.0 EL=21.2
51TUATE: PECONIC N \ SFA �` r^' EL=20.4 INV=19.5 INV=19.7 INV=20.2 NVa21.1
\\ T/C O 'y/l SEPTIC TANK
TOWN: SOUTHOLD V 4 6'DIA%3'DEEP 1-6'DIA X 3'DEEP 1000 GALLON
LEACHING POOL DISTRIBUTION POOL 10.OIA:4•DEEP
e \ GRADE BW-16.5 SOLID RING
5UFFOLK COUNTY, NY W C \sQ' EL=16.9 L7=1-
C ,x
��tiT
GROUNDWATER ELEVATION 13.9
SURVEYED: 06-07-2007
HD 5UBMI5510N: 12-17-2007 APPROVE � '
REVISED: 2-2a-2008 S� Qa
SUFFOLK COUNTY TAX # F Y 9 \\ � `J��� .1.
2. AIFr
3P00�I xRPROOFED ON INSIDE
1000 - -14 - 1 - 1 BOAR® OF TRUSTEES EES �,. / /c
\ 5. FOOTING TO BE CONSTRUCTED ON UND STURBED SOIL 4000 P5F.
L 4. BEFORE INSTALLATION OF LEACHING POOLS THE AREA SHALL 13EA
�• \ / ♦/ EXCAVATED AI ELEVATION ND A TO REMOVE UNSUITABLE SOILS AND
V�` ®F S®� I _ / 5HALL FLED WITH CLEAN SAND AND GRAVEL. THE EXCAVATION AREA
SHALL PROVIDE A 3 FOOT DOLLAR AROUND ALL LEACHING POOLS
CMTERM /� �, c
�rl�di0l[YY�.J®I$NS®A1 _ ` O L� ^ \~-- � S 1<�` //��- / s®� SEPTIC DESIGN
SAT E 3� y` 2°co�O� O O /9 /
-\� / �1 / �� #r
Test Hole
MGDonold % tic' - _ S8 O
6eosGlence P,� � � ��2 '�� � /c. /
------------------------------------
MIGHAEL D. MAPES N.Y.S.P.E. LID. #70501
02-21-2007 O
OL DARK BROOVCLAYEY pWM SFpTrc �� ��YBALE�sO ING GONSTRU6�UN
CH BROWN CLAY Q •�� �$r l� / \ �_ �/ // ��pil,
WATER Q,y�/ � /s / T .
MAR - 4 2008
CH WATER IN Q 3 3 \ O /C
B
4 ROWN CLAY I \� pa 3 J I O
GL AND
SANDY CLAY �O (\` /
7
16
KATER IN BROWN FINE ® s yOAp ' ,�/ II /`�� /y�.�<
TO �/
SIP MEDIUM SAND / ' v� `n\O �I GA' y O�S /11 N_ G�F�NG� GRADE P OF WALL EL NOTED
54' 0� o
I/j��
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O
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WELL v ®4 Bars B•D.C. E.W.
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NOTES: I\a A c
(4SA4�< �• \ `ycO ►.�" TYPICAL RETAINING WALL
■ MONUMENT FOUND � ►. _
o PIPE FOUND '04,C-+ DITCH Der CROSS SECTION
►. WETLAND FLAG AS DELINEATED BY R. FOX ���� FtiT� \ "y
OF SEA LEVEL MAPPING ON FEB. 20, 200-7
II[efeeG Imo b eeal a�lo F eectlon 7209,� Ion].of1 Ne
TOP06RAPHIC DATA REFERENGED TO N6VD '2Q DATUM EO ea bn
;' •Onkj copbe from Un aig9Ugl of W,ewey
morkeG ni"I m orlgNol o/fhe Imo Eweyorb
/ ./ etmste4 Heal Nall be caelCereE to be w
PROPERTY ZONE R 40 _Pb'
SEPTIC / - --.
RETAIN TREES LARGER THAN 5" DIOMETER 11 eglfyBaa,
OUTSIDE BUILDING ENVELOPE
DRAINAGE GALGULATION5: Hen Ymk , Aswheamy
ep
WELL is
FLOOD ZONE X AS SHOWN ON FIRM 56105G01(o1 6 grne�
tal agency oriel IeMFg tretlWLbn�lb fier'e�and
ra Ne mel�jnee of ue wleo-g meumdm.ceurlm-
tlore me rot tranfarable fo aAmtlwnl belRutiari.
_ _ ROOF (DWELLING)
AREA = 42,440 5.F. or O q 45 AGREOUR 62VE0LX1 0.I7 X 1.0
DARE 5I�O S.F. l 0 JOHN C. EHLERS LAND SURVEYOR
215 / 42.24 = 6.51 V.L.F. REQUIRED 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
GRAPHIC SCALE 1"= 50' PROVIDE NG RIVERHEAD,N.Y. 11901
2 8'-O" DIA. X 4'-0" DEPTH DRAINAGE POOLS `�
8 V.L.F. PROVIDED e��J 369-8288 Fax 369-8287 REF.-\\Compagserver\pros\07\07-121 JPEG.pro
S�� i L 1 OF PROPERTY\� l��� 5%ROPE MAX FF ELEVATION 23+
�J^, ^' 1C�< O/,.�� GRADE EL=21.9
51-MATE: �CONI i 1\ �r s� � TW�20.5 GRADE 21.0 EIr21.2 INV=20.2 INVm21.1
FIE CONIC � EL=20.4 MY=19.5 INV-19.7
TOM: SOUTHOL� TANK
SEPTIC RING
4-8•DIA X 3'DEEP 1-8'DIA X.3'DEEP 1000 GALLON
• `\ /C O LEACHING POOL DIS7RIBUTON-POOL 1D'DIA■4'DEEP
SUFFOLK COUNTY,V I TY, NY W GRADE BW�76.5 SOLID RING
SURVEYED: 06-0 1-2001
� �F GROUNDWATER ELEVATION US
HD SUBMISSION: 12-11-200-7
REV15ED: 2-2a-2008 A P PROVED SB �Y `, ��`
SUFFOLK COUNTY TAX # ��j �Jat N. C40i R ZT WALL 300HAU F vulMX
.T6:PROOFED ON INSIDE
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NMI
BOARD OF SOUTHOLD TOWN TRUSTEES 1�`Q�1.1 _ '�l�p•
SOUTHOLD, NEW YORK
.1t -
PERMIT NO. 6826 DATE: FEBRUARY 27, 2008
ISSUED TO: GREGORY K. JOHNSON
PROPERTY ADDRESS: 2870 HENRY'S LANE,PECONIC
t '
ti,rll SCTM#74-1-1
� n
i
•Q111/ I•r•ISP _
i
AUTHORIZATION w
Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of
Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on •..
F4 February 27,2008, and in consideration of application fee in the sum of$250.00 paid by Gregory K. Johnson
f• op,•�• g and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees rq�•,.
a authorizes and permits the following:
Wetland Permit to construct a single-family dwelling and new sanitary system,
with the condition of a line of staked hay bales along the 13' contour line, the
installation of gutters, leaders and drywells to contain roof runoff and in accordance
;N11 with Chapter 236 of the Town Code-Storm Water Runoff, trees greater than 81' in ;►•,;;• j ,;
��- diameter outside the building envelope are to remain, and as depicted on the survey
prepared by John C. Ehlers Land Surveyor, last dated February 29, 2008, and received
on March 4, 2008. -
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.co
FDJ
tiJ
•�11•/ . V 1►•I%%
( 4 Peggy Dicker6
it
st `�.r` � � aft �. � f` `-• '' • 1� �� � \ • � � �.�
.•/I�, +11• v_ .. •!!�/l�l 111 i!• � •Sr'//,1 111 i�F " ,. /:i� +i�• �- s`C�111 /11j1� i/11 IH1 •/ 11i•
-.. .!O¢rN.•.• "'• S S:.l:d ':. r-.,..'+••:.•�•' �'• R '-S��./ .,. ' - �..__ a:.•l•.. �� ` V „d'�.S!1•�•N! ;:.r,Q•1•li/:.9!•� '�
TERMS AND CONDITIONS
The Permittee Gregory K. Johnson,residing at 3007 Avenue F,Holmes Beach,FL 34217 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been
recorded with the Suffolk County Department of Real Properties 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.
9. That the:said Board will be notified by the Permittee of the completion of the work
authorized.
10. 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.
James F. King,President �QF SO(/Ty Town Hall
Jill M. Doherty,Vice-President ,`O� Old 53095 Route 25
P.O. Box 1179
Peggy A. Dickerson Southold,New York 11971-0959
Dave Bergen G
Bob Ghosio,Jr. Telephone(631)765-1892
�IyCOU '� Fax(631)765-6641
BOARD.OF TOWN TRUSTEES
TOWN OF SOUTHOLD
February 27, 2008
Ms. Patricia C. Moore, Esq.
51020 Main Road
Southold, NY 11971
RE: GREGORY K. JOHNSON
2870 HENRY'S LANE, PECONIC
SCTM# 74.
Dear Ms. Moore:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, February 27, 2008 regarding the above matter:
WHEREAS, Patricia C. Moore, Esq. on behalf of GREGORY K. JOHNSON 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 January 22, 2008, 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 February 27, 2008, at which time all interested persons were given an
opportunity to be heard, and,
WHEREAS, the Board members have personally viewed and are familiar with the
premises in question and the surrounding area, and,
2
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 GREGORY K.
J.OHNSON to construct a single-family dwelling and new sanitary system, with the
condition of a line.'of staked hay bales along the 13' contour line, the installation of
gutters, leaders and drywells to contain roof runoff and in accordance with Chapter 236
of the Town Code'-Storm Water Runoff, trees greater than 8" in diameter outside the
building envelope are to remain, and as depicted on the survey prepared by John C.
Ehlers Land Surveyor, last dated February 29, 2008, and received on March 4, 2008.
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: $100.00
Very truly yours,
James F. King
President, Board of Trustees
J FK/eac
James F. King,President ��0� SOUryo Town Hall
Jill M. Doherty,Vice-President ,`O l0 53095 Route 25
Peggy A.Dickerson 1�i P.O. Box 1179
Southold,New York 11971-0959
Dave Bergen G
Bob Ghosio,Jr. �0 Telephone(631)765-1892
C0
UNT11
� Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO: G regoO!a 1 �1►n So n
Please be advised that your application dated '_J"Ua :� has
been reviewed by this Board at the regular meeting of ra-c_ej a-7, aoog",
and your application has been approved pending the completion of the
following items checked off below.
��VRevised Plans for proposed project
)/Pre-Construction Hay Bale Line Inspection Fee ($50.00)
1 st Day of Construction ($50.00)
% Constructed ($50.00)
Final Inspection Fee ($50.00)
Dock Fees ($3.00 per sq. ft.)
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: $
BY: James F. King, President
Board of Trustees
®�g%%ifFilt,�.c4
Donald Wilder,Chairman y - Town Hall,53095 Main Rd.
Lauren Standish,Secretary d P.O.Box 1179
Southold,NY 11971
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., February
13, 2008, the following recommendation was made:
Moved by Peter Young, seconded by Don Wilder, it was
RESOLVED to SUPPORT the Wetland Permit application of GREGORY K. JOHNSON to
construct a single-family dwelling and new sanitary system.
Located: 2870 Henry's Lane, Peconic. SCTM#74-1-1
Inspected by: Don Wilder, Doug Hardy, Peter Young
The CAC Supports the application with the Condition all trees above an 8" DBH are left in
place.
Vote of Council: Ayes: All
Motion Carried
James F. King,President �QF S0(/Ty Town Hall
Jill M. Doherty,Vice-President �O� �l0 53095 Route 25
Peggy A.Dickerson P.O. Box 1179
Southold,New York 11971-0959
Dave Bergen G
Bob Ghosio,Jr. �� Telephone(631) 765-1892
Fax(631) 765-6641
C4UNTY,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Southold Town Board of Trustees
Field Inspection/Work session Report
Date/Time: �- ,
GREGORY K. J HNSON quests a Wetland Permit to construct a single-
family dwelling and new sanitary system. Located: 2870 Henry's Lane,
Peconic. SCTM#74-1-1
Type of area to be impacte
_Saltwater Wetland Freshwater Wetland _Sound Bay .
Distance of proposed work to edge of above:
Part.of Town Code proposed work falls under:
I.—Ahapt.275 Chapt. 111 other
Type of Application: Wetland_Coastal Erosion_Amendment_Administrative
_Emergency Pre-Submission Violation Planning
Info needed:
IA) p
r.
Modifications:
Conditions:
Present Were:v J-Xing Doherty P.Dickerson . Bergen L'B Ghosio, Jr
H. Cusack_D. Dzenkowski Mark Terry other
Form filled out in the field by
Mailed/Faxed to: Date:
Environmental Technician
Review
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PATRICIA C. MOORE
Attorney at Law
51020 Main Road
Southold,New York 11971
Tel:(631)765-4330
Fax::(631)765-4643
February 29, 2008
Board of Trustees. `
Town of Southold MAR - 4 2008
P.O. Box 1179
i
Southold, NY 11971
RE: GREGORY K. JOHNSON
PREMISES:2870 HENRY' S LANE, PECONIC
SCTM # 1000-74-1-1
Dear Board members :
With reference to the above, enclosed please find revised
survey per your requirements at the February 27th hearing.
Thank you.
Very truly yours,
atricia C. Moore
PCM/bp
Enclosures
OFFICE LOCATION: S a MAILING ADDRESS:
Town Hall Annex P.O.Box 1179
54375 State Route 25 Southold,NY 11971
(cor. Main Rd. &Youngs Ave.)
AN.- Telephone: 631765-1938
Southold, NY
Fax: 631765-3136
COU
LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR
TOWN OF SOUTHOLD
MEMORANDUM
To: Jim King,President ry
Town of Southold Board of Trustees
FEB 2 7 2008
From: Mark Terry, LWRP Coordinator
Principal Planner
Date: February 26,2008
Re: Wetland Permit for GREGORY K.JOHNSON
SCTM#74-1-1
Patricia C.Moore, Esq. on behalf of GREGORY K.JOHNSON requests a Wetland Permit to construct
a single-family dwelling and new sanitary system. Located: 2870 Henry's Lane, Peconic. SCTM#74-1-1
The proposed action has been reviewed to Chapter 268,Waterfront Consistency Review of the Town of
Southold Town Code and the Local Waterfront Revitalization Program(LWRP)Policy Standards. Based
upon the information provided on the LWRP Consistency Assessment Form submitted to this department,
as well as the records available to me,it is my recommendation that the proposed action is
CONSISTENT with the following Policy Standards and therefore is CONSISTENT with the
LWRP. To further the policies of the LVir"the following is recommended.
1. The wetland is connected to a larger system. Require a non-disturbance buffer
(retaining the trees) adjacent to the wetland area and nearest to the subject property.
The BMP will further Policies 5, Protect and improve water quality in the Town of Southold and 6.3,
Protect and restore tidal and freshwater wetlands, item D (below).
D. Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order
to ensure protection of the wetland's character, quality, values, and functions.
Pursuant to Chapter 268,the Board of Trustees shall consider this recommendation in preparing its
written determination regarding the consistency of the proposed action.
• Albert J. Krupski, Presic' OSUFFO(�-C Town Hall
games King,Vice-Presid____! h�.0� �G� 53095 Route 25
Henry Smith o P.O.Box 1179
coy Southold,New York 119
Artie Foster71 0959
Ken Poliwoda Telephone(631) 765-1892
41- 0� Fax(631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
•_�etland Permit Application t Mgjor Minor
Waiver/Amendment/Changes
deceived Application:\,/ a. lk
deceived Fee:$ `O
—ompleted Application
Incomplete _
SEQRA Classification:
Type I Type II Unliste -Coordination:(date sent)
n�AC Referral Sent: j /,-OSDOg JAN 2 2 2008
ate of Inspection: �?
Receipt of CAC Report:
_Lead Agency Determination: 1._..__-..... . „= _....
Technical Review:
,public Hearing Held:,3-
Resolution:
Name of Applicant L EE
Address d y7' Avc a �➢
1-121 !Z Phone Number:gq) 7 7 Z— a /y 3
Suffolk County Tax Map Number: 1000 - 7
Property Location: 7U C. �--
(provide LILCO Pole#, distance to cross streets, and location) CON
AGENT. Ed 7,,�
(If applicable)
Address: 7/
Phone: �� _�
Board of Trustees Application
GENERAL DATA
Land Area(in square feet):
Area Zoning: R — d
Previous use of property: �/ C fi� /`1
Intended use of property: �u}I S T A W Z 1 U i I %' •� /Jam/ G�L �: r��h�l
Prior permits/approvals for site improvements:
Agency Date
V No prior permits/approvals for site improvements.-
Has any permit/approval ever been revoked or suspende >y a governmental agency?
No Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
Uj^I:ST V e--llOi`� c� G SJN��r %�y
loo from �" sh�c��c� l�y�fl'ctdraL e e
-r
. Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: - G a,�i S Tf�L4 e-r y 0 F S/ /`16
�'1�yyi i�- �' !�� ,d S�' ✓''I rti �J�t U�}�!' S�/�/T��-�� -
Area of wetlands on lot: square feet
Percent coverage of lot: %
Closest distance between nearest existing structure and upland
edge of wetlands: feet
Closest distance between nearest proposed structure and upland
edge of wetlands: /c>6 feet
Does the project involve excavation or filling?
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):
tl �'1
PATRICIA C. MOORE
Attorney at Law
51020 Main Road
Southold,New York 11971
Tel:(631)765-4330
Fax:: (631)765-4643
February 8, 2008
L,
Board of Trustees
Town of Southold
P.O. Box 1179 F E B - 8 2008
Southold, NY 11971
i
RE: GREGORY K. JOHNSON
PREMISES:2870 HENRY' S LANE, PECONIC
SCTM # 1000-74-1-1
Dear Board members :
With reference to the above, enclosed please affidavit of
mailing, certified mail receipts and cop of letter to neighbors .
Thank you.
Ver truly yours,
Patric C. core
By: Bet y rkins, LA
by
Enclosures
PATRICIA C. MOORE
Attorney at Law
51020 Main Road
Southold, New York 11971
Tel:(631)765-4330
Fax::(631)765-4643
February 25, 2008
FEB
Board of Trustees
2 G 2008
Town of Southold
P.O. Box 1179
Southold, NY 11971
RE: GREGORY K. JOHNSON
PREMISES:2870 HENRY' S LANE, PECONIC
SCTM # 1000-74-1-1
Dear Board members :
With reference to the above, enclosed please affidavit of
posting and green certified mail receipt cards received as of
date .
Thank you.
Very truly yours,
Patricia C. Moore
By: Betsy Perkins, LA
• by
Enclosures
PATRICIA C. MOORE
Attorney at Law
51020 Main Road
Southold,New York 11971
Tel: (631)765-4330
Fax: (631)765-4643
February 7, 2008
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
RE: GREGORY K. JOHNSON
PREMISES: 2870 HENRY' S LANE, PECONIC
SCTM # 1000-74-1-1
Dear Neighbor: -
I represent the above with regard to property located on
2870 Henry' s Lane, Peconic, New York.
They have submitted an application to construct a ingle
family dwelling and new sanitary system.
A copy of the Hearing Notice is enclosed together with a
copy of a survey.
The hearing on this matter has been scheduled for WEDNESDAY,
FEBRUARY 27, 2008 , on or about 6 : 00 p.m. at Southold Town Hall .
If you have any questions, or you wish to support this
application, please do not hesitate to contact me.
Thank you.
V ly yours,
/L_------
nicia C.- Moore
PCM/bp
enc1S .
C: Greg Johnson
i
BOARD OF TRUSTEES
TOWN OF SOUTHOLD: NEW YORK
---------------------------------------------------------------x
In the Matter of the Application of AFFIDAVIT
OF SIGN
GREGORY K. JOHNSON POSTING
Regarding Posting of Sign Upon
Applicant's Land Identified as
1000-74-1-1
---------------------------------------------------------------x
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
I, PATRICIA C. MOORE, residing a 370 Terry Lane, Southold, New York 11971
being duly sworn, depose and say that:
On the 15th day of February, 2008, 1 personally posted the property known as
2870 Henry's Lane, Peconic, New York by placing the board of Trustees official Poster
where it can easily be seen, and that I have checked to be sure the post has remained
in place for eight (8) days prior to the date of the public hearing. Date of Hearing to be
held on Wednesday, February 27, 2008, on or about 6:00 p.m.
Patricia C. Moore
Sworn to before me this
a� day of February, 2008
i
otary P ii
BETSY A PERKINS
Nobly Public,State o1 Now Yofk
No.01PE 6130636
Qualified in Suffolk County(''��
Corrarassion Expires July 18.�
BOARD OF TRUSTEES
TOWN OF SOUTHOLD: NEW YORK
---------------------------------------------------------------x
In the Matter of the Application of AFFIDAVIT
OF
GREGORY K. JOHNSON
MAILING
Applicant's Land Identified as
1000-74-1-1
---------------------------------------------------------------x
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
I, Betsy Perkins, residing at Mattituck, New York, being duly sworn, depose and
say that:
On the_l day of February, 2008, 1 personally mailed at the United States Post
Office in Southold, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED,
a true copy of the attached Legal Notice in prepaid envelopes addressed to the
neighbors on the attached list.
Attached hereto is the white receipt post-marked by the Southold Post Office on
said date.
// 1 1(
etsy Perkins
(Signature)
Sworn to before me this F
day of February, 2008
{
( otary Public)
MARGARET C. RUTKOWSKI
Notary Public, State of New York
No. 4982528
Qualified in Suffolk County
Commission Expires June 3, 0
PLEASE list, on the back of this Affidd t or on a sheet of paper, the lot numbers next to
the owner names and addresses for which notices were mailed. Thank you.
i
, r.
GREGORY K. JOHNSON
NEIGHBOR LIST
SCTM: 1000-74-1-1
Frederick R. Keedenburg
Linda Vardi-Keedenburg
3080 Henry's Lane
Peconic NY 11958
SCTM: 1000-74-1-44.8
Michael Bendick
PO Box 648
Greenport NY 11944
SCTM: 1000-74-1-44.6
Gregory K. Johnson
3007 Ave. F.
Holmes Beach, FL 34217
SCTM: 1000-74-1-2
RECEIPT 1 _.___.---------_—_-- --
7192 6463 3110 0000 0010 RECEIPT �~
FROM: i 71-92 6463 3110 0000 0034 + RECEIPT
Patricia C.Moore Esq. I FROM: 7192 6463 3110 0000 0027
RE:Greg Johnson Trustees Patricia C.Moore Esq. ; FROM:
RE:Greg Johnson Trustees Patricia C.Moore Esq.
i I RE:Greg Johnson Trustees
f i V
SEND TO: i 1
i Frederick R.Keedenburg I SEND TO:
Linda Vardi-Keedenburg I 3080 Henry's Lane Gregory K Johnson I SEND TO:
Peconic NY 11958 3007 Ave.F. 3 Michael Bendick
Holmes Beach FL 34217
PO Box 648
FEES:
i Greenport NY 11944
i I
Postage 0.41 i FEES:
Certified Fee 2.65 Postage 0.41 i FEES:
Return Receipt 2.15 I Certified Fee 2.65 Postage 0.41
Restricted I Return Receipt 2.15 Cert ed Fee 0.41
TOT j Y r 5.21 I Restricted 65
Return Receipt 2.15
P ARK O EEEE i TOTAL r $5.21 I Restricted
TOTAL fit,` > $5.21
P S POSTMARK OR-DATE
--J SLR 1 7 4
PATRICIA C. MOORE
Attorney at Law
51020 Main Road
Southold,New York 11971
Tel: (631)765-4330
Fax: (631)765-4643
February 7, 2008
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
RE: GREGORY K. JOHNSON
PREMISES: 2870 HENRY'S LANE, PECONIC
SCTM # 1000-74-1-1
Dear Neighbor:
I represent the above with regard to property located on
2870 Henry' s Lane, Peconic, New York.
They have submitted an application to construct a ingle
family dwelling and new sanitary system.
A copy of the Hearing Notice is enclosed together with a
copy of a survey.
The hearing on this matter has been scheduled for WEDNESDAY,
FEBRUARY 27, 2008, on or about 6 : 00 p.m. at Southold Town Hall .
If you have any questions, or you wish to support this
application, please do not hesitate to contact me .
Thank you.
V ly yours,
tricia C. Moore
PCM/bp
enc1S .
C: Greg Johnson
SURVEY OF PROPERLY
SITUATE: FEGONIG N �
TOWN: SOUTHOLD
SUFFOLK COUNTY, NY W E
SURVEYED: 06-07-2001
HD SUBMISSION: 12-1"1-2007 S
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NOTES:
■ MONUMENT FOUND '4S 4<�4 �bw` � .. � � �.� ►�--" TYPICAL^RETAINING WALL
0 PIPE FOUND `51v, o, a�. CROSS SECTION
.. WETLAND FLAG AS DELINEATED BY F-FOX (( iji -
OF SEA LEVEL MAPPING ON FEB.20,2007
TOPOGRAPHIC DATA REFERENCED TO NGVD'29 DATUM
PROPERTY ZONE R 40
HELL
FLOOD ZONE X AS SHOWN ON FIRM 361O3C01b1 r,
21— - PROPOSED CONTOUR. Oh, << JOHN C. EHLERS LAND SURVEYOR
AREA= 42,440 S.F.or 0.9143 ACRE F(( 9
GRAPHIC SGALE I"= 50' r1G 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
RIVERBEAD,N.Y.11901
¢� 369-8288 Fax 369-8287 REF.-CADocuments and Settings\Administzator\Deskio
NOTICE OF HEARING:
NOTICE IS HEREBY GIVEN that a public hearing will be held by the
SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road,
Southold, New York, concerning this property.
OWNER(S) OF RECORD:
SUBJECT OF PUB ICA4,vuq.
40mk 4 .. FARING"fin COW�U(-4 °` 51' I�' p
kq &M rw W_ Sa
TIME & DATE OF PUBLIC HEARING-
Wed,%$ fdbtuatH ali OmImp on ar AbUt
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 an and 4 p.m.
BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892
Board of Trustees Appli'---,L:ion
County of Suffolk
State of New York
li 'T 9 l // C M C) G R E BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY
BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT
AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN 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(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
Signature
SWORN TO BEFORE ME THIS DAY OF ,20
Notary Public
Greg Johnson
3007 Avenue F
Holmes Beach FL 34217
January 26, 2007
Patricia C. Moore, Esq.
51020 Main Road
Southold,NY 11971
Dear Ms. Moore:
I, Greg Johnson owner of properties 145 Dickerson Street, Peconic (SCTM: 1000-67-
3-11) and 2780 Henry's Lane, Peconic, (SCTM: 1000-74-1-1) and 2730 Henry's Lane, Peconic
(SCTM 1000-74-1-2), hereby authorize you to make any and all applications to the Building
Department of the Town of Southold and Suffolk County Department of Health, and any other
necessary agencies on my behalf and on my behalf regarding my above referenced property:
Very truly yours,
GREG JO SON. .
S t-
PROJECT ID NUMBER 617.20 SEARAPPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor)
1.ARFiL}CAT/SPONSOR 2.PROJECT NAME
3.PROJECT LOCATION:
Municipality P keo / C_ County 1 q fterd L K
4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map
5.IS i ROPOSED ACTION: �1 fV I New ❑Expansion ❑Modification/alteration
6.DESCRIBE PROJECT BRIEFLY:
k,, jTJtTIlA
7.AMOUNT OF LAND AFFECTED:
InitiallYC3/1714. acres Ultimately 9 J 3 acres
8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
XYes ❑ No If no,describe briefly:
1
9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
KAResidential ❑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
AGENCY (Federal, State or Local) _
nYes ❑No If yes, list agency name and permit / approval: 5 O 14 T/f D J-,D ly ./T n, 4.5 / k
11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
❑Yes 14No If yes, list agency name and permit / approval:
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
Dyes ❑No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
.Applicant / Spon .or— �/� T/� C /� G < �� C) dt G.S (�-• Date:
Signatur l
If the action is a Costal Area,and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
PART II - IMPACT ASSESSMENT(To be completed by 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 ❑ No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be 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 or wildlife 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 impacts(including changes in use of either quantity or pe of energy? Explain briefl :
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA CEA? If yes,ex lain briefl :
Yes El
No
i
E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If Xes ex lain:
Yes No
PART III-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 impact 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 and/or 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 actin
WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi
determination.
Name of Lead Agency Date
Print;rTypeName of Responsible O icer m ead Agency Title of Responsible Officer
na ure of Responsible fficer in ead Agency Signature of Preparer(If different from responsible officer)
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# 1000-74-1-1 ( Gregory K. Johnson)
AGENT: Patricia C. Moore Esq.
51020 Main Road, Southold NY 11971
631-765-4330
The Application has been submitted to (check appropriate response):
Town Board ❑ Planning Dept. ❑ Building Dept. ❑
Board of Trustees X Zoning Board of Appeals
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: ❑ Type: Trustees Permit
Town of Southold LWRP
Consistency Assessment Form 1
Nature and extent of action: Proposed construction of single family residence and
sanitary complying with all energy and environmental standards. more than 100
feet from edge of freshwater wetlands. Private drinking well within 100 feet due to
Health Department regulations of separation of well from sanitary, drywells and
gutters added to new house
Location of action: 2870 Henry's Lane,Peconic
Site acreage: 42,440 sq.ft.
Present land use: residential
Present zoning classification: R-40
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: Gregory K. Johnson
(b) Mailing address: 3007 Avenue F,Holmes Beach Florida 34217
(c) Telephone number: (_) c/o Pat Moore 765-4330
(d) Application number, if any:
Will the action be directly undertaken,require funding, or approval by a state or federal
agency? Yes ❑ No X If yes, which state or federal agency:
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 X No ❑ Not Applicable ❑
Discussion (if appropriate): The proposed construction of the single family dwelling will
comply with 100 foot setback. The private well must comply with Health
Department standards and is closer to edge of wetlands.
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 X
Town of Southold LWRP
Consistency Assessment Form 2
Discussion (if appropriate): The site is not identified as area of archeological sensitivity
or on the National Register on the map produced by NYS Dept. Of State,Division of
Coastal Resources.
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 X No ❑ Not Applicable ❑
Discussion (if appropriate): The construction of a new house provides for gutters and
leaders which control drainage and provides for proper sedimant control.
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion.
See LWRP Section III-Policies Pages 8 through 16 for evaluation criteria
Yes X No ❑ Not Applicable ❑
Discussion (if appropriate): The construction of a new residence will meet flood
standards and hurricane code compliance. Freshwater wetlands created by man
made dikes and clay, soils.
Policy S. Protect and improve water quality and supply in the Town of Southold. See LWRP
Section III-Policies Pages 16 through 21 for evaluation criteria
Yes X No ❑ Not Applicable ❑
Discussion (if appropriate): The proposed house is designed to prevent discharge of
runoff into surface waters through use of drywells and leaders. After construction
the property will be landscaped with native and low-fertilizer dependent. In ant
species which will reduce nitrogen loading from the site.
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 X No ❑ Not Applicable ❑
Discussion (if appropriate): The distance of the house and sanitary to the wetlands meets
stated LWRP policies and is more than 100 feet from edge of wetlands.
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III-
Policies Pages 32 through 34 for evaluation criteria. See Section III-Policies Pages; 34
through 38 for evaluation criteria.
Town of Southold LWRP
Consistency Assessment Form 3
Yes ❑ No ❑ Not Applicable X
Discussion (if appropriate):No impact is anticipated to air quality by construction of a
single family dwelling.
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and
hazardous substances and wastes. See LWRP Section III-Policies; Pages 34 through 38 for
evaluation criteria.
Yes X No ❑ Not Applicable ❑
Discussion (if appropriate): The proposed construction of a home will meet
environmental requirements since 100 foot setbacks are maintained.
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.
Yes X No ❑ Not Applicable ❑
Discussion (if appropriate):The parcel is private.
WORKING COAST POLICIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new
water-dependent uses in suitable locations. See LWRP Section III-Policies; Pages 47 through
56 for evaluation criteria.
Yes X No ❑ Not Applicable ❑
Discussion (if appropriate): Residential Homes are the primary use in the Town of
Southold. Southold has limited commercial development and the taxes that new
single family homes pa i�proportionate to the services then demand. The
construction of the single family house is an appropriate and recognized permitted
use in the Town of Southold..
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 X No ❑ Not Applicable ❑
Town of Southold LWRP
Consistency Assessment Form 4
Discussion (if appropriate): The construction of new home promote and enhance marine
resources because new construction is environmentally friendly and all the
regulatory agencies control the project to prevent degredation of the environment.
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 X
Discussion (if appropriate): The area is not a designated agricultural district. The
neighborhood consist of single family homes on existing parcels
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 X No ❑ Not Applicable ❑
Discussion (if appropriate):As stated before, the house will be constructed with energy
efficient materials and safety standards. Residential development is a recognized
permitted and encouraged use in the Town of Southold.
*copy of Town form created on 2/11/06
Town of Southold LW"
Consistency Assessment Form 5